Ascension Physical Therapy and Performance

Ascension Physical Therapy and Performance Helping active adults stay pain-free, perform better & live strong — with PT + Chiro + 1:1 care.

This client started off with extreme irritability of their knee - unable to really produce any force in their quadriceps...
02/26/2026

This client started off with extreme irritability of their knee - unable to really produce any force in their quadriceps without excruciating pain, resulting in an inablity to even do an air squat.

After two months of working together, we are seeing some serious gains in strength and activity tolerance. Onward we go! 💪

Research shows that up to 85% of lower back pain is not caused by abnormal findings on an MRI.So why do you hurt?Are you...
02/24/2026

Research shows that up to 85% of lower back pain is not caused by abnormal findings on an MRI.

So why do you hurt?

Are you making it up?

No.

Pain is much more than a signal of tissue damage. It’s a signal of threat—or perceived threat.

This signal can change over time. It can become more sensitive. During times of tissue damage, that increased sensitivity is actually helpful—it creates the pain experience to protect you and prevent further injury.

However, that sensitivity can remain elevated even after the damaged tissues have healed. In some cases, the nervous system stays on high alert, continuing to interpret normal movement or everyday activities as threatening.

If this heightened sensitivity isn’t addressed, it can persist for months or even years, making it easier and easier for small activities to trigger pain.

These changes are neurobiological—real, physical changes in the nerves and pathways that make up your nervous system.

The good news is that this system is adaptable. It can change back. But we need to be intentional about helping it do so.

When you’ve been dealing with pain, even after starting the appropriate program, it can feel like nothing is changing. P...
02/19/2026

When you’ve been dealing with pain, even after starting the appropriate program, it can feel like nothing is changing. Pain may seem stagnant—unresponsive to treatment.

At that point, it’s tempting to think: It’s not working. Let’s change the plan.

But is it truly not working?

This is where taking a zoomed-out view of pain—and having the right tools to assess it—becomes essential.

Pain is an emergent phenomenon influenced by many independent variables interacting with one another. Improvements in pain often lag behind improvements in these other variables.

In this case, the client felt like they were getting better and were able to do more activities without their pain worsening, yet their day-to-day pain levels remained about the same.

However, their activity tolerance was improving. Their confidence in participating in activities was increasing—both important variables in the pain experience.

When we assessed range of motion and strength, we also found significant objective improvements—two additional factors that can influence pain.

So, is the plan working?

There’s good reason to believe it is.

Sometimes, to understand how to get to where we want to go, we first need to understand how to avoid going where we do n...
02/16/2026

Sometimes, to understand how to get to where we want to go, we first need to understand how to avoid going where we do not want to go.

Pain, tissue damage, strength, motor control, and biomechanics are all connected — but they are not the same thing. Pain...
02/12/2026

Pain, tissue damage, strength, motor control, and biomechanics are all connected — but they are not the same thing. Pain is an experience shaped by the nervous system. Tissue damage is a biological process. Strength is capacity. Motor control is coordination. Biomechanics describes mechanical forces. They influence one another, but none fully explains the others. When we separate these variables clearly, we make better training and rehab decisions instead of oversimplifying complex problems

One of my passions is studying pain — and what pain actually is.What does it mean?How does it manifest?And what actions ...
01/21/2026

One of my passions is studying pain — and what pain actually is.

What does it mean?
How does it manifest?
And what actions should we take in response?

What makes pain so frustrating is how often it’s been turned into an industry. A complex human experience gets reduced into a simple, easily “fixable” problem… usually tied to something being sold.

“It’s inflammation.”
“Your core is weak.”
“Your alignment is off.”
“You’ve got knots.”
“It’s arthritis.”

If you’ve been in pain long enough, you’ve heard all of it — and the hard part is: each explanation can sound logical on its own.

But many are contradictory. Many aren’t supported by good evidence. And most don’t actually explain your experience.

Noise. Lots of noise.

Truth is: pain is complex. It can be influenced by tissue health, the peripheral nervous system, the central nervous system, and psychosocial factors — all independently and interdependently shaping what you feel.

That complexity is WHY there are so many “causes”… and why simple answers often fail.

So when things feel chaotic, I encourage clients to lean on principles — things we know consistently increase the odds of long-term improvement:

✅ Build strength (not just muscles — confidence + capacity)
✅ Improve mobility (access to movement without fear)
✅ Surround yourself with positive people (your environment matters)
✅ Play the long game (look for trends, not daily fluctuations)
✅ Get uncomfortable on purpose (don’t let your world shrink)
✅ Prioritize tools you can sustain after you stop paying
✅ Talk with trusted professionals who aren’t selling certainty

When it feels chaotic: simplify, lean on principles amid the noise.

PT for you, designed for you and your lifestyle
01/15/2026

PT for you, designed for you and your lifestyle

6 months of consistent strength work, and this 70 year old male is seeing significant changes in the metrics AND, more i...
01/13/2026

6 months of consistent strength work, and this 70 year old male is seeing significant changes in the metrics AND, more importantly, he is noticing that he is better able to play with his granddaughter, participate in his church activities, and is simply feeling younger day-to-day.

An investment that will actually pay off 💪
01/08/2026

An investment that will actually pay off 💪

When returning back to athletic activities such as running, jumping, or other recreational activities, power is essentia...
01/06/2026

When returning back to athletic activities such as running, jumping, or other recreational activities, power is essential.

Power is your ability to produce high amounts of force in a short period of time.

It differs from strength, in that strength is independent of the time it takes to develop force. Aka, strength can be slow.

Often, clients will be strong, but still not powerful. The two variables correlate, but improved strength does not automatically transfer to improved power.

Power needs to be an intentional phase of rehab to sufficiently return a client back to jumping, running, and plyometrics confidently.

Address

1873 Buerkle Road
White Bear Lake, MN
55110

Alerts

Be the first to know and let us send you an email when Ascension Physical Therapy and Performance posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Ascension Physical Therapy and Performance:

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram