• Physical Therapy Blog

Chad’s Continued Electric Stimulation Notes 2015-17 and Onward

Chad’s Continued Electric Stimulation Notes 2015-17 and Onward

This is a continuation of the “Notes From My Year Year of Electric Muscle Stimulation” which is becoming one of my more popular blog posts. Those notes were what I wrote down as I did EMS (electric muscle stimulation) for...

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Chad Reilly May 10, 2017 1 Comment

Electric Stimulation for RSD / CRPS (Chad’s Review)

Electric Stimulation for RSD / CRPS (Chad’s Review)

Complex Regional Pain Syndrome (CRPS) also known as reflex sympathetic dystrophy  (RSD), causalgia, and a host of other names is kind of like headaches and neuropathy were for me. In that I didn’t initially have any particular interest in the...

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Chad Reilly March 31, 2017 No Comments

Pain in the Butt, Sacroiliac Pain as Tendinopathy?

Pain in the Butt, Sacroiliac Pain as Tendinopathy?

I recently finished the 3rd edition Stuart McGill’s “Low Back Disorders.” I’ve followed his work since reading edition 2 and bulk of my back pain treatments are based on, or consistent with it and his more recent research. For those...

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Chad Reilly March 9, 2017 6 Comments

Mental & Physical Effects of Drumming (Chad’s Review)

Mental & Physical Effects of Drumming (Chad’s Review)

About a year ago I got the idea I was going to buy a djembe. I can’t even remember for sure why but I think I was reading Eliade’s book on Shamanism, which round about came after reading neuroscientist Sam...

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Chad Reilly March 2, 2017 No Comments

Coracoid Pain Test for Adhesive Capsulitis, a Critique

Coracoid Pain Test for Adhesive Capsulitis, a Critique

Coracoid pain test: a new clinical sign of shoulder adhesive capsulitis.Carbone S, Gumina S, Vestri AR, Postacchini R. Int Orthop. 2010 Mar;34(3):385-8. “Patients with adhesive capsulitis were clinically evaluated to establish whether pain elicited by pressure on the coracoid area...

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Chad Reilly December 19, 2016 1 Comment

Exercise and Neuropathy (Chad’s Review)

Exercise and Neuropathy (Chad’s Review)

I’m intending to make this blog a review of pertinent research on exercise and neuropathy and making comments with regards to my thoughts and how it affects my current treatment programs for neuropathy. I’ll be updating and adding studies to...

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Chad Reilly December 9, 2016 No Comments

Coracoidopathy Diagnosis Confirmed in New Study

Coracoidopathy Diagnosis Confirmed in New Study

This paper just came out in June this year confirming what I call coracoidopathy (tendinopathy of the short head of the biceps and coracobrachialis muscles where they attach at the coracoid process). They called it “coracoid syndrome,” which I might...

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Chad Reilly November 21, 2016 No Comments

Type 2 Diabetes Curable! But Mosley’s New Book has HUGE Typo

Type 2 Diabetes Curable! But Mosley’s New Book has HUGE Typo

I was over at a buddy’s house when he opened some mail, and in it was Michael Mosley’s new book The 8-Week Blood Sugar Diet. I was like, “Oh that’s the 5:2 guy, he’s cool he’s into intermittent fasting.” At...

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Chad Reilly July 24, 2016 3 Comments

Coracoid Impingement Syndrome and Coracoidopathy

Coracoid Impingement Syndrome and Coracoidopathy

This blog is probably only of interest to professionals since coracoid impingement syndrome (CIS) is thought to be a very rare, though important, shoulder pathology. CIS describes when the coracoid process is thought to physically impinge upon the lesser tuberosity...

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Chad Reilly June 24, 2016 1 Comment

Bench Press Shoulder Pain, Probably Coracoidopathy

Bench Press Shoulder Pain, Probably Coracoidopathy

I’ve done my share of bench presses, mostly back in my bodybuilder years before I got involved in Olympic weightlifting. Back then (well before I was a physical therapist) if someone in the gym had shoulder pain with bench press,...

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Chad Reilly June 3, 2016 No Comments

Coracoidopathy: The Missing Link in Shoulder Pain

Coracoidopathy: The Missing Link in Shoulder Pain

To cut to the chase, coracoidopathy is an unbeknownst but common cause of shoulder pain. My preliminary data gathered from my shoulder pain referrals suggest it is present in up to 85% of people with shoulder pain. It is the...

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Chad Reilly May 23, 2016 2 Comments

My Continued Electric Stimulation Headache Data

My Continued Electric Stimulation Headache Data

  The following is my headache results with electric muscle stimulation (EMS) and builds on a prior blog where I did the same thing but with somewhat different electrode placement, and slightly different parameters programmed into my EMS machines. Treatment...

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Chad Reilly May 3, 2016 2 Comments

Are Dietitians Wrong About Dinner Time?

Are Dietitians Wrong About Dinner Time?

OK, are dietitians wrong about dinner time? I’m about to reinterpret some 20 year old research, which really got me thinking. Though I might be mistaken, I think the experts are wrong, and the research is on my side. Such...

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Chad Reilly April 27, 2016 4 Comments

EMS, High-Frequency Fatigue and Pain, Particularly Headaches & Back Pain

EMS, High-Frequency Fatigue and Pain, Particularly Headaches & Back Pain

I needed a break from fasting papers and, while I’m a big, BIG fan of EMS, and to a substantially lesser extent TENS, I am underwhelmed by high “kilohertz-frequency” alternating type currents as is commonly used in Russian stimulation for...

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Chad Reilly April 8, 2016 1 Comment

Intermittent Fasting, BDNF, Depression, More

Intermittent Fasting, BDNF, Depression, More

Dietary restriction stimulates BDNF production in the brain and thereby protects neurons against excitotoxic injury. Duan W, Lee J, Guo Z, Mattson MP. J Mol Neurosci. 2001 Feb;16(1):1-12. [FREE FULL TEXT] Abstract Dietary restriction (DR) increases the lifespan of rodents...

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Chad Reilly March 22, 2016 No Comments

Exercise vs Intermittent Fasting for Longevity

Exercise vs Intermittent Fasting for Longevity

Differential effects of intermittent feeding and voluntary exercise on body weight and lifespan in adult rats. Goodrick CL, Ingram DK, Reynolds MA, Freeman JR, Cider NL. J Gerontol. 1983 Jan;38(1):36-45. Abstract Male wistar rats were housed in laboratory cages or...

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Chad Reilly March 8, 2016 No Comments

Placebo Effect: You Probably Shouldn’t Know This, But…

Placebo Effect: You Probably Shouldn’t Know This, But…

This is one of those papers where the abstract doesn’t quite cut it, and the whole paper was a fascinating read. I got thinking about it after reading my favorite paper on acupuncture, “Acupuncture is Theatrical Placebo” and I have since...

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Chad Reilly February 23, 2016 No Comments

Weight Loss, Set Point Theory, Metabolism and Thyroid Hormone

Weight Loss, Set Point Theory, Metabolism and Thyroid Hormone

Do adaptive changes in metabolic rate favor weight regain in weight-reduced individuals? An examination of the set-point theory. Weinsier RL, Nagy TR, Hunter GR, Darnell BE, Hensrud DD, Weiss HL. Am J Clin Nutr. 2000 Nov;72(5):1088-94. [FREE FULL TEXT] From the study:...

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Chad Reilly February 18, 2016 No Comments

Intermittent Fasting and Circadian Rhythms

Intermittent Fasting and Circadian Rhythms

I had a blog idea comparing various cleansing/detoxification schemes with intermittent fasting, with the gist being that there are some similarities. Both probably make you feel better for largely the same reasons, but that fasting is better and free. With...

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Chad Reilly February 8, 2016 No Comments

Hip Pain, Trochanteric “Bursitis”/Tendinopathy, Exercise Best, Cortisone Worst

Hip Pain, Trochanteric “Bursitis”/Tendinopathy, Exercise Best, Cortisone Worst

This study was more interesting in its entirety than its abstract. I thought the home exercises given were beyond banal, but they still turned out best in the long term. Cortisone injected into tendons was yet again shown to be...

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Chad Reilly February 4, 2016 1 Comment

Intermittent Fasting Improves Heart Attack Survival, A LOT!

Intermittent Fasting Improves Heart Attack Survival, A LOT!

Anyone familiar with my blog, or me, will know that I have a pretty fair obsession with intermittent fasting for what are becoming more reasons than I can easily count. So what is particularly interesting about this paper, contrary to...

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Chad Reilly January 12, 2016 No Comments

Dry Needling Collapses Lung, on Video

Dry Needling Collapses Lung, on Video

I had a physical therapist stop by my office last week and try and sell me on dry needling. I said heard all about dry needling and that I thought that like the force, it can have a strong influence...

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Chad Reilly December 31, 2015 No Comments

Neutral Spine Protects Against Axial Compression

Neutral Spine Protects Against Axial Compression

Lumbar spine endplate fractures: Biomechanical evaluation and clinical considerations through experimental induction of injury. Curry WH, Pintar FA, Doan NB, Nguyen HS, Eckardt G, Baisden JL, Maiman DJ Paskoff GR, Shender BS, Stemper BD, J Orthop Res. 2015 Nov 26. Abstract...

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Chad Reilly December 28, 2015 No Comments

Retired Weightlifters, Wrestlers, DDD, and Back Pain

Retired Weightlifters, Wrestlers, DDD, and Back Pain

Low back pain among retired wrestlers and heavyweight lifters. Granhed H, Morelli B. Am J Sports Med. 1988 Sep-Oct;16(5):530-3. [FREE FULL TEXT] Abstract The lifetime incidence and prevalence of low back pain among 32 retired wrestlers (ages 39 to 62 years)...

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Chad Reilly December 14, 2015 2 Comments

High Resistance / Weights Needed for Tendon Adaptation

High Resistance / Weights Needed for Tendon Adaptation

Adaptational responses of the human Achilles tendon by modulation of the applied cyclic strain magnitude. Arampatzis A1, Karamanidis K, Albracht K. J Exp Biol. 2007 Aug;210(Pt 15):2743-53. [FREE FULL TEXT] Abstract Tendons are able to remodel their mechanical and morphological...

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Chad Reilly November 23, 2015 3 Comments

Massive Herniated Discs and Low Back Pain, the Good News

Massive Herniated Discs and Low Back Pain, the Good News

Conservatively treated massive prolapsed discs: a 7-year follow-up. Benson RT, Tavares SP, Robertson SC, Sharp R, Marshall RW. Ann R Coll Surg Engl. 2010 Mar;92(2):147-53. Abstract INTRODUCTION: The natural history of a lumbar hernia of the nucleus pulposus (HNP) is...

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Chad Reilly November 5, 2015 13 Comments

My Favorite Intermittent Fasting Educational Videos

My Favorite Intermittent Fasting Educational Videos

For those of you who don’t like to read, this blog about intermittent fasting educational videos is for you. I have been doing intermittent fasting for 6 months now, and I have a number of comments to add since making...

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Chad Reilly October 20, 2015 No Comments

Creatine and Weight Training for Older Adults

Creatine and Weight Training for Older Adults

Creatine supplementation during resistance training in older adults-a meta-analysis. Devries MC, Phillips SM. Med Sci Sports Exerc. 2014 Jun;46(6):1194-203. Abstract INTRODUCTION: Age-related sarcopenia and dynapenia have negative effects on strength and the ability to perform activities of daily living. Resistance...

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Chad Reilly October 6, 2015 No Comments

Coffee & Tea: How Much is Healthy?  

Coffee & Tea: How Much is Healthy?  

Coffee and tea: perks for health and longevity? Bhatti SK1, O'Keefe JH, Lavie CJ. Curr Opin Clin Nutr Metab Care. 2013 Nov;16(6):688-97. [FREE FULL TEXT] From the Abstract: RECENT FINDINGS: Tea consumption, especially green tea, is associated with significantly reduced risks...

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Chad Reilly September 24, 2015 2 Comments

Tennis Elbow, Strong Evidence AGAINST Platelet-Rich Plasma

Tennis Elbow, Strong Evidence AGAINST Platelet-Rich Plasma

Strong evidence against platelet-rich plasma injections for chronic lateral epicondylar tendinopathy: a systematic review. de Vos RJ, Windt J, Weir A. Br J Sports Med. 2014 Jun;48(12):952-6. Abstract BACKGROUND: Chronic lateral epicondylar tendinopathy is frequent in athletes, and platelet-rich plasma (PRP)...

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Chad Reilly September 8, 2015 No Comments

Intermittent Fasting Maintains Muscle when Dieting

Intermittent Fasting Maintains Muscle when Dieting

Intermittent versus daily calorie restriction: which diet regimen is more effective for weight loss? Varady KA. Obes Rev. 2011 Jul;12(7):e593-601. [FREE FULL TEXT] Abstract Dietary restriction is an effective strategy for weight loss in obese individuals. The most common form...

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Chad Reilly September 2, 2015 No Comments

Low Level Laser Doesn’t Work for Tendinitis Either

Low Level Laser Doesn’t Work for Tendinitis Either

Clinical effectiveness of low-level laser therapy as an adjunct to eccentric exercise for the treatment of Achilles' tendinopathy: a randomized controlled trial. Tumilty S, McDonough S, Hurley DA, Baxter GD. From the Abstract OBJECTIVE: To investigate the effectiveness of low-level...

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Chad Reilly August 27, 2015 No Comments

Cold Laser, Low Level Laser, Anodyne… Bogus for Neuropathy

Cold Laser, Low Level Laser, Anodyne… Bogus for Neuropathy

Does anodyne light therapy improve peripheral neuropathy in diabetes? A double-blind, sham-controlled, randomized trial to evaluate monochromatic infrared photoenergy. Lavery LA, Murdoch DP, Williams J, Lavery DC. Diabetes Care. 2008 Feb;31(2):316-21. Abstract OBJECTIVE: The purpose of this study was to determine...

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Chad Reilly August 24, 2015 No Comments

Alcohol Dose and Mortality (Remedy or Poison?)

Alcohol Dose and Mortality (Remedy or Poison?)

Alcohol dosing and total mortality in men and women: an updated meta-analysis of 34 prospective studies. Arch Intern Med. 2006 Dec 11-25;166(22):2437-45. Di Castelnuovo A, Costanzo S, Bagnardi V, Donati MB, Iacoviello L, de Gaetano G. [FREE FULL TEXT] Abstract...

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Chad Reilly August 21, 2015 No Comments

Alcohol Fights Fat (in moderation)

Alcohol Fights Fat (in moderation)

Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Wang L, Lee IM, Manson JE, Buring JE, Sesso HD. Arch Intern Med. 2010 Mar 8;170(5):453-61. [FREE FULL TEXT] Abstract BACKGROUND: The obesity epidemic is a major health...

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Chad Reilly August 19, 2015 No Comments

Anorexia: Light Weightlifting is all but Worthless

Anorexia: Light Weightlifting is all but Worthless

Does resistance training improve the functional capacity and well being of very young anorexic patients? A randomized controlled trial. del Valle MF, Pérez M, Santana-Sosa E, Fiuza-Luces C, Bustamante-Ara N, Gallardo C, Villaseñor A, Graell M, Morandé G, Romo GR,...

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Chad Reilly August 17, 2015 No Comments

Vegans vs Lacto-Ovo vs Pescetarians

Vegans vs Lacto-Ovo vs Pescetarians

Mortality in vegetarians and nonvegetarians: detailed findings from a collaborative analysis of 5 prospective studies. Key TJ, Fraser GE, Thorogood M, Appleby PN, Beral V, Reeves G, Burr ML, Chang-Claude J, Frentzel-Beyme R, Kuzma JW, Mann J, McPherson K. Am...

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Chad Reilly August 14, 2015 No Comments

Low Back Pain & Reverse Ergonomics: Fit the Person to the Job?

Low Back Pain & Reverse Ergonomics: Fit the Person to the Job?

Evolving ergonomics? McGill SM. Ergonomics. 2009 Jan;52(1):80-6. Abstract The theme developed in this position paper follows the current evolution of injury prevention in the backs of workers. Job change or 'fitting the task to the person' has come far, but...

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Chad Reilly August 7, 2015 No Comments

Traction, Low Back Pain, Research Suggests it Doesn’t Work

Traction, Low Back Pain, Research Suggests it Doesn’t Work

Traction for low-back pain with or without sciatica. Wegner I, Widyahening IS, van Tulder MW, Blomberg SE, de Vet HC, Brønfort G, Bouter LM, van der Heijden GJ. Cochrane Database Syst Rev. 2013 Aug 19;8 Quotes from abstract (but I read...

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Chad Reilly August 6, 2015 2 Comments

Intense Strength Training for Anorexia, Works Great!

Intense Strength Training for Anorexia, Works Great!

Resistance training enhances muscular performance in patients with anorexia nervosa: a randomized controlled trial. Fernandez-del-Valle M, Larumbe-Zabala E, Villaseñor-Montarroso A, Cardona Gonzalez C, Diez-Vega I, Lopez Mojares LM, Perez Ruiz M. International Journal of Eating Disorders 2014 Sep;47(6):601-9. From the Abstract...

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Chad Reilly August 5, 2015 No Comments