I am a Doctor of Physical Therapy . . .

Physical therapy is a profession that is sometimes misunderstood. People hear or see things that portray the profession in a certain way, which may or may not be completely accurate. Paul Killoren and Austin Woods are two physical therapists out of Washington who established their own physical therapy practice and also began an online blog to assist in educating the public and promote the physical therapy profession. In one of their blogs posted in January of 2013, they provided a further insight into what it means to be a Doctor of Physical Therapy.

To begin with, they suggested everyone take a look at a clip from the Dr. Oz Show that demonstrated “cutting edge physical therapy techniques.” Although it is true that ultrasound, Tiger Balm and a Bumpy Ball are types of modalities that may be used as an adjunct to therapy, they do not represent the profession that is physical therapy, nor is it what we provide as complete physical therapy care. Although Dr. Oz attempts to provide temporary relief strategies, inferring that physical therapy is a passive modality-based treatment is inaccurate.

In the effort to educate our current and future patients, as well as the general public, Dr. Paul Killoren, PT, DPT and Dr. Austin Woods, PT, DPT provide a great example of what we ARE as Physical Therapists.

We are Doctors – (4 year Bachelor’s degree) + (3 year Doctoral degree) = Doctor of Physical Therapy.  Here’s a crazy thought, from kindergarten to doctoral graduation we have spent 22 years of our 29+ year life in school, (that is over 76%!)

We are musculoskeletal experts – A comprehensive study of healthcare providers found that physical therapist knowledge of the musculoskeletal system is second only to specialized orthopedic physicians.  

We are movement specialists – Along with extensive knowledge of the musculoskeletal system, we specialize in the kinesiology of our body as a dynamic and biomechanically moving system functioning in synergy to perform everything from daily activities to elite athletic competition.  

We are direct access – In the state of Minnesota, you do not need a physician referral to see a physical therapist!  And in all states, physical therapists with their doctorates are educated in differential diagnosis and can properly diagnose and direct you to the appropriate healthcare provider if it falls outside our scope of practice.

We are cost-effective - Numerous studies show physical therapy is more effective and less expensive than medical care or surgery with results lasting longer.  Studies also show care is less expensive when going to a physical therapist FIRST versus being referred from your physician. If you aren't sure where to begin, OSR offers complimentary 10 minute consultations to help you decide whether a visit to an MD is recommended, as well as some basic self-care recommendations.

We are still learning – Continuing education is constant focus and forms the foundation of our evidence-enhanced practice.  We utilize continuing education courses throughout our entire life as a physical therapist, meaning we are always advancing our knowledge and staying up to date on current best practice.

We are cutting edge – We are able to utilize manual therapy, trigger point, active release therapy, and many more techniques.  We use our hands to assist in evaluation, diagnosis and intervention strategies through direct contact. No ultrasound, Tiger Balm, or Bumpy Ball can provide us with the information that our hands can tell us.

For some of you this is common knowledge, but unfortunately, for many of the general public these ‘basics’ are new to them.  If you are someone who has had physical therapy and this isn’t new, then forward it to someone you have heard complaining of aches and pain who may not know about the care that a physical therapist is able to provide to them.  If this is new to you, then next time you have musculoskeletal pain (back pain, knee pain, shoulder pain, neck pain, etc), you can now understand what it is that a physical therapist can offer and seek out their care to assist you in getting back to a normal, healthy lifestyle.

This has been adapted from:

·       Killoren P, Woods A. 2013, Jan. I am a doctor of physical therapy. Doctors of Physical Therapy: The Musculoskeletal Experts. Retrieved Jan. 21, 2013, from http://doctorsofphysicaltherapy.wordpress.com/2013/01/16/i-am-who-i-am/

·       Mitchell JM, de Lissovoy G. A comparison of resource use and cost in direct access versus physician referral episodes of physical therapy. Phys Ther. 1997;77(1):10-18.

Article submitted by Meaghan Cox, DPT. Meaghan practices at our EdenPrairie location.

Snapping hip? Side of hip pain?

It is not unusual to hear complaints from patients about front or side (lateral) of hip pain or snapping when shifting weight onto one leg, walking, or going up stairs.



Many times doctors assign one of the following diagnoses to this condition: bursitis, snapping hip, IT Band syndrome, or gluteal tendinopathy. Labral tears of the hip can also create altered mechanics of the hip that lead to lateral hip pain.

While knowing the diagnosis influences Physical Therapy interventions, the diagnosis does not indicate what the muscle imbalances are that must also be corrected. Physical Therapists conduct an evaluation to understand the muscle imbalances, as well as status of tissue healing, activity modification, and goals needed to develop a proper treatment plan.

Many times the associated muscle imbalance involves the lateral subsystem of muscles. This includes the gluteus medius, tensor fascia latae, adductors, and quadratus lumborum.

Here are some intermediate level exercises that can help strengthen this muscle system:

Side lunge

Side step up

Side band leg lift

Band side step

Skater jumps

Farmer's walk

These suggested exercises do not replace appropriate diagnosis and treatment of any condition.  Exercises and progressions used in Physical Therapy are determined on an individual basis after the Physical Therapy evaluation has been completed.

This blog post was written by Meredith Butulis, DPT, ACSM HFS. She practices at our Eden Prairie location. 

What is Physical Therapy?

What is Physical Therapy? The Physical Therapy experience depends on the clinic and on the injury. OSR is a Sports and Orthopedic clinic, so our patients generally work on strategies for activity modification, collaborating with coaches to fix technical sports movements that may be provoking the injury (if applicable), and activities such as strengthening and stretching as part of their treatment plan.

See how one patient describes what he does at OSR:

Life long learning

Congratulations to Eden Prairie Physical Therapist, Meredith Butulis, on completing her MBA this weekend. This life-long learner also holds a Doctorate and Master's in Physical Therapy, Bachelor's in Pre-Med Health Studies, and several Personal Training and Pilates certifications. 

Hip post op labral tear

After surgery, people typically ask how long it will take to get back to various activities. Today, we will focus on post-op hip labral repairs with bony resections.

A labral tear means that the cartilage rim that helps support your hip stability has been injured. Not all labral tears require surgery. Surgical procedures and post-op protocols are also highly variable. The ideas presented here relate to one of our more common protocols, but again, it does vary by surgeon and exact procedure.




Here are the typical time frames for common activities:

1 week: Driving (for left hip surgeries)
3 weeks: Walking without crutches, Driving for right hip surgeries
6 weeks: Elliptical trainer
10 weeks: Some jogging and sport training
12-16 weeks: Modified return to sport
6 months-1 year: High level competitive sport without restriction

We hope this provides you an overview of activities. You should always check with your surgeon on his/her specific time frames for your specific surgery. Have a question or idea to share? Leave us a post!

Patellofemoral syndrome

What is patellofemoral syndrome? This is a question that we hear quite often at OSR Physical Therapy!

Patellofemoral syndrome means that your kneecap is not staying in line with thigh when you perform activities like walking, stair climbing, running, squatting, lunging, and jumping.

Think of your kneecap (aka patella) like a train. Think of your thigh (aka femur) like a set of railroad tracks. The train needs to stay centered on the tracks while you perform activities.

While traditional physical therapy focuses on strengthening your VMO (aka vastus medialis) and providing orthotics (shoe inserts), we use a more comprehensive sports medicine approach at OSR.

As suggested at the annual Cincinnati Sport Medicine Conference, the focus needs to be on the hip, not so much at the knee cap. Therefore, we assess the hip, knee, ankle, foot, and even core for muscle imbalances. Once we find those imbalances, we create a comprehensive custom treatment plan to resolve the muscle imbalances and retrain how you are performing the activities that were provoking the pain.

Most of the time, we find that we focus much more on how the "train track" works, and then the "train" just needs a little fine tuning so you can enjoy activities again!

Here is a video of one "train track alignment" exercise that we find almost everyone benefits from at some point in time:


Have questions or comments? Leave us a post!

This article was written by Meredith Butulis, DPT, who works at our Eden Prairie office.

Anterior oblique system

Last week, we discussed the posterior oblique muscle system. This week, let's move on to the anterior oblique system. When your external obliques and opposite side adductor work together, you can create power. This is especially beneficial in throwing sports.

After you've activated any under-active muscles or reach the final stages of your rehab program, here are some conditioning exercises you may wish to consider to build the strength of your anterior oblique system: