Services We Offer

At Cornerstone Physical Therapy we treat a variety of conditions from plantar fasciitis to headaches and TMJ or Temporomandibular Disorders. We have successfully treated pelvic issues post-delivery after a pregnancy and helped many athletes achieve full function and ROM after a knee surgery. Our staff has received sports medicine, manual therapy and craniofacial certifications. Manual therapy is the hands-on assessment and evaluation of musculoskeletal injuries of the entire body. A Cranio-facial certification is specific to problems of the head, neck, face and jaw. There are only a handful of Cranio-facial Certified Physical Therapists in the country. As you read further here is some information on some of the specialty problems we treat and approaches we use.

CornerStone Technology


Trigger Point Dry Needling

What is Trigger Point Dry Needling?

Trigger point dry needling (TPDN) is a treatment for muscular tightness and “spasm”, or "knots". These areas of tightness are commonly referred to as trigger points. Trigger points are defined as the presence of exquisite tenderness in a nodule of a taut band of muscle, and may elicit a twitch in response to pressure. Trigger points can develop from injuries, poor posture, or a disease process.

The muscular tightness or spasm that develops from an injury or disease process can cause compression and irritation of the nerves exiting the spine and anywhere along their pathway. When the nerves are irritated they can cause a protective “spasm” to any of the muscles along their pathway. Care must be directed both centrally to take care of the origin of the pain and peripherally to reduce symptoms from the central compression.

The technique uses small, thin, solid core filaments that get inserted into the muscles at the trigger points causing a replication of the pain or referral pattern. The muscles then contract and release. This contracting and releasing improves muscle flexibility, removes the source of irritation, promotes healing, and decreases the spontaneous electrical activity at the trigger points.

Cornerstone Physical Therapy has increased the level of knowledge of TPDN through the use of 3-Dimensional Cat Scans of the head, face and neck. Because of our interest and specialty focus our approach with TPDN is very in depth. The addition of diagnostic ultrasound to assess or "see" into the human body allows us a greater level of safety with TPDN. The Treatment for tinnitus patients as well as loss of speech and swallowing are some of the problems our clinic has been able to help, with the assistance of TPDN.

In the State of Colorado the requirements to practice TPDN are two weekend courses after 2 years of clinical experience. As the popularity of this technique grows more and more clinics are offering this treatment. Protect yourself by finding out how much training your Physical Therapist has undergone and how long they have been practicing. As with any treatment this should not be the only intervention that you receive by your Physical Therapist. TPDN can be a very safe technique in skilled hands.

If you are interested in this form of treatment and want to know more please call us at 719-596-5000.

Manual Therapy

manualtherapyCornerstone Physical Therapy sets itself apart by being a completely hands-on clinic. This is what manual therapy means, to diagnose and treat through the assessment of touch. This includes thrust manipulation to restore a “stuck” joint in your spine, to facilitating or helping a muscle work after a stroke. There are many different philosophies of manual therapy across the globe. At Cornerstone Physical Therapy we have been trained in many different treatment approaches. This allows us to have more “tools in our tool belt”. Because of our passion in our learning and our desire to excel in what we do we have continued to progress in manual therapy by certifying. A certification in manual therapy means that oral, practical and written tests were passed to achieve a higher level of practice. Many Physical Therapists practice some form of manual therapy, few specialize. When choosing a physical therapist, check their credentials. A specialist in a specific area can more effectively treat your condition.


headaches 1How can Physical Therapy help with headaches? Pain in the head, frequently called “Migraines”, can occur from many sources. The muscles of the jaw, neck and shoulders can refer pain into the head. The joints of the upper neck can also cause pain in the head. Issues with vision and even the vestibular or balance system can be a contributing factor. Diagnosing your headache can be difficult. If your headaches start in the base of the skull, are more one sided, occur frequently or even daily your headaches may be Tension Type or Cervicogenic Headaches. This means that the pain in your head is coming from tense muscles and/or stiff neck joints.

Physical Therapists specializing in treatment of the neck can determine if your headache is related. This can be treated with manual therapy, restoring joint motion and reducing muscle tension. Joel Rauser has lectured extensively on the role of headaches stemming from the neck and the successful treatment with manual therapy. Other aspects that we assess are posture as well as work site analysis. A new form of vision therapy through restoring eye muscle balance is available at CornerStone Physical Therapy. We have treated people from all age groups, including children. Contact us if you have questions about whether your headaches are treatable with Physical Therapy.


tmjTemporomandibular Joint (TMJ) Disorders or TMD means that you have a problem with the hinge joints of the jaw. Diagnosis of a TMJ problem is difficult and books about the classification of TMJ disorders are usually fairly thick. TMJ issues can present with headaches, pain in the face, ear, neck and throat. They can feel like a pressure in your ear without any observable ear issues from your doctor. Patient’s will occasionally hear their pulse in their ear as well as ringing, called tinnitus. Balance issues and dizziness are common symptoms as well. Clicking in the jaw or noises in your ear with chewing or jaw motion are common but do not necessarily mean you have a problem needing treatment.

There are many forms of treatments for TMJ issues such as the use of a dental splint or appliance from your dentist. This is like putting on an ankle brace for an ankle sprain. A dental splint will change how your teeth together and hopefully reduce some of the stress of your jaw. Dental splints can also make your problem worse as well if not fitted appropriately or if there has not been a clear diagnosis made before the dental splint. A properly fitted dental splint requires a dentist to fabricate this for you. Over the counter splints rarely work. Other treatments are oral surgery. This is rare and should be used as a last resort.

The most cost effective and conservative treatment is through a Physical Therapist that specializes in the treatment of TMJ disorders. Physical Therapy training during school is very limited in the amount and quality of the information that we graduate with. Finding a Physical Therapist with a certification in TMJ Disorders is very important in your road to recovery. The University of St. Augustine and the American Academy of Orofacial Pain are the only schools that offer a certification to Physical Therapists regarding TMJ Disorders and the neck in the United States.

TMJ treatment is a multi-disciplinary approach and can include your doctor, pain specialists, dentists, pain psychologists, chiropractors and Physical Therapy.

Latest from connections

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

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 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.

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

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

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.

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

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?

"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 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.

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?

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

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

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.


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.

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.

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

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.

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

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'?

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

'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.

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.

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

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?

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.

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.

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.

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?

3 Tips for a BETTER morning

Waking up can sometimes be tough. Feeling tired and dragging yourself out of bed? Here are some things to consider to have a better morning.

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

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

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.

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)

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.

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.

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.

How to treat vertigo. (And what you shouldn't do)

One way to find success in treatment is to know what not to do for your vertigo. Certain treatments say they work on treating vertigo but do not follow our understanding and knowledge of how our vestibular system works. You will be able to evaluate and treat a vertigo patient by the end of this post and know what NOT to do.

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.

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.

What is causing your back and leg pain?

Each pelvic and back injury has three components that need to be evaluated and addressed. The first is a joint or structural problem. The next is a muscle imbalance, weakness and muscle trigger points of the trunk, hip and leg. Finally, the third is the core. What treatments are best and what should you stop doing right away!

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.

Better posture for clinicians

One quick tip for improving our posture as clinicians in our practice. This simple tool will reduce muscle tension and workload by positioning our pelvis and creating a neutral back position or resting lumbar lordosis.

What is causing your shoulder pain? What can you do?

If your shoulder hurts, makes joint sounds when you move it, if you have limited your activities or even have pain while sleeping on your shoulder, you need to understand why. First, check to see if your shoulder moves like the other. Second, a common problem is a shoulder joint capsular restriction, rotator cuff trigger points, and rib pain with muscle tension

Chronic shoulder pain, a quick test to find the cause

Have you ever had an alignment issue of your car? You know there is a problem when your car vibrates at higher speeds, your steering wheel pulls to the side, and you have tread wear. A chronic shoulder problem is like a car alignment issue. This post is on how to screen for a shoulder problem and best treatment.

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

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.

Horizontal Canal Treatment - BBQ Roll

Testing has shown you have a horizontal canal problem of the inner ear. Treatment with liberating techniques prior to rolling and what you need to know following a maneuver.

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.

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?

Double your success in achieving your goal!

Following through with our program from our medical providers can be tough. Here are a two simple tips that can double your success! Want to reach that goal? Read more...

Sinus pain, infection or pain referral?

Sinus pain that persists may be coming from the neck. Here are two cases with sinus pressure and pain. Antibiotics did not resolve their symptoms. Cone beam CT is a lower radiation imaging technology that was used to assist with the diagnosis.

Sinus pain? How do you know you have a sinus infection?

Sinus pain and pressure that does not respond to antibiotics may have a cause that has nothing to do with your sinuses. Yes, thats right! Sinus pain that is not an infection or disease? Here is a test that can help us determine if there is an infection or if it is something else.

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.

Is your vertigo treatment helping?

How do you know if your vertigo treatment is helping? Your vertigo gets better fast! If your dizziness responds slowly to vertigo treatments then it is either not helping and the side or canal has not been identified. OR your symptoms are coming from a vision and/or neck problem.

What is dry needling?

This post answers the questions that you have about dry needling. Answering questions about safety, what conditions dry needling helps and how dry needling works.

Dry Needling

Dry needling is a very effective way to treat knots in muscles and relieve muscle pain and improve strength. This is what to expect during treatment and what aftercare is needed.

Weak Core

Core training and exercises are commonly used to treat a weak core. But why is your core weak to begin with? If you have chronic back tension, are pregnant or have just had your baby, or just want to improve your core the COR Strength Project is for you.

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.

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.

BETTER welcome

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

Loss of voice and hoarseness

If you have symptoms of voice strain, hoarseness and even loss of voice this may be coming from a painful and stiff neck. If this is the case then there is a cure!

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.

Dry Needling for Knee Pain

Knee pain to the front or side of the knee is very common. Dry needling can be an effective way to reduce tension and pain to the knee. This video shows me dry needling the outside of my knee with two different techniques. Don’t try this at home!

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.

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.

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!

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.

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.

Dry needling and Exercise After

This video is on dry needling for knee pain. It includes a follow up on a return to hiking and running hours after treatment. Pain and tension had reduced and the treated knee felt better than the right! Following dry needling it is safe to exercise. Immediate pain relief can occur after a dry needling treatment.

What causes ear pain

Only 50% or half of ear pain symptoms are from the ear. Otalgia or ear pain needs to be evaluated by your family doctor or Ear, Nose and Throat specialist. Dr. Jim Yohanan, an ENT physician, shares his expertise on diagnosing ear pain.

Symptoms of Low Testosterone

Physical therapists spend a lot of time dealing with pain. One of the many influences of pain is linked to testosterone. Robert Dill PAC of Apollo Medical Associates shares his expertise on the symptoms of low testosterone and the importance this hormone plays in men and women.

Testing Testosterone

Testing testosterone is recommended through your family practice healthcare professional or through a specialist in hormone replacement therapy. This post shares some information on testing and what to look for when checking for low testosterone.

Dry needling and headaches

Dry needling for headache pain can be very effective in reducing muscle tension to the neck and base of the skull. While this does not deal with the underlying problem of why the neck muscles are painful it can be very helpful as a treatment.

Dry Needling Headache Treatment

This post shows us a treatment to the upper neck for headache pain. To keep the treatment safe we identify and avoid important structures.

What to do after dry needling

Following any dry needling treatment it is important to keep the muscles and area moving. Self massage can be helpful to the area. Soreness can occur but should not last more than a few hours. Contact your practitioner if your soreness lasts more than 12 hours.

How your eyes are related to headaches and dizziness

Ever have eye strain and fatigue? Headache pain that feels like this is from your eyes? Here is a video that shows how your eye muscles and nerves can be affected and causing headache pain and even dizziness.

How to test your eyes for headaches

This post shows us how we test to see if there is an ocular or eye muscle problem using convergence or 'crossing our eyes'. Both eyes need to work together and this test will tell us if this is happening or if there is a problem.

How to do a self test for headache pain

Here is a post on testing for headache pain. We have included a simple test that you can do for yourself and a video on testing of the neck and how it can cause headache and migraine pain.

Testing the eye muscles with headache pain

This session talks about how we test the eye muscles for trigger points or knots and the nerves that work the muscles of the eye. Headache and eye pain can be related to this finding and testing the eye muscles is important in determining the cause of headaches.

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.

Introduction to Dry Needling

This video shows our process in treating a common muscle trigger point using dry needling and electrical stimulation or TENS to enhance the effect.

Exercises for headache pain

A forward head posture is common with headache pain. A great exercise to help reduce tension and muscle guarding is nodding. This post includes a video on 'how to' treat headache pain through daily exercise.

Is dry needling safe? Watch a treatment.

Dry needling can be a very safe treatment option in the hands of a skilled practitioner. While complications are rare lung punctures and other injuries do occur. Here is a video of a real patient and dry needling treatment using imaging to improve safety.

What can I do for my migraine?

Have you ever been diagnosed with Ocular Migraines? What if there was a reason for the headaches and visual disturbances and treatment was possible? Here is a young woman's story and her years of headache pain.

Neck Traction

Sometimes headaches can be relieved by neck traction. Here is a video showing how to do this on someone you care about. Remember to go slow and get feedback.

Massage treatment for headaches

Here are two muscles that are common with headaches, the temporalis and the superior oblique. This video shows how to massage these muscles to reduce tension and headache pain.

The neck as a source of headache pain

This is how we test the neck when looking for a cause of headache pain. The upper portion of the neck, or the upper cervical spine, is a common source of headache pain. Testing the atlas and axis and how it moves not only gives us information on movement and pain but also a guide for treatment success.

Ear pain or pressure

Chronic ear pressure, plugging and even pain can come from a Eustachian Tube Dysfunction. This condition is most common with a neck or cervical problem. Other symptoms include tinnitus or ringing, headaches, and neck pain and stiffness. Here are two people sharing their story.

What causes ear pressure?

What is the cause of ear pressure, plugging and pain? This video explains an Eustachian Tube Dysfunction and the causes. Most ear pressure issues that are persistent are because of muscle tension to the neck and throat.

Zero Gravity Chair

Neutral spinal posture or a relaxed posture for your spine can be achieved in a zero gravity chair.

What is vertigo and what can I do for it?

If you are suffering from vertigo or dizziness one type of vertigo can be related to the movement of crystals in our inner ear. This is called Benign Paroxysmal Positional Vertigo or BPPV. This type of dizziness feels like the room is spinning.

Testing for BPPV or Vertigo

This video reviews the different tests to check for vertigo or BPPV. The most sensitive and currently best test is video oculography. A correct diagnosis of BPPV improves the success of treatment.

What can I do for my migraine?

What if what you thought were migraines had a treatable cause? What we commonly describe as migraine pain may have a source. It is through finding the source of your head pain that treatment options become a reality. Here is a story of a young woman's journey with constant headache pain and ocular migraines.

How to pick a pillow

This video is about the process in picking the right pillow for you. For side sleeping remember to 'fill the holes' and keep the spine straight with enough support. If you have tried 2 or 3 pillows and your neck pain or headache pain continues then the problem is not your pillow but your neck.

Is neck manipulation safe?

Is there an alternative to neck manipulation? This video looks into the different treatment options to restore normal neck mobility and resolve pain.

Explaining BPPV or Vertigo

Here is a video that discusses vertigo or what we call Benign Paroxysmal Positional Vertigo (BPPV).

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.

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

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.

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Matt's Story

Matt is a sportsman with great future. Watch his story.

Bill's Story

Bill was struggling with vertigo, and needed help.