Blogs Written by a Doctor of Physical Therapy

Runners' Essential Guide to Pre-Run Dynamic Warm-Up Routines

Starting a run without warming up is like driving a car hard before the engine has time to warm up. You might get away with it occasionally, but over time, it increases wear, reduces efficiency, and raises the risk of breakdown.

This guide explains why dynamic warm-ups matter, how they work, and exactly what exercises runners should perform before training or racing.

Read More
Running, Pain Education, Guide, Physical Therapy Dr. Ben Stokes Running, Pain Education, Guide, Physical Therapy Dr. Ben Stokes

Running Pain vs. Soreness: Your Guide on Whether to Rest or Run

Every runner eventually asks the same question: Is this normal soreness… or the start of an injury?

Knowing the difference is one of the most important skills you can develop as a runner. In fact, research shows that over half of runners experience an injury within a year. The ability to interpret your body’s signals isn’t just helpful; it’s essential for long-term performance and longevity.

This guide will help you understand the difference between soreness and pain, recognize common running injuries, and confidently decide when to run, when to scale back, and when to seek help.

Read More
Dr. Ben Stokes Dr. Ben Stokes

How Long to Rest an Injury: A Guide to Optimal Recovery Time

When you sustain an injury, the immediate impulse is often to "rest it out." This common adage, however, frequently oversimplifies a complex biological process. While rest is a crucial component, understanding how long to rest an injury and what constitutes optimal recovery is far more nuanced than simple inactivity. Modern approaches emphasize a proactive, science-backed strategy that balances rest with controlled movement and rehabilitation. This guide delves into the science of healing, explores evolving recovery protocols, and provides a framework for personalizing your journey back to full health and activity, whether you're an athlete or simply navigating daily life.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Critical Strength Training Mistakes Sabotaging Your Gains (And How to Fix Them)

The allure of impressive muscle growth and enhanced strength is a primary motivator for countless individuals engaging in strength training. However, many find their progress plateauing, leaving them frustrated and questioning their efforts. While dedication is crucial, often the culprits behind stalled gains are subtle, yet critical, mistakes woven into the fabric of one’s training program. The global strength training equipment market's robust growth, valued at USD 15.82 billion in 2024 and projected to reach USD 24.13 billion by 2033, signifies immense interest. Yet, this enthusiasm can be undermined by a lack of awareness regarding common training pitfalls. This article dissects these prevalent errors and offers actionable solutions to help you break through plateaus and finally achieve the results you’ve been working for.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Strength Training vs. Stretching: Unpacking What Your Body Truly Requires

The pursuit of optimal physical health often leads us to a seemingly endless array of advice, with two pillars frequently presented in opposition: strength training and stretching. We’re told to lift weights to build muscle and to stretch to maintain flexibility. But what if this binary choice is a false dichotomy? What if the true answer lies not in choosing one over the other, but in understanding their distinct roles and their profound interconnectedness? In an era where health club membership continues to grow, with approximately 77 million members in 2024 and a 6% increase year-over-year, underscoring a growing consumer commitment to wellness, the clarity of effective movement strategies is more crucial than ever. This article aims to unpack what your body truly needs, moving beyond the superficial debate to reveal a more nuanced, practical approach to movement, resilience, and overall well-being.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Unmasking the Hidden Causes of Why Pain Returns

Experiencing an injury is frustrating enough, but when the pain returns despite apparent healing, the feeling can quickly turn to despair. You’ve rested, perhaps undergone treatment, and started to feel better, only for the familiar discomfort to resurface, sometimes even more intensely. This cycle of relief and relapse is a common, yet often poorly understood, challenge. While initial healing may address the immediate damage, numerous underlying factors can prevent true recovery, leaving you vulnerable to recurring pain and limiting your potential. This article delves into the hidden causes behind persistent injuries, moving beyond the surface to uncover the deeper issues that hinder lasting healing and performance.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Pain vs. Damage: Why Your Body Can Hurt Without Injury

Have you ever experienced a sharp twinge, a persistent ache, or a deep soreness that seemed to come out of nowhere, with no discernible injury to blame? You’re not alone. For many, the default assumption is that pain directly equates to physical damage such as a damaged tendon, a strained muscle, or a torn ligament. However, the reality is far more nuanced. Pain is a complex experience, a sophisticated output of our nervous system, rather than a simple alarm bell for tissue damage.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Elevate Your Healthcare with Boutique Physical Therapy

Most people are familiar with traditional physical therapy: short, busy appointments, lots of paperwork, confusing insurance rules, and seeing your therapist for only 10–15 minutes before being handed off to someone else.

Boutique physical therapy is the opposite.

It’s a growing, patient-focused model designed for people who want clear answers, better outcomes, and a PT who works with them every step of the way.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Avoiding Common Overuse Injuries in Weightlifting

Weightlifting builds more than muscle, it builds confidence, discipline, and long-term health. But like any high-intensity sport, lifting can take a toll on the body if training isn’t balanced. Overuse injuries are some of the most common issues I see among recreational and competitive lifters. The good news? Most of them are preventable.

This article breaks down why overuse injuries happen, what the science says about preventing them, and how smart training keeps you strong for years to come.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Get Back on the Mat: Safely Returning to Martial Arts

Martial arts demand strength, speed, flexibility, and focus. Whether you practice jiu-jitsu, taekwondo, boxing, judo, or mixed martial arts, the training pushes your body to its limits. But what happens when injury forces you off the mat?

Coming back too soon, or without a plan, can lead to re-injury or long-term setbacks. The goal isn’t just getting back on the mat; it’s getting back stronger and smarter.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Stay Strong & Injury-Free with These CrossFit Training Tips

CrossFit is an amazing way to build strength, speed, and confidence. Many people love the challenge, the variety, and the community. But with high-intensity workouts, fast movements, and heavy lifts, injuries can happen… especially if form breaks down or training ramps up too quickly.

The great news? Most CrossFit-related injuries are preventable with smart training, good technique, and the right recovery plan.

As a Doctor of Physical Therapy who works with CrossFit athletes in Hillsboro and the surrounding area, I want to help you train hard and stay healthy.

Read More
Dr. Ben Stokes Dr. Ben Stokes

What to Do When Your Recovery Isn’t Going as Planned

You’ve been putting in the work (i.e. stretching, strengthening, doing your exercises) and yet something feels off. Maybe your pain flared up, your progress stalled, or you even felt like you took a step backward.

If that sounds familiar, you’re not alone. Recovery is rarely a straight line, especially for active adults and athletes dealing with musculoskeletal issues like back pain, tendinopathy, shoulder injuries, or post-surgical rehab. Setbacks happen for many reasons and understanding why is key to getting back on track.

Read More
Dr. Ben Stokes Dr. Ben Stokes

Pain-Free Lifting: How to Protect Your Joints in Strength Training

Strength training is one of the best things you can do for your body. It helps you build muscle, strengthen bones, boost metabolism, protect your joints, and it’s safe for most people when the program and technique are right. But, without proper form or recovery, lifting can do the opposite and cause pain or long-term damage. As a Doctor of Physical Therapy, I often see patients who love to lift but start developing shoulder, knee, or back pain. The good news? Most of these issues are preventable with the right approach

Read More
Dr. Ben Stokes Dr. Ben Stokes

The Benefits of Working with a Doctor of Physical Therapy

When most people hear the term physical therapy, they think of exercise after an injury. While that’s true, working with a Doctor of Physical Therapy (DPT) goes far beyond simple rehab. A DPT is a licensed healthcare professional who has gone through years of advanced training to help people move better, recover faster, and avoid future injuries.

Read More

Rehabbing a Rotator Cuff Injury: What You Need to Know

Whether you're an athlete, a gym-goer, or someone who just reached awkwardly into the back seat rotator cuff injuries are one of the most common causes of shoulder pain. And while some cases may require surgery, most rotator cuff injuries can be successfully treated with physical therapy.

Read More
Dr. Ben Stokes Dr. Ben Stokes

How to Overcome the Mental Blocks After Injury

Recovering from a physical injury is hard enough, but what often gets overlooked is the mental recovery that comes with it. Fear of reinjury, loss of confidence, anxiety about performance, and even identity challenges can all become obstacles long after your body has healed.

These mental blocks are common and valid, but they don’t have to hold you back forever.

Read More
Knee Pain, Knee Injury, Running, Physical Therapy Dr. Ben Stokes Knee Pain, Knee Injury, Running, Physical Therapy Dr. Ben Stokes

How to Manage Knee Pain from High-Impact Activities

If you love high-impact activities like running, jumping, CrossFit, martial arts, or competitive sports, you probably know what knee pain feels like. For some, it’s a dull ache after a long run. For others, it’s a sharp pain that flares up during squats, box jumps, or takedowns. While high-impact training can keep you strong and conditioned, it also puts a lot of stress on your knees - especially if there are weak links elsewhere in your movement chain.

As a physical therapist, I want you to know that you don’t have to live with knee pain or stop doing what you love. The key is managing your pain smarter, not just “pushing through it.”

Read More

Creating an Injury Recovery Plan: Why Tailoring Matters

No two bodies are the same and neither are injuries. Yet too often, injury recovery is treated like a “one-size-fits-all” process: generic rest, generic stretches, and a handout full of exercises that may or may not apply to your situation.

At Tualatin Valley Physical Therapy, we take a different approach: every injury recovery plan is individually tailored to the person in front of us. Why? Because a plan that’s not personalized won’t give you the best chance at healing fully or staying injury-free long term.

Let’s explore why tailoring your recovery plan matters and how a personalized approach leads to better outcomes.

Read More

Understanding Your Mechanics: Are You Running Efficiently?

Running is one of the easiest and most popular ways to exercise. All you really need is a pair of shoes and a place to run, whether it’s on a road, a trail, or a treadmill. But have you ever wondered if the way you run could be causing you pain or even lead to injury? At Tualatin Valley Physical Therapy, we offer running analyses to help you improve your form and run with less discomfort.

Read More