top of page
All Posts


Lower Back Pain and Cycling: Tips for Triathletes
Lower back pain while cycling is a common issue for triathletes, especially during periods of increased training or after long rides in aggressive riding positions. This article explains the most common causes of cycling-related back pain and how factors like bike fit, mobility, and muscular endurance contribute to discomfort on the bike. The blog also covers practical ways to reduce strain through mobility exercises, strength training, and recovery strategies while outlining

Dr. Kelsey Changsing, PT, DPT
4 days ago4 min read


Shoulder Pain with Swimming: What Triathletes Need to Know
Shoulder pain with swimming, often called swimmer’s shoulder, refers to a group of conditions caused by repetitive overhead motion and poor load tolerance. It commonly includes issues like tendon irritation, impingement, or rotator cuff strain. This article explains the most common causes, how technique and training habits contribute, and what treatment options are available. It also outlines how physical therapy can help you return to swimming safely and with better shoulder

Dr. Kelsey Changsing, PT, DPT
Apr 65 min read


How to Fix Tendonitis for Triathletes
Tendinopathy, often called tendonitis, is a condition where a tendon cannot properly adapt to physical load, leading to pain and reduced performance. It commonly develops from either doing too much too quickly or not loading the tendon enough over time. This blog explains how proper load management, progressive strengthening, and targeted rehab strategies can help restore tendon capacity and reduce pain. It also highlights why rest alone is not an effective long-term solution

Dr. Kelsey Changsing, PT, DPT
Apr 46 min read


Best Running Shoes for Women with Hip Pain: Guide For Triathletes
Any joint pain with running is annoying to deal with, and hip pain is no exception. Blaming your shoes for any pain with running is usually the first thing people do. But shoes are just one part of the equation when trying to address your hip pain. So instead of giving you yet another "best of" list of shoes to buy, I'm going to go over what you should look for when choosing a new pair of running shoes. But First, What Else Contributes to Hip Pain While Running? Any runner wi

Dr. Kelsey Changsing, PT, DPT
Mar 215 min read
Warm-Up Tips for CrossFit Open Workout 26.3 (From A Physical Therapist)
This week's warm-up will probably feel pretty familiar. Many of the movement demands for this week's workout are similar to the ones for 26.1 and 26.2. You'll still need good overhead positioning for thrusters and strong posterior chain engagement to protect your back during the burpees and cleans. I suppose the only new thing is lat mobility for the front rack position, but that also requires good thoracic extension, which I've already covered the last two week. So this weed

Dr. Kelsey Changsing, PT, DPT
Mar 123 min read


Warm Up Tips for CrossFit Open Workout 26.2 (From a Physical Therapist)
Compared to last week, this workout still involves some legs and posterior chain, but it’s going to feel much more shoulder-dominant. Because of that, your warm-up should prioritize two main things: Preparing your shoulders for overhead stability Priming your pulling muscles for the gymnastics work A good warm-up will help your shoulders feel better during the workout and make your movement more efficient once fatigue sets in. Prefer to follow along visually? Watch the warm-u

Dr. Kelsey Changsing, PT, DPT
Mar 53 min read


Is Working Out While Pregnant Safe?
If you lift, run, or train consistently, you probably heard mixed messaging the second you announced you were pregnant. "Keep doing what you're doing, but d on’t let your heart rate get too high.” “Listen to your body, but don't lift more than 20 pounds.” So let’s answer the actual question: Is working out while pregnant safe? For most healthy pregnancies, the answer is yes. Exercise during pregnancy is not only safe, it’s encouraged. The American College of Obstetricians and

Dr. Kelsey Changsing, PT, DPT
Mar 37 min read


Warm-Up Tips for CrossFit Open Workout 26.1 (From a Physical Therapist)
Open Workout 26.1 is essentially a couplet of wall balls and box jump overs with med ball step-overs snuck into the middle. This workout is definitely leg-heavy, and will also probably fatigue your back. Here's what to target during your warm up so you feel primed for the workout. Prefer to follow along visually? Watch the warm-up exercise video demo below. Wall Balls: Prep for the Squat and Overhead Position Wall balls are essentially weighted squats that require good ankle

Dr. Kelsey Changsing, PT, DPT
Feb 264 min read
Why Pelvic Floor Physical Therapy Matters for Athletes
Most physical therapists are inspired to become pelvic floor therapists after their own pregnancies. But my own journey into pelvic floor PT began long before I became pregnant. It started when I was in undergrad, when I first experienced athletic urinary incontinence . Experiencing Leaking During Exercise During college, I dealt with leaking only during exercise, a type of pelvic floor dysfunction that’s more common in active women than most people realize. I had no issues

Dr. Kelsey Changsing, PT, DPT
Nov 20, 20252 min read
How Orthopedic Physical Therapy Supports Women During Menopause
The changes in hormones during perimenopause and menopause affect almost everything in the body. But these changing hormone levels alone...

Dr. Kelsey Changsing, PT, DPT
Oct 2, 20254 min read
The Importance of Perineal Massage in Birth Preparation
What Is Perineal Massage? Perineal massage involves gentle stretching and soft tissue work of the perineum, the area between the vaginal opening and the anus. This area is crucial because it’s where most vaginal tears occur during birth. The goal of perineal massage isn’t relaxation . Instead, it aims to help your body acclimate to the sensations of pressure and stretch. By doing this, you can feel less overwhelmed when these sensations arise during labor. When to Start Perin

Dr. Kelsey Changsing, PT, DPT
Sep 22, 20253 min read
C-Sections: What to Expect, When They’re Needed, and How to Support Recovery
Even if your birth plan doesn’t include a cesarean section (C-section), it’s worth learning about. Sometimes things change during labor,...

Dr. Kelsey Changsing, PT, DPT
Sep 21, 20253 min read
Instrument Assisted Delivery and Perineal Tears: What You Need to Know
Sometimes birth doesn’t go exactly as planned. One intervention that may come up is an instrument assisted delivery. While it sounds...

Dr. Kelsey Changsing, PT, DPT
Sep 20, 20252 min read
Types of Pushing During Labor
When people picture birth, the first image that often comes to mind is someone lying flat on their back in a hospital bed. But that’s...

Dr. Kelsey Changsing, PT, DPT
Sep 19, 20253 min read
The Stages of Labor: What to Expect and When to Head to Your Birthing Place
Labor can feel like one big unknown, but when you break it down into stages, the process starts to make a lot more sense. Each stage has...

Dr. Kelsey Changsing, PT, DPT
Sep 18, 20253 min read
The Pelvic Floor’s Role During Labor
When we think about birth, we often picture contractions, pushing, and eventually meeting the baby. But there’s a key player in this...

Dr. Kelsey Changsing, PT, DPT
Sep 17, 20252 min read
Why Physical Therapy Isn’t Just About Exercises (It’s Like an Open-Book Test)
A lot of people assume physical therapy is just about giving out exercises. And because of that, they think, why not just look on YouTube...

Dr. Kelsey Changsing, PT, DPT
Sep 2, 20252 min read


The True Cost of Using Insurance
Do you know what your actual insurance costs are for physical therapy? Unless you have a government-sponsored insurance plan (i.e....

Dr. Kelsey Changsing, PT, DPT
Sep 2, 20252 min read


Getting Personal: Why I Do What I Do as a Physical Therapist (Part 5)
Question 5. What’s one myth or piece of bad advice you wish you could erase from the fitness or rehab world? Honestly, there are so many,...

Dr. Kelsey Changsing, PT, DPT
Aug 2, 20252 min read


Getting Personal: Why I Do What I Do as a Physical Therapist (Part 4)
Question 4. Is there a patient story or moment in your career that’s really stuck with you, one that reminds you why you do what you do?...

Dr. Kelsey Changsing, PT, DPT
Aug 1, 20253 min read
bottom of page