Ready to take that bike outside for the first ride of the spring? Ian and John have a few things you should check first...

Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, and Fishkill, New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/

#physicaltherapybiz #physicaltherapy #physiotherapy #physio #cycling #bikefitting

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Physical Therapists Ian and John explain how you can use simple programing principals to create your own workouts.


Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, Fishkill, and Pawling New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/

#physiotherapy #physiotherapist #physicaltherapy #strengthtraining #strengthandconditioning

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Hello all! Fall is in the air, we’ve made it through summer, kids are back in school and you may be falling into a consistent schedule by now. (Phew!)

With that return to school sports, or final preparations for a fall race, we see an uptick of Lower leg pain with our runners/athletes.

Think like those pervasive shin splints or a painful achilles tendon. Largely these conditions come on from an uptick in volume (like getting back to school sports or building mileage before a race).

What’s good to know is you don’t want to just ice, rest, or stop your or your child’s training! There are very actionable paths to make these conditions better while moving forward with the training that makes you happy!

Ian and John made a brief video detailing an Achilles tendon case we had this past summer and we discussed some basic principles to understand these types of conditions.



Hope this helps keep you (and everyone in your life) Happy and Moving!


Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, Fishkill, and Pawling New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/

#physicaltherapy #physiotherapy #physiotherapist #sports #running #achillestendinitis #achillesrecovery

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What Is The ACL and Why All The Hype?

The anterior cruciate ligament (ACL) is one of the main stabilizing ligaments of the knee joint and has garnered somewhat of an infamous reputation in the health and sports populations. In light of the continued questions from our clients, I thought it might be helpful to demystify it: what it is, what it does, how it becomes injured, and what happens after it's injured. To understand this clearly it is important to understand the anatomy a bit better as well.
A ligament is a piece of connective tissue that connects two pieces of bone together. It is not a muscle or a tendon. Ligaments strictly go from one piece of bone to another to provide stability. In this case, the ACL is one of four main ligaments that stabilizes the knee joint. The knee joint specifically is where the bottom of your thigh bone (femur) meets the top of your shin bone (tibia). It is a large joint with high demand and thus you have four main ligaments to provide the necessary stability: front-back-left-right.


Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, Fishkill, and Pawling New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/

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Ankle sprains are one of the most common musculoskeletal injuries resulting in a loss of stability at the ankle joint. Subsequently there are no shortage of approaches for treating them and restoring that stability. In the age of technology and internet the surplus of information is overwhelming so let's unpack ankle training a bit and demystify the concept of “stability training.”

BOSU balls, foam pads, trampolines, lions, tigers, and bears...oh my. Step foot into any gym or physical therapy clinic and you'll see any number of soft, squishy, and incredibly challenging things you can stand on; there are plenty of unstable surfaces to choose from. Now the traditional thought process has been that soft surfaces are harder to balance and therefore we've created a correlation between successful balancing on difficult surfaces and better balance overall. Unfortunately there is a line connecting the dots that shouldn't be drawn. More complicated, more difficult, or more modern (technology) doesn't always equate to more return on investment. Simply because the task is more complicated doesn't mean your success at that task will result in better outcomes or performance, especially when it comes to sports. In fact, far more often it is better to keep it simple. For all of it's intricacies the body is surprisingly straightforward when it comes to rehab or exercise. And when it comes to ankle stability, less is more.


Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, Fishkill, and Pawling New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/

#physicaltherapy #exercise #physiotherapy #anklesprain #anklestability #ankle

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Read more Here:
https://www.feldmanphysicaltherapy.com/what-should-youth-athletes-eat-before-a-game/
Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, Fishkill, and Pawling New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/
#physicaltherapy #nutrition #sportsperformance

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In this video, we'll discuss how to train for longevity as you get older. We'll cover the importance of strength training and endurance training, and provide specific exercises and tips to help you stay active and healthy for years to come.

Topics covered:
The importance of strength training for older adults
How to build muscle mass and strength
The benefits of endurance training for older adults
How to improve your cardiovascular health
Specific exercises and tips for training for longevity
How to stay motivated and consistent with your exercise routine
Benefits of watching this video:
Learn how to train for longevity as you get older
Improve your strength, endurance, and cardiovascular health
Reduce your risk of chronic diseases
Stay active and healthy for years to come
Get specific exercises and tips to help you reach your fitness goals
Call to action:

Subscribe to our channel for more videos on health and wellness.



Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, Fishkill, and Pawling New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/


#physicaltherapy #physiotherapy #training #age #rehabilitation

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Up to 25% of all ACL reconstructions (ACLR) will continue to experience knee pain. That means one in four people will have knee pain once they return to higher-level activities. With the current prevalence of ACL injuries we're willing to bet you don't have to look very far to find someone who would benefit from knowing why they continue to have knee pain months after their ACLR.

One of the most common sites for ACL graft is the middle third of the patellar tendon. The quadriceps tendon and hamstring tendons are also used in certain cases but the patellar tendon had historically been the most common. This means the tendon at the front of the knee is severely weakened and must not only regenerate but it must increase its capacity dramatically to handle the demands of sport. In my experience managing ACL injuries for the past fifteen years I've identified three prevalent issues plaguing individuals with ACLR:


“Return to Run” too soon
Insufficient strength
Inadequate deceleration training

Typical post op protocols for ACLR breakdown the 9-12 months after surgery and provide “phases” of rehab with specific “do's” and “don'ts.” What a lot of them suggest is that the individual will resume jogging/running at 3-4 months. Unfortunately this proves to be a bit early for many ACLR individuals. Regardless of what the paper or the surgeon says it is crucial to take the individual into account and create a plan of care around their needs and their timeline. The issue with following a blanket timeline is that it becomes difficult to convince the patient otherwise and they will force the issue and often times run with a pronounced limp or a very weak tendon in the knee. Both of these scenarios can and do lead to complications down the road. If you want my opinion I would tell most clients on the fence with their rehab that the whole process is going to take a while and waiting and extra few weeks will barely be an issue in the grand scheme of things.

Lack of quad strength is also a big issue I've noticed over the years. Following the timelines far too much emphasis is places on running and plyometric drills and often to the detriment of the patient. There will certainly be a time for the higher intensity drills however the first 5-7 months of treatment needs to prioritize strength, strength, and more strength in the days. Knee extensions, step ups, front squats, calf raises, split squats, etc are some of the bread and butter you will find at the heart of a solid post-op protocol. And these exercises need to be continued into the later months of rehab even through return to sport. A common pitfall is dropping the strength focus when in reality you have to continue to strengthen throughout “return to play.”

Lastly I'd like to point out that not enough emphasis is placed on proper deceleration drills. This ultimately leads to a sharp rise in stress to the ACLR. When it comes to multidirectional power sports the knee's energy is split between producing force and slowing the body down. Slowing down is the deceleration component of sport-movements that places a high stress on the anterior knee structures. Once sufficient strength is achieved then it's time to practice slowing down or “deceleration.” These higher intensity drills should be incorporated as soon as the client has enough strength to handle the repeated load of slowing down. The more training the better adapted the client will feel and we all want someone to feel confidence in the knee free of danger.

It's not the end of the world if you're one of those patients who is experiencing some knee pain after your ACLR. It can be a normal and expected symptom pattern but it doesn't mean will we stop the training. Some times it becomes important to review the post-op protocol and get everyone to the same page even if it means tweaking it a bit. So keep your head up, don't get discouraged because the timeline is shifting a bit, and make sure you have a good plan of attack for any of these symptoms.

Take a look at the video for some of the exercises. And lastly, be sure to stay honest with yourself and don't be afraid to reach out with any questions.




Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, Fishkill, and Pawling New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/

#injury #aclrehabilitation #aclrecovery #aclrehab #acl #physiotherapy #physicaltherapy

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Congrats on the green light from your surgeon and rehab professional! It's been a rollercoaster of a year hasn't it? Your world got rocked once you torn your ACL...the fear and sadness started to sink in...the surgeon gave you the reassurance you'd be good as new...and your physical therapist showed you how to feel like your old self again...man what a ride!

You just passed all the tests and got your “Return to Sport” badge, huge congrats! We can't wait to see you back on the field. And we can't wait to see you back in the clinic too, so have a great weekend. …..yeaaaaa you read that right. We'll see you back here. Because guess what? Your job ain't over once you get your fancy return to sport card. Although the surgery has a high success rate, reinjury after surgery is a very concern for patients. Studies have shown that the risk of reinjury after ACL surgery ranges from 6% to 30%, depending on the specific sport or activity and the individual's level of participation. It's important for patients to follow their rehabilitation plan and work closely with their healthcare provider to reduce the risk of reinjury and achieve a successful outcome. Fortunately for you the friendly neighborhood PTs here at Feldman PT and Performance know how to minimize your risk and help you stay healthy and confident after your ACLR.

Even after you get back to your activity of choice you still need to focus on strength and movement. If your risk stays elevated for two years then you need to continue to work for two years. Non-negotiable. The more intense the activity the more work it will require on a constant basis. Regardless if your goal is running a straight line or moving in multiple directions you should get comfortable making the strength and agility a priority for the couple of years following RTS. We're thrilled that you made it through your nine month recovery and hopefully it has been uneventful. However our plan is to keep you moving and strengthening as you lace back up. There is a fine line between rehab and performance and like to flirt with that line often in the clinic.

The way we do this is by focusing on single leg strength variations as well and reactive strength for the athlete. If the athlete has to move in multiple planes of motion or directions then we will incorporate these as well. This is particularly important for those who rely on the strength and stability of their knees for performance. Reactive strengthening exercises can help to improve balance and coordination, which can also help to prevent future injuries to either leg. However not all strength work is created equal and it's important to focus on your specific needs as you re-introduce athletics and activity back into your new life post ACLR.


Feldman Physical Therapy & Performance is the premier provider of physical therapy services in the Hudson Valley. With locations in Poughkeepsie, Fishkill, and Pawling New York.
Each patient receives a full hour of personalized one-on-one treatment with a Doctor of Physical Therapy. This means you will save time and money with fewer visits over a shorter period of time, resulting in faster healing and recovery.

http://www.feldmanphysicaltherapy.com
Join Our Facebook Group - https://www.facebook.com/groups/386308185242697/

#physicaltherapy #physicaltherapist #acl #aclreconstructionprocedure #aclrecovery #trainwithcoros

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