Power (force x distance/time) and physical therapy would seem to be a natural relationship, and indeed it has been studied and related to movement for some time in physical therapy. (walking speed, stair climbing, and sit to stand).  As physical therapists we are exper...

The metaphorical idiom ‘the white elephant in the room’ has never been truer than when working with the obese patient who has a number of medical and orthopedic problems. When it comes to the underlying causes of problems that patients encounter, obesity is a major con...

November 20, 2017

Recent research has shown that the gut microbes that live in our gastrointestinal tract are responsible for how healthy we are and also whether we become obese. We all have a tube that runs through our body… it’s called our gastrointestinal tract and it’s the way we no...

September 27, 2017

Most recently the APTA provided a nutrition webpage and has indicated that nutrition is part of the professional scope of practice for physical therapists. The APTA continues with its position indicating “the role of physical therapist to screen for and provide informa...

During the TV show the Biggest Loser the 14 participants lost a ridiculous amount of weight (average weight loss 128 pounds) over a 30 week period, which is approximately 4 pounds per week. When we convert this into calories this would be 14,000 calories per week. To b...

You may have seen the headlines about 14 of the “Biggest Loser” contestants who were followed for 6 years and how they gained their weight back…well actually one did not gain back their weight. However, five contestants gained all their weight back to within 1 percent...

When my patients present with chronic joint pain, along with abdominal obesity and hypertension I suspect underlying inflammation. While this may seem to be an easy determination, the treatment is more involved. Many patients will already be taking a regimen of anti-in...

Health care costs will unquestionably increase during the next 30 years, as a result of baby boomers “coming of age” and accessing Medicare benefits. The economic and social impact of the future growth of US health care expenditures for the elderly will be significant....

I have often addressed how the physical therapist might initiate conversation about weight loss with their patient. However a plan to see your patient make a successful healthy lifestyle change that would facilitate weight loss and improved health must include informat...

Every orthopedic physical therapist is confronted with the obese patient who is 80-100 pounds overweight and has osteoarthritis of the knees. After performing hundreds of straight leg raises along with other strengthening exercises, along with nonweightbearing activiti...

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    Every orthopedic physical therapist is confronted with the obese patient who is 80-100 pounds overweight and has osteoarthritis of the knees. After pe...

    How to Address Obesity in the Patient with Osteoarthritis of the Weight Bearing Joints

    July 12, 2017

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