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Stretching is a natural part of all exercise. We stretch during gym class, before starting a group run, information during football practice. If kids don’t stretch they will never get the fancy Presidential Fitness bumper stickers for their parents. Should...

Eliminating Wasteful Exams and Focusing on the Patient’s Needs Over the past several decades, healthcare providers have relied more on clinical special tests, laboratory tests, and imaging. Here’s the problem. Those tests don’t translate into better outcomes for patients. The...

Assessing return to sport and injury prevention models There is one surefire way to prevent sports injuries: don’t participate in sports. As that is an unsatisfactory solution for nearly every athlete, we need to look elsewhere.   Thus far, I...

News flash, runners injure themselves frequently. Making matters worse, they don’t stop running. One study following 161 runners preparing for either a half or full marathon found 9 out of 10 runners reported illness or a running-related injury leading up...

“Don’t lift with your back rounded or you will hurt yourself!” I cannot begin to estimate the number of times I told a patient to avoid rounding their low back or flexing their lumbar spine the first few years of...

Punching People in the Face with Facts Doesn’t Work Allow me to paint a picture of a typical clinical debate. After spending hours the previous weekend thoroughly reviewing the literature on the best approach for managing high ankle sprains, you...

I cringe every time I hear the phrase “I’ll sleep when I’m dead” and fortunately, that reaction is becoming more common. Over the past 5–10 years, sleep has been getting a lot more attention. While we may, for the most...

It is highly likely you have heard these words at some point in your life. While the statement typically concerns exercise and activity, on occasion, it is in reference to mental processes as well. The saying refers to the reversibility...

Building a plan of care (POC) and developing a prognosis are tricky endeavors. It is a combination of art and science that necessitates a clinician to consider a variety of factors that contribute to the patient’s presentation and their goals....