Core PT

01/31/2026

IF THIS THAN THAT......if your ankle is stiff from surgery, old fracture or sprain etc, your leg will have to turn to the side so that you can clear your foot when walking. Look at your feet, do you have a previously injured ankle that is making your leg turn out to the side? It is a good plan but it comes at a cost. Check out the comments..

01/31/2026

https://www.corephysicaltherapy.com/shockwave

TAKE CHARGE OF YOUR HEALTH. READ THIS AND DO YOUR OWN RESEARCH.

CONDITIONS WHERE SHOCKWAVE THERAPY HAS OUTCOMES COMPARABLE TO SURGERY (Based on Research)

Surgery absolutely has a role — but it’s not always the most effective next step for chronic tendon pain.

For several well-studied musculoskeletal conditions, randomized trials and systematic reviews show that focused shockwave therapy can produce outcomes as good as — and sometimes better than — surgery, with fewer risks and far less downtime.
Examples with strong scientific support:

🔹 Chronic plantar fasciitis (fasciosis)
Randomized controlled trials and long-term follow-ups (e.g., Gerdesmeyer et al., 2008; Rompe et al.) show shockwave achieves pain and function outcomes comparable to plantar fascia release — without cutting or weakening the foot.
🔹 Calcific rotator cuff tendinopathy
Multiple RCTs and meta-analyses (e.g., Hsu et al.; Verstraelen et al.) demonstrate shockwave produces similar improvements in pain, function, and calcium resorption compared to arthroscopic removal in properly selected patients.
🔹 Chronic Achilles tendinopathy
Studies comparing surgery vs. shockwave plus loading (e.g., Rompe et al., 2007) show comparable long-term outcomes, with lower complication rates and faster return to activity.
🔹 Lateral epicondylitis (tennis elbow)
Systematic reviews (Cochrane-style analyses) show surgery offers no clear long-term advantage over shockwave or structured conservative care for chronic cases.
🔹 Greater trochanteric pain syndrome (gluteal tendinopathy)
Randomized trials (e.g., Rompe et al., 2009) demonstrate shockwave produces superior long-term outcomes compared to injections — avoiding surgical risk altogether.

Get the best shockwave therapy at Core PT. We provide advanced shockwave treatment services for patients in both Albany and Clifton Park locations.

01/28/2026

Not the surgery type? Prefer alternatives? Heading towards knee replacement or stuck in pain management? Not ready to quit being active yet? Core has manual therapy and shockwave to get you better results without surgery.

Discover how shockwave therapy supports knee osteoarthritis recovery by reducing pain, improving mobility, and offering a non-invasive path to relief.

01/21/2026

Not getting better? There is a simple reason why.

Fixing pain without knowing why it exists can leave you frustrated and drained. At Core Physical Therapy, we help you uncover your “why” for lasting relief.

01/20/2026

01/13/2026

LOW BACK PAIN CAUSE #3: They Don't Teach This in Medical or Therapy School.
Why is there a such thing called chronic back pain? Treating back pain as just a back problem is one reason. Herniated disks and arthritis are sometimes just co-symptoms rather than the cause of back pain. That is why back pain treatments are sub par to be kind.
Here is one example of another cause of back pain. A tight foot or ankle. A tight foot or ankle can be caused by a fracture or sprain or even an ankle fusion or bunion repair. As a result of the lack of mobility of the foot and ankle the hip will turn the foot out to the side so that walking is easier. That will cause a chronic tightening of the piriformis muscle and then SI dysfunction or nerve entrapment. Optimizing the mobility of the foot and ankle will reduce your back pain proportionally. Once you know the cause, the problem is simple to fix.

Welcome to the Core Physical Therapy page. Please feel free to post your questions, comments or suggestions.
Best,
John

01/12/2026

Our latest blog from our Pelvic Floor Physical Therapists. Integrative, comprehensive and caring therapists who have found better ways to help with pelvic floor dysfunction.

Kegels can worsen pelvic pain and incontinence for many people. Learn how Core Physical Therapy treats pelvic floor dysfunction with a personalized approach.

01/05/2026

We are hiring physical therapists and assistants that want the best they can for their patients. Best training, best facilities, and the best team ever assembled. If you are looking to make a change, come for a tour of the office and see the difference for yourself.

Manual Physical Therapy fueled by training, skill, and passion for growth. Shape your career with Core Physical Therapy—where the best thrive among the best.

12/16/2025

LOW BACK PAIN CAUSE #2: They Don't Teach This in Medical or Therapy School.
Why is there a such thing called chronic back pain? Treating back pain as just a back problem is one reason. Herniated disks and arthritis are sometimes just co-symptoms rather than the cause of back pain. That is why back pain treatments are sub par to be kind.
Here is one example of another cause of back pain. Adhesions following an appendectomy will cause a protective increase in muscle tone, loss of strength and loss of mobility on the right side. With time, your body compensates by using the left more and you will develop pain in the left low back and SI joint. How do you know if this is you? If your right shoulder is noticeably lower than your left and you are either ticklish or tender in the area of your lower right abdomen you are likely in a protected posture due to abdominal adhesions which is causing chronic back pain. To fix the back pain, all you need to do is reduce the amount and severity of adhesions. Best part...it's simple to fix!

I wrote a blog on this a few years ago you might enjoy. https://www.corephysicaltherapy.com/core-pt-blog/c-sections-appendectomies-and-other-abdominal-surgeries-can-be-the-cause-of-chronic-pain

Please SHARE and like our page. More clinical pearls on low back pain will be added soon:)

Welcome to the Core Physical Therapy page. Please feel free to post your questions, comments or suggestions.
Best,
John

12/14/2025

People are not even. You can tell the handedness of a person based on which shoulder is lower. This is a sketch of a "lefty". If your are a righty and your left shoulder is low then you are compensating or protecting for an injury in your body. This compensation is a cause for future pains. The body tells the tale:). https://www.corephysicaltherapy.com

12/06/2025

They Don't Teach This in Medical or Therapy School.
Why is there a such thing called chronic back pain? Treating back pain as just a back problem is one reason. Herniated disks and arthritis are sometimes just co-symptoms rather than the cause of back pain. That is why back pain treatments are sub par to be kind.
Here is one example of another cause of back pain. Muscle tightness from an old shoulder problem, even if not symptomatic anymore, can cause stress on your low back and pinch nerves called your cluneal nerves giving you a pain in the butt.
Stand in the mirror...is your shoulder lower on the same side as your back pain? When you try to raise your arm on the same side is it tighter than the other? Does the pain feel better if you put your arm behind your back? If so, you are almost better! Get to the holistic therapists at Core PT.

https://www.corephysicaltherapy.com/about-us