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Low back pain Spondylolysis and Spondylolisthesis

Middle arrow of facet joint pointing to fracture of pars interarticularis
What are Spondylolysis and Spondylolisthesis? Spondylolysis is a primary stress fracture of the pars interarticularis of the vertebral arch.  In the image to the right, this region is seen as the middle arrow of the facet joint region. The fifth and fourth lumbar vertebra are most often involved.  The defect itself can occur on one or both sides of the vertebra. When it occurs on both sides, the angle of the sacral base can promote a forward slippage of the vertebra, resulting in a spondylolist...
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Pelvic Therapy

How can pelvic floor problems develop? The pelvic floor muscles can be weakened by childbirth, surgery, heavy lifting, being overweight, menopause or constipation. For other patients, the pelvic floor muscles may be overactive.  Over activity in your pelvic floor muscles can cause difficulty with intercourse, emptying your bladder or bowel, and using a tampon. Patients with overactive pelvic floor muscles won’t benefit from strengthening the pelvic floor because they need to be taught how to re...
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Tennis Injuries

Tennis Injuries When tennis injuries are discussed, the term tennis elbow usually comes up.  However, at higher levels of the sport, elbow injuries aren't the most common.  A study published in the British Journal of Sports Medicine reviewed the incidences of injuries and their locations in professional tennis players.  The injury incidence rate is summarized in the graphic below.   Looking for More? Knowledge is power! So our team spends their down time putting together posts ran...
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Frozen Shoulder

Anatomy of the Shoulder Your shoulder joint is where the upper arm (humerus) and the shoulder blade (scapula) connect.  It is a mobile joint covered in an loose tissue known as capsule.  Capsule is a common feature in most of our joints.  The capsule of the shoulder is a dense, fibrous connective tissue that attaches to the bones close to the joint surface.  The capsule seals the joint space and helps in stabilizing the joint from excessive amounts of movement.  The laxity in the capsule also a...
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