• Physical Therapy Blog

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

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

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 8 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

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

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 4 Comments

Spinal Manipulation in Physical Therapy, Death Throes in Research

Spinal Manipulation in Physical Therapy, Death Throes in Research

Basis for spinal manipulative therapy: a physical therapist perspective. Bialosky JE, Simon CB, Bishop MD, George SZ. J Electromyogr Kinesiol. 2012 Oct;22(5):643-7. [Free Full Text] My comments: This paper has an extremely well referenced number of facts seemingly leading to...

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Chad Reilly June 18, 2015 4 Comments

Chiropractor Debunks Manipulation/Manual Therapy for Low Back Pain

Chiropractor Debunks Manipulation/Manual Therapy for Low Back Pain

Do manual therapies help low back pain? A comparative effectiveness meta-analysis. Menke JM. Spine (Phila Pa 1976). 2014 Apr 1;39(7) :E463-72. Abstract STUDY DESIGN: Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain....

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Chad Reilly June 7, 2015 3 Comments

Manipulation & Mobilization for Chronic Low Back Pain, Not Worth the Effort

Manipulation & Mobilization for Chronic Low Back Pain, Not Worth the Effort

Spinal manipulative therapy for chronic low-back pain: an update of a Cochrane review. Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW. Spine (Phila Pa 1976). 2011 Jun;36(13) Abstract STUDY DESIGN: Systematic review of interventions. OBJECTIVE:...

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Chad Reilly May 21, 2015 2 Comments

Manipulation vs Mobilization for Acute Low Back Pain, Neither Work

Manipulation vs Mobilization for Acute Low Back Pain, Neither Work

Spinal manipulative therapy for acute low-back pain. Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW. Cochrane Database Syst Rev. 2012 Sep 12;9 Abstract BACKGROUND: Many therapies exist for the treatment of low-back pain including spinal manipulative therapy...

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Chad Reilly May 20, 2015 3 Comments

Vitamin E Ointment Does Not Improve Scar Healing

Vitamin E Ointment Does Not Improve Scar Healing

The effects of topical vitamin E on the cosmetic appearance of scars. Baumann LS, Spencer J. Dermatol Surg. 1999 Apr;25(4):311-5. Abstract BACKGROUND: Vitamin E is a generic term for a group of tocol and tocotrienol derivatives. Since the discovery that...

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Chad Reilly November 24, 2014 No Comments

Kinesio Tape Sure Smells Like Placebo

Kinesio Tape Sure Smells Like Placebo

Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. J Physiother. 2014 Mar;60(1):31-9. Parreira Pdo C, Costa Lda C, Hespanhol Junior LC, Lopes AD, Costa LO. Abstract Questions: Is Kinesio Taping more effective than...

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Chad Reilly September 15, 2014 No Comments

Plantar Fasciitis: One Cortisone Shot = 19X Risk of Rupture

Plantar Fasciitis: One Cortisone Shot = 19X Risk of Rupture

Risk factors affecting chronic rupture of the plantar fascia. Foot Ankle Int. 2014 Mar;35(3):258-63. Lee HS1, Choi YR, Kim SW, Lee JY, Seo JH, Jeong JJ. Abstract BACKGROUND: Prior to 1994, plantar fascia ruptures were considered as an acute injury that occurred...

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Chad Reilly September 14, 2014 8 Comments