Smith Performance Center Blog
Your Trusted Physical Therapy and Strength Training Blog for Injury Rehab and Pain Management
Welcome to the physical therapy blog from Smith Performance Center—your source for expert guidance on injury recovery, pain management, strength training, and sustainable health habits. Whether you’re managing chronic pain, recovering from surgery, or building long-term fitness, our team shares actionable strategies backed by clinical experience and real-world success. Stay up to date with new posts on rehab phases, movement progression, exercise programming, and the science behind making healthcare work for you.
5 Treatment Options to Reduce Knee Pain without Surgery, Injections, or Drugs
We treat intractable knee pain on a daily basis. Our process is called the PT Solutions Treatment Hierarchy. The treatment hierarchy allows our team to support the diagnosis, reduce pain, and create a clear home plan. Building a treatment framework is a critical component of the plan and it changes based on the key sign, the structural diagnosis, and the trigger management plan. For example, a person with an anterior horn meniscus lesion, we would first normalize painful end range extension of the knee. Once passive extension is pain free, we would start to load their leg with the activity that normally hurts, providing them an exercise like terminal knee extension with the band that will keep their knee extension pain free. Finally we would
The Dynamic Recursive Model of Long Term Development: A key principle in our strength training and physical therapy methodology
Why Do We Focus on Long-Term Development in Strength Training? Activity brings benefits and risks. Every step, competition, or practice is an exposure that impacts the body. The questions – how do I get better and how do I stay healthy – are part of a dynamic and constantly changing system (Figure 1). We can model that system to show how the activity, like running or playing football, impacts your next exposure. The Basics If you are a runner, you need to run. If you want to get stronger, you need to lift. If you want to be a great triathlete, you need to swim, bike, and run. If you want to shoot well during a basketball game, you have to shoot over and over.
7 Signs Your Heel Pain Is Not Coming From Your Plantar Fascia
Seven Signs the Flexor Digitorum Brevis is causing your heel pain NOT the Plantar Fascia You wake up, swing your legs to the edge of the bed, and…hesitate. You know this is going to hurt. The good foot moves to the ground first – you learned from that mistake over a month ago. You brace and put down the other foot, the ungrateful one that will not get better despite the trip to the podiatrist, the injection, physical therapy, the shoe inserts, the ice bottle massage, and the stretching exercises. The foot touches down. It’s not so bad, you think ‘those stretches and night socks are helping!’ Then you step and the sharp pain feels as if the tissue from the back of the heel is ripping
5 Rehab Mistakes and How to Solve Them
The majority of our patients have been treated somewhere else first without improvement. When we review their case, similar process mistakes happen over and over again. Lack of diagnosis (Mistake #1) or telling a patient to just stop the activity that hurts (Mistake #4) leads to more problems and eventually to a life of inactivity. Our passion as a company is to keep moving for a lifetime and the number one reason people stop or don’t even start an active lifestyle is pain and injury. Understanding these common mistakes can help you become a better consumer of rehab services and get better faster with longer-lasting results. The end result is the ability to do the day you want. The 5 rehab mistakes and their solutions The mistakes
The Principle of Progression in Strength Training
Milo of Croton, a wrestling, bull-carrying, 20 pounds of meat-eating, 10 liters of wine-drinking man from Greece, is the definition of progression. Most people know the story of Milo, even if they don’t know his name. Milo carried a bull around on his shoulders. Chuze and LA Fitness were not around in ancient Greece so the Greeks created their own strength training methods. Milo intuited the importance of planned, progressive training. As a boy, he picked up a young calf and carried it around on his shoulders (because, why not?). The next day, he carried the calf again, and again the next day, and the next, and continued for FOUR years. The calf grew into a massive bull; Milo grew as well (#gainz). The daily
5 Treatment Options to Reduce Knee Pain without Surgery, Injections, or Drugs
We treat intractable knee pain on a daily basis. Our process is called the PT Solutions Treatment Hierarchy. The treatment hierarchy allows our team to support the diagnosis, reduce pain, and create a clear home plan. Building a treatment framework is a critical component of the plan and it changes based on the key sign, the structural diagnosis, and the trigger management plan. For example, a person with an anterior horn meniscus lesion, we would first normalize painful end range extension of the knee. Once passive extension is pain free, we would start to load their leg with the activity that normally hurts, providing them an exercise like terminal knee extension with the band that will keep their knee extension pain free. Finally we would
The Dynamic Recursive Model of Long Term Development: A key principle in our strength training and physical therapy methodology
Why Do We Focus on Long-Term Development in Strength Training? Activity brings benefits and risks. Every step, competition, or practice is an exposure that impacts the body. The questions – how do I get better and how do I stay healthy – are part of a dynamic and constantly changing system (Figure 1). We can model that system to show how the activity, like running or playing football, impacts your next exposure. The Basics If you are a runner, you need to run. If you want to get stronger, you need to lift. If you want to be a great triathlete, you need to swim, bike, and run. If you want to shoot well during a basketball game, you have to shoot over and over.
7 Signs Your Heel Pain Is Not Coming From Your Plantar Fascia
Seven Signs the Flexor Digitorum Brevis is causing your heel pain NOT the Plantar Fascia You wake up, swing your legs to the edge of the bed, and…hesitate. You know this is going to hurt. The good foot moves to the ground first – you learned from that mistake over a month ago. You brace and put down the other foot, the ungrateful one that will not get better despite the trip to the podiatrist, the injection, physical therapy, the shoe inserts, the ice bottle massage, and the stretching exercises. The foot touches down. It’s not so bad, you think ‘those stretches and night socks are helping!’ Then you step and the sharp pain feels as if the tissue from the back of the heel is ripping
5 Rehab Mistakes and How to Solve Them
The majority of our patients have been treated somewhere else first without improvement. When we review their case, similar process mistakes happen over and over again. Lack of diagnosis (Mistake #1) or telling a patient to just stop the activity that hurts (Mistake #4) leads to more problems and eventually to a life of inactivity. Our passion as a company is to keep moving for a lifetime and the number one reason people stop or don’t even start an active lifestyle is pain and injury. Understanding these common mistakes can help you become a better consumer of rehab services and get better faster with longer-lasting results. The end result is the ability to do the day you want. The 5 rehab mistakes and their solutions The mistakes
The Principle of Progression in Strength Training
Milo of Croton, a wrestling, bull-carrying, 20 pounds of meat-eating, 10 liters of wine-drinking man from Greece, is the definition of progression. Most people know the story of Milo, even if they don’t know his name. Milo carried a bull around on his shoulders. Chuze and LA Fitness were not around in ancient Greece so the Greeks created their own strength training methods. Milo intuited the importance of planned, progressive training. As a boy, he picked up a young calf and carried it around on his shoulders (because, why not?). The next day, he carried the calf again, and again the next day, and the next, and continued for FOUR years. The calf grew into a massive bull; Milo grew as well (#gainz). The daily
