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"You gave me my life back"



































Not All Physical Therapy Is The Same... Don't Compromise!

Your return to function is our highest priority, therefore, each treatment will be aimed at helping you meet your goals.  With your therapist, you will undergo what many patients describe as the most thorough evaluation they have ever experienced.  In treatment, your highly trained therapist will utilize a wide variety of manual therapy techniques to decrease your pain with movement and improve your muscle and joint mobility to reduce muscle spasms.  Through neuromuscular re-education and exercise, your therapist will help you to retrain your muscles to promote proper posture, efficient movement and better body mechanics that you need throughout all of your activities of daily living.  Instruction in self-management strategies will help you to maintain your functional status.  Our philosophy is that these approaches are the key in developing a comprehensive physical therapy program that helps you return to pain-free living.


All professional staff are members of the American Physical Therapy Association (APTA) the national organization representing physical therapists and physical therapist assistants. Connect to the national APTA web site here: APTA Home Page

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Specializing in Sports Medicine and Neuromuscular Re-education

Spine & Sports Rehabilitation Center uniquely offers the following:

  • Therapists recognized by the medical community for their expertise in the evaluation and treatment of musculoskeletal pain.
  • Outcomes which greatly diminish or eliminate pain and improve function in over 95% of patients who complete their rehabilitation programs.
  • Advanced and comprehensive treatment programs designed to maximize a return to the highest level of function possible.
  • Therapists who undergo rigorous training in manual therapy and neuromuscular re-education techniques that is above and beyond the standard professional requirement.
  • One therapist working with each patient throughout their course of treatment.
  • A professional and motivating clinical environment.
  • A dedicated administrative staff knowledgeable in current insurance policies and changes in health plan coverage.


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Borrowed this from my very knowledgable Fellowship Mentor, Stacy Soappman.

-Josh Renzi

Cycling and my Obsession with Gluteus Medius and Piriformis

July 16, 2014

By: Stacy Soappman, PT, OCS, DSc, FAAOMPT

It is summer and cycling season is in full swing. I ride with a number of different groups and have recently picked up three patients from those associations that all have a common factor – eccentric weakness/endurance of their gluteus medius and piriformis muscles. Two of the patients presented with knee pain and one with ankle pain.

Let’s take a few minutes to explore the biomechanics and treatment of these dysfunctions. Proper cycling technique entails utilizing the entire pedal stroke. This involves not just pushing down with your quads and gluts but also pulling up which most often involves a lot of psoas action. According to Janda, one of the functional antagonists to the psoas (hip flexor) is the opposite piriformis (external rotator). If we have an overactive/facilitated psoas we will have a weak/inhibited opposite piriformis.

One of the functional jobs of the piriformis and gluteus medius is to eccentrically control the internal rotation (knee turning inward) energy going down the kinetic chain during gait. If we have weakness of theses muscles we wind up with too much internal rotation energy going down the lower extremity chain leading to breakdown of joints distal to the hip (knee and ankle). Now even though cycling is not largely considered a weight bearing activity, if your feet are clipped into your pedals you still have some ground reaction force from your pedals.

The amount of internal rotation (knee twisting inward) energy sent down the kinetic chain at the hip has to be absorbed by the conjunct external rotation of the joints distal to it (knee and ankle). Energy cannot be created or destroyed so if you do not absorb the internal rotation energy you begin to get joint breakdown. Upon examination of these three patients they all had one thing in common – functional eccentric weakness of their hip external rotators, meaning that they had too much uncontrolled internal rotation force going down the kinetic chain. This excessive internal rotation force, at the hip, is what was causing the knee and ankle pain. The treatment for weakness of the gluteus medius and piriformis is quite simple. Initially you need to build strength then follow it with endurance as most serious cyclists are riding 20 plus miles at a time.

Here is a simple exercise progression:

1) Have the patient stand with feet shoulder width apart and have them externally rotate their legs (twist the thighs outward) without doing a “butt squeeze.” You should be able to palpate (touch) on their gluts to feel the contraction of the gluteus medius with the gluteus maximus and minimus staying quiet. The cue I give to patients is, “Turn your knees outward while keeping your feet on the floor.”

2) Once they have mastered this, have them do squats with their “knees turned out”
while keeping their knees tracking over their 3rd toes.

3) Progress to single leg squats in the above position 4)Finally, when they are ready for endurance have them do a single leg stance and then bend forward at the waist to hold onto the back of a chair or counter. With the non-weight bearing leg have them do leg lifts, circles, flex/ext the knee, etc…

The point here is to have them maintain a “knee turned out position” on the weight bearing leg for up to 2-3 min while adding a distractor with the non-weight bearing leg. Now the bigger unanswered question here is why was their psoas dysfunctional in the first place?

For more information on the answer as to why you may have a muscle imbalance as described above, and what you can do about it, contact the professionals at SSRC.

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He's BAAaack!

Spine and Sports Rehabilitation Center is please to anounce the return of physical therapist JC Metivier.

JC returns to SSRC after having worked a few years in the DC area. He received his Doctorate of Physical Therapy from University of Maryland at Baltimore School of Medicine. JC is a Certified Orthopedic Manual Physical Therapist and is currently involved in a Fellowship Program with the American Academy of Orthopedic Manual Physical Therapists.

JC's passion for problem solving difficult cases demonstrates his dedication to providing outstanding physical therapy care to his patients. JC lives in Baltimore and enjoys pretty much all outdoor activities such as cycling, hiking, spelunking and skydiving! JC's gentle demeanor serves him well when working with young athletes and geriatric patients alike.



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