A lot of runners (and athletes in general) have medial knee pain. Look how you are moving! If you can’t keep your knee aligned no wonder it hurts. That inside pain may be coming from how you are moving at your hip. Check this out and if you think this might be you check us out.

It happens to all of us.   We experience pain or discomfort in our heel.  But what is going on? Are we feeling discomfort because the Achilles is about to give out or is it picking up the slack?  Get a little insight with our newest video!

Everyone has had a bout of knee pain or is currently fighting off an injury that involves the knee. What are the key elements that make up the pain that emanates from the knee-cap or from the structures around it? Good info for runners, athletes and moms and dads alike.

So you think you have Plantar Fascitis?  There are mechanical contributions coming from the hip, knee and ankle when it comes to dysfunction of the foot.  Check out this video for a few tips on how to manage this condition.

Total PT Summit New Jersey

Everyone who’s ever ran more then once around the block has had lateral hip and knee pain. How and why do we use the foam roller and when is it NOT a good idea to use that roller?

 

So you think you have shin splints from running? Massaging, rolling and stretching may not be the answer. Let’s take a look at the mechanics of good & bad foot, knee and hip movement first!

Looking ahead to a great web-based video series with collaboration between Total-PT & Sneaker Factory of Florham Park.  Everyone has aches and pains when it comes to running.  Shin Splints, IT Band Syndrome, Knee pain and the list goes on and on.  We’re here to break it all down for you and go through the various injury types and create possible solutions for the runner that wants to just get out and run.  Keep checking back for the first video and the series ahead!

It is rare to find such a wonderful caring individual that can so graciously help an entire family! We are a full-time tennis family with three homeschoolers aged 14, 12 and 9. We have been fortunate to find Total Physical Therapy and especially Geoffrey Stankus!

We met Geoffrey through a desperate desire to help William, our eldest son with patellar tendonitis.  William had been injured for six months and his inability to participate in a full-time tennis program was affecting his sense of self-esteem and physical development. We were introduced to Total-PT as an adjunct institution for Centercourt High-Performance Tennis Academy.  The unique approach of muscle activation therapy accompanied by Geoffrey’s attentive service has healed our son. Now all three children are recipients of Geoffrey’s amazing talent and careful attention.  Geoffrey’s capacity to identify with each of our children’s physical needs is extra ordinary.  The results are quantifiable and the education he offers each child is priceless.

Total Physical Therapy is truly a progressive Center that strives to heal the body while educating the patient’s body awareness. It is an experience that should be shared and explored!

Lauren Beasley – contributing writer for  Breaking Muscle!

 

The fitness industry is no stranger to fads. In fact, aside from the impossible-to-keep-up-with world of fashion or the ever-obsolete-rendering technology domain, fitness might just beat out all other businesses in the game of here today, gone tomorrow. Once in a while, however, some fads rise above the others, surpass trend status, and make it big. They stick. Mobility is one such fad.

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The Roots of the Mobility Fad

Not too long ago – somewhere around the Jane Fonda and Get in Shape Girl era – the tip of the mobility iceberg began to surface. Everyone suddenly needed to dress in spandex (regardless of gender), pop in an awesome mix tape, and stretch. Flexibility or lack thereof became a huge focus of fitness. Even diehard stretching devotees knew they should be stretching more.

 

Fast forward a few decades, and other fads have come and gone, but the mobility iceberg has surfaced further. With the help of the Internet, word spread quickly as people figured out that flexibility is only one component of mobility and that there was more work to do. An exponentially growing number of people now understand that fascia, connective tissue, and ligaments all play a part in restricting movement, or at least that stretching doesn’t cover all the bases.

 

In light of this, almost any gym you walk into – Globo, boutique, CrossFit, or otherwise – has a section separate from the main gym space reserved for mobility work. Foam rollers, bands, straps, yoga mats, and lacrosse balls are ready to help mash, smash, roll, and pull tight body parts into unrestricted bliss. And, since more is always better, lots of dedicated athletes and gym-goers have the same arsenal of mobility tools available at home. Had I known mobility was about to reach its tipping point, I would have bought stock in high-density foam and lacrosse ball manufacturing companies.

 

Mobility may have started as a fad, but it gained serious momentum in the trend phase, and now – fueled by viral videos and using CrossFit’s popularity as a vehicle – we are in the middle of a full-on mobility craze. We’re talking a Beatlemania, Beiber Fever, kind of craze. Have we gone too far? What does the rest of the mobility iceberg look like, below the surface?

 

mobility, lauren beasley, mobility for crossfit, stretching, physical therapy

Two Sides of the Coin: Mobility and Stability

 

To start, let’s first give mobility credit where credit is due. Mobility is (almost) everything. If you lack range of motion, no amount of muscle strength will power you through that restricted movement, at least not without serious repercussions – for example, pain. Restricted movements will force the body to compensate, creating further dysfunction. Additionally, if a muscle cannot achieve its optimal length, it cannot generate sufficient force.

In short, good mobility is a basic requirement of quality, safe, and efficient human performance. I am a fan. I’m psyched that the masses are aware that restricted mobility causes trouble and they are ready to take charge and do something about it.

 

As amazing (and necessary) as mobility is, if it’s “almost” everything, then the other side of the coin is – you guessed it – stability. Stability can exist without mobility, but you wouldn’t get too far. If everything locked down to stabilize, you would have a lot in common with a tree stump. On the other hand, if you had amazing mobility without stability, movement would be next to impossible and sloppy at best.

 

Thankfully, most of us fall somewhere just off to one side of the correct proportions of each. In other words, we are likely either walking around with a bit too much mobility without sufficient stability, or a bit too much stability without enough mobility.

 

The Problem of Excess Stability

 

The first scenario – excessive mobility while lacking stability – is an easy fix. Strength training. Stability work. Get control of all that movement. It would make sense then that in the case of the latter – mobility deficits with excessive stability – the same approach would help. Increase mobility. Stretch, roll, and release. Achieve unrestricted range of motion.

 

This approach focuses on deficits and increasing what is missing. For my gangly, mobile, Bambi-on-ice patients I want to focus on increasing stability. However, by only trying to increase what is missing, we fail to look at the whole picture. While my goal is not typically to decrease available movement, sometimes, somewhere along the process of increasing stability we might get a reduction in (hyper)mobility. Not necessarily a bad thing.

 

On the flipside, those with insufficient mobility need to consider the role stability plays in their dysfunction. It is quite easy to come to the conclusion that you have a limited range of motion, but how in the world would you assess that you have an excess of stability? Simple. They are one and the same. Yep, Finkle is Einhorn.

 

mobility, lauren beasley, mobility for crossfit, stretching, physical therapy

 

That tight muscle you assault on a regular basis is likely an overworked scapegoat, providing stability to keep you going. In the presence of instability, muscles and joints lock up to hold you together. You’ve always known you’ve had tight hamstrings, but you blame it on not stretching enough, too many posterior chain workouts, or perhaps genetics is your excuse. Haven’t you ever wondered the real reason your muscles were tight?

 

Did you ever consider that maybe those muscles can’t let go because they are holding on for a reason? When muscles start doing more work than they were designed to do, we have a problem. Tendinitis, muscle strains, decreased mobility. If you can teach a muscle to relax, not by pounding it into submission, but rather by turning on the correct muscles to create stability, the tight, limiting offender might just be able to let go.

 

The Best Application for Mobility Work

 

So here we are, in the middle of this mobility craze, borderline epidemic. As I approach the end of my first decade working as a physical therapist, I can say with absolute certainty that the number of people suffering from self-proclaimed mobility problems is an all-time high. Just a few years ago, I’m pretty sure I never heard the word mobility used by anyone outside of the health and fitness fields. At this point, it’s a tossup between selfie and mobility for most overused words.

 

Worse yet, mobility is not just an overused part of our lexicon but it is now becoming the sole approach to address movement dysfunction. Over-prescribing mobility drills for poor movement patterns is not all that different than a physician doling out antibiotics for every ailment. Just like medication, when the right drills are applied for the right condition, mobility work will be successful.

 

“Normal” mobility, without question, is a requirement to perform safe, efficient, and quality movement. Mobility drills such as stretching, foam rolling, and the like are all good ways to increase soft tissue pliability and increase range of motion. But for those of you consistently chipping away at these drills without yielding the desired change, perhaps it is time to step back and see what else may be going on. It’s time to ask where immobility stems from. If mobility work hasn’t helped yet, I’m not sure more suffering will get you the results you are looking for.

 

So, is mobility just a fad? No. It’s a real thing. But it’s not the only thing.