Altman Orthopedic & Functional Medicine

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Altman Orthopedic & Functional Medicine Treating the Root-Cause. Restoring Function. Optimizing Health. Advancing Physical Longevity.

The nervous system helps protect the knee. This evidence-based review summarized 24 studies of neuromuscular and proprio...
10/17/2026

The nervous system helps protect the knee. This evidence-based review summarized 24 studies of neuromuscular and proprioceptive injury-prevention programs. The pooled incidence ratio was 0.731 for overall knee injury and 0.493 for ACL injury, supporting an association between these programs and lower injury incidence.

Strength matters, but strength without control is incomplete. The OFM Nervous System lens includes proprioception, coordination, balance, timing, and movement strategy. These findings reinforce why injury prevention and rehabilitation should train the system that controls the knee—not only the muscles surrounding it. No single exercise program was shown to be clearly superior.



REFERENCE
Dargo L, Robinson KJ, Games KE. Prevention of knee and anterior cruciate ligament injuries through the use of neuromuscular and proprioceptive training: an evidence-based review. J Athl Train. 2017;52(12):1171-1172. doi:10.4085/1062-6050-52.12.21.

Movement is not just motion. The body must produce force, accept force, control force, and transfer force — which is why...
10/17/2026

Movement is not just motion. The body must produce force, accept force, control force, and transfer force — which is why a local symptom often has system-wide implications.

Chemistry can influence musculoskeletal symptoms. This systematic review evaluated 14 randomized trials involving vitami...
10/16/2026

Chemistry can influence musculoskeletal symptoms. This systematic review evaluated 14 randomized trials involving vitamin D in fibromyalgia and chronic musculoskeletal pain. Eight studies—including six of the studies rated as having the best-quality evidence—reported pain reduction with vitamin D supplementation. The authors concluded that benefit appears most plausible in people with vitamin D deficiency.

This does not mean vitamin D is a universal treatment for chronic pain. It is an example of why the OFM Chemistry lens matters: when pain is widespread, recovery is poor, or the orthopedic picture does not fully explain the patient, potentially relevant systemic factors should be evaluated rather than assumed. Treatment should be guided by the individual clinical context and appropriate laboratory assessment.



REFERENCE
Lombardo M, Feraco A, Ottaviani M, Rizzo G, Camajani E, Caprio M, Armani A. The efficacy of vitamin D supplementation in the treatment of fibromyalgia syndrome and chronic musculoskeletal pain. Nutrients. 2022;14(15):3010. doi:10.3390/nu14153010.

Bone and muscle respond to load. In this small randomized trial, postmenopausal women completed 12 weeks of multimodal e...
10/16/2026

Bone and muscle respond to load. In this small randomized trial, postmenopausal women completed 12 weeks of multimodal exercise while wearing progressively loaded weighted vests. The exercise group showed a 14.5% decrease in NTx, a marker of bone resorption, and a 40% improvement in ankle plantar-flexion strength at 60 degrees/second.

The important nuance: this study was small (9 exercisers and 7 controls) and measured bone turnover and strength—not fracture reduction or a definitive increase in bone mineral density. Still, it supports a core orthopedic principle: carefully progressed mechanical loading can create meaningful adaptation in muscle and bone when it is appropriate for the patient.



REFERENCE
Klentrou P, Slack J, Roy B, Ladouceur M. Effects of exercise training with weighted vests on bone turnover and isokinetic strength in postmenopausal women. J Aging Phys Act. 2007;15(3):287-299. doi:10.1123/japa.15.3.287.

Pain, pathology, functional limitation, and the current driver of the problem may overlap — but they are not automatical...
10/16/2026

Pain, pathology, functional limitation, and the current driver of the problem may overlap — but they are not automatically the same thing. Separating them often leads to better treatment decisions.

One question we often ask patients is: how much have you changed the way you move because of the pain?Maybe you use the ...
10/15/2026

One question we often ask patients is: how much have you changed the way you move because of the pain?

Maybe you use the railing every time you take the stairs. Maybe you think twice before kneeling, lifting, or joining an activity you used to do without much thought.

Patients often do not realize how much they have changed their routine until we start talking through it.

SoftWave Therapy is one of the non-invasive options we may consider when ongoing discomfort is beginning to affect normal movement and daily activity.

Getting used to pain is different from addressing it.

📞 Schedule a visit to discuss whether SoftWave Therapy may be a fit for you.

Complex pain does not mean the body should stop moving. This systematic review and meta-analysis found that therapeutic ...
10/14/2026

Complex pain does not mean the body should stop moving. This systematic review and meta-analysis found that therapeutic exercise improved pain, global well-being, depressive symptoms, and health-related quality of life in people with fibromyalgia.

Fibromyalgia is a strong example of why OFM uses more than one lens. Structure, nervous-system sensitivity, systemic physiology, and recovery capacity may all matter. Appropriately dosed movement can support both physical function and nervous-system regulation.



Reference
Sosa-Reina MD, Nunez-Nagy S, Gallego-Izquierdo T, Pecos-Martín D, Monserrat J, Álvarez-Mon M. Effectiveness of Therapeutic Exercise in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Biomed Res Int. 2017;2017:2356346. doi:10.1155/2017/2356346.

Dr. Sean Altman, PT, DPT
Reverse Time Wellness
📍 1086 Long Ridge Rd, Stamford, CT 06903
📞 914-714-5300
✉️ [email protected]
🌐 www.drseanaltman.com
📲

A stiff, painful shoulder is not always only a local shoulder problem. This meta-analysis found that people with diabete...
10/13/2026

A stiff, painful shoulder is not always only a local shoulder problem. This meta-analysis found that people with diabetes had substantially higher odds of developing frozen shoulder than people without diabetes.

This is a clear example of the OFM Chemistry lens. Local mechanics still matter, but metabolic and systemic physiology may help explain why a condition developed, why it behaves differently, or why recovery is slower.



Reference
Dyer BP, Rathod-Mistry T, Burton C, van der Windt D, Bucknall M. Diabetes as a risk factor for the onset of frozen shoulder: a systematic review and meta-analysis. BMJ Open. 2023;13(1):e062377. doi:10.1136/bmjopen-2022-062377.

Dr. Sean Altman, PT, DPT
Reverse Time Wellness
📍 1086 Long Ridge Rd, Stamford, CT 06903
📞 914-714-5300
✉️ [email protected]
🌐 www.drseanaltman.com
📲

Low back pain is not always only a spine problem. In this meta-analysis of cohort studies, overweight and obesity were a...
10/12/2026

Low back pain is not always only a spine problem. In this meta-analysis of cohort studies, overweight and obesity were associated with a higher incidence of low back pain.

OFM combines mechanical and systemic thinking. Body weight may influence spinal loading, but the broader metabolic and inflammatory environment can matter too. Association does not prove that weight is the cause of any individual patient's pain, but it can be an important modifier to consider.



Reference
Zhang TT, Liu Z, Liu YL, Zhao JJ, Liu DW, Tian QB. Obesity as a Risk Factor for Low Back Pain: A Meta-Analysis. Clin Spine Surg. 2018;31(1):22-27. doi:10.1097/BSD.0000000000000468.

Dr. Sean Altman, PT, DPT
Reverse Time Wellness
📍 1086 Long Ridge Rd, Stamford, CT 06903
📞 914-714-5300
✉️ [email protected]
🌐 www.drseanaltman.com
📲

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1086 Long Ridge Road
Stamford, CT
06903

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(914)7145300

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