Musculoskeletal Health
Innovative Treatment Options for Frequent Urination
Frequent urination is one of the most common urinary symptoms. Some patients notice that they urinate too often during the day. Others are most bothered by waking up at night to urinate. Many patients have both. This can affect sleep, work, exercise, travel, sexual health, and quality of life.
Pudendal Nerve Entrapment Syndrome: A Commonly Missed Cause of Pelvic, Genital, Urinary, Bowel, and Sexual Pain
Pudendal nerve entrapment syndrome is a condition where the pudendal nerve becomes irritated, compressed, or mechanically sensitive as it travels through the deep pelvis. The pudendal nerve is one of the major nerves of the pelvic floor. It carries sensation from the perineum, external genital region, anus, and parts of the pelvic floor, and it also helps control muscles involved in bowel, bladder, and sexual function.
Ischiofemoral Impingement: A Commonly Missed Cause of Hip and Pelvic Pain
Ischiofemoral impingement is a condition where the space between the ischium, which is part of the pelvis, and the lesser trochanter of the femur becomes too narrow. The quadratus femoris muscle sits in this space. When the space becomes compressed, the quadratus femoris can become irritated, painful, swollen, or weakened.
Training the Uninjured Side During Recovery: How Cross-Education Helps Preserve Strength
When an arm or leg is immobilized after an injury, surgery, fracture, tendon repair, or joint problem, the goal is usually to protect healing tissue. Casting, bracing, slings, boots, and surgical restrictions can all be necessary parts of recovery. The problem is that immobilization also creates a rapid loss of strength, muscle size, coordination, and neuromuscular control.
Low Dose Naltrexone (LDN): A Novel Approach to Chronic Pain, Inflammation, and Recovery
Naltrexone is a medication that has been used for decades at higher doses, typically 50 mg, for the treatment of opioid and alcohol use disorders. At these doses, it works by blocking opioid receptors, which reduces the reinforcing effects of addictive substances. Low dose naltrexone, usually defined as doses between 0.5 mg and 4.5 mg, works very differently. Instead of sustained opioid blockade, it produces a brief and partial receptor blockade that appears to trigger downstream regulatory effects in the nervous system and immune system.
Peptides: A Comprehensive Scientific Guide for Patients
Peptides represent an important advance in modern medicine. Some peptide-based drugs have changed clinical care in meaningful ways, including treatments used for diabetes, weight management, osteoporosis, endocrine disease, and other serious conditions.
Stretching for Strength, Mobility, and Recovery
Stretching plays a critical role in improving flexibility, reducing the risk of injury, and supporting recovery after intense training or activity. By enhancing your joint range of motion and movement efficiency, stretching helps your body perform better and feel better. When done consistently, stretching supports healthy posture, balanced muscle tone, and long-term joint health.
Strength Training: A Comprehensive Guide to Using Science to Build Muscles
This guide, which is based on extensive peer-reviewed scientific studies, is designed to provide a detailed description of the science and practical applications of strength training and muscle hypertrophy. It is designed to be a master class in everything related to strength training, from the biology to the practical aspects. There are a lot of myths and pseudoscience in the field of strength training, and our goal is to provide our patients and the public with a comprehensive guide to understanding the science of strength and endurance training, and how to incorporate this into your workout routine.
Essential Amino Acids: Building Blocks of Muscle, Recovery, and Performance
Amino acids are the building blocks of protein. The body uses amino acids to build and repair muscle, produce enzymes, support immune function, maintain connective tissue, create neurotransmitters, and regulate many metabolic processes.
Sarcopenia: Understanding and Reversing Age-Related Muscle Loss
Sarcopenia is the progressive loss of skeletal muscle mass, strength, and function associated with aging. While some degree of muscle decline is expected with age, sarcopenia reflects a pathologic process that accelerates physical disability, increases the risk of falls, and contributes to frailty and loss of independence. It often begins subtly in the fourth decade of life and progresses more rapidly after age 60, particularly in sedentary individuals or those with chronic illness.