What Brought Him In Mr. A had a left Total Hip Replacement (THR) 18 years ago. After the COVID period, his activity level dropped, his strength decreased, and walking became more effortful. He developed front-hip pain and had more difficulty with daily movements. He also felt less steady and worried Read more…
2025 Hip Osteoarthritis Clinical Guideline Update If you’ve noticed any of these signs: ⚠️ Hip or thigh pain when walking or standing⚠️ Morning stiffness or limited motion⚠️ Over 50 years old and feeling your hips getting “stuck” or stiff This one is for you! According to the American Physical Therapy Association Read more…
Do you notice a horizontal fold across your upper belly, like in the photo? That’s a sign of upper abdominal gripping. It means when the upper abs stay tense and pull the upper belly inward, creating that visible crease. In the video, you can see that during normal breathing, most Read more…
One of our clients felt discomfort on top of the right shoulder every time he did a shoulder press. We assessed and recorded his movement, and something caught our eyes. 👀 His right shoulder blade had limited upward rotation & protraction, and when lowering the weights, it dropped back too fast without control. This Read more…
Last weekend, I, physical therapist Hiroya Kosaki, ran my first NYC Marathon. It was an unforgettable experience that reminded me why I love both running and helping others move better through physical therapy. The day started early. At 5:00 AM, I took a shuttle bus from Bryant Park to the Read more…
When tendons get stubborn, we bring out the big guns 💥 Meet our Intelect® RPW 2, using Radial Pressure Wave technology to kickstart your body’s healing process. Inside the handpiece, a small projectile creates high-energy acoustic pressure waves that spread through the tissue. These waves cause micro-vibrations and cavitation, improving blood flow, cell metabolism, and collagen production. 💡 In Read more…
Chronic Low Back Pain: What the Latest Evidence Says? Chronic low back pain is one of the most common issues we see in the clinic. By the time patients reach physical therapy, many have been in pain for years or even decades, and often with anxiety, fear, or other psychosocial factors involved. They can’t Read more…
Patient Presentation and History A 25-year-old male presented with chronic pain and dysfunction associated with Posterior Tibialis Tendon Dysfunction (PTTD). The initial injury occurred in 2023 while running, consistent with an overuse injury. The patient had been actively engaged in physical therapy (PT) since the onset of symptoms, achieving consistent, Read more…
“Tennis elbow” (lateral epicondylitis) isn’t just for tennis players! It’s irritation and pain around the outer elbow, often from repetitive wrist or forearm movements, not only racket sports. One golfer developed elbow pain after repeated swings and ball strikes on a hard surface. 🏌️♂️ But here’s the twist — his pain Read more…
Rehabilitation Ultrasound Imaging (RUSI) Many people find it hard to know if they’re really using the right deep core muscles during training since they can’t “feel” it the way a therapist’s hands can. That’s why ultrasound imaging is such a powerful tool: it gives you real-time visual feedback, so you can Read more…
