Stop thinking about things from a kinesiological standpoint.  Movements are movements.  Movements aren’t specific to one single muscle.  You need to move better if you want to improve function.

Eye movements alone will light up muscular activity in the direction you are looking.

If you want people to move better stop shopping exercises and break down their movements.

If you can’t change the movement of the majority of clients you are working with then you are doing something wrong.  You need to have a standard operating procedure as a way to test and re-test their movement patterns.

The brain will create a mobility problem because it is the only option you have left it.

The only thing documented for depression that does not have side effects is exercise.

Gray Cook, DPT

Ankle Sprains

Ankle sprains are very common. They occur when the forces imparted onto the patient are too great for the ligaments to hold their tensile strength. There are three grades to lateral ankle sprains, whereby either one, two or three of the ligaments of the ankle are torn. The most common ligament in the ankle to tear is the anterior talofibular ligament. This is where we “roll” our ankle. Conservative management is very important not just to decrease pain and inflammation but to restore function. An ankle brace alone with no other therapy may have an increased likelihood of repeatedly spraining the ankle.

Plantar Fasciitis/Fasciosis

A condition that occurs when there is chronic inflammation to a large band of tissue on the bottom of your foot called the plantar fascia.

Because this fascia is on the bottom of your foot, doctors call this area the plantar surface, meaning sole of the foot in Latin. The purpose of this ligament is to help support the arch of your foot. When this fascia becomes inflamed, doctors add the ending “itis” thus, the term plantar fasciitis. Sometimes, on X-rays, a heel spur is seen; however, it is not the cause of your pain. Numerous scientific studies have shown that the plantar fascia is the primary source of pain (i.e. don’t let anyone talk you into surgery to remove the heel spur).

The cause of this condition is not fully understood, but it is more commonly found in females and overweight people. When both feet are involved, this is sometimes associated with a certain type of arthritis, which can be evaluated with a simple exam and tests by your doctor. This problem can often be caused by a heel cord (achilles tendon) that is too tight.

The pain occurs on the bottom of your heel, usually more toward the inside (“medial”). It hurts to take a step or walk. Most patients report that the pain is worst when getting out of bed in the morning. The pain usually gets better after walking around for a while. The reason the pain is worst in the morning is because the plantar fascia has had the chance to contract (shorten, tense up) all night long while you are sleeping.

The pain can be described as a sharp pain (like stepping on a pebble) or a dull aching/throbbing pain. Plantar fasciitis is very common, but is easy to treat WITHOUT SURGERY.

Shin Splints

Shin splints, the common term for anterior or posterior tibialis syndrome, presents as pain along the tibia (front of shin) in the muscles or bone itself. The pain is caused by small tears in the muscles that attach to the tibia and usually results from vigorous physical activity. It is most commonly seen in runners. Appropriate conservative treatment typically can resolve the problem. If not managed appropriately, this condition can progress to a tibial stress fracture.

Achille’s Tendonosis

This is a very common condition for people of all activity levels, but especially those who are active through running, walking, or sports. The Achille’s Tendon is the largest tendon in the lower leg and is the end of the gastrocnemius and soleus muscles in the calf as they insert onto the heel bone. The calf muscles, when they contract, cause the toes to point (like a ballerina). Their most important job is to propel the body forward when walking or running or propel it upward for jumping. Unfortunately, if the tendon is weakened, then repeated contraction of the calf muscles through these activities will cause pain. The pain can be anywhere in the calf, but is most commonly in the calf musculature itself or in the tendon down toward the heel. The pain can be a burning-type or a soreness or even feel like a cramp is going to happen (or has happened) in the calf.

This condition is best treated using Graston® Technique to restore the strength of the tendon and with Funhab® to improve the strength of the calf musculature. In addition, Kinesio® Taping Method commonly helps to assist the tendon in performing its job with less pain.