Monday, October 28, 2019

PT Pathologies: Adhesive Capsulitis

Adhesive capsulitis, also known as frozen shoulder occurs in individuals when the connective tissue surrounding the shoulder joint, known as the shoulder capsule, becomes thickened and tight.  Stiff bands of tissue called adhesions develop.  As these adhesions form, they cause pain stiffness, and loss of motion in the shoulder.  There are two types of adhesive capsulitis, primary and secondary.  Primary AC occurs spontaneously, while secondary is the result of an underlying condition.  This pathology tends to be a more common occurrence in individuals with diabetes, thyroid issues, Parkinson's disease and heart disease.  The typical age range for individuals to experience frozen shoulder is 40-60 years and is more commonly seen in women.

Adhesive capsulitis occurs gradually and in three stages, also known as the freezing stage, frozen stage, and thawing stage.  The freezing stage can last anywhere from 6 weeks to 9 months.  This stage is characterized by a continual increase in shoulder pain and a decreased range of motion.  In particular, the patient has trouble with shoulder abduction and external rotation.  During the frozen shoulder stage patients can actually experience less pain due to even less ROM and can last from 4-6 months.  The final thawing stage, is characterized by slow improvement in shoulder range of motion.  Recovery or return to normal strength can take anywhere from 6 months to 2 years.

Physical therapy is the most common treatment for frozen shoulder.  Once the stage is identified the PT will set up a plan of care tailored to the patient.  If the patient is in the "freezing stage" the PT will assist in maintaining ROM and reducing pain.  when in the first stage, it is normal for the PT to utilize a combination of stretching and manual therapy techniques to increase ROM.  Ice and heat can be used during this time to help relax the muscles before treatment.  An individualized HEP is normally given to the patient to reduce loss of ROM.  During the frozen stage PTs will be concentrating on gaining back the lost ROM.  In this stage the PT will use more aggressive stretching techniques and manual therapy.

In Summary:

  • Occurs more in the middle aged population with females having a greater incidence than males
  • Arthrogram can assist with diagnosis by detecting decreased volume of fluid within the joint capsule
  • Range of motion restriction typically in a capsular patter (External rotation > abduction > internal rotation)

Friday, October 25, 2019

Is Arthritis Paining You? Physical Therapy Can Help

If you have arthritis, you know how debilitating it can be. It affects millions of people and is the most commonly reported chronic illness across the nation. Arthritis is a disorder of the joints that causes them to become inflamed. The inflammation causes the pain and stiffness that you feel, and it can result in a loss of movement if the joints become too inflamed. There are over 100 different types of arthritis, containing monoarthritis (where only one joint is affected) and oligoarthritis (where multiple joints are affected.) Some of the most common forms of arthritis are osteoarthritis, which develops from “wear and tear” of cartilage, and rheumatoid arthritis, which develops from overactive immune systems.

Arthritis can hinder many qualities of life – from work, to hobbies, to overall mobility. Some people are so affected by arthritis that they are unable to work and have to go on disability. Physical therapy is a safe, healthy, and effective way to treat arthritic pain.

How do I know if I have arthritis?
First and foremost, if you believe you may be suffering from arthritis, you should contact your primary care provider. He or she will provide a thorough evaluation, looking for signs of disease, such as inflammation and/or deformity. They will review your symptoms, and may administer any blood tests, urine tests, joint fluid tests, or x-rays as they deem necessary. If you are diagnosed with arthritis after these tests, your doctor will create a treatment plan for you, in relation to the location and severity of the condition. This treatment plan may include rest, exercise routines, and medications as necessary.

It is very likely that you will also be referred to a physical therapist to help guide you through your exercise routines, in order to measure progress and make sure that you are completing your physical activity in a safe and correct manner. Early diagnosis can be helpful in avoiding joint damage and disability, so it is imperative that you contact a doctor as soon as you think you may be developing arthritic symptoms.

How will physical therapy help me?
While there is unfortunately no known cure for arthritis, there are plenty of ways to help ease the pain that you may feel from it. Physical therapy is a proven aid in arthritic pain relief. It is effective and noninvasive, and in many cases, it can even eliminate the need to rely on harmful pain medication. According to the Arthritis Center at Johns Hopkins,

“Physical activity is essential to optimizing both physical and mental health and can play a vital role in the management of arthritis. Regular physical activity can keep the muscles around affected joints strong, decrease bone loss and may help control joint swelling and pain. Regular activity replenishes lubrication to the cartilage of the joint and reduces stiffness and pain. Exercise also helps to enhance energy and stamina by decreasing fatigue and improving sleep. Exercise can enhance weight loss and promote long-term weight management in those with arthritis who are overweight.”

A physical therapist will custom-tailor a treatment plan surrounding your needs, in order to increase your strength, range of motion, and mobility. This will include the affected area, as well as any surrounding areas that may contribute to the pain. For example, if your arthritis is in your knee, your physical therapist may create a treatment plan that focuses on the knee, in addition to the hips, ankles, and lower back, since all of these areas may affect the movement of the knee.

Your physical therapist will most likely suggest manual therapy, in order to improve joint and soft tissue mobilization. Your treatment plan may consist of any combination of treatment services, including ice and heat therapy, deep tissue massage, or electrical nerve stimulation. All of these treatments are passive modalities that work to reduce pain and inflammation, in addition to increasing blood flow and mobility.

Monday, October 21, 2019

Product Review: RAGE Fitness 20lb Slam Ball

Product Details:
The no bounce heavy duty rubber shell makes the Slam Ball perfect for intense slamming and throwing routines.

Strengthen your core, improve your conditioning, and increase your explosive power with one piece of equipment. Ideal for cross training, core exercises, plyometrics and cardio workouts.

  • Encased in an ultra-durable, heavy-duty rubber shell
  • Rage slam ball is high endurance impact approved and performs in ways a medicine ball cannot
  • Textured surface allows for a high quality grip even when wet
  • No bounce design proves to be ideal for various throwing and slamming routines
  • Equipped with an air valve making it possible to adjust the air capacity and overall firmness
  • 1” low bounce rating
  • 10-35 lb are 10" in diameter
  • 40-50 lb are 11" in diameter
  • 60-80 lb are 12" in diameter
  • 90-100 lb are 14" in diameter
  • Industry best 1 year warranty

Product Review:
The RAGE Fitness Slam Ball has a textured surface to provide a better grip during your workouts. The weight values (LBS) are green on a black gloss surface for easy viewing when looking for the size that you need.

Overhead medicine ball slams are great for working the entire body and for releasing some aggression, but they tend to take a toll on the medicine ball itself. Enter the RAGE Slam Ball specifically designed and tested by myself to withstand an onslaught of abuse!  Slam balls are used to enhance your workout routine by simply holding it while performing exercises. Examples of these include sit-ups, squats, lunges and overhead presses; when working with a partner you can do chest passes, overhead passes, and abdominal work through rotation variations. Slam balls can also be used for athletic training by enhancing cardiovascular endurance, increasing muscle mass and improving hand-eye coordination. Perfect for getting rid of excess energy and pent-up frustration.

Cross training is founded on innovation and variety – and our slam ball helps transform your WODS and quickly advance cross training levels, all while letting you reap all of its benefits with unprecedented ease.  Slam ball workouts tone the cardiovascular system, enhance circulation and dramatically improve your strength and endurance. By moving at a high speed, you push your body towards producing more power – and FAST.  Slam balls add a layer of resistance to exercises which traditionally rely on bodyweight. They naturally increase muscle mass and improve posture and balance, through aiding in regulating movement patterns. Simply the highest quality slam balls on the market. and backed by a industry best 1 year warranty!

Available in weight increments from 10 lbs up to 100 lbs, these rubberized, dead-bounce Slam Balls can benefit athletes of any size and skill level or for traditional medicine ball exercises, as well. I have been working with a 20lb slam ball and as a 185lb 5'11 male it presents a challenge! I would definitely not use this for wall balls but what I like about this ball is it gives a whole new meaning to Ball Slams (having a much more challenging load picking up with every rep) and long distance running carries.

This slam ball is well constructed and just slippery enough (I would prefer a slightly grippier ball, which they offer on their site) that it forces you to apply additional grip to maintain adequate control. It is an excellent tool for a near complete functional movement total body workout out. It has very little bounce which forces one back into the squat position to retrieve it for your next rep.

I have been using it now for a few weeks and its perfect. Plus I feel like this thing will be around for a long time, it feels heavy duty and well built. It's obviously a smaller diameter than the Med-balls when doing Wall Ball workouts which is the only complaint (dead bounce slam balls do not work as well as wall balls for that particular movement) plus you can't beat the price.

In conclusion:
Quality: The quality of this product is great. I have used the ball with several clients over the last month and it has been slammed from overhead over 1,000 times easily. The ball shows no sign of wear or leakage whatsoever. The ball is just as good as when it came new.

Overall any of RAGE Fitness slam balls will compete with any slam ball on the market and I would feel 100% confident using them in a commercial gym, private studio or home gym. I plan on buying more and would recommend them to anyone. Like mentioned above, my only critique remains that its use as a wall ball is possible, however not ideal.

Wednesday, October 16, 2019

WOD Wednesday #112

3 rounds for max reps of:
  • 1 minute of burpees
  • 1 minute of wall-ball shots
  • 1 minute of deadlifts
  • 1 minute of med-ball sit-ups
  • 1 minute of hang power cleans
  • Rest 1 minute

♀ 14-lb. ball, 75-lb. deadlifts and cleans
♂ 20-lb. ball, 115-lb. deadlifts and cleans

This workout is awesome. It is based on Fight Gone Bad, and the stimulus we are looking for is pretty much the same. "We designed this workout so that we move at one activity for one minute. And just at the point when the localized muscular endurance would be a significant factor, we cut and shift gears into a different movement" (Glassman). Your task is to commit to working for the whole minute, the only rest you get is the transition to the next station. Your scaling should try to match this objective. Pick loads that will not stop you. We want you on that line where your body wants to stop, but your mind knows you can keep going. That is it, there is nowhere to hide here! Don't hide!

Monday, October 14, 2019


One of the most common complaints of the foot is plantar fasciitis. But what is it and what causes it? Fascia comes from the Latin word for band which is appropriate as the plantar fascia is a band-like material that runs from the heel to the base of the toes. Plantar fasciitis is essentially inflammation of this fascia. It is a fairly prevalent condition in runners and casual joggers and can lead to perceived pain at the bottom of the foot and heel.

Typically when one thinks of plantar fasciitis the word heel spur comes to mind. A heel spur is a bony overgrowth at the bottom of the foot that most people think either causes plantar fasciitis or vice versa that plantar fasciitis causes the spur. However, recent research has shown this is not the case. A study on 22 different heel bones with confirmed spurs showed that spurs formed at the origin of a muscle known at the bottom of the foot known as flexor digitorum brevis, not the plantar fascia.

So what does this mean for people that have plantar fasciitis? It is not what is causing the heel spur and it can be managed by activating the right muscles! A great exercise to perform if you think you may have plantar fasciitis is the lift, spread, and drop exercise. Start by lifting your big toe off the ground without lifting the rest of the toes and then dropping it back to the ground. Then try lifting the other toes, spreading them a part, and bringing them back down. To progress this exercise, try lifting each individual up and down to strengthen your foot muscles and keep you pain free!

If this exercise does not work for you, then it may need to be modified to ensure proper activation of the foot musculature. Several treatments exist to assist in doing so, including activating the muscles in stable positions with Dynamic Neuromuscular Stabilization (DNS) as well as increasing foot mobility with manipulation, Active Release Technique (ART), Cupping and Instrument-Assisted Soft Tissue Mobilization (IASTM) and decreasing inflammation within the fascia using Dry Needling.

Share this article with someone you think may have plantar fasciitis symptoms and encourage them to schedule with a PT to stay active and keep that foot pain away!

Thursday, October 10, 2019

Physical Therapist Assistant Resume Sample

Writing a great Physical Therapist Assistant resume is an important step in your job search journey. When writing your resume, be sure to reference the job description and highlight any skills, awards and certifications that match with the requirements. You may also want to include a headline or summary statement that clearly communicates your goals and qualifications. The following Physical Therapist Assistant resume samples and examples will help you write a resume that best highlights your experience and qualifications. 

Sofia Flores

St. Paul MN • (123) 456-7891


Highly trained physical therapist assistant with 3+years experience to work with a rehabilitation team at a skilled long-term care facility where the caseload consists of mostly elderly adults with a high percentage of patients that return to their homes.


Northwest Vermont University
Sep '10 - Dec '14
Physical Therapy/Human Development


River Tech Clinical Residence, Physical Therapist Assistant
Feb '15 - Current
  • Assesses and directs physical therapy services for residents for strengthening and conditioning
  • Directs classes in back-injury protection, wound care, and orthotics
  • Conducts aquatic therapy programs for increased focus on transitioning to wellness through alternative methods of rehabilitation
  • Implements the course of care for each patient based on the instructions of the physical therapy team
Cloud Clearwater Physical Therapy Center, Physical Therapist Assistant Internship
Current - Current
  • Coordinated with physical rehabilitation team to implement individual and group-based activities based physical needs
  • Communicated with patient families and caregivers to demonstrate the proper implementation of treatment plans
  • Provided physical therapy team with updated documentation on all the patients treated


  • Planning Health Care Treatment
  • Health Services

Monday, October 7, 2019

Treign Apparel

“Treign active wear was established in 2016 for athletes committed to pursuing their passion and overcoming obstacles to achieve their goals. Treign is one of the fastest growing new athletic apparel companies in the United States. Created by athletes and coaches, Treign athletic apparel is designed for maximum performance while maintaining comfort and style. Treign’s versatility allows for exceptional wearability, whether you’re crushing it on the court or cheering from the stands. We use high-quality materials and clean designs to convey the theme of the dedication it takes to pursue your dreams.
Image result for treign apparel logo
Our motto at Treign is “Commit, burn the ships!” Alexander the Great and Hernan Cortes supposedly gave this command to their men when they charged into their conquests so that retreat was not an option. At Treign, we believe that every hero’s story starts with a commitment to be victorious and to burn the ships.
Our company is dedicated to helping others pursue their dreams and overcome obstacles, and we believe it is extremely important to give back. 10% of Treign athletic apparel profits are donated to groups that provide food, clothing and shelter to those in need.”

What do I think? I Love the color, designs and fit of the products I’ve trained in from Treign.  I’m starting to see more and more Treign shirts popping up on athletes and at events. Excellent shirts for active CrossFit workouts and functional fitness training sessions. Their stuff is for active and fit bodies so be aware of that if you are wanting to try to find something that has a little more of a loose fit, you might want to consider going up a size. The length on their shirts is great and stays in place during workouts. This is a lighter material shirt which is going to be even more awesome when the temps here in the midwest climb up into triple digits this summer. I love the company’s philosophy and their mission and the fact that they are giving back with a portion of their sales going to charity, this company and their shirts are a can’t miss in my opinion. In addition, Treign has just release new shorts with pockets!

Women’s Capri: 
Black workout capri, a staple to any woman’s wardrobe. This capri boast function as well as finesse.  It is made from comfortable sweat wicking material that conforms well to the body without being to tight or to loose. It had many perks I would not have expected from a newer brand. They made sure to include lots of small tech details including reflective print on the legs, a posterior stash zippered pocket, as well as a drawl string for that perfect customized fit to hold well during any movement. Overall I have really enjoyed running as well as Crossfit in my new treign running capri.

Treign Womens Shorts:  
The Spartan Shorts or compression shorts are perfect for the workouts that set your body on fire. They are elastic and have the right amount of stretch, I felt that these fit true to size and run similar to other brands I have tried in this style. They have a wide waist band with a 3in inseam. The material used is very comfortable, breathable, and sweat wicking. The color options are awesome and vibrant, but they have the neutrals color palate as well. They also have one of the quick stash pockets set into the front part of the waistband for small items. These are great performing workout shorts to keep any athlete dressed for success.

Treign Tanks:  
Comfortable and breathable looks great for works and the fourth of July! Great colors leave. Fits comparable to other athletic brand tank tops. It is a slightly loose fit that gives you enough room for all types of crossfit or lifting movements. The racerback features the white Treign logo with a red himantes symbol on the front with “USA” in red on the back.

Treign Shorts:
These shorts are light, airy, and extremely comfortable to wear. The shorts have a flattering fit, but not uncomfortably so as these are designed with performance and athletic bodies in mind. NOW WITH POCKETS!!! Treigning will be easy in this 4-way stretch fabric that is lightweight and durable.

Thursday, October 3, 2019

Product Review: Bear Komplex Carbon Fiber 3 Hole Grips

Product Details:
Have you ever been to a competition and been faced with a slick bar or a bar that you are not used to? If so, the new BKX Carbon Comp grips are for you! Our PATENT PENDING one of a kind technology allows these grips to stick to any bar, no matter the scenario. YOU DON'T EVEN NEED CHALK!!! Built with the same quality craftsmanship as our other grips, the Carbon grips are made for slick and powder coated bars.
  • As always, we protect the wrist from the buckle and use only the highest quality stitching to ensure they hold up. Grab a pair today and don't worry the next time you see a new bar. 
  • Manufactured from lightweight and sticky carbon fiber which feature a custom wrist strap which is designed for comfort and support positioned under the buckle. Bear KompleX Cross training grips will NOT dig into your wrist! 
  • Protect your hands and palms during Pull ups, Chest to bar, Muscle ups, Toes to Bar (T2B), Knees to Elbow (K2E), Kettlebell swings, Power lifting, Power Cleans, Deadlifts, Snatches, Gymnastics, and more... 
  • Durable triple stitching will ensure full support and stability when using the Bear KompleX gymnastics grips. You shouldn't have to worry about your hands when dominating your Cross training WOD! 
  • Our superior carbon fiber product will protect your hands and mold to fit the bar you are holding. Be sure to protect your hands during your Cross training WOD to maximize your output. 
  • Reduce slipping on the bar and keep banging out those pull-ups. Great for the Speal bar too! 

Product Review:
I have been participating in crossfit for a couple years now. I was getting discouraged about my lack of progress on bar movements. Anytime I jumped up to a bar for t2b or kipping pull-ups I could only perform a couple of repetitions before having to let go from hand pain and fear of tearing. I had tried 4-5 different grips to no avail. Then finally I went for the bear complex carbon fiber 3 finger hole grips that I saw other people using at the gym.

It was instant change in my ability to maintain grip on the bar. I was able to dramatically increase my reps on the bar without the pain and fear of ripping my hands. The wrist straps are comfortable and do not dig in. I also got a larger size since I prefer not using the finger holes. The carbon fiber does seem to possess an almost sticker quality to the bar compared to other materials. At the end of the day these grips are worth every penny.
Along the way of learning muscle-ups, toes-2-bar, butterfly PU and other high bar moves my hands would tear. Those of you who are learning a new technique know my plight when you are making GREAT progress and now it is hindered with torn hands. Some grips gave protection longer than others, but it was just a matter of time before ripping again.

In the end, I was thinking it was bad technique, but that WAS NOT the case. I tried numerous hand grips ( four different POPULAR brands, not store knock-offs) recommended from fellow crossfiters to reading online reviews, I even made some from 1" athletic tape.

Now, I have been using the 3 hole Carbon Fiber grips for several weeks with the same workout intensity and frequency, and have not torn either hand..... I guess you could make the argument that I have gotten smarter OR better with each technique, but I believe that would be reaching. If the previous statement IS TRUE, then the Carbon Grip were a HUGE part with protecting my hands... Fact is, I can't use torn hands as an excuse now..... Just give them a try