Jeremy helped my daughter rehab her knee after a basketball injury. He is a thorough professional who takes the time to address muscular imbalances before assigning exercises to strengthen the problem areas. He was very willing to work with our crazy schedule and is very friendly, knowledgeable and welcoming. Jeremy also took the time to explain the 'why' of what he was doing which helped my daughter to be more committed to performing prescribed exercises at home. I highly recommend Jeremy if you are looking for a physical therapist who can really help you!
The exercises Jeremy gave me eliminated the pain/discomfort in my back rather quickly. He also gave me exercises to strengthen the muscles to prevent the same problem down the road. Jeremy is extremely knowledgeable and takes the time to listen and explain how the exercises will help. He spends the whole time working one on one with you. By far the best physical therapist I've been to!There are two parking lots for his office which is a plus in South Miami.
Jeremy is by far, the best physical therapist I've ever worked with. I've had pain in my hip and lower back for years, and none of the PTs or doctors I visited were able to improve my condition. PTs would give me very generalized exercises that I would do faithfully for weeks, but they would have no impact. I would give them feedback, but they rarely changed their approach.By the time I started therapy with Jeremy, I couldn't walk without pain; driving and other simple daily activities were a trial; and I was beginning to think that I might have to live in this condition indefinitely. But my experience at Advanced Physical Therapy Specialists was completely different. From my very first appointment, it was apparent that Jeremy's many years of experience, and his commitment to keeping up with the latest in the PT field have really payed off. He went over my symptoms methodically and had me move in different ways so he could narrow down his treatment plan. He then assigned me three simple exercises very different from any I'd tried before in that they worked one or two muscle groups very specifically and focused on doing the exercise properly 3-4 times, rather than sloppily 10-12 times. They took about 15 minutes to do all on a daily basis.Every session he would reassess. If an exercise wasn't working for me, he would ask me a few diagnostic questions, and then assign me something different. I would get new short, simple exercises almost every week as I advanced; I never felt like my progress stagnated. He also spent at least half the session on trigger point massage, dry needling, and other manual Physical Therapy techniques that calmed my inflamed hip and back muscles, preventing them from seizing up and stymieing my progress.To my great surprise and relief, I starting seeing improvement within just a few sessions. Thanks to Jeremy I am able to take part in normal activities again without pain. Huge portions of my life that I'd had to put aside because of pain have suddenly opened up again. I recommend him wholeheartedly to anyone who needs physical therapy, whether you've had many years of debilitating chronic pain, or need help recovering from a recent injury, Jeremy will be able to help.
Jeremy is the best. He treats the whole person and genuinely cares about his clients. He helped correct my hip and shoulder issues so I could return to volleyball and snowboarding. I even took up boxing. Jeremy could easily rest on his experience, but instead he keeps learning and improving his craft. A rare find.
What Jeremy does is far beyond just "PT". Equipped with PRI (and some manual) techniques, he can get to the root of positional problems immediately. And as I experienced, that usually means immediate changes. Each week I've watched, thoroughly impressed, as he tests/retests, then provides progressive or regressive exercises to match progress. No laundry list of cookie-cutter exercises with a hope that it might do "something" (what my prior experience was with other PTs). No need to lay on foam rollers or stick lacrosse balls in weird places just to feel right (what I used to think was "good warmup"). Whereas a lot of typical PT is a jackhammer, this PRI stuff is a scalpel: precise and thorough and - in the right hands - capable of helping people of all backgrounds and levels of activity feel and move better...Jeremy is the right set of hands.
When I went to see Jeremy about my knee injury, I could not run for more than 10 minutes. I was sure that surgery was going to be needed. But thanks to him, I am running again. He is a professional who cares greatly about his patients and works around your schedule. Thank you Jeremy.
High Co-pays? High Deductible Plan? Health Savings Account?
No insurance is needed at Advanced Physical Therapy Specialists. Advanced Physical Therapy Specialists provides physical therapy on a fee-for-service basis.
By remaining separate from the insurance process, we don’t have to limit your treatment time or compromise the quality of your treatment. We provide you with the best, most effective, and most efficient physical therapy possible. Non-medical insurance personnel never dictate your treatment at Advanced Physical Therapy Specialists.
Most of our patients have insurance but still choose to come to Advanced Physical Therapy Specialists because of the superior outcome. All of the visits are one hour and will be spent one on one with a physical therapist. You will not be handed off to an assistant or aide. The majority of time spent with the physical therapist will be spent on manual therapy, which has been shown to produce a superior result when compared to exercise alone. Your time is valuable so we do not have you performing exercises in the clinic that could be done at home.
You do not have to wait for weeks to be seen. Call today to schedule your Complimentary Phone Consultation at (305) 433-1172. We will be able to start your treatment on the same day as your initial visit to help eliminate your pain as quickly as possible.
Why Should I go to Advanced Physical Therapy Specialists and pay out of pocket when I can go to another physical therapy clinic and use my insurance?
At many insurance based clinics you will be double or triple booked and handed off to an assistant or aide which leads to failed courses of treatment and longer treatment times. At Advanced Physical Therapy Specialists you will see the same physical therapist for at least one hour. Most of the time spent will be on Manual Therapy. We will not have you doing exercises in the clinic that could be done at home. At Advanced Physical Therapy Specialists you do not have to wait weeks to begin your treatment. With this approach we feel confident that we can help you to feel better in less that half the number of visits that a traditional insurance based clinic would want. Most patients feel the out of pocket expense is more than worth it because of the time saved due to fewer clinic visits and the value of feeling better sooner.
Please call us at (305) 433-1172 if you have any questions regarding what is the best option for you. You are the top priority at Advanced Physical Therapy Specialists and we will do what is best for you. We want to get you functional and pain free as soon as possible.
I had the opportunity to speak at Balance Through Movement last night with Sarah Spivey and Ann Crammond. I was excited to speak about a topic that is commonly overlooked. I spoke about the pelvic floor. The take home was that the pelvic floor can influence the rest of the body. Sometimes a pelvic floor issue may present as incontinence, but most commonly I see patients walking in with lower back pain.
I talked a little about Kegel exercises. While doing kegel exercises can be helpful at times, and I don’t think it is a bad exercise, I wouldn’t want to recommend everyone start doing it right away. The reason for this is because often times someone’s pelvis is poorly aligned.
One or both sides of the pelvis may be tipped forward with a rotation component. This puts the pelvic floor in a less than ideal position, so that some muscles may be long and weak, and other’s may be short and tight. If we told someone to start doing a Kegel exercise when the pelvic floor was already tight and toned up we could run into problems. This would be the same as putting fitness on top of dysfunction. I recommend making sure the pelvis is in the correct position before continuing. This way the muscles of the pelvic floor are in the best position to not only contract, but also to relax.
I want to start by saying yoga is not a bad thing. However, yoga is not good for everyone all of the time. While it can help with flexibility, if you don’t have the strength or motor control to handle the increased flexibility you may start to run into trouble and have somepain and dysfunction.
I have had the privilege of working with many yoga practitioners and it is always a lot of fun. The majority have a great body awareness and a desire to continue to stay active. They have usually run into a wall and find that they are no longer able to do the things they want in their yoga practice as well as in life. I look at my role as being there to help people achieve their goals. In many cases you don’t have to stop yoga, just modify certain things. Or take a temporary break from yoga while we build you up so that you can handle some advanced activity without pain or dysfunction.
Where Do I Go From Here To Help My Back Pain?
I steal a line from Gray Cook (he’s a cool physical therapist who reminds me of Chuck Norris, but in a good way). He says do not put fitness on top of dysfunction. What he means by this is that if you start doing high level activity before you have a stable properly functioning base (corrected muscle imbalance and properly aligned pelvis and rib cage) you’re exercise program will fall apart, usually sooner rather than later, and you will start to experience dysfunction and pain.
The most common type of dysfunction I see with a yoga population is back pain. Particularly a hyperlordic or over arched low back. In physical therapy we are able to address this issue so that you can get back to the things you want to do. We do this using specific corrective exercises that will be different for each person, as well as manual techniques.
What is Plantar Fasciitis? What Can I Do About It?
Plantar Fasciitis is just a fancy way of saying inflammation of the plantar fascia.
The plantar fascia runs along the arch of your foot and is a strong ligamentous structure. It starts at your heel and attaches to the metatarsal bones. One of the common presentations is pain along the arch of your foot or along your heel where it attaches. Bone spurs are commonly seen in these situations but not always. While there are many things that can cause pain in the heel and arch of your foot, plantar fasciitis is one of the common things I see in the clinic.
I will also see folks that have had limited success with the treatment of their plantar fascia. One of the reasons for this is a limited look at the problem. I suggest looking at not just the foot and ankle but the knee, hip, pelvis, and rib position as well. Everything can and usually does influence everything else. So two main places I like to include will in my initial assessment, which aren’t always included in a standard assessment, are 1. The joint mobility of your subtalar joint (pic of subtalar joint) and 2. Are your gluts firing on a properly positioned pelvis?
The subtalar joint is so important here because it can help to “unlock” the rest of the foot. If your subtar joint is restricted you will have difficulty getting the mobility you need in the rest of your foot.
The gluts have usually been addressed to some degree by a previously seen practitioner, but the results will be less than ideal if the pelvis is not maintaining its proper position. Proper firing of the gluts will allow the hip and knee to function properly and help the foot to land in a more ideal position.
Here’s the Good News!
Plantar fasciitis while common can often times be corrected. My goal is to get you out of pain and back to doing what you want to do as quickly as possible! If you have any questions on plantar fasciitis please feel free to call me at 720-357-4079 or shoot me an email at email@example.com. I love to talk about this sort of thing.
Here are the Top 3 things to ask when looking for a physical therapist. I sometimes have distant friends and family looking for a physical therapist. These are the top three things I look for before recommending a physical therapy clinic for them to try out.
1. How long are the visits?
2. How much one on one time do I spend with the physical therapist?
Many times a clinic may have a therapist treating multiple people at a time (sounds crazy right?). Your session may be an hour but only 10-15 minutes of that time is actually spent with the physical therapist. The rest of the time is spent with an aide, tech or assistant.
3. What does my therapist specialize in?
You’ll want to make sure that your physical therapist specializes in your specific issue. A good starting place for this is to look at the type of certifications a therapist has. This isn’t necessarily an indicator of excellence but can be a good place to start. A small caution about this, not all certifications are created equal, some can be done in a very short period of time with little to no testing at all. I would recommend finding out about the certification and doing some research to find out what it takes to achieve this.
4. Ok, I realize I’m sneaking this one in, but I wanted to make sure to add that you should also enjoy working with your physical therapist. This one can be tough to figure out before your first visit, but you should be able to tell pretty quickly after your initial visit. They should make you feel welcome and be able to answer any of your questions.
If you have any questions, or need help finding a physical therapist in your area feel free to shoot me an email at firstname.lastname@example.org or give me a call at 720-357-4079.
In this video I talk about running and back pain. I treat a lot of runners. Unfortunately runners will often suffer from hip pain, back pain, knee pain, foot pain. You name it and a runner can probably have a problem with it. Now everyone will present differently, but what I find in many cases is that the pelvis can be tipped forward and rotated. The most common thing I see is the left side of the pelvis is tipped forward and rotated to the right. This can cause back pain, sciatica, hip pain, and knee pain to name a few problems.
“I was told I need to strengthen my gluts”
I hear this quite often. The other one I hear a lot is, “I need to strengthen my core.” I would agree with both of these statements. Many people do need to strengthen their glut muscles and get their core stronger for various reasons, but there are good and not so good ways to go about doing this. Often times people will start in on an exercise program without giving any thought to the underlying dysfunction (in this example it would be a poorly positioned pelvis). When this happens a few things can occur. The exercises won’t be as effective, in many cases just a waste of time, and in some cases it can actually make a problem worse. The runner may have to decrease the amount they are running or stop running altogether if it gets bad enough (and we know how much runner’s love to do that!)
Where Do I Go From Here?
The majority of these things can be taken care of with conservative treatment. What you want is to find someone who can get your pelvis in a good position, and keep it in a good position! I tell people the easy part is getting your pelvis in the correct position, the hard part is keeping it that way. How do we do that? By addressing the underlying cause of the problem and not just treating a symptom. When we correct the underlying muscle imbalance that is causing your pelvis to be tipped and rotated then you will start to see lasting results that can get you back to running without issue. Better yet, you won’t have to spend a lifetime seeing a practitioner who continues to tell you your hips are constantly off or “going out.”
If you have any questions about any of these things feel free to check out the website www.advancedpts.com or give me a call at 720-357-4079. I’ll see you out on the trails!
Many things can cause pain in the buttocks area, or piriformis region. Here’s a video about back pain and specifically piriformis syndrome. The piriformis is a muscle that runs deep to your glutes or buttocks muscles and attaches to your sacrum and your femur. It can rotate your hip and it will get blamed for a lot of things. Your piriformis muscle is just an innocent bystander in most cases though. Your piriformis didn’t just decide to start hurting, it is usually a result of one or a combination of three things. The first is that you may have a pelvic obliquity, where your pelvis is shifted. The second reason your piriformis may be hurting is because your pain is being referred from your lumbar spine, and the third reason is that your glute muscles may be weak or not firing at the right time and causing your piriformis muscle to become overworked.
What Can I do About It?
I would recommend seeing a skilled physical therapist or physician if you suffer from this issue. When you come into the clinic complaining of hip or buttock pain I make sure that I am addressing these potential issues. Another problem we see when the piriformis muscle gets involved is that the sciatic nerve can become irritated. This is because the sciatic nerve goes through or in some cases around the piriformis muscle. This can sometimes cause pain down the leg in addition to buttocks pain. If you have any questions please feel free to check out our website at www.advancedpts.com or give me a call at 720-357-4079 for a free phone consultation. This is not something you need to put up with. Often times this can be addressed with physical therapy so that we can get you feeling better and back to doing the things you want to do!
My wife and I spent last weekend together in Chapel Hill, NC. It was something we had been talking about and looking forward to for a long time. We went out there for a continuing education class. Not just any continuing education class, but a class that talked about how physical therapists and dentists can work together to help their patients with TMJ pain.
Getting Our Learning On!
This is the class that got me into the Postural Restoration Institute in the first place. The take away is that a knowledgeable dentist can be extremely helpful with complex physical therapy patients and vice versa. The class stressed the importance of finding a great dentist you know and trust to work with. Lucky for me and my patients I happen to know an amazing dentist! Dr Dawn is a dentist specializing in TMJ or jaw problems. I have found her to be extremely helpful with not only her patients but my patients as well. It is not necessary to have dental integration in every case, but in many cases it is the missing link to getting someone better. Most physical therapists don’t have the knowledge of how helpful a great dentist can be, and if they do most don’t know a great dentist they can work with.
It was good to see that the word is getting out about just how complimentary these two professions can be for the benefit of the general public. There are many people suffering from TMJ pain or jaw pain that are looking for answers and don’t know where to turn. The more practitioners learn about this problem, the better. My wife and I like to joke around about how some people are into cars, or boats, but us…we like continuing education. The reason for this is the rewarding results we see in the clinic. It doesn’t get much better than that!
Are you looking for Physical Therapy in Broomfield, Colorado? If you are then you are about to read a very important blog post.
In Colorado you do not need a physician’s referral to see a physical therapist. This is called direct access, which means you can call whichever physical therapist you want to schedule an appointment for your pain or movement issue. This allows you to be seen today, instead of waiting for days or weeks to be seen first by your doctor. This allows us to get started and help you get better faster.
If you have sciatica, low back pain, a slipped disc, herniated disc, or a pinched nerve you do not need an MRI or X-ray before you are seen by a physical therapist. A good physical therapist should be able to tell you what is going on with a thorough evaluation and watching you move. After your first appointment you should have an understanding about what is causing your problem and what you can do to fix it that day. If for any reason you need additional medical diagnostics, your physical therapist will be able to tell you who you need to see.
Please call 720-357-4079 to set up a free 15 min phone consultation or to schedule an appointment with our physical therapist. We look forward to helping you answer any questions you may have about your condition. We’re here to help!
Unfortunately there are tons of people out there suffering from hip pain. There are many things that can cause hip pain and I would recommend you get checked out by an MD or physical therapist. If you ask someone to point to their hip you might get a few different responses. Some folks might point to their buttocks, some to the outside part of their waist, some to the front of their leg. You can have sore muscles in the glute (buttocks area) or sacroiliac region (you may have had someone talk to you about your SI joints), you might have pain along the outside part of your hip and get a diagnosis of trochanteric bursitis, you may have pain or popping in the front of your hip.
“WHY DO MY HIPS KEEP GOING OUT?”
The folks I treat in the clinic will often times have hip joint restrictions and muscle imbalances causing a pelvic obliquity, or an asymmetrical pelvis. An asymmetrical pelvis is usually an overlooked part of your hip pain. We are taught in school to look at how the femur or thigh bone moves on the acetabulum (or socket) and we just assume that the orientation of that acetabulum (socket) is in a good position. Often times however you have a muscle imbalance that is pulling one or both sides of your pelvis forward and rotating it, so that the acetabulum is in a less than ideal position. This means that your femur is starting off in a bad position and can lead to hip pain, knee pain, foot pain, and back pain.
If all we look at is your femur position and not the position of the pelvis and acetabulum we are missing an enormous piece of the puzzle.
“I CAN GET TEMPORARY RELIEF BUT THEY JUST GO OUT AGAIN”
This is something I hear from my patients all the time. People will see a healthcare practitioner of some kind and feel better for a little while. Maybe they feel better for a day or two, or a week, but when they go back to see the healthcare professional the problem has returned, and continues to return. The reason this continues to happen is because they may be able to treat a symptom and get you temporary relief but until the muscle imbalance is treated with the correct combination of hands on therapy and specific corrective exercise you will only get temporary relief at best. Your pelvis is being pulled on by an imbalance of muscles and until that problem is addressed your hips will continue to go out and you will only get temporary relief at best instead of a long term solution.
“ONE LEG IS LONGER THAN ANOTHER”
I have patients show me how one leg is longer than another, a very small difference in leg length is not uncommon, and your body can usually deal with the discrepancy. A tilted pelvis is usually the culprit for a leg length discrepancy and once corrected, the legs no longer appear to be different lengths, because they are now starting from a symmetrical position.
SO and SO TOLD ME I NEEDED TO STRENGTHEN MY GLUTS
Good, I agree. I just might have a different view on how to go about strengthening your gluts. Because it isn’t just about getting them stronger, we want your gluts along with all of your other muscles to turn on and off at the right time (this is the definition of motor control). Once we establish this, your pelvic alignment improves, muscles are in the right position, things are in proper working order, and you won’t be condemned to a life of having to come to Physical Therapy forever. I want to get you feeling great as quickly as possible and back to the things you want to do. I’m sure you have better things to do than hang out in physical therapy forever. The good news: This is a correctable problem.