Derek Miles

The Barbell Medicine Guide to Tendinopathy

If you are experiencing pain at a joint that started over time, typically is worse with more activity, and did not have a particular event that led to its onset, you may be experiencing tendinopathy. This is commonly seen in the following areas: This guide will describe what tendinopathy is and provide strategies to decrease […]

A Second Opinion on Your Meniscus Injury

As a physical therapist, I have found that the meniscus is often blamed for people experiencing knee pain. Many people are aware that a meniscus can be damaged or “torn”; this raises questions about whether it is the cause for knee pain, and what should be done about it. In this article, I will discuss […]

Training for power after injury, Barbell medicine article

How-To Train For Power After an Injury

What approaches come to mind when thinking about rehabilitation after an injury? Many people imagine visiting an outpatient physical therapy clinic and receiving various treatment modalities like ultrasound, needles, cups, taping, or scraping painful areas. Others might think of low-level “physical therapy exercises” like clamshells lying down on a mat or light band-resisted activities. For […]

Does SI Joint Movement Cause Hip and Low Back Pain?

Pain in the hips and low back are common reasons people visit doctors and physical therapists. These professionals are often tasked with identifying a cause for the pain. Unfortunately, in many cases their explanations are unjustified, oversimplified, unhelpful, or simply wrong. In this article we will discuss a common explanation for pain in these regions: […]

How-To Manage an Ankle Sprain

You rolled your ankle, whether it be in a pick-up basketball game, stepping awkwardly off the platform, or performing your best interpretive dance of Kenny Loggins’ “Danger Zone”. The ankle is now swollen, painful, and you are wondering what to do next. This article will provide a guide to return to doing the things you […]

Training with a “Spondy” Part I: Introduction & General Concepts

Spondylolysis or spondylolisthesis are two intimidating words that are often described as representing a “broken back”. These aren’t words anyone wants to hear when experiencing back pain. Doctors and physical therapists often provide complicated and ominous-sounding explanations, such as a “fracture of the pars interarticularis”. From the start there is so much complexity in this […]

Guide to Heel Pain

So you’re experiencing pain in your heel. It’s especially painful when you take your first few steps out of bed in the morning and limits your usual activities. This article will explain what is going on, why it may have developed, and what you can do to feel better. We will provide actionable steps to […]

Placebo Performance Enhancing Drugs

The efficacy of placebo in enhancing performance is as well established as it is multifactorial. Geers 2014 This presents a paradox of a placebo being an inert substance, yet still having an effect on performance. A movement has recently transpired to move away from the term “placebo effect” and toward “contextual factors” to address apparent […]

The Hip Part V: Osteoarthritis, Joint Replacements, and Conclusions

Today we’ll be wrapping up our hip pain series with the familiar topic of osteoarthritis, and summarize some practical take-home points at the end (see previous parts 1 ,2, 3, and 4). For an in-depth discussion on osteoarthritis in general, we have a full-length article here, but this article will focus specifically on the hip. […]

Training With Hip Pain Part IV: Femoroacetabular Impingement Syndrome

In our last article we discussed how to manage muscle injuries of the hamstrings, groin (adductors), hip flexors, and quadriceps. Today we’ll move on to discuss hip pain that is attributed to the “Femoroacetabular Impingement Syndrome”. Background Femoroacetabular Impingement Syndrome (FAIS) is a common diagnosis given to individuals with hip pain. While the diagnosis has […]

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