How to diagnose and treat your back pain How to diagnose and treat your back pain

Back pain that is acute or from a recent injury has a very high success rate when treated early. Here are things that you can do to understand your back pain and treatments that will help. Dry needling is also a great way to reduce muscle pain and tension in the back.

Got neck pain? What to look for and what you can do Got neck pain? What to look for and what you can do

Chronic neck pain is different than a neck injury that gets better fast. Neck pain can make it difficult to sleep. You may have tried different pillows to reduce your neck pain. Your neck pain continues after trying different treatments, like chiropractic manipulation and physical therapy exercises. This post helps us understand where neck pain comes from and some tips on how to get the most effective treatment as well as some things you can try at home.

Chronic Shoulder Pain. Is your rotator cuff torn? Chronic Shoulder Pain. Is your rotator cuff torn?

Chronic shoulder pain has a common finding for every shoulder problem, a shoulder dyskinesia. Your arm does not track normally with the shoulder blade. Diagnostic ultrasound is a quick way to see if your rotator cuff is torn or injured. Stretches can sometimes cause more strain but here are a few exercises that will help improve your shoulder motion.

Hip and leg pain. How to fix it. Hip and leg pain. How to fix it.

Back pain that is related to the hip, side of the hip and even down the leg can come from a sacroiliac or SI joint. Knee and thigh pain and tension are associated with SI joint injuries or dysfunctions. Calf pain and tension is common as well. This post shares exercises you can do and treatments available to solve this chronic problem, including dry needling.

How to assess and treat knee pain How to assess and treat knee pain

Knee pain with running or walking is usually one sided but can affect both sides. Your knee pain can be a symptom and not the root cause. This post shares testing that we do to help determine knee pain as well as things you can try for yourself.

What to do when you sprain your ankle What to do when you sprain your ankle

The most common ankle sprain is an inversion ankle sprain. This is where you roll your ankle inward. Swelling can be significant and ligament tears as well as joint injuries, even fractures can occur. Thankfully most ankle injuries are a joint sprain to the lateral malleolus or distal tibio-fibular joint. Cornerstone shows you how to assess your injured ankle and things you can do to treat an ankle sprain.

Diagnosing headache pain. What you should test and what you can do. Diagnosing headache pain. What you should test and what you can do.

Headache pain can be difficult to diagnose and treat. Sometimes the headache pain is not the underlying cause and there is something else that is creating the events that lead to headache pain. Your eyes, neck and shoulders all need to be assessed as well as nutritional and medical sources of headache pain. This is only a small part of headache pain but it can get you started on self treatment and what tests you can try.

Quick Shoulder Screen for Medical Practitioners Quick Shoulder Screen for Medical Practitioners

There are a few tips or signs to look for when assessing a chronic shoulder problem. This post looks at what testing should be done to quickly diagnose shoulder pain. The take home at the end, don't exercise a scapulo-humeral dyskinesia. Correct the dyskinesia or mechanics so that you can exercise.

Knee osteoarthritis; narcotics or physical therapy? Knee osteoarthritis; narcotics or physical therapy?

"Docs prefer pills for OA" is the title of an article. While it gets our attention there is a trend to underutilize physical therapy and lifestyle changes while narcotic use is increasing. This post looks at assessment tools for knee pain and knee osteoarthritis. Dry needling of the knee for pain and swelling as well as diagnostic ultrasound for assessing the knee for swelling and bone spurs is also discussed.

Runner's Knee. What you should know and how you can treat it. Runner's Knee. What you should know and how you can treat it.

Runner's Knee can come on slowly and may not be associated with an injury. Knee pain can stop you from training. The pain can get so bad it hurts to walk. Treatments can be helpful but might be temporary. This post helps you understand Runner's Knee and what is the best way to evaluate and treat this condition.

#stepoutside Improve your productivity by taking a nature break. #stepoutside Improve your productivity by taking a nature break.

Our executive functions, ability to make decisions, is affected from the many distractions with our technology enhanced, fast paced world we work and live in. Constantly being interrupted and switching our brains from one task to another comes at a cost. Anxiety and depression are common with a lack of margin. Here is a simple idea to improve your energy, mood, productivity and creativity each day. #stepoutside

TMJ Imaging. What test should you choose? TMJ Imaging. What test should you choose?

When should you have imaging for a temporomandibular joint problem? What imaging is best for you? This post shares how we make clinic decisions on ordering imaging for TMD. CT scan, MRI and diagnostic ultrasound.

Assessing the TMJ Assessing the TMJ

Assessment of the temporomandibular joints takes minutes. This assessment is an eclectic approach based off of decades of treatment and thousands of cases. You can use the entire screen or take bits and pieces to help improve your practice of TMD.

Posture, Strengthen your Neck and Shoulders Posture, Strengthen your Neck and Shoulders

These exercises use a stick to improve our neck and shoulder strength while encouraging good posture. You will have more mobility while safely improving your neck's ability to hold the head up. We are joined by Master Trainer Jerod Langness.

TMJ or TMD? TMJ or TMD?

If you have joint sounds that you can hear when you chew or open your mouth you may have a temporomandibular joint TMJ problem or temporomandibular disorder TMD. Pain to the ear and pain when chewing on the opposite side can indicate an inflamed TMJ. Tinnitus can be associated with TMD. Women and teenagers are at a higher risk for TMJ issues. This is a multi-disciplinary problem most commonly treated by dentists and physical therapists.

Ask Better Questions. Improve your care and your business. Ask Better Questions. Improve your care and your business.

If we do not take the time to ask the right questions we will not get the right answers. Asking questions forces us to listen, to our clients and our team. You can reduce the risk in business, create better solutions by more effectively identifying the problem, and improve your business relationships by asking better questions. Here are some ideas to help you do just that.

All, BETTER

Vestibular Migraine Vestibular Migraine

Vestibular migraine is a new diagnosis that is gaining popularity. But does it help us in the treatment of dizziness and headaches? Or is this a diagnosis that prevents us from looking deeper into a problem causing us to miss a treatable condition? Learn more about dizziness, vertigo, headaches and migraines and what tests need to happen to diagnosis these symptoms.

Migraine Surgery Migraine Surgery

People suffering from migraines in Colorado Springs have another option of treatment and that is through plastic surgery of the occipital nerves, or 'migraine surgery'. There is a connection with our neck and the nerves that supply sensation to our head and the lining of our brain. It is through this interconnection that treatment to the occipital nerves can have success in reducing headache pain.

Migraines and the Neck. A neural connection discovered. Migraines and the Neck. A neural connection discovered.

A recent article looking at connections between the dura, the lining of our brain and spinal cord, the trigeminal nerve, and the upper neck has been shown. This connection helps explain why migraines and tension-type headaches can improve with Botox and lidocaine and/or steroid injections are helpful in treating headaches. It also explains why manual therapies, manipulation, cranial nerve and suture treatments can improve or resolve headaches or migraines.

How to End Migraines, review of Mark Hyman MD post How to End Migraines, review of Mark Hyman MD post

Mark Hyman MD is a well published medical doctor with a post by the same title that was shared by a client. Sadly, there is no quick fix to 'end migraines' but what we do learn from Dr. Hyman is that headaches or migraines can be multi-faceted, requiring a broad perspective, a team approach, and taking to the time to listen to our clients and try to answer the question 'why'?

All, migraine, headache, The Headache Center, Neck pain

Accomplishing more by doing less. Finding your one thing. Accomplishing more by doing less. Finding your one thing.

Gary Keller of Keller Williams Realty in his book 'The ONE Thing' shares his personal journey on how he learned to focus and go smaller in his life to accomplish much more. This post is to help us as leaders discover our unique strengths and what we can do to get better at focusing on our one thing.

Assessing and Treating Swelling in Runner's Knee Assessing and Treating Swelling in Runner's Knee

'Runner's knee' has different causes as well as different pain generators. A clinical finding that is common is a positive patellar tap test that is consistent with fluid on the knee or swelling. Chronic fluid or swelling of the knee is damaging to cartilage over time but also indicates that there is a structural or mechanical problem, basically an in-efficiency of knee mobility during running. Using diagnostic ultrasound that connects with our iPhone we can evaluate for swelling and guide our treatment with this great imaging tool.

All, BETTER

Can GyroStim treat vertigo related to BPPV? Can GyroStim treat vertigo related to BPPV?

GyroStim is a fairly recent technology that is being used to treat benign paroxysmal positional (BPPV) vertigo in Colorado Springs. Is there any science behind this device? Can it treat your vertigo? Providing a background on what positional vertigo is and if GyroStim is capable of treating this problem is the reason for this post. We have included links to ENT's and a Neurologist, Timothy C. Hain MD.

All, Gyrostim, vertigo, Colorado Springs

CŌR VISION Part 1 week 2 CŌR VISION Part 1 week 2

Week 2 progression of eye exercises. These exercises are best with standing to incorporate balance training. Continued with week 1 exercises.

How to manipulate the lower back How to manipulate the lower back

Back pain less than 2 weeks? Tension to the back and pelvis? If your pain is not below the knee and you have stiffness to your hip and its ability to turn inward then manipulation to the lumbar spine or low back can be a very successful treatment. This post follows a Clinical Predication Rule based on a series of studies led by Tim Flynn PT PhD and colleagues on back and leg pain response to manipulation.

Can rolling my IT band help? Can rolling my IT band help?

Lateral or outer thigh pain is pretty common. A common treatment is to roll the IT band with a hard roller such as a foam roller. Questions you need to ask are these; is your pain getting better? If not, is the rolling helping? Foam rolling the IT band can be harmful and does not address the underlying cause. This post discusses why we need to stop rolling our thighs.

All, Core, Cornerstone Physical Therapy

Testing for blurred or double vision for headaches Testing for blurred or double vision for headaches

Vision changes with headaches are very common. An eye muscle, the superior oblique, is commonly associated with headache pain and can contribute to neck tension. Optometry evaluations are typically normal or unchanged. Symptoms to look for: eye strain, pain behind the eye, blurred or double vision, eye fatigue and even some balance issues. Also common are depth perception and driving issues as well as difficulty with grocery stores. These tests can be positive following a head injury, post-concussive syndrome diagnosis, whiplash, or with headaches.

All, The Headache Center, headache treatment, dizziness, Cornerstone Physical Therapy

Blurred or double vision and headaches Blurred or double vision and headaches

Vision changes with headaches are very common. There are tests that can be done to determine if there is a vision issue and eye muscle trigger points. An eye muscle, the superior oblique, is commonly associated with headache pain and can contribute to neck tension. There are symptoms of eye strain, pain behind the eye, blurred or double vision, eye fatigue and even some balance issues. Depth perception and driving issues as well as difficulty with grocery stores are also very common. If you have had a head injury, post-concussive syndrome diagnosis, whiplash, or suffer from headaches this post will help you understand how your eyes play a role.

All, migraine, The Headache Center, headache treatment, Cornerstone Physical Therapy

Better Breathing Better Breathing

Breathing is something we do a lot. How can we get better with our breathing? Understanding some foundations of how our breathing works and how we can become more efficient in how we breath reduces the work of breathing and improves our posture. Why do you think so many activities such as yoga and Pilates focus on breathing?

Neck and Shoulder Posture Neck and Shoulder Posture

In Part 1 of our Posture Program we learned about efficient posture and started the most important activity, breathing into our back. Part 2 of our Posture Program is about neck and shoulder posture and how to find the most efficient position for you.

3 Questions we should ask to get better at search 3 Questions we should ask to get better at search

Searching the internet for medical information can be confusing. Getting the wrong information or even good information that is not relevant can cause issues. There is no replacement for the one to one process with a medical practitioner. How can we use our online searches in a positive way to more quickly get the care we need?

How to pick your medical team How to pick your medical team

To do life you need a team, and when it comes to your health we need a medical team. We already have some of our members. Our longstanding chiropractor, our family physician, our personal trainer at our local gym. When we have an issue that is more complex our medical team becomes more important. In a world where information is much more accessible why is communication harder? Here are some things to look for when picking our medical team. Doing this well can save you time, money and hopefully prevent bigger problems later.

All, Cornerstone Physical Therapy, BETTER

Change your posture for two minutes, power posing! Change your posture for two minutes, power posing!

This post is about power posing. This gained popularity after a TED Talk by Amy Cuddy, a social psychologist, and has sparked some controversy. What we know, is that certain postures can change our mood. Changing our posture throughout the day is a good thing.

Do you have Text or Phone Neck? (and other posture myths) Do you have Text or Phone Neck? (and other posture myths)

The great thing about the internet is that anyone can post any information. That bad thing about the internet is that anybody can post anything! Here are some posture myths that are prevalent and that have come up in our practice. It is time to address these myths and shed some light.

Training for the Trail. Reduce the risk of injury. Training for the Trail. Reduce the risk of injury.

Do you have pain with running or hiking? Reduce your risk of injury and improve your versatility while running outside. Ideas about training and footwear, common injuries and best treatments. Dry needling for knee pain can be a fast way to reduce knee pain. Chiropractic and physical therapy unite to share ideas on how to train and deal with running and hiking injuries.

All, Cornerstone Physical Therapy

Using failure to learn Using failure to learn

The word failure is such an emotionally charged word. No one likes to fail or lose. It doesn’t feel good. How can you take a big mistake and create a stronger team and greater customer/patient loyalty? Here's a story of how we did just that.

Treat your Vertigo! (What you can do and what to avoid) Treat your Vertigo! (What you can do and what to avoid)

Most positional vertigo or BPPV problems are a posterior canal and doing the Epley maneuver is the first step in treatment. This post shows you how to know that you have positional vertigo, how to treat your own vertigo, and what you should avoid. Vertigo treatment should not make you sick. You should feel immediately better or it did not work or is not the primary cause of your dizziness.

All, BPPV

Tired of Being Tired? Obstructive Sleep Apnea Tired of Being Tired? Obstructive Sleep Apnea

Why am I tired? This is Part 1 of my better sleep journey and overall quest to improve my health. This post talks about Obstructive Sleep Apnea and the steps that led me to getting tested and potential treatment.

Clarify your purpose Clarify your purpose

Developing a clear purpose statement or one-liner for what you or your business does helps with clarity and draws people in to want to know more. This post is about answering 3 questions and share some tools to help you and your business get BETTER by clarifying your what, how and why.

Cervicogenic Vertigo or Dizziness Cervicogenic Vertigo or Dizziness

Dizziness or vertigo can be caused by a neck problem. Here are a few tips when assessing the neck. The head is not on straight. History of self-manipulation or stretching means that there is a neck problem. Pain and loss of upper neck motion with testing.

3 best tests to assess for the cause of dizziness 3 best tests to assess for the cause of dizziness

There are 3 systems that can cause dizziness. Our vision or eyes, our inner ear or vestibular system, and our upper neck. This post is the beginning of a 3 part series in assessing and treating dizziness successfully.

Assessing and Training your Core Assessing and Training your Core

The problem with core exercise programs is that they typically do not work. Assessing your core and related issues that can affect your core function is the first step. Second, effective training that is unique to each person is important.

All, Core Strength, Core

The Power of Habit The Power of Habit

Getting our patients to follow through with a home program can be frustrating and difficult. The frustration is shared, for us and for our patients. How can we improve our success rate with our clients and also for ourselves as we try to get BETTER?

All, BETTER

Welcome to Cornerstone! Welcome to Cornerstone!

At Cornerstone we care about YOU. You are the reason we train, innovate, and work together to provide the best possible care. These videos share information about your first visit with us. We look forward to figuring out your problem together and returning you to life so that you can LIVE IT.

All, Cornerstone Physical Therapy

COR Strength Screen Part 3 COR Strength Screen Part 3

This is Part 3 of our COR Strength Screen. Using diagnostic ultrasound we test different activities that should engage your core normally. We are looking for involuntary activation of your core. We will also look at voluntary core activation or tightening your core on demand.

All, Core Strength, Core

Hoarse Voice Hoarse Voice

Through BETTER we are connecting the medical and dental professions by sharing our passion and expertise. This post is related to diagnosing a hoarseness or loss of voice. Go deeper, get better.

All, The Headache Center, Neck pain, Voice

BETTER welcome BETTER welcome

Welcome to BETTER! An online group of medical and dental professionals connecting and contributing, to improve our care.

COR Strength abdominal bracing COR Strength abdominal bracing

Abdominal bracing for core activation is the foundation for all our future exercises. While it is not the only activity we will be using to get your core to engage it is a good place to start. To determine its effectiveness we use diagnostic ultrasound for Targeted Core Training.

All, Core Strength, Core

COR Strength Screen Part 1 COR Strength Screen Part 1

This is part 1 of our screening process for core strength and function. Posture, breathing, and back and pelvic issues are what we look for as part of our screen. Determining a cause for a weak core is an important part of the process.

All, Core Strength, Core

COR Strength Screen Part 2 COR Strength Screen Part 2

Part 2 of our core screening process is about how we use diagnostic ultrasound to assess core function. When the core muscles thicken they are contracting. Through different actions we test to see if the core is activating.

All, Core Strength, Core

Weak core after abdominal surgery Weak core after abdominal surgery

Following a ruptured appendix, abdominal surgery and an infection my core was not working. This limited my ability to hike and run with tension and pain to my trunk. Targeted Core Training has improved my core and my ability to live my life again. Seeing my core function in real time allowed me to start engaging my core, reducing my pain and tension, and push beyond my limits. This is my COR Strength Story. SEE IT, TRAIN IT, LIVE IT!

All, Core Strength, Core

What is Targeted Core Training? What is Targeted Core Training?

Targeted Core Training is using diagnostic ultrasound to see core function. When strengthening your core muscles or abdomen seeing how your muscles engage in real time enhances any program and speeds up core activation, strengthening and recovery.

All, Core Strength

COR Strength Project COR Strength Project

Have you ever wondered if your core was strong? Or how to train your core? If you have had back or pelvic/hip pain during or following exercise then the COR Strength Project is for you.

All, Core Strength, Core

Sleeping on your back Sleeping on your back

Relax the Back shows us different options for sleeping on our back to reduce tension. Reducing back tension and pain is easier than we think.

Shoulder pain and what to do about it Shoulder pain and what to do about it

Shoulder pain that is chronic or gets worse with activity is usually the result of changes in how the shoulder moves or a biomechanical problem. Impingement Syndrome or rotator cuff strain are common diagnoses. Restoring normal joint mechanics is the goal of treatment before exercising.

All, #cornerstonept, #shoulderpain

Are you dizzy? Part 1 Are you dizzy? Part 1

Have you ever felt dizzy? Have you changed your daily activities because of dizziness? Do you know someone that experiences frequent dizziness? This information is for you.

Are you dizzy? Part 2 Are you dizzy? Part 2

One form of dizziness is vertigo. This is usually associated with our inner ear or vestibular system and is called Benign Paroxysmal Positional Vertigo or BPPV. BPPV is an inner ear problem related to loos crystals (Otolith) that are not where they should be.