Gluteal Tendinopathy

Gluteal tendinopathy is one of the most common causes of lateral hip pain, most commonly affecting women up to four times more often than men.  Gluteal tendinopathy is characterized by having lateral hip pain (or pain on the outside of the hip). Individuals often report difficulty with lying on the affected side, walking, standing, climbing stairs, and sometimes sitting.  Previously, this diagnosis has been referred to as trochanteric bursitis, but gluteal tendinopathy is now the most prevalent name for this condition involving pain over the...

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Achilles “Tendinitis”. Is it really an “itis”?

The Achilles tendon is the most commonly injured tendon in the human body with an incident rate of 2.5 per 1000 adults. Injury to the tendon can range from a “tendinitis” or tendinopathy to a complete rupture. “Tendinitis”  is typically caused by repetitive overload and training errors such as rapidly increasing training intensity or duration. These training errors are reported to be contributing factors in 60-80% of those who develop this condition. Recent research has shown that inflammation...

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Hallux Valgus

Over 64 million people in the US have a bunion of the 1st toe (hallux valgus deformity).  Women over 65 have a higher incidence and genetic predisposition is very common.  The exact etiology is unknown. Common risk factors include genetic predisposition, looseness of the ligaments that support the foot, pes planus (flat foot), rheumatoid arthritis, repetitive use of high heeled shoe wear and shoes with a narrow toe box. The bunion is typically accompanied by the overgrowth of the bone and tissues surrounding the big toe.  This can aggravate...

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Cryotherapy

Cryotherapy clinics have been springing up across the DFW Metroplex and on daily deal websites like Groupon and Living Social. With many patients coming to us asking questions, we thought it would be appropriate to answer them as best we can. Whole Body Cryotherapy was originally developed in Japan in the 1970’s for the treatment of Rheumatoid Arthritis to help control inflammation. Non-toxic nitrogen gas is used to lower the client’s skin surface temperature by 30-50 degrees Fahrenheit over a short period of 2-3 minutes. Throughout the...

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Wellness Screens

If you are worried about your flexibility, strength, and endurance, or have a previous injury affecting your level of physical activity, we at The Institute for Sports and Spine Rehabilitation provide a diagnostic evaluation called a wellness screen. We evaluate and screen you for any movement impairments, strength deficits, or muscular tightness that may put you at risk for injury. After the initial evaluation, we recommend 3-5 follow-up visits to improve sports specific and functional abilities. In the state of Texas you can see a physical...

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Physical Therapy Direct Access

Attention Patients:   On February 10, 2015, House Bill 1263, Direct Patient Access to Physical Therapy Services, was filed by Rep. Richard Raymond (Laredo). As you know, current law requires physician orders to initiate physical therapy.  This is despite the fact that state law already requires that all patients be evaluated and assigned a diagnostic classification by a physical therapist at the start of their care. This adds to the time and cost of healthcare for Texans. Currently, 44 other states allow their citizens to receive...

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