Presenting Tune up Tuesday! 

Movement is the first and only PT clinic in the Vail Valley currently offering the Synexis Biodefense System. Adios COVID-19 and other bugs!

Synexis is the first and only company to design microbial reduction technology that produces hydrogen peroxide (H2O2) in the same physical state as the oxygen and nitrogen in the air; this unique molecule is known as Dry Hydrogen Peroxide (DHP). Using DHP, the patented microbial reduction technology allows for the natural and continuous reduction of microbial contamination in occupied spaces.

Combined with a one-on-one treatment environment, Movement is highly invested in your health!

Favorite quote: "Vail Health collects “supra-competitive profits,” from its physical therapy business, 20% to 40% above competitive market prices. That’s approximately $140 per session for self-pay and more than $300 per session under an insurance contract, as opposed to the more normal rate of $65 to $120 per session, the lawsuit alleges." Read full article linked below:

NormaTec is the ultimate recovery device. The technology can increase circulation and improve mobility for those who work out regularly, are training for a competition or race, experience swollen legs from traveling frequently, stand for long hours on the job, or suffer from inflammation, sore muscles, or other circulatory issues. NormaTec is used extensively in professional athletics and is utilized for both rehab and recovery by 97% of pro teams, as well as Olympic and elite athletes across a broad spectrum of sports.

The NormaTec PULSE Series is a pneumatic compression device that utilizes patented technology to increase circulation to the limbs. NormaTec was founded by a physician and bioengineer as a medical company to help treat circulatory conditions. They later worked directly with top athletic programs to develop the NormaTec PULSE Series. Using NormaTec’s leg, arm, or hip attachments boosts blood flow and reduces pain and soreness. In addition to these benefits, studies show that NormaTec decreases inflammation, clears metabolites, and increases range of motion.

NormaTec pairs compression with a sophisticated massage pattern, employing three key forms of biomimicry, including pulsing, gradients, and distal release. The patented pulsing action uses dynamic compression, effectively mimicking the muscle pump of the legs and arms, to greatly enhance the movement of fluid and metabolites out of the limbs. NormaTec utilizes hold pressures similar to the one-way valves of veins and lymphatic vessels, preventing fluid backflow, and enhancing the natural
circulatory flow. The distal release feature releases hold pressures once they are no longer needed, ensuring that each portion of the limb gains maximal rest time without a significant pause between compression cycles.
NormaTec is a clinically proven method to enhance recovery and reduce pain and soreness. The user will first experience a pre-inflate cycle, during which the attachments fill with air to calibrate and mold to their exact body shape. The session will then begin by compressing the feet, hands, or upper quad (depending on which attachment you are using.) Similar to the kneading and stroking done during a massage, each segment of the attachment will first compress in a pulsing manner and then release. This will repeat for each segment of the attachment as the compression pattern works its way up the limb. This stimulates blood flow, massages the muscles, and works in harmony with the body’s circulatory system to mobilize fluid out of the extremities and back up towards the heart.

See research articles here:

-It is estimated that 40% of asymptomatic people have a “bulging disc” on MRI (38, 39).
-Disc “bulges” reabsorb in a matter weeks and months (40-44).
-In 40-year old asymptomatic males and females, between 25-50% will demonstrate disc degeneration and signs of injury, endplate changes, foraminal stenosis and facet joint degeneration on spinal imaging (45).
-Lumbar spine degeneration starts in a person’s early 20s and there is little correlation between arthritis and LBP in later life (45-48).
-In asymptomatic elite tennis players 33% had a spondylolisthesis when scanned, with several showcasing pars fractures, stress fractures, etc., yet no pain (39).
-Despite presenting with the same LBP, patients receive completely different MRI results when visiting different imaging centers and have different radiologists interpret the findings (49).

-Among people with significant degeneration visible in their imaging, only 10% experience pain (50).
-90% of asymptomatic people undergoing cervical MRI scan have a “bulging” disc (including people in their early 20’s) (51).
-Demolition derby drivers crash over 1500 times during their career; averaging over 24 miles per hour, and yet almost all report no chronic whiplash-associated neck pain.

-One in three people over the age of 30 and two out of tree people over the age of 70 have abnormal MRI findings related to their shoulder including complete rotator cuff tears (53-55).
-After successful rotator cuff surgery and postoperative rehabilitation to regain full range of motion, strength and function, 90% of patients’ MRI reports reveal “abnormal findings” and 20% still have a complete rotator cuff tear (56).

-In asymptomatic individuals 25-50% of MRIs reveal significant “degenerative” changes, highlighting the poor correlation between knee osteoarthritis, pain and disability (57, 58).
-In active collegiate basketball players with no knee pain, 35% of the MRI scans show significant abnormalities (59).
-It is currently estimated that one in three knee replacements are unnecessary (60).

-MRI of asymptomatic people show abnormalities in 73% of hips and labral tears in 69% of the asymptomatic group (61).
-Hip MRI studies show that femoroacetabular impingement and labral injuries are common in asymptomatic individuals (62).
-In hockey players with no hip pain, two out of three have scans that show significant degenerative changes (63).

Adapted from Louw's Pain Neuroscience Education 2nd Ed.

FOR IMMEDIATE RELEASE Dec. 13, 2017 DENVER - The Colorado Chapter of the American Physical Therapy Association was very pleased to receive the opinion and order from the Denver District Court, under presiding District Judge A. Bruce Jones, that the lawsuits seeking judicial review or a declaratory judgement against physical therapists performing dry needling in Colorado have been denied. The ruling was entered 12-12-2017 at 11:51 a.m. Key to the ruling is that the Colorado PT Board acted within its statutory authority and that "there is sufficient elasticity in the Act's definition (PT Practice Act) of physical therapy to encompass dry needling."The ruling upholds prior Colorado Legislative Legal Services review in 2013 that the PT practice act encompasses dry needling under mechanical stimulation with the use of a device (filament/needle).

Respectfully, Colorado Chapter, American Physical Therapy Association

Below is a compilation of the ever-growing evidence for the effectiveness of Dry Needling.  This is from peer-reviewed, medical research journals.   So sorry it is only a partial list and there is just so much support for this very skilled technique!!!

Dry Needling can help me dunk a basketball?!

Dry Needling superior to injection for plantar heel pain

Get rid of your headache!

Help for herniated lumbar discs

Unlock your neck

Wake up muscle!

Physiological changes after Dry Needling (AKA not 'energy')

Physiological changes after Dry Needling (AKA not 'energy')

Help for complex regional pain syndrome (CRPS)

Dry Needling the cervical spine

Myofascial pain syndrome and Dry Needling

Dry Needling just as good as steroid injections for hip bursitis

More twitches, more results!

Upper extremity numbness and tingling resolved with Dry Needling

Less spasticity following stroke

Pain reduction in the trapezius muscle

More relief for discogenic low back pain with Dry Needling

Less pain after knee replacement with Dry Needling

Dry needling improves low back muscle function/activity

Less spasticity and stiffness in muscles following stroke with Dry Needling

Dry Needling improves shoulder mobility and pain

Dry Needling helpful for shoulder impingement

Reduces jaw pain and grinding

Positive therapeutic effects of dry needling to the upper trapezius

Dry Needling as a performance enhancer in elite soccer players

Pain Relief for plantar fasciitis

Twitch matters and means more immediate pain relief

Pain in the neck from the office.  Dry Needling can help

Dry Needling helps chronic neck pain

Help following ACL reconstruction

Dry Needling and electrical stimulation/TENS effective for chronic neck pain

The effects of Dry Needling are long lasting

Relief for rotator cuff tendinopathy

Less adverse symptoms following stroke

Dry Needling helps shoulder impingement

Relief for hip pain

Dry Needling for thoracic spine pain

Dry Needling and manual therapy effective for upper trapezius pain

Relief for occipital neuralgia / headache

Dry Needling for mechanical low back pain

Prediction of improvement of low back pain with Dry Needling

Dry Needling and rats on treadmills

Chronic ankle instability improvements with Dry Needling

Dry Needling improves low back muscle functioning

Pain relief for shoulders

No more pain in the neck

Post-operative shoulder pain less with Dry Needling

Dry Needling relieves TMD/ TMJ symptoms

Reduction in trapezius pain with Dry Needling

The lower trapezius muscle needs needles too

Dry Needling and wet needling both effective for neck and shoulder pain

Dry Needling helpful for post-stroke spasticity

Dry Needling even helps elbow pain and cyberchondria

Woof! Dry Needling and dogs

Achilles tendinopathy relief with dry needling

Needles go where my hands cannot for TMD / TMJ

Thoracic spine pain reduction

Dry Needling at the top of the arsenal of pain management options

Silly rabbit, needles are for humans

Dry Needling more effective than manual therapy alone

Spasticity, baropodometry, pain pressure sensitivity and Dry Needling post-stroke

Chronic post surgical pain eased with Dry Needling

Improvement following arthroscopic hip surgery

Dry Needling successful for management of upper quarter and craniofacial dysfunction

Dry Needling relieves upper trapezius pain

Improves plantar heel pain

Even one session of Dry Needling helps neck pain

Dry Needling for knee pain in a dancer

Platelet rich plasma and Dry Needling for patellar tendinopathy

Help for frozen shoulder / adhesive capsulitis with Dry Needling

Relief for proximal hamstring tendinopathy

Shoulder tendinopaty…there's a needle for that

Dry needling for pelvic floor pain and dysfunction

Dry needling overall just as good as PRP, and more cost effective

How does it work?

Help for hamstring strain

Lots of studies supporting dry needling for upper quarter pain

Dry Needling helpful for TMJ / TMD

Imaging confirms immediate change with Dry Needling

Dry Needling tendinitis / tendinosis / tendinopathy

Dry Needling superior for paraspinals

Dry Needling benefits for fibromyalgia

Total Knee Arthroplasty / Replacement pain relief with Dry Needling

Chronic Low Back Pain relief

Needling tendons

Dry Needling changes rabbits

Pain relief for TMJ / TMD

Physiologic changes with Dry Needling

Dry Needling is for real

Relief for musculoskeletal chest wall pain / costochondritis

Jaw pain and Dry Needling

Relief for lateral epicondyalgia / epicondylitis

Depth does matter

Dry Needling rabbits

Mechanisms of Dry Needling

Lumbar spinal stenosis relief with Dry Needling

Dry Needling trigger points

Shoulder pain and volleyball players

Dry Needling away jaw pain

Improved circulation and oxygenation

Dry Needling vs local anesthetic injection

Regional effects of Dry Needling

No reason to inject a substance for headaches

Pain and trigger points

Dry Needling and the elderly

Widespread effects of Dry Needling

Positive results for patellar tendinopathy / tendinitis / tendinosis

Relief for media epicondyalgia / golfer's elbow

Treatment for myofascial pain syndrome

Postherpetic pain and Dry Needling

Dry Needling plus stretching more effective than stretching alone

Twitch matters in Dry Needling

Dry Needling for shoulder impingement

Diagnostic testing or effective treatment?

Twitch matters

Trigger points in dogs and Dry Needling

Post-surgical pain relieved with Dry Needling

Dry Needling for chronic low back pain

Dry needling for chronic low back pain again

No medication necessary…the needle effect!

Do you want the chance to create a more effective swing and increase clubhead speed? See how mobility exercises can help...

As a whole, the vertebral column (often described in press as ‘the spine’ or ‘spinal column’) has 5 main functions:
    1.    To support the weight of the head and the trunk
    2.    To allow movement of the head and trunk
    3.    To protect the spinal cord which transmits signals all over the body
    4.    To allow nerves to exit to each part of the body
    5.    To provide sites for muscle attachment

The functions of the vertebral column, from an anatomical point of view, are well established. However, how we improve movement in the thoracic region and transfer it to the golf swing needs further investigation. This blog focuses on function number 2 -- the ability of the spine to allow movement of the head and trunk -- and in particular, the movement of the trunk.

We know that golf is a sport that involves a great deal of rotation...and that rotation has to come from somewhere in the body.  Ladies and gentlemen, I give you: The Thoracic Spine!

Keep reading:

The effect of dry needling on the radiating pain in subjects with discogenic low-back pain: A randomized control trial.

Author information: Mahmoudzadeh A, Rezaeian ZS, Karimi A, Dommerholt J.


Disk herniation is the most common cause of radiating low back pain (LBP) in subjects under 60 years of age. The present study aims to compare the effect of dry needling (DN) and a standard conservative approach on the pain and function in subjects with discogenic radiating LBP.

Fifty-eight subjects with discogenic radicular LBP were screened and randomized into control (Standard physical therapy, n = 29) and experimental group (Standard physical therapy and DN, n = 29). Radiating pain intensity and disability were measured using visual analog scale (VAS) and Oswestry Disability indices at baseline, at the end of treatment and 2 months after the last intervention session. The changes in pain intensity and disability were studied using a 3 × 2 repeated measures analysis of variance considering time as the within-subject factor and group as the between-subject.

Pain intensity and disability scores decreased significantly in both experimental and control groups (experimental group: VAS = 37.24, Oswestry Disability Index [ODI] =28.48, control group: VAS = 45.5, ODI = 32.96), following the intervention. The change continued during the follow-up period (P < 0.001 for all comparisons). Pain and disability improvement, however, were more significant in experimental group, both in post intervention (experimental group: VAS = 25.17, ODI = 22.17, control group: VAS = 42.4, ODI = 30.27) (P = 0.05 and P = 0.03, respectively) and follow-up measures (P = 0.006 and P = 0.002, respectively).

Both intervention strategies seem to significantly improve pain and disability immediately following intervention, where the improvement continued during 2 months after the last active intervention. Therefore, supplementary DN application may enhance the effect of the standard intervention considerably.

Discogenic; dry needling; low back pain

PMID: 28163732 PMCID: PMC5244646 DOI: 10.4103/1735-1995.192502

Check out this video presentation by Dr. Mike Voight from the First International Sports Physical Therapy Conference:

Return to Play: The Role of Assessing Movement in the Return to Play Decision

Key Points:

Movement Physical Therapy is the only clinic in the Vail Valley area certified in the Selective Functional Movement Assessment (SFMA), Functional Movement Screen (FMS), Y-Balance Test (YBT), and computerized algorithms.  All are integral components in determining the athlete's readiness to return to sport.  Movement Physical Therapy calls the in-depth analysis our Injury Prevention Physical.  No other clinic in the Vail Valley offers worthwhile testing.  Some locally used examples are "sport testing" and impairment measurements such as limb circumference, ROM, strength testing, etc. The research is clear...who do you trust for your injury?!

Move to Achieve! 

Movement Physical Therapy in Edwards, Colorado
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