Can Isometric Exercise Help Plantar Heel Pain: What is Best Joint Position?

Anyone who has had tendon pain will tell you it is a frustrating problem to resolve.  Common repetitive use tendon problems include: plantar heel pain; Achilles; patellar (knee) tendon; hamstring tendon; gluteal (buttock pain) tendon; rotator cuff (shoulder) syndrome; and tennis elbow. Tendon problems take a long time to heal. Understanding the continuum of tendon…

Read More

Woman’s One-Sided Worries

Over the years, I’ve noticed that my female patients experience unilateral hip and/or knee pain (pain on one side of the body) more often than my male patients do. This predisposition has been observed by others as well Lateral hip pain is typically called bursitis, piriformis syndrome, or gluteal tendinopathy. Studies have shown the incidence…

Read More

Orthopedic Surgery vs Orthopedic Medicine: Considerations Regarding Elective Surgery

There is a difference between someone who practices orthopedic surgery and someone who practices orthopedic medicine. Orthopedic surgeons are interested in surgical treatment of musculoskeletal problems. Orthopedic medicine practitioners are interested in non-surgical treatment of musculoskeletal problems. Dr. James Cyriax, author of “Textbook of Orthopaedic Medicine,” emphasized this difference. While some orthopedic problems improve with…

Read More

Shoes too big for foot contributes to injury

A majority of all people are in shoes that are incorrect shoe size according to Fawn Evenson director of the Footwear Industries of America. There are two potential errors when selecting what size shoes to wear. Either the shoe will be too small for the foot or too large for the foot. In my experience…

Read More

Don’t do that

A widely held belief among health care professionals is that it is a waste oftime to recommend to an injured runner to stop running. The assumptionis a dedicated runner will not follow recommendation of “don’t do that”. With a few exceptions most injured runners do not need to be told “don’trun”. The exception is a…

Read More

Evolution of the running shoe: evidence & opinion

Forty years ago there was only one running shoe designed for long distance running. Itwas a black canvas shoe shaped like a track spike shoe with a gum rubber outsole andConverse was the manufacturer. Now there is a veritable plethora of running shoes tochoose from. Ten years ago I wrote an article highlighting the fact…

Read More

Should you stretch it out – Pain too loose too stiff?

Generally, there are one of two scenarios related to musculoskeletal pain and injury. Either there is not enough movement or there is too much movement. If a muscle is in spasm, if a joint is stuck, or if a muscle-tendon unit has adaptively shortened in length are all examples of not having enough movement. If…

Read More

Creditability of Shoe Selection Based on Foot Print Shape and Injury Risk

Running magazines and internet shoe sales sites often recommend that the shape of the wet foot print should be used to determine which type of running shoe should be selected. There is a common belief that a foot print reflecting low arch (flat feet) should select shoes designed for “motion control”. Motion control shoes are presumed to control excessive motion…

Read More