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Rooted Motion Blog
Evidence-based insights to help you move better, feel better, and live with less pain. Education you can trust. Care you can count on.


The First Cold Snap and Everything Aches: Understanding Cold Weather Joint Pain and How Physical Therapy Can Help
Pooling eleven studies covering more than fifteen thousand people, researchers found no association between temperature, humidity, air pressure or rainfall and the risk of a joint flare. Two in three people with osteoarthritis say the weather affects their pain. Both can be true, and the reason changes what is worth doing about it.
Dr. David Naputi, PT
59 minutes ago


It Went at the Same Point in the Same Sprint: Understanding Hamstring Strain Recovery and How Physical Therapy Can Help
Across twenty-three seasons of professional Australian rules football, nine in every hundred hamstring injuries recurred in the first match back - and the risk stayed above normal for about fifteen weeks after returning. Long after the limp has gone, and long after most people consider the whole thing finished.
Dr. David Naputi, PT
3 days ago


Sometimes Waiting Is Fine: Knowing When to Start Physical Therapy and When to Give It Time
Pooling the untreated arms of twenty-four tennis elbow trials, 89% had recovered or greatly improved at one year with no treatment at all. For pain on the outside of the hip, the gap between exercise and waiting had not closed a year later.
Dr. David Naputi, PT
5 days ago


Torn Is Not the Same as Locked: Understanding Meniscus Tear Treatment Without Surgery and How Physical Therapy Can Help
In the sham-controlled trial, the real operation was no better than a pretend one at relieving catching and locking. In 817 knees scoped on suspicion of a tear, those symptoms were just as common whether or not a tear was found. What separates the two knees is something an examiner finds, not something you report.
Dr. David Naputi, PT
Oct 15


The Sore Spot You Can Point To: Understanding Patellar Tendinopathy Treatment and How Physical Therapy Can Help
A Cochrane review of the exercise trials for this tendon found seven of them, 211 participants, and every single trial in athletes averaging twenty-six. Pressing on the sore spot identifies the problem about two-thirds of the time in a tendon that already hurts, and barely a third as a screening test. Here is what the evidence supports, and what it cannot yet say.
Dr. David Naputi, PT
Oct 14


Bone Responds to Being Asked: Understanding Exercise for Osteoporosis and How Physical Therapy Can Help
In one randomized trial, postmenopausal women with low bone mass trained twice a week above 85% of a one-time maximum lift and gained 2.9% spine bone density. The group doing gentle home exercise lost 1.2%.
Dr. David Naputi, PT
Oct 11


What Your Recovery Routine Is Actually Doing: Ice Baths, Massage Guns and the Evidence Behind Them
Pooling fifteen reviews covering a hundred and sixty-one studies, cold water immersion did reduce muscle soreness for as long as four days - and with regular use it blunted gains in muscle size. Feeling recovered and being recovered are different things.
Dr. David Naputi, PT
Oct 11


Getting Stronger Will Not Cost You Your Feel: Understanding Strength Training for Tennis and How Physical Therapy Can Help
Pooled across twenty-five trials and more than twenty-six thousand athletes, stretching reduced injury risk by essentially nothing while strength training cut it to roughly a third. The thing players fear losing holds up best.
Dr. David Naputi, PT
Oct 9


Returning to Tennis After Shoulder Surgery: Why Time Alone Is Not Enough
If you are counting down to a date your surgeon mentioned, wondering whether you will serve the way you used to, or already back on court and quietly unsure whether your shoulder is ready for it, this is the article for you. The honest answer about return to tennis after surgery is that the date decides very little.
Dr. David Naputi, PT
Oct 3


Rotator Cuff Injuries in Tennis Players: Does a Tear Mean You Need Surgery?
If you have been told you have a rotator cuff tear, the word tear probably did most of the work in that sentence. It sounds like something that has to be repaired, especially if you play a sport built on reaching overhead, and rotator cuff tear surgery can start to feel like a decision somebody has already made for you.
Dr. David Naputi, PT
Oct 3


The Overlooked Tennis Shoulder Problem: Posterior Shoulder Instability
If your shoulder aches at the back after you play, clicks or seems to slide through the follow-through, feels blocked reaching across your body, or has simply lost power you cannot explain, there is a problem worth knowing about — and it is one that regularly gets missed.
Dr. David Naputi, PT
Oct 3


Protecting the Youth Tennis Shoulder: What Parents, Coaches, and Players Should Know
If your child has gone from school tennis to lessons, tournaments and extra serving practice in the space of a season, or you have been handed a chart of test results and told where they should be, this is worth ten minutes of your time. Most youth tennis shoulder injuries build quietly, across months, while everyone is watching the scoreboard.
Dr. David Naputi, PT
Sep 29
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