Abdominal pain can be difficult to differentiate between actual visceral organ versus muscular (myofascial) etiology. There are some clinical tests that can assist in a clinician ruling in more of a myofascial condition, but depending on the history and presenting symptoms, we do recommend consulting with your physician for a thorough abdominal examination. With that […]

Tension type headaches are one of the most common type of headaches in the United States. It receives much less attention from healthcare professionals and researchers than migraine does.  In fact, with the increase in stress to the neck and head with our postures at computer and other handheld devices now, the tension through the […]

The piriformis stretch is a classic way to help mobilize and stretch the hips. However, you do not want it to “pick” at your low back and irritate it! Here is our approach to exercise prescription so you know not only where to FEEL exercises, but just as importantly, where NOT to feel exercises! If […]

Common associated symptoms of peripheral neuropathy include numbness, tingling, burning, or even total loss of sensory function. These sensory changes can lead to limitations within activities of daily living, balance, gait mechanics, as well as overall quality of life. If peripheral neuropathy is not from Diabetes Mellitus, then the solutions to treatment are less concise […]

There is evidence (O’Leary et al 2003) that people with persistent headache and neck pain have Altered coordination between deep and superficial muscles Greater neck muscle fatigue under sustained low loads Deficits in kinaesthetic sense of the cervical spine and head (a deficit of neck proprioception) Watch the video below so you understand what muscles […]

Rhinosinusitis a group of disorders characterized by inflammation of the mucosa of the nose and paranasal sinuses.  Many of us feel symptoms in the facial tissues and head due to the sinuses but in many times, the diagnosis is not always “just a sinus headache”, but could be contributed to overlap from other areas, such […]

Migraine is a primary headache disorder and is considered the second most important cause of disability in the world. It can be challenging to treat as there are many options available, including medication, dietary changes, ear piercing, chiropractic, physical therapy, acupuncture and vestibular rehabilitation. The presence of neck pain is an important factor related to […]

Among the peripheral vestibular disorders, benign paroxysmal positional vertigo (BPPV) is the most common. The diagnosis of BPPV is clinical and is done mainly through thorough medical history taking and specific maneuvers that determine what type and canal BPPV is present. Physical therapy is an effective, reliable and non-invasive therapeutic approach, which leads to consider […]

Have you been told you have a flat neck?! Have you been told you have reversed lordosis of your neck?! Left picture: Normal Cervical Lordosis Middle picture: Loss of Cervical Lordosis Right picture: Cervical Kyphosis Picture courtesy from: Alpayci et al 2016 Mild-to-moderate weakness of cervical muscles may lead to an alteration of head–neck posture […]

Balance is a complex process that involves multiple sensory integrations. The auditory, visual, and vestibular systems are the main contributors. Hearing loss or hearing impairment may induce inappropriate postural strategies that could affect balance and therefore increase the risk of falling. All the sensory systems, including hearing acuity, reduce their capacity throughout aging and such […]