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August 01
Image from Tom W.'s post

Hi everyone, a new hip arthritis rehab video is available here in the app. Here is a link for the video.

https://membership.rehabscience.com/programs/hip-oa?utm_source=product&utm_medium=share&utm_campaign=content_share&utm_term=4288389&utm_content=mobile

 
July 31
00:17

📚Rectus femoris is a two joint (biarticular) muscle that crosses both the hip and knee joints. This muscle is technically part of the quadriceps group, but has the ability to create both hip flexion and knee extension due to its attachment points.

🔎The position shown in this video is referred to as the Thomas test and is often used by physical therapists to assess hip flexor and rectus femoris flexibility. But, you can also do it at home with a partner!

🧠The Thomas test position can also be great for stretching rectus femoris and the other hip flexors and can be quite helpful to people with low back pain and/or anterior hip and thigh tightness.

✅In order to maximize the stretch, follow the cues listed below and complete 2 to 4 repetitions with 15 to 30 second holds.

1️⃣Hold the pelvis down in order to limit low back movement.

2️⃣Push the knee down toward the floor gently to create hip extension.

3️⃣Bend the knee slowly to create knee flexion until a moderate stretch is reported by your partner.

July 29

Hi Tom, is there any particular brand/type of "Peanut Tool" I should buy? There are a bunch on Amazon!  Thx!

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July 28
00:30

📚The elbow is composed of the humeroulnar, humeroradial (shown here) and proximal radioulnar joints.

🔎The humeroradial and humeroulnar joints allow the elbow to move through approximately 150 degrees of flexion (bending) and full extension (straightening).

🧠The humeroradial joint is made up of the concave radial head and convex capitulum portion of the humerus bone.

✅In the elbow section of the app, you will find three elbow rehab programs for tennis elbow, golfers elbow, and triceps tendinopathy.

 
July 23
00:20

📚The term shoulder impingement was traditionally used to describe shoulder pain that was thought to result from the rotator cuff tendons or subacromial bursa being “pinched” beneath the acromion.

🔎People with subacromial pain syndrome often experience pain when lifting the arm out to the side or overhead, with symptoms commonly occurring during the painful arc shown in the first image of today’s post.

🧠Today, many clinicians prefer the term subacromial pain syndrome because research has shown that structural “impingement” alone does not fully explain why symptoms develop. Many people have narrowing of the subacromial space or rotator cuff changes without any pain, while others develop symptoms despite minimal structural findings. Instead, pain is thought to result from a combination of factors including tendon loading capacity, muscle function, movement patterns, and nervous system sensitivity.

💪The good news is that most people improve with a progressive rehabilitation program focused on restoring shoulder strength, improving tolerance to movement, and gradually returning to overhead activities.

✅The app contains a comprehensive, 3-phased program for subacromial pain syndrome that will guide you through the rehabilitation process. Click the link below to access this program.

https://membership.rehabscience.com/programs/shoulder-pain?category_id=259882

July 23

Hi Dr. Tom! I just joined the membership and am trying to figure out which plan I should do if I have SI joint dysfunction (fyi, I have a small orthotic insert in one shoe that I got from PT couple years ago). Essentially trying to reduce occasional pain and strengthen area around it. THANKS!! Erin ;)

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July 22
Image from Tom W.'s post

Hi everyone! A new video on exercises to help improve knee stability is available here in the app. Here is a link for the video.

https://membership.rehabscience.com/programs/knee-instability?utm_source=product&utm_medium=share&utm_campaign=content_share&utm_term=4275708&utm_content=mobile

 
July 19
01:00

👉Soft tissue mobilization works by stimulating mechanoreceptors in muscle and fascia, which can decrease nociceptive signaling and reduce protective muscle guarding.

🔎This neurophysiological response, combined with improved local blood flow and tissue elasticity, often helps lower pain sensitivity and restore freer, more efficient movement.

🧠Soft-tissue mobilization of the lumbar extensor muscles (erector spinae group), which run along your lower spine can be a helpful strategy for reducing low back pain. In this video, I show a technique using a peanut massager tool, which works well for targeting the lumbar extensor muscles.

✅More techniques like this and other mobility and strengthening exercises can be found in the low back pain program here in the app.

 
July 17
00:23

👉Scapulothoracic mobilizations are a valuable manual therapy technique for improving movement of the shoulder blade and relieving pain around the shoulder and mid back.

🔎In this technique, the patient lies on their side while the clinician reaches their fingers beneath the medial border of the scapula to gently lift it away from the rib cage. This helps mobilize the scapulothoracic joint — the interface between the scapula and the thoracic wall — which often becomes stiff in people with shoulder or upper back pain.

🧠Restoring mobility at this region allows the scapula to move more freely during overhead and reaching motions, reducing compensatory stress on the glenohumeral joint, rotator cuff, and surrounding soft tissues. By improving scapular motion and control, this mobilization can help decrease pain, enhance posture, and restore proper mechanics for functional movements like reaching, lifting, and pressing.

✅If you experience pain around the shoulder blade or upper back, restricted scapular movement may be a contributing factor. Manual mobilization, combined with targeted exercises for scapular control and thoracic mobility, can be an effective approach to restoring comfort and function.