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    <loc>https://www.bourgeoispt.com/blog</loc>
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    <loc>https://www.bourgeoispt.com/blog/osteoarthritis</loc>
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    <lastmod>2025-11-10</lastmod>
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      <image:title>Blog - Osteoarthritis…The Stage 5 Clinger&lt;/span&gt;</image:title>
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      <image:title>Blog - Osteoarthritis…The Stage 5 Clinger&lt;/span&gt; - To be honest, it’s complicated.</image:title>
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      <image:title>Blog - Osteoarthritis…The Stage 5 Clinger&lt;/span&gt; - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Blog - Osteoarthritis…The Stage 5 Clinger&lt;/span&gt; - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/2c402775-0b13-4607-b077-4181a98cb0ab/e12769ddcf092b60_901-Wedding-Crashers-quotes.gif</image:loc>
      <image:title>Blog - Osteoarthritis…The Stage 5 Clinger&lt;/span&gt;</image:title>
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    <image:image>
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      <image:title>Blog - Osteoarthritis…The Stage 5 Clinger&lt;/span&gt; - An Interesting Note…</image:title>
      <image:caption>OA may contribute to the progression of other pre-existing conditions, like cardiovascular disease, Alzheimer’s, autoimmune disease, etc.⁷ As OA progresses, local inflammatory cell production increases and leaks into the bloodstream, exacerbating the pre-existing systemic inflammation. This could contribute to disease progression. Talk about the “circle of life”!!! This further highlights the importance of being as healthy as possible.</image:caption>
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      <image:title>Blog - Osteoarthritis…The Stage 5 Clinger&lt;/span&gt;</image:title>
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    <image:image>
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      <image:title>Blog - Osteoarthritis…The Stage 5 Clinger&lt;/span&gt; - Conclusion…I DIG IT!!!</image:title>
      <image:caption>Though osteoarthritis may be here to stay, it may not be as bad as we think. While there are things beyond our control, like genetics, there are things we can do to help reduce our risk of developing painful OA or even improve it once it’s clung onto us. Whatever the case…never leave a fellow craher behind!</image:caption>
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  <url>
    <loc>https://www.bourgeoispt.com/blog/popsandclicks</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-07-22</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/0fabe34e-85d6-49de-8460-023603df057e/Cavitation.jpg</image:loc>
      <image:title>Blog - I Heard A Pop…Is This Bad?!?! - Joint Cavitation</image:title>
      <image:caption>This occurs when a force is applied to a joint causing the distance between the two bone surfaces to separate. As they continue to separate, pressure decreases inside the joint capsule. This leads to the formation of gas bubbles within the synovial fluid of the joint (lubricant of the joint). As pressure drops, the gas bubbles expand and eventually burst, releasing gas from the joint. When this occurs, an audible “crack or pop” can be heard/felt.</image:caption>
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    <image:image>
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      <image:title>Blog - I Heard A Pop…Is This Bad?!?! - Now, that’s just one man, only manipulating the joints of the hand in a non-randomized case study. So it’s not a study you want to base all your beliefs and opinions on. However, another study was performed involving more participants and whether or not knuckle-cracking is related to the development of arthritis. And, just like the case study, the results were very similar.² Again, this was only performed on the joints of the hand so you shouldn’t apply this information grossly across all populations and joints.</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/9ed08fc4-4592-4347-bf73-f27f0a21bc8c/Trust.jpg</image:loc>
      <image:title>Blog - I Heard A Pop…Is This Bad?!?!</image:title>
      <image:caption>Instances like these happen often throughout the body and they’re completely NORMAL. More often than not, the sounds you hear are just your bones, ligaments, tendons, and muscles moving in their normal way across the other structures they have a close relationship with. As I mentioned before, if it doesn’t hurt when you hear the sound, it’s probably nothing to worry about.</image:caption>
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  <url>
    <loc>https://www.bourgeoispt.com/blog/discs</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-11-13</lastmod>
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      <image:title>Blog - Oh, My Back!!!</image:title>
    </image:image>
    <image:image>
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      <image:title>Blog - Oh, My Back!!!</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/439127f1-0972-4753-8a3b-b6db5a1f4490/Bulging.jpg</image:loc>
      <image:title>Blog - Oh, My Back!!! - Contained – commonly referred to as a bulge. The outer layer (annulus) maintains its integrity. However, the inner layer (nucleus) has begun to put pressure on the annulus causing it to “bulge” into the vertebral foramen (fancy word for a hole).</image:title>
      <image:caption>This hole is where the spinal cord and the beginnings of your peripheral nerves are located, as well as small arteries and veins.</image:caption>
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    <image:image>
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      <image:title>Blog - Oh, My Back!!!</image:title>
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    <image:image>
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      <image:title>Blog - Oh, My Back!!!</image:title>
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    <image:image>
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      <image:title>Blog - Oh, My Back!!!</image:title>
    </image:image>
    <image:image>
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      <image:title>Blog - Oh, My Back!!!</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/2372c819-425f-478e-b28e-fa266e4c63dc/k1nrycq9s9j71.jpg</image:loc>
      <image:title>Blog - Oh, My Back!!! - Degeneration tends to occur most often in the cervical and lumbar regions. When deemed degenerative, the spine, either in its entirety or at particular segments, begins to lose its height. This can occur for many reasons: age-related disc dehydration, genetics, physical activity levels, work type/frequency/intensity, other lifestyle factors, trauma, etc.</image:title>
      <image:caption>And, while “degenerative disc disease” sounds awful as a diagnosis, you’ll see later on, that this process occurs NORMALLY with time. Do me a favor, and try not to take everything Google tells you about a condition at face value.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/b4288e12-2590-49ec-9156-b0ccd75eaa62/Screen+Shot+2024-11-11+at+10.58.59+PM.png</image:loc>
      <image:title>Blog - Oh, My Back!!! - Chart from the study mentioned above showing the prevalence of “abnormal findings” according to age. NONE of these people have pain or disability.</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/99d19c8b-318c-4894-a2de-f23eaf0f8769/ggo6j25i9te81.jpeg</image:loc>
      <image:title>Blog - Oh, My Back!!! - Unfortunately, we don’t know the exact answer to that. This is the case for most conditions because of the complexity of pain. However, the physical presence of a disc abnormality might not be the PRIMARY cause of pain. That doesn’t mean the physical change of the disc isn’t important, it just means it too, doesn’t tell the entire story.</image:title>
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  <url>
    <loc>https://www.bourgeoispt.com/blog/injections</loc>
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    <lastmod>2024-11-11</lastmod>
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      <image:title>Blog - Injections: The Dark Side</image:title>
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      <image:title>Blog - Injections: The Dark Side</image:title>
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      <image:title>Blog - Injections: The Dark Side</image:title>
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      <image:title>Blog - Injections: The Dark Side</image:title>
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  <url>
    <loc>https://www.bourgeoispt.com/blog/overweight</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-11-11</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/1730400400973-YHZFWDQK3WZC5IXG3V8Y/16707320_10208788828173412_1614770192569875542_o.jpg</image:loc>
      <image:title>Blog - The lesser-known effects of being overweight</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/1730400401166-ZSS3AGCFDO2NMXQY5DU3/84477242_10216412068309651_1640615049657581568_n.jpg</image:loc>
      <image:title>Blog - The lesser-known effects of being overweight</image:title>
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      <image:title>Blog - The lesser-known effects of being overweight</image:title>
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      <image:title>Blog - The lesser-known effects of being overweight</image:title>
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      <image:title>Blog - The lesser-known effects of being overweight</image:title>
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  <url>
    <loc>https://www.bourgeoispt.com/blog/imaging</loc>
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    <lastmod>2024-11-14</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/1df83f11-4b66-4b8d-98c1-1af688369a9d/Factors+Impacting+Pain</image:loc>
      <image:title>Blog - The truth about Imaging… - For example, below are some questions that represent factors that can affect how we feel:</image:title>
      <image:caption>What did you eat today? Yesterday? Over the last week? Month? Years? How many hours do you sleep on average? Was it quality sleep? How often do you wake up each night? What are your cultural beliefs? How do you manage your stress? What things contribute to your stress? Work? Kids? Health? Exercise regularly? What type? How long? What intensity? Do you smoke? Drink regularly? How many co-morbidities do you have? Diabetes? High blood pressure? Anxiety? Depression? Have you spent time with family, friends, etc., and socialized? The list could continue almost indefinitely, but you should get the point by now.</image:caption>
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      <image:title>Blog - The truth about Imaging… - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:title>Blog - The truth about Imaging… - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/63d1658db71bb4623fe05472/313f3bb2-1d3a-4106-931e-57055ae20c1f/Screen+Shot+2024-10-28+at+10.33.14+PM.png</image:loc>
      <image:title>Blog - The truth about Imaging… - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <lastmod>2026-03-23</lastmod>
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    <loc>https://www.bourgeoispt.com/pt-services</loc>
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    <loc>https://www.bourgeoispt.com/about</loc>
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    <lastmod>2026-02-13</lastmod>
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