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The Journal

Evidence you can act on.

93 articles from the clinicians at Cape Concierge — movement, recovery, pelvic health, menopause and healthy aging, written on Cape Cod.

Latest

Why Your Muscles Stopped Responding

Anabolic resistance in men is something we don't talk about often enough and it is completely preventable and reversible with correct education.

Sep 27, 2026 · 16 min read

We Stopped Treating Chronic Pain Like a Hardware Problem

Chronic pain isn't a hardware problem. What Why Zebras Don't Get Ulcers taught us about the stress response, and what that changed in how we treat it.

Sep 19, 2026 · 5 min read

How to Prepare for Your Annual Gynecological Exam

Annual gynecological exams are an important part of women's health, yet many dread them. The good news: that discomfort is not inevitable.

Sep 8, 2026 · 3 min read

Sleep: The Longevity Pillar You've Been Ignoring

Longevity talk starts with strength, nutrition and movement. But a fourth pillar quietly decides whether all that hard work actually pays off.

Sep 1, 2026 · 3 min read

The Case for Vaginal Estrogen: Why Your Skin Down There Deserves Some Love Too

Let's talk about something a lot of us think about but don't say out loud nearly enough: vaginal estrogen. If you've never heard of it, you're not alone.

Aug 28, 2026 · 14 min read

Your grip is telling you something.

In a study of nearly 140,000 adults, grip strength predicted mortality better than blood pressure. What your handshake says about your longevity.

Aug 25, 2026 · 3 min read

Why Your Teen Athlete Can't Fall Asleep Before Midnight — And What Actually Fixes It

A JAMA Pediatrics study shifted teenage sleep earlier by two weeks of light timing and schedule changes, adding 47 minutes a night. What it took.

Aug 21, 2026 · 7 min read

Is It Time for a Speech Therapist? Signs Your Aging Parent or Loved One May Need an Assessment

Slow chewing, missed words, hesitation before swallowing — signs an aging parent may need a speech-language pathologist, and what an SLP actually treats.

Aug 18, 2026 · 3 min read

Creatine Myths vs. Facts: What Every Woman Over 40 Should Know

The real science of creatine for women over 40 — bone density, muscle, brain health and menopause — from Dr. Darren Candow's research, explained by a PT.

Aug 17, 2026 · 6 min read

Sports Physical vs. Movement Screen: What Your Athlete's Physical Doesn't Check

A sports physical clears your athlete's heart — not their hips. Learn why a musculoskeletal screening before the season matters more than you think.

Aug 16, 2026 · 4 min read

Dry Needling in Plymouth: The Step Most Clinics Skip

At Cape Concierge PT, dry needling is just step one. Discover how we pair it with targeted movement retraining for lasting pain relief on Cape Cod and Plymouth.

Aug 11, 2026 · 5 min read

REDs in Athletes: What Every Coach and Parent Should Know | Cape Concierge PT

REDs, or Relative Energy Deficiency in Sport: the warning signs coaches and parents miss, and why under-fueling shows up in bone and hormones.

Aug 10, 2026 · 6 min read

Behind the Scenes, My Interview with the New York Times on Dry Needling.

After an NFL player's collapsed lung raised questions about dry needling safety, the New York Times interviewed our certified dry needling PT. The full Q&A.

Aug 6, 2026 · 5 min read

Concierge Pelvic Health Physical Therapy: What Makes It Different

Discover how concierge pelvic health PT offers 60-min 1:1 visits, dry needling, no visit caps, and whole-person care — on Cape Cod & Plymouth.

Aug 2, 2026 · 4 min read

RICE vs. PEACE & LOVE: The New Protocol for Ankle Sprains and Soft Tissue Injuries

Still icing your ankle sprain? RICE is outdated. Learn the PEACE & LOVE protocol physical therapists now recommend for faster soft tissue injury recovery.

Jul 30, 2026 · 4 min read

EPAT & Shockwave Therapy: What the Research Shows

Cape Concierge PT breaks down what the research actually supports for EPAT/shockwave therapy — by condition, not by brand marketing.

Jul 26, 2026 · 10 min read

Stop trying to stretch your Iliotibial band. It will not stretch. It's not a muscle.

Your IT band isn't tight, and it can't be stretched — it's not a muscle. What that outer-thigh discomfort really is, and what actually helps instead.

Jul 21, 2026 · 4 min read

PRP Injections Explained: What They Are, How They Work, and Why Your Physical Therapist Might Recommend Them.

PRP uses your own blood platelets to stimulate healing in stubborn injuries. What PRP injections are, how they work, and how they fit with physical therapy.

Jul 7, 2026 · 5 min read

Physical Therapy Without Insurance in Plymouth: Why We Don't Take It (And Why That's Good for You)

Wondering why Cape Concierge PT doesn't take insurance? See how one-on-one, insurance-free physical therapy on Cape Cod means longer sessions, faster results…

Jul 6, 2026 · 5 min read

I have Bone-on-Bone arthritis in my knees, is surgery my only option?

“Bone on bone” doesn't mean surgery is inevitable — many people with it have zero pain. The real culprits behind arthritic knee pain, and what to do instead.

Jun 30, 2026 · 2 min read

Why Your Hearing Test Might Matter More Than Your Memory Screening

New research ranks hearing loss as the #1 modifiable dementia risk factor. Learn why — and what a simple hearing test can do to protect your brain.

Jun 22, 2026 · 10 min read

Don't Let Leaks Rain on Your Summer Parade

Summer is finally on its way after a long winter. The weather is getting warmer, the sun is shining longer, and bathing suit season is descending upon us.

Jun 9, 2026 · 4 min read

You Started a GLP-1. Now the Real Question Is: What Are You Losing?

GLP-1 medications work — but they don't protect your muscle mass or bone density. A physical therapist explains what's at stake and what to do about it.

May 31, 2026 · 10 min read

How to fuel a tournament athlete: hydration, real food, and why energy drinks don't count.

Hydration, real food and no energy drinks: how to fuel a tournament athlete, and why the cooler you pack is an injury-prevention strategy, not just a snack.

May 19, 2026 · 14 min read

Introducing Strong, Inside and Out: A New Podcast Putting Evidence-Based Health Knowledge in Your Hands

What if the most powerful tool for a longer, healthier life isn't a supplement or a surgery — it's knowledge? In this launch episode, Dr.

May 18, 2026 · 11 min read

Mom & Dad, Don't Skip Leg Day!!!

A 10-year study of twins found leg strength predicted brain health a decade later. Why leg day matters more with age — for cognition, not just mobility.

May 12, 2026 · 2 min read

Should I Be Doing Kegels? Not Necessarily.

Kegels can make pelvic floor symptoms worse. When tension — not weakness — is the problem, your pelvic floor needs to learn to relax before it strengthens.

Apr 28, 2026 · 3 min read

The crisis hiding in your kid's sports schedule.

Middle school athletes train more hours than ever, and many aren't building the strength to match. What's going wrong, and what we can build instead.

Apr 13, 2026 · 5 min read

Work Place Movement Snacks

According to an article in Lancet, low back pain is one of the most common problems of public health systems in the world.

Mar 29, 2026 · 3 min read

I pulled my back out, again!

That sharp “pulled my back out” pain usually isn't a muscle strain — and muscle relaxants won't help. Why your back seizes up, and what's really going on.

Mar 24, 2026 · 3 min read

I had a Stroke, now what?

What happens after a stroke, why the first 3–6 months matter most for recovery, and what you can do to keep improving well beyond that window.

Mar 17, 2026 · 4 min read

How do I know when it's time to get a new mattress?

Morning back pain that fades by midday is a classic sign. Five telltale signals your mattress is behind your aches — and that it's time to replace it.

Mar 3, 2026 · 4 min read

What Does Your Body Language Say About You?

Posture doesn't just signal confidence to others — it shapes how you think, feel and act. What your body language is doing to your own brain and mood.

Feb 17, 2026 · 3 min read

3 Surprising Symptoms of Menopause

Menopause is more than hot flashes: falling estrogen can affect your ears too. Why hearing changes and tinnitus may be linked to perimenopause.

Feb 10, 2026 · 2 min read

Sarcopenia: What You Need to Know About Age-Related Muscle Loss.

Sarcopenia — age-related muscle loss — starts earlier than you think and raises fall and fracture risk. How to build and keep muscle at every stage of life.

Feb 3, 2026 · 3 min read

Bones are more than they appear: They are an Endocrine Organ.

Bones are an endocrine organ — home of your immune system and in constant conversation with brain, muscle and metabolism. Why bone health is whole-body health.

Jan 27, 2026 · 4 min read

Should high school athletes strength train in-season?

Yes — high school athletes should strength train in season. How supervised resistance training builds performance and prepares growing bodies for sport.

Jan 20, 2026 · 4 min read

Winter Weather and Your Bladder: Why Everything Feels Worse.

Cold weather genuinely makes bladder symptoms worse: cold diuresis, constricted vessels and tense muscles all play a part. What's happening, and what helps.

Jan 15, 2026 · 3 min read

When is the best time to walk if you're looking to burn fat?

Walk directly after strength training to burn visceral fat faster — the science of why lifting first unlocks the fat-burning hormones walking uses.

Jan 6, 2026 · 2 min read

Bone Health, Osteoporosis, Estrogen

40% of women over 50 develop osteoporosis — and much of it is preventable. Why lifting, impact and hormone replacement matter for bone density at every age.

Dec 30, 2025 · 3 min read

Are cramps, cramping your style? And by cramps, we mean foot and calf cramps.

Waking up with foot or calf cramps? Hydration and electrolyte balance are the usual culprits — three practical ways to prevent nighttime muscle cramping.

Dec 14, 2025 · 2 min read

Shoulder Pain: differential diagnostics to determine the root of the pain. Stop chasing your symptoms.

Is your shoulder pain muscle, joint or nerve? Each feels and behaves differently, and each needs different treatment. A guide to decoding the source.

Dec 14, 2025 · 3 min read

Building Muscle is like wearing Spanx to prevent bone loss and nursing home life.

Muscle is nature's Spanx: why strength training and protein intake protect your bones as hormones decline — and help you stay strong and independent.

Oct 28, 2025 · 2 min read

My toe nails are too long and digging into my skin, making it hard to walk.

A swollen, painful knee that turned out to start at the toenails: why foot care and gait matter more as we age, and when it's time to see a podiatrist.

Oct 23, 2025 · 3 min read

Should I go barefoot?

Stephen Katzenback, PT, on the barefoot lifestyle: what going shoeless taught him about foot strength, and whether you should train barefoot too.

Aug 2, 2025 · 6 min read

Scared of Falling?

Want to stay steady on your feet at home? Simple changes lower the risk: lose the slippery throw rugs and add railings to every stair, even the single step in.

Jul 15, 2025 · 3 min read

How can I improve balance if I can't get out of a chair? Caregiver balance training for home.

Safe seated balance exercises you can do at home with a loved one who falls often or feels unsteady — a caregiver's guide to practicing balance safely.

Jul 1, 2025 · 3 min read

I have a Meniscus Tear, What Should I do?

A Doctor of Physical Therapy tears her own meniscus and skips surgery: what a torn meniscus feels like, and why surgery isn't the automatic answer.

Jun 17, 2025 · 2 min read

Is Jumping on a Trampoline safe if I have Osteoporosis

Osteoporosis thins bone, so is trampoline jumping safe or smart? What the hype gets right about impact, and how to build bone density with a plan.

Jun 17, 2025 · 3 min read

How soon can I start to exercise again after childbirth?

Congratulations on the newest member of your family! As a busy mom, you’re probably wondering… “How do I start to exercise again?”“Do I even have time to…

Jun 8, 2025 · 2 min read

How soon can I start exercising after having a C-Section?

A practical guide to returning to exercise after a C-section: gentle pelvic floor strengthening, core bracing, and how to rebuild strength safely.

Jun 8, 2025 · 3 min read

How do I know if I have Scoliosis?

Scoliosis is the most common spinal deformity, and it affects more than your spine — the types, the signs, and its impact on breathing, balance and daily life.

Jun 3, 2025 · 3 min read

If I am getting older, I want to be getting warmer, not stiffer.

If you are anything like me, you are in your 40's to 50's and you are tired of waking up everyday and taking our first few steps like a tin man.

May 20, 2025 · 4 min read

Why are there bruises on my body after cupping?

What cupping therapy does — improved blood flow, fascial release, scar tissue breakdown — who benefits, and why it leaves those circular marks.

May 20, 2025 · 3 min read

Kara's Menopause Journey

Training for Boston, Kara hit a wall: fatigue, brain fog, night sweats. How her own perimenopause journey led her to become a certified menopause coach.

May 11, 2025 · 5 min read

Is it Joint Pain or is it Menopause?

If you are a woman in your 40s and maybe early 50s, and you've been experiencing joint pain, maybe in your hip, I have got a story for you.

May 6, 2025 · 5 min read

It is NOT normal for you to pee your pants.

Leaking urine is common but never “normal.” What healthy voiding habits look like, and how “just in case” bathroom trips train your bladder the wrong way.

May 6, 2025 · 2 min read

Everyone has a Pelvic Floor, even you Men!

Men have pelvic floors too. Leakage, urinary frequency and urgency are common and treatable — the causes of male pelvic floor dysfunction, and what helps.

Apr 22, 2025 · 3 min read

Dry Mouth? Does it feel like your mouth is full of cotton balls? Wake up at night feeling like you are in the

Practical ways to manage dry mouth — hydration, sugar-free gum, a humidifier, nasal breathing, medication review — and help for excess saliva too.

Apr 8, 2025 · 4 min read

Protein & Fiber: What do we really need to know?

Protein does more than build muscle — it builds the neurotransmitters that regulate mood and sleep. How much protein and fiber you actually need, and why.

Mar 25, 2025 · 3 min read

Build your Base: Navigating Menopause!

Before treating perimenopause or menopause symptoms, build the base: quality sleep, stress management and self-care set the foundation for everything else.

Mar 11, 2025 · 4 min read

How are your sleep habits?

Small changes can transform your sleep: a consistent bedtime and wake time, morning sunlight, journaling and a wind-down ritual that cues your body to rest.

Feb 25, 2025 · 3 min read

Menopause & Pelvic Floor Dysfunction

When pelvic muscles, connective tissue, and pelvic organs are not working optimally, a woman may experience signs and symptoms of pelvic floor dysfunction.

Feb 11, 2025 · 4 min read

Balance & Vertigo Presentation Clinical Pearls

Fall statistics: 1 in 4 people over 65 fall each year.Falling once doubles your chance of falling again.1 in 10 falls results in injury leading to at least 1…

Jan 28, 2025 · 4 min read

Operation: Help Mom Sleep!

Operation Help Mom Sleep: how a weighted blanket and a grounding sheet turned sleepless nights around — and the science of deep pressure stimulation.

Jan 23, 2025 · 2 min read

Navigating Menopause Webinar Recap

Our Navigating Menopause webinar, recapped: hormones, nutrition for hormonal health, building muscle, managing stress and sleep, and the real story on HRT.

Jan 14, 2025 · 7 min read

Is the room spinning? What does Vertigo really feel like?

Have you or someone you know ever experienced vertigo?True vertigo, where the room feels like it is spinning around you, can be very scary.

Dec 31, 2024 · 2 min read

Headaches and Computers: A Tale as Old as Time (or as old as we have been using computers!)

Screen time and headaches are linked — and duration and ergonomics matter more than the device. Six ergonomic changes that can reduce screen-related headaches.

Dec 17, 2024 · 5 min read

Bunions: Is surgery my only option?

Bunion surgery is one of the toughest recoveries — and often avoidable. What actually causes bunions, and how dry needling can help you keep your feet moving.

Dec 3, 2024 · 3 min read

Shin Splints Be Gone: What can we do about this nagging injury that happens every pre-season?

Two to three weeks into every sport season, the shin splint calls start. Why “too much, too soon” causes them, and how athletes can treat and prevent them.

Nov 19, 2024 · 4 min read

Lose the suspenders and gain some glute strength!

Glutes flatten and weaken with a sedentary life — call it glute amnesia. How trigger point dry needling and targeted strength work can restore glute power.

Nov 12, 2024 · 3 min read

"Walk This Way," by Aerosmith in 1975, is a tune sung by many Physical Therapists as we utilize our special b

Gait training strengthens and improves the way you walk — the top five reasons patients seek it, from stroke and Parkinson's to fall prevention.

Nov 6, 2024 · 4 min read

What is a trigger point?

What a trigger point is — a taut band in muscle that restricts motion and refers pain, like a knot in a rope — explained by a certified dry needling PT.

Oct 28, 2024 · 3 min read

How to walk correctly with crutches or a cane. Let's settle the debate; which hand does the crutch goes in?

Hold the crutch or cane in the hand opposite your injured leg. Here is why, plus the correct height, the gait pattern, and taking stairs.

Oct 23, 2024 · 4 min read

Carpal Tunnel: Why do I wake up with numb hands?

Waking up with numb, tingling hands? Carpal tunnel syndrome is the most common neuropathy we treat — the early signs, and why acting early matters.

Oct 16, 2024 · 4 min read

Shockwave Therapy was originally intended to treat Kidney Stones. Now, we use it to treat bone spurs and chron

Shockwave Therapy is a cutting edge treatment that utilizes that acoustic waves to stimulate the bodies natural healing process.

Oct 9, 2024 · 3 min read

Heat versus Ice? Let's set the record straight. Is RICE (Rest, Ice, Compression, Elevation) still the best adv

If you are anything like me, you grew up hearing R.I.C.E (rest, ice, compression, elevation), is the answer to everything, right?

Oct 2, 2024 · 4 min read

Female Athlete Wellness Workshop Pearls of Wisdom. Key take-a-ways from our great panel of speakers.

Key takeaways from our Female Athlete Wellness Workshop: safety advice from Sandwich PD, mental-health insights, and practical pearls from our panel of experts.

Sep 24, 2024 · 3 min read

Help, I have fallen and I can't get up! How to get up from the ground if you fall.

"I get knocked down but I get up again." The1997 song by Chumbawamba's lyrics are a lot more fun then the original line of "Help, I have fallen and I can't get…

Sep 17, 2024 · 3 min read

We have so much to learn about Menopause, let's look at what we know right now!

Muscle and bone mass decline with aging, increasing the risk for sarcopenia (muscle loss and weakness) and osteoporosis (bone density loss) in later life.

Sep 13, 2024 · 3 min read

Mastering Nutrition for Athletes: Your Guide to Eating Right

Nutrition for athletes is the cornerstone of peak athletic performance. The food you eat not only fuels your body but also impacts your endurance, strength…

Jul 19, 2024 · 11 min read

The Impact of LSVT Big Therapy on Balance and Gait

A pivotal component of LSVT BIG Therapy lies in its targeted approach to bolstering balance, a critical factor for individuals navigating the complexities of…

Jun 19, 2024 · 8 min read

The Unique Advantages of Concierge Physical Therapy

When it comes to seeking physical therapy services, Cape Cod residents have a unique option available to them - concierge physical therapy.

May 21, 2024 · 8 min read

Unleashing Athletic Potential: How Dry Needling May Help

Are you an athlete looking to take your performance to the next level? Have you been struggling with nagging injuries or chronic pain that is holding you back…

Apr 21, 2024 · 10 min read

Don't Let Vertigo Hold You Back: Effective Treatment Options

Unleashing Potential: Stop Vertigo from Steering Your Life Vertigo can feel like an unwelcome conductor, orchestrating your life with an unpredictable…

Mar 25, 2024 · 12 min read

No More Waiting Rooms: Experience Personalized Care with Concierge Physical Therapy

Concierge physical therapy is a full hour one-on-one with a doctor of physical therapy, at your home, office or gym. No waiting rooms, no handoffs.

Feb 22, 2024 · 6 min read

Your Guide to Physical Therapy New Years Resolutions

Understanding the Importance of Physical TherapyAre you looking to improve your physical health but unsure where to start?

Jan 17, 2024 · 13 min read

Health Insurance vs. Private Pay

Which Payment Method Gets You More from Physical Therapy? Regarding receiving physical therapy, there are two main options for payment: health insurance and…

Dec 28, 2023 · 9 min read

Say Goodbye to Chronic Pain with the Benefits of CBD

Chronic pain is a widespread issue that affects millions of people worldwide. From arthritis to fibromyalgia, living with constant pain can significantly…

Nov 30, 2023 · 10 min read

Dizzy? Let's Talk About Vertigo

If you have ever experienced a spinning sensation or a feeling of dizziness that seems to come out of nowhere, chances are you have had a bout of vertigo.

Oct 17, 2023 · 8 min read

The Benefits of Therapeutic Taping in Physical Therapy

What therapeutic taping is and how it works: McConnell and Kinesio techniques that support muscles and joints, reduce pain and improve performance.

Sep 9, 2023 · 8 min read

Put Some Pulse in Your Recovery with Shockwave Therapy

Are you looking to speed up your recovery time? Then you should consider Shockwave therapy! Shockwave therapy is a non-invasive treatment that uses a pulse…

Aug 17, 2023 · 9 min read

Concierge Physical Therapy: Convenient, Personalized Care

What concierge physical therapy is and how it works: one-on-one, personalized care that comes to your home, office or gym — no clinic, no waiting room.

Jul 20, 2023 · 11 min read

In the media

Our clinicians are trusted voices in physical therapy, health and performance. Here is where they have been quoted.

More of Ashley’s press and commentary on Qwoted →