Derek Miles

Derek Miles is a residency trained physical therapist currently working at Stanford Children’s Hospital as the Advanced Clinical Specialist in the rehabilitation department. He worked at the University of Florida prior for 10 years in sports medicine treating a variety of athletic injuries from overuse to post-operative. He is involved in the peer review process for academic journals and has spoken at national level conferences within the physical therapy profession. If not treating patients or in the gym Derek is likely either cooking some form of meat or reading books related to various random topics. He occasionally brews a pretty good American Pale Ale as well.

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: …

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Training With A “Spondy” Part II: Returning To Activity

In part one of this article series we discussed terminology, incidence, and the implications of spondylolysis and spondylolisthesis. In this second and final installment, we’ll discuss returning to training, sport, and competition. The majority of Barbell Medicine readers dealing with back pain or who have been diagnosed with spondy are likely concerned about returning to …

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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 …

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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. …

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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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