Sport Topics & News Magazine & : Sports Medicine Sport Topics & News Magazine & : Sports Medicine en Copyright 2022 Sport& & All Rights Reserved. A Study on Concussions: Symptoms and Severity What are the symptoms of a concussion

When it comes to concussions, oftentimes people are tricked into thinking that the symptoms and signs they experience are only temporary, since some of the more common ones aren’t necessarily considered severe. But this isn’t always true, and we’ll hear first-hand from Harriet Owen how brushing symptoms off, even after the smallest of head injuries, can be extremely detrimental in the scheme of recovery.

Concussion Symptoms, Signs, and Grades

This mild to severe system of recognition manifests in the existence of ‘grades’ that concussions can be classified by. While there is usually only one diagnosis of “yes, you have a concussion” or “no, you’re clear,” sometimes, a diagnosis can be furthered into 5 grades that build off of each other.

  1. Grade 0: A slight headache and perhaps some difficulty concentrating.
  2. Grade 1: A dazed or confused feeling for less than a minute.
  3. Grade 2: Cloudy, dazed, or confused senses that last longer than a minute, dizziness, amnesia, ringing in the ears, irritability
  4. Grade 3: Becoming unconscious for less than a minute
  5. Grade 4: Becoming unconscious for more than a minute

These aren’t the only symptoms of a concussion, though, and when it comes to the full list of signs of a concussion, the CDC categorizes them into 2 groups: observed and reported.

Observed symptoms are usually picked up externally, by outsiders who are watching the individual. This might include parents, teammates, coaches, friends, romantic partners, doctors, or trainers. It’s important to make note of head injuries so that if these signs do start appearing, then proper treatment can be sought and the injury isn’t left to become worse.

Observed Signs of Concussion:

  • Can’t recall events prior to or after a hit or fall
  • Appears dazed or stunned
  • Forgets an instruction, is confused about an assignment or position, or is unsure of the game, score, or opponent
  • Moves clumsily
  • Answers questions slowly
  • Loses consciousness (even briefly)
  • Shows mood, behavior, or personality changes

Reported symptoms are the opposite – they usually don’t have any outward evidence (although some of them might), and it’s the individual that recognizes the change or feeling and then let’s someone else know.

Feeling dizzy and nauseous

Reported Signs of Concussion:

  • Headache or “pressure” in head
  • Nausea or vomiting
  • Balance problems or dizziness, or double or blurry vision
  • Bothered by light or noise
  • Feeling sluggish, hazy, foggy, or groggy
  • Confusion, or concentration or memory problems
  • Just not “feeling right,” or “feeling down”

No matter how mild the concussion is, a checkup with a medical professional should be sought out, because brain injuries can be very dangerous, if given the chance.

Harriet Owen’s Growing Concussion Symptoms

Harriet’s specific symptoms provide a great example of what can happen if concussions are not taken seriously by individuals and the doctors that provide them care – what could have been a short recovery time snowballed into a 15 month period of pain, confusion, and misdirection.

Harriet describes the initial crash and subsequent signs as, “I knew almost immediately I’d hit my head, my helmet was scuffed and I had a bit of a headache, but I didn’t think it would have caused me a sustained concussion.”

This is why concussions are such slippery conditions – if it’s just a headache, it really doesn’t seem like anything to have to go to the doctor for. But even Grade 4 concussions can start out with symptoms of a Grade 0 concussion. Within a few days, that one small, unassuming headache didn’t go away and continued to become worse, and that’s when Harriet realized that something was wrong.

Her next problem? Her doctors didn’t. She was prescribed over the counter painkillers and more sleep, but no neurological or imaging tests were performed, even after persistent pain. Harriet began to experience more severe symptoms as time went on, with the reported worst being:

  • Fatigue

Even the smallest tasks drained her, and that led to more time inside, in dark rooms, and unable to do the things she loved. This contributed to the worsening of other symptoms such as depression and physical activity difficulties.

  • Headaches

What started as a small symptom quickly turned unbearable. This led to light sensitivity and contributed to a lack of concentration and memory from the constant pain.

  • Personality Changes

Without the ability to cycle and complete daily tasks without pain and other side effects, the pain combined with the fact that her brain couldn’t regulate her emotions as well as it had been caused personality changes in the form of depression, mood swings, and reactive behavior.

She says that, “…my change in personality really impacted everyone around me the most. I wasn’t myself; they didn’t know how I was going to react or be each day, and they didn’t know how to help me.”

  • Lack of Concentration and Memory

Even as a professional cyclist, Harriet still has a full-time job as a data-analyst for Trek Bicycle Corporation, which involves a lot of screen time. The light from the screen triggered headaches and the work caused mental fatigue, even when she already felt that she couldn’t function at 100% due to her lack of concentration and memory, and that was demoralizing.

  • Difficulties Participating in Physical Activity

Cycling is Harriet’s passion and her profession, so slowly becoming unable to ride at all became a dark spot in her life, and this big change in her life greatly affected her mental health.

She says, “Cycling for me during this time, was mostly non-existent or very inconsistent. If I ever did ride, it would be no longer than an hour at a lower heart rate, and my body would play catch-up, and I’d pay for it a couple of days later. It wasn’t healthy for me to keep being in this vicious cycle, so there was a long period of time that I just couldn’t ride. It affected me mentally, as well as physically, I lost a lot of muscle mass!”

When asked which symptoms impacted her daily life the most, Harriet quoted headaches, fatigue, and personality changes. But the shift from cycling every single day to barely being able to do an hour of low-heart rate exercises exacerbated her condition and the side effects that came along with it, and the initial habits she formed when she hadn’t gotten a concussion diagnosis ultimately hurt her recovery.

Concussions Are All Around

Sports players get a lot of concussions. Why?

Especially in athletes, concussions are a likelihood of every head injury obtained. We’ve heard from a professional just how easy it is to brush off the burgeoning symptoms, and how that can play a part in the recovery process.

Even if you don’t encounter concussive accidents much in your sport, it’s still a big risk! As a cyclist, Harriet didn’t believe that concussions were all that common in cycling, but once she deliberated further, she realized that a cyclist hits their head more often than not when they crash their bike, which is just a part of the sport.

Helmets and other head safety gear provide some protection, but concussions occur internally. So, while your head might still be intact thanks to the helmet, your brain doesn’t have the same stability, and is very susceptible to injury and, subsequently, the side effects.

No element of a concussion is enjoyable, but the worst part, according to Harriet, is that, “Life as you know it is taken away from you the moment you hit your head. People can’t see the injury, so it’s hard to anyone to understand what you’re going through. It is a real mental battle to get back.”

What to Do If You Have a Concussion

Don’t let a concussion trip you up or slow you down! Get help and a diagnosis as soon as you recognize any sign or symptom of even a mild concussion. If caught early, no matter the grade, treatment and recovery time will be far less intense and the toll on your body far less severe.

In the third and final installment of this blog series, we’ll explore the extensive and innovative treatment that Harriet went through to get back to her best form, and what she might have done differently if she had known that she would end up with sustained concussion.

If you or someone you love has suffered a concussion or head injury in the Louisville, Kentucky area, board-certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

The post A Study on Concussions: Symptoms and Severity appeared first on Louisville Bones.

Mon, 19 Dec 2022 06:19:57 -0800 Sportsman
Acupuncture Helps with PTSD Symptoms Acupuncture Helps with PTSD Symptoms

While commonly connected to those who have served in the military, post-traumatic stress disorder or PTSD, can impact anyone who has suffered from violence or emotional trauma. The National Institute of Mental Health defines PTSD this way, “Post-traumatic stress disorder (PTSD) can develop after exposure to a potentially traumatic event that is beyond a typical stressor.” According to the U.S. Department of Veterans Affairs approximately 12 million adults in the U.S. suffer from PTSD during a given year. 

Research has shown that acupuncture for PTSD reduces anxiety and stress levels. Acupuncture is also a great treatment option for those suffering from other health issues because of PTSD (i.e., insomnia, digestive issues, headaches, stress and anxiety, etc.). 

How it Works

Typically, acupuncture treatment for PTSD will focus on specific auricular points that focus on different areas of the brain. Some address the emotions, memories, or even amnesia. When the acupuncturist needles that point, the patient can find relief from symptoms. 

Perhaps a surprising reason acupuncture for PTSD is so popular is that it allows the person suffering from the trauma to receive help without having to go into detail about the cause of the trauma. While a full medical health history is taken, not having to relive the trauma helps patients to feel safe and perhaps a bit more relaxed.

One of the most complicated components of dealing with the treatment of PTSD is also reigning in the symptoms that result from it including depression, anxiety, sleep disorders, chronic pain, and other mental health concerns, just to name a few. The good news is that acupuncture has a proven track record of success in treating these issues. 

Each person with PTSD is different, however, depression and anxiety are often present, and both can manifest in physical and emotional symptoms. This is often an indication of an imbalance of Chi in the body. Chi is defined as the body’s energy pathways flowing through channels in the body called meridians. When Chi is balanced and flowing through the meridian network, our bodies operate optimally. When Chi isn’t balanced, depression, anxiety, loss of appetite, high blood pressure, and even digestive issues can be present. 

Many people who suffer from PTSD also have insomnia or other sleep issues. Acupuncture has also been proven to increase serotonin levels which helps to improve sleep as well as mood. It’s an effective drug-free treatment without the side effects often caused by prescription medications. A study from 2015 found “chronic fatigue patients who were given acupuncture as a supplement to conventional treatment showed greater improvement over patients who did not receive acupuncture.”

Chronic pain is often another complaint of those with PTSD and it can be debilitating for those suffering from it as it directly impacts their quality of life. People often treat chronic pain with anti-inflammatory medications (both prescription and over the counter), physical therapy, or with ice and heat, but those options don’t always provide long lasting relief. According to Harvard Medical School, “acupuncture is an option with a good track record that’s worth considering.” 

Whether you suffer from PTSD or any of the associated symptoms, acupuncture is an excellent prescription drug-free treatment option to help address a variety of health concerns. Even if you are looking to achieve better overall balance in your life, consistent acupuncture treatments just might be the solution you need. Make an appointment with your acupuncturist today. Your practitioner will do a thorough health history in order to get to the bottom of the symptoms. Call today and get your wellness journey back on track! 

Acupuncture Helps with PTSD Symptoms was last modified: November 28th, 2022 by admin

The post Acupuncture Helps with PTSD Symptoms appeared first on Dr. Julie Reyes.

Mon, 19 Dec 2022 05:47:52 -0800 Sportsman
Return to Sport After Shoulder Subluxation in NBA players return to play after shoulder subluxation cover

Sports physicians and fans are likely aware of recent news with an injury to an NBA star athlete Steph Curry of the Golden State Warriors.

The post Return to Sport After Shoulder Subluxation in NBA players appeared first on Sports Medicine Review.

Mon, 19 Dec 2022 00:06:28 -0800 Sportsman
Exercise & Sports Science Australia (ESSA) updated Position Statement on exercise and physical activity for people with hip/knee osteoarthritis Exercise & Sports Science Australia (ESSA) updated Position Statement on exercise and physical activity for people with hip/knee osteoarthritis

The post Exercise & Sports Science Australia (ESSA) updated Position Statement on exercise and physical activity for people with hip/knee osteoarthritis appeared first on Sports Medicine Research.

Sun, 18 Dec 2022 23:45:57 -0800 Sportsman
Heading in Football Sun, 18 Dec 2022 22:28:56 -0800 Sportsman The overlooked role of intratendinous pressure in tendinopathy: A new perspective Keywords: tendinopathy, tendon pressure

In this blog, we will explain the findings of our recent review published in BJSM on the potential role of intratendinous pressure in the pathogenesis of tendon pathology. 

Why is this study important?

Tendinopathy is a major problem for athletes, accounting for about 30% of all overuse injuries. Despite strong advances in tendon research in recent decades, there is still a limited understanding of the underlying pathogenesis. The role of tissue pressure has not yet been considered a possible factor, although it has been associated with numerous other pathologies. 

How did the study go about this?

This narrative review article encompassed an extensive literature search on four main aspects: 

(1) the current understanding of intratendinous pressure in normal conditions 

(2) the role of tissue pressure in the pathogenesis of other disorders that share structural similarities with tendons

(3) the relationship between compressive overload and tendon structure

(4) how structural changes in tendon pathology might alter intratendinous pressure

What did the study find?

  • First, a conceptual framework was established defining five possible steps how intratendinous pressure could be involved in the development and progression of tendon pathology.

  • Compressive overload as pathogenic stimulus 

It was found that compressive overload might be an initial trigger in the development of tendon pathology. 


  • (Mal)adaptive tendon matrix remodeling 

As tendon cells have the ability to detect and adapt to mechanical stimuli, overexpression of fibrocartilage-like tissue occurs as a result of compressive overload. This maladaptive remodelling is characterized by an increase of glycosaminoglycans (polysaccharides), proteoglycans (proteins), enlarged tenocytes and collagen type II and III.


  • Volume expansion induces an increase in intratendinous resting pressure

Every structure in our human body has a stable total tissue pressure of less than 15 mm Hg. This pressure is the sum of solid stress, ie, cells and extracellular matrix and interstitial fluid pressure, ie, free fluid. Pathological tendon changes, particularly the increase of glycosaminoglycans and proteoglycans with their bound fluid, could lead to an increase in intratendinous resting pressure, as the associated volume increase is resisted by enclosed sheaths (ie, endo- or epitenon).

  • Increased intratendinous resting pressure impairs vascularisation

It is suggested that hypoxia (low oxygen levels) is a feature of tendon pathology. An increase in intratendinous resting pressure might drive this, as it could impair blood supply by inducing vascular collapse and lowering the arteriovenous pressure gradient. In addition, leakage of hypoxia-induced neovessels could also further increase interstitial fluid pressure, creating a vicious cycle.


  • Reduced permeability induces an increase in intratendinous dynamic pressure 

Tendons experience lateral contraction during tensile loading, generating intratendinous dynamic pressure and consequently fluid excretion. This fluid pressure increases sharply when the permeability of the extracellular matrix decreases, because of higher resistance to fluid flow. Such a decrease in permeability typically occurs in tendon pathology due to the increase of water-retaining glycosaminoglycans and proteoglycans. Fluid can therefore be trapped inside the tendon matrix during tensile loading, resulting in an increase in intratendinous dynamic pressure. This also implies that for the same amount of tensile load, tendon cells will experience more pressure in tendon pathology than in healthy tendons, which again could create a vicious cycle. 


  • Second, it was identified how our novel theory might fit into the recognised continuum model of tendinopathy and correlate with its typical clinical manifestations (eg, load-related tendon pain). 
  • Third, potential treatment strategies were discovered that could restore intratendinous pressure to promote tendon healing. On the one hand, maladaptive tendon remodeling must be addressed. This can be done by reducing the amount of compressive load, but still exerting sufficient tensile forces on the tendon during rehabilitation. On the other hand, hyaluronidase also seems promising, as it breaks down the excess glycosaminoglycans of the extracellular matrix to pre-injury levels, releasing bound fluid and reducing both intratendinous resting and dynamic pressure.

What are the key take-home points?

  • Intratendinous pressure might be an important contributor in tendinopathy. Our conceptual framework provides a coherent view of how intratendinous pressure could be involved in the development and progression of tendon pathology and helps to identify unexplored research opportunities.
  • Maladaptive remodeling into fibrocartilage-like tissue could lead to both an increase in intratendinous resting and dynamic pressure, due to excess water-binding glycosaminoglycans and proteoglycans.
  • An increase in intratendinous resting pressure could explain hypoxia in tendon pathology. 
  • An increase in intratendinous dynamic pressure might explain load-related tendon pain.
  • Therapies aimed at inhibiting maladaptive remodeling (eg, modified physiotherapy) or reducing intratendinous pressure (eg, hyaluronidase) seem promising therapies that should be investigated. 

Corresponding author: 

Dr. Lauren Pringels, Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium; [email protected]



Pringels L, Cook JL, Witvrouw E, et al. Exploring the role of intratendinous pressure in the pathogenesis of tendon pathology: a narrative review and conceptual framework. British Journal of Sports Medicine Published Online First: 02 November 2022. doi: 10.1136/bjsports-2022-106066



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Sun, 18 Dec 2022 22:22:31 -0800 Sportsman
A Skill Acquisition Perspective on the Impact of Exergaming Technology on Foundational Movement Skill Development in Children 3–12 Years: A Systematic Review and Meta&analysis Sun, 18 Dec 2022 05:52:42 -0800 Sportsman Short bursts of physical activity during daily life may lower risk of premature death Sun, 18 Dec 2022 05:17:12 -0800 Sportsman How Chiropractic Could Boost Your Athletic Performance We can help you stay at the top of your game. ]]> Sun, 18 Dec 2022 01:37:53 -0800 Sportsman Effects of aerobic exercise training in oxidative metabolism and mitochondrial biogenesis markers on prefrontal cortex in obese mice Sun, 18 Dec 2022 01:35:01 -0800 Sportsman Ceramides found to be key in aging muscle health Fri, 16 Dec 2022 12:06:44 -0800 Sportsman Heart rate variability and self&compassion: Two tools to help postpartum mothers make exercise decisions Fri, 16 Dec 2022 12:06:43 -0800 Sportsman Research backs benefits of making exercise a priority Fri, 16 Dec 2022 12:06:42 -0800 Sportsman How to choose the best workout equipment for your home gym by Kyle Decker, ATC, CSCS FAST Stetson Village

Home gyms are a great way to stay fit without the commitment and expense of joining a gym or going elsewhere every day. You can have everything you need right in your house by choosing the right equipment. But before you buy anything, there are some things you should know about all the options available and how they could impact your goals—and wallet!

Consider Your Space

If you plan to invest in a home gym, you’ll want to ensure that it fits into the space available in your house. It’s important to consider how much room there is for moving around and where exactly you will store all the equipment. Consider how much space it will take up when folded or disassembled and how easy it is to set up and take down. Some models come with storage systems, so they can be tucked away when not in use, but most will need a separate area for storage.

If you have limited space, you may consider a smaller model or one you can fold away. You’ll also need to consider how many people you plan on using your home gym with —if you’re planning on using it for yourself and your family, then a smaller model will probably be sufficient. If you plan on having friends and family over or training for an athletic event, you’ll want to get something large enough to accommodate everyone who intends to use it.

Woman lifting weights in her home garage.

Think About Your Goals

What do you want to achieve? Are your fitness goals primarily aesthetic? Or do they involve gaining muscle and losing fat? Perhaps you’re aiming for an athletic body or a more functional physique that can handle all sorts of activities. Maybe it’s just a matter of being able to work out at home rather than driving somewhere every time you want to lift weights or jog on a treadmill.

Whatever the case, considering these questions will help get things off on the right foot when shopping for home gym equipment. You’ll be able to find an option that fits into your budget while still meeting all of your needs—and then maybe even exceeding them!


Your budget for your home gym equipment should be considered a guide, not a restriction. The best thing about having a home gym is that you can start small and add equipment as needed (or desired). Set aside enough money to cover the essentials, but don’t let the budget become an overbearing factor in your decision-making process. It’s more important to make sure that what you buy fits your fitness goals than spend hundreds of dollars on things that will remain unused because they’re too expensive or unnecessary.

The best way to ensure you don’t overspend is to list what you need and prioritize it. Your budget should be determined by the most critical items on that list, not by how much money is left over after everyone else gets what they want. If you start small with just one or two pieces of equipment and then build up from there as needed, your home gym will evolve like any other part of your fitness routine.

Woman using home treadmill to exercise.

Is It Portable?

Another important consideration is how easy it is to move the equipment around. Ideally, you want to be able to reposition your home gym equipment quickly and easily. This will be essential in their selection process for people with limited space. This may not be much of an issue if you have a big garage or basement. You can leave your equipment in place if you want and move it out of the way when it’s not in use. The key is ensuring that your gym equipment is easy to assemble and disassemble so that moving it around will be a simple process.

When considering portability and ease of assembly/disassembly, remember that most machines weigh over 100 pounds (45 kg) and have several parts you must put together before using them for the first time. So, if multiple people are involved in this process, then consider whether or not having extra hands makes the job easier for everyone involved! Also, note how long each step takes so there aren’t any surprises later on down the road.

Prioritize Multi-Functional Equipment

If you’re looking for the best home gym equipment and want to save money, look for multi-functional exercise machines. For example, if you’re trying to decide between a Bowflex or an elliptical machine, the Bowflex may be the better choice because it offers more options for exercises and can work for both men and women.

Multi-functionality will help you get away with fewer pieces of equipment if space is at a premium in your home gym. Multi-functionality can also keep boredom at bay by giving you more variety when working out at home—and that’s important if you stick with working out! It might seem like having several different pieces of equipment would lead to confusion about which ones to use for what purpose, but once you set them up correctly, it shouldn’t be hard to remember how they work together effectively.

Finally: don’t forget that getting injured while exercising is never fun! Having multiple types of equipment available will allow people who may not feel comfortable using a kind in particular access other ways without sacrificing progress toward fitness goals because their joints aren’t up for specific movements.

Buy Quality and Ergonomic Equipment

When it comes to the best home gym equipment, you must look at the quality. The better the quality of your equipment, the longer it will serve you and make your workouts more comfortable. It’s wise to spend money on things that will last when purchasing equipment for your home gym.

You want to ensure that whatever item you buy is well-made and durable so it can withstand continuous use over time without breaking down or wearing out. It should also be ergonomic because it helps with comfort during exercise sessions, making them more fun!

Choose Equipment That Can Grow With You

Choosing the right home gym equipment will help you get the most out of your workouts. The best way to select equipment that can grow with you is by starting small and then building up from there. Beginners, intermediate and advanced athletes all need different types of home gym equipment, so it’s essential to know which type you will need as you progress in your fitness journey.

Choosing the right type of home gym equipment for where you are now can make it much easier for you to grow into more advanced exercises when it comes time for those extra heavy-duty workouts. Choosing adjustable items to fit different body sizes and shapes.


Whether you’re a professional athlete, weekend warrior, or want to get in shape, choosing the right sports equipment is the best way to stay fit in the comfort of your home. What you need in a home gym is personal, so choose equipment based on what will best support your goals and needs.

For example, if you need help with balance training, look for products that can provide stability while working out. To improve cardiovascular health, look for equipment for high-intensity workouts without sacrificing your joints or muscles during exercise.

Contact any of our Foothills Sports Medicine Physical Therapy clinics if you need help choosing sports equipment or assistance with your home workouts. We can advise what gear works best for particular goals, and we’ll help you develop a routine that will keep you healthy and happy.

If you are interested in personal or sports performance training with customized workouts tailored to all fitness levels and abilities, we have several FAST Performance Training locations throughout the valley. FAST trainers have the experience, education, and expertise to get you up and on your way to achieving your fitness goals—FAST!


The post How to choose the best workout equipment for your home gym appeared first on Foothills Sports Medicine Physical Therapy.

Fri, 16 Dec 2022 11:48:45 -0800 Sportsman
78. How exosomes might improve cartilage in osteoarthritis In the December 15, 2022 episode of Better Than Ever Live!, I discuss osteoarthritis and a potentially beneficial treatment that could help prevent or treat osteoarthritis called exosomes. I’ll explain what exosomes are, the different types of exosomes, and what role they appear to play so far as a treatment for arthritis.

Subscribe to Better Than Ever Live!

Remember, if you are watching this show on YouTube or Facebook, and you want to make sure you don’t miss an episode, subscribe to Better Than Ever Live! as an audio podcast wherever you get your podcasts. If you are listening to this podcast and you want to comment on topics, join us live on YouTube and Facebook, and soon on other social media platforms. Go to, click subscribe and hit the bell to be notified when I’m on live. And make sure to follow my Facebook page –

The post 78. How exosomes might improve cartilage in osteoarthritis appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Fri, 16 Dec 2022 11:32:13 -0800 Sportsman
340. A diet high in flavonoids might lower your risk of heart disease Regularly eating foods high in flavonoids, like fruits, cruciferous vegetables, and tea, might lower your risk of future heart disease. In a new study published in the journal Arteriosclerosis, Thrombosis, and Vascular Biology, Australian researchers determined that older women who consumed high levels of flavonoids were less likely to develop extensive abdominal aortic calcification. This is a condition in which calcium deposits build up in your abdominal aorta that supplies blood to your abdominal organs and lower extremities. Abdominal aortic calcification increases the risk of dementia, heart attack and stroke. You can get these anti-oxidant flavonoids by consuming more fruits, vegetables, spices, tea, and other plant-based foods.

The post 340. A diet high in flavonoids might lower your risk of heart disease appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Fri, 16 Dec 2022 11:32:09 -0800 Sportsman
Does an extended Knee Control programme that aims to improve feasibility and adherence prevent injuries in football players? Why is this study important?

Injury prevention exercise programmes (IPEPs) efficaciously prevent injuries, but studies show challenges related to low adherence with IPEPs [1-3]. Irrespective of the IPEPs’ efficacy in preventing injuries, the programmes also need to be feasible in a real-world context outside the well-organised randomised controlled trial to be able to prevent injuries effectively. 

The main intervention in this randomised trial was extended Knee Control which was a further developed version of the original Knee Control programme from 2005. Knee Control has previously shown efficacy in preventing injuries in youth female football [4], youth male and female floorball [5], and youth male and female handball [6]. Earlier studies on Knee Control showed that coaches often modify programme content and/or dosage to work around barriers for programme use [1-2]. To improve programme feasibility and adherence, in extended Knee Control we added five extra exercise variations/progressions for each of the six main exercises in Knee Control to fit young as well as senior players. We also tried to make recommendations for programme use easier and more flexible. 

How did the study go about this? 

We conducted a study in one regional football district in Sweden in 2020, where teams were randomised to use extended Knee Control or an adductor strength programme. Teams who already used an IPEP on a regular basis took part in a non-randomised comparison group. In total, 502 male and female players (mean age 20.0±5.7 years) were included. Players responded to weekly questionnaires about occurrence of injury based on the Oslo Sports Trauma Research Center questionnaire, and their exposure to training and matches. 

Teams using extended Knee Control were recommended to use the programme on every training session for 15-20 minutes, 30-60 seconds per exercise and two sets. The adductor strength programme exercises and dosage were initially identical to the Adductor Strengthening Programme that has shown positive effects on groin injury rates in male sub-elite players     [7]. However, due to the COVID-19 pandemic we added two extra single-player exercises to avoid close contact, adductor squeeze with bent and with straight legs [8]. 

What did the study find?

We found 29% lower incidence of injuries to the hamstring, knee and ankle in extended Knee Control compared to the comparison group (Figure 1). To prevent one injury in the hamstring, knee or ankle, seven players would have to perform extended Knee Control during one season. We also saw 42-48% lower incidence of time-loss injuries in extended Knee Control compared to the other two groups.

Figure 1.  Injury incidence rates (IR) and 95% confidence intervals

We found 17-26% lower hamstring, knee and ankle injury prevalence rates in extended Knee Control compared to the adductor and comparison group respectively (Figure 2). Prevalence of substantial injuries was 27 and 25% lower in extended Knee Control compared to the adductor and comparison group respectively. No preventive effect was seen on groin injury rates from the adductor programme. 

Figure 2. Weekly injury prevalence rates (PR) and 95% confidence intervals

What are the key take-home points

The extended Knee Control group had a lower rate of injuries to the hamstring, knee and ankle combined, time-loss and substantial injuries as compared to the adductor and comparison group. The results are particularly interesting considering that the comparison group may already have had a relatively speaking low injury risk from having used preventive exercises on a regular basis at least the previous season. No effect was seen from the adductor programme but this group was smaller than the other groups and particularly included few male players, rendering low power.


  1. Lindblom H, Waldén M, Carlfjord S, et al. Implementation of a neuromuscular training programme in female adolescent football: 3-year follow-up study after a randomised controlled trial. Br J Sports Med 2014;48:1425-30. 
  2. Lindblom H, Carlfjord S, Hägglund M. Adoption and use of an injury prevention exercise program in female football: A qualitative study among coaches. Scand J Med Sci Sports 2018;28:1295-1303. 
  3. O’Brien J, Young W, Finch CF. The delivery of injury prevention exercise programmes in professional youth soccer: Comparison to the FIFA 11+. J Sci Med Sport 2017;20:26-31. 
  4. Waldén M, Atroshi I, Magnusson H, et al. Prevention of acute knee injuries in adolescent female football players: cluster randomised controlled trial. BMJ 2012;344:e3042.
  5. Åkerlund I, Waldén M, Sonesson S, et al. Forty-five percent lower acute injury incidence but no effect on overuse injury prevalence in youth floorball players (aged 12-17 years) who used an injury prevention exercise programme: two-armed parallel-group cluster randomised controlled trial. Br J Sports Med 2020:54;1028-35.
  6. Asker M, Hägglund M, Waldén M, et al. The effect of shoulder and knee exercise programmes on the risk of shoulder and knee injuries in adolescent elite handball players: A three-armed cluster randomised controlled trial. Sports Med Open 2022;8:91.
  7. Harøy J, Clarsen B, Wiger EG, et al. The Adductor Strengthening Programme prevents groin problems among male football players: a cluster-randomised controlled trial. Br J Sports Med 2019;53:150-7.
  8. Hölmich P, Larsen K, Krogsgaard K, et al. Exercise program for prevention of groin pain in football players: a cluster-randomized trial. Scand J Med Sci Sports 2010;20:814-21. 


Authors and affiliations

Hanna Lindblom(1, 2), Sofi Sonesson(1,2), Kalle Torvaldsson(1,2), Markus Waldén(2,3), Martin Hägglund(1,2)  

1. Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden

2. Sport Without Injury ProgrammE (SWIPE) Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden

3. GHP Ortho & Spine Center Skåne, Malmö, Sweden

The post Does an extended Knee Control programme that aims to improve feasibility and adherence prevent injuries in football players? appeared first on BJSM blog - social media's leading SEM voice.

Fri, 16 Dec 2022 04:06:55 -0800 Sportsman
The Emory Soccer Medicine Program Offers Specialized Prevention and Treatment for Soccer Players of All Ages Whether you cheer for the U.S. Men’s National Soccer Team in the World Cup, play for an adult club in Alpharetta, or proudly wear your Atlanta United jersey to work on Monday mornings, you know soccer is a big deal in our area. Athletes of all levels and abilities have made “the beautiful game” one of the region’s most popular sports.

Many of these athletes rely on the Emory Soccer Medicine Program, where a dedicated group of physicians, physical therapists, athletic trainers and sports scientists focus on keeping soccer players safe from injury and playing at their highest level.

Orthopaedic surgeon Mathew Pombo, MD, began the program in 2013 and currently acts as its director. A lifelong soccer player, Dr. Pombo is a renowned expert on soccer injury prevention and treatment and serves as a team physician for the U.S. Soccer Federation. Here, he shares his perspective on what sets Emory’s program apart and how it benefits local athletes, parents and coaches who love the game.

What Is the Emory Soccer Medicine Program?

The Soccer Medicine Program offers comprehensive injury prevention and specialty care for soccer players—young children, professional athletes and anyone in between.

Our physicians and physical therapists provide patient care at three Emory locations—Brookhaven, Dunwoody and Johns Creek. And our athletic trainers cover games for many local high schools and local clubs. We provide resources to coaches and parents who want to learn more about injury prevention, treatment and return-to-play guidelines. And we lead research studies to explore new treatments and injury prevention strategies, sometimes presenting our findings at national and international conferences.

Why Are You and Your Team Passionate about Caring for Soccer Players?

All of us have played soccer and follow the sport at the national and international levels. I started playing when I was three years old, and as a teenager, I trained on a U.S. Youth Soccer Olympic Development Team. I played in college until I experienced multiple anterior cruciate ligament (ACL) injuries.

When I came to Emory after my orthopaedic sports medicine and shoulder fellowship, I began putting together a group of specialists who shared my passion for soccer medicine. The Soccer Medicine Program is part of the Emory Sports Medicine Center and the only program of its kind in the region.

Every Soccer Medicine Program team member at Emory has earned a football medicine diploma from the International Federation of Association Football (FIFA), which signifies our expertise in soccer injury prevention and treatment. My colleagues and I see a big gap between what elite athletes and recreational players do to avoid injuries. We aim to close that gap and provide the highest level of care possible so local soccer players can enjoy the game, improve their skills and not miss any playing time due to injury.

What Type of Injury Risks Do Soccer Players Face?

A soccer player’s risk of injury varies depending on their age, gender and even the position they play. For example, the number one injury we see in players aged 12 and under is an arm fracture. That’s because these kids haven’t learned how to fall correctly yet. In older kids, you see a lot of lower extremity injuries—ACL tears and ankle sprains—that can keep them out of the game for a long time. College players, who typically play many more games than recreational athletes, need to focus on strength training to avoid wear-and-tear injuries.

Treatment plans vary, too. If I’m treating a 10-year-old with a long bone fracture, I need to protect their growth plates—the area of tissue near the ends of their bones that determine the bone’s future length and shape. If I’m surgically replacing a torn ACL with a graft (tendon), I need to use a different type of graft for a goalie than I would for a halfback or forward.

We Hear a Lot about ACL Injuries in Soccer Players. Are Those Preventable?

The most common ACL injury in soccer is “non-contact.” The injury isn’t caused by a collision with another player but by landing awkwardly after a jump, changing direction suddenly while running, or something similar.

A focused conditioning and warm-up program can help prevent two out of three ACL injuries. Our team offers resources for coaches who want to incorporate these programs into their practices and pre-game routines.

How Do You Help Players Return to the Field After an Injury?

The risk of reinjury is very high for soccer players who are out for two weeks or more. Research suggests they are at higher risk for any injury, including a concussion, a broken bone or an ACL tear. So it’s essential that injured players build up their endurance and strength before returning to play full out.

We focus on a controlled return to play with our injured athletes. Every athlete receives a personalized rehabilitation plan that includes exercise, nutrition and, if needed, sports psychology. During the rehabilitation phase, one of our physicians monitors their progress and guides them on returning to a high fitness level so they can get back to the field safely. Our providers work together to ensure each athlete has the support they need.

What Resources Do You Offer for Coaches?

We partner with coaches at every level of play who are interested in injury prevention and care. Our athletic trainers provide one-on-one education and do group presentations for coaches in the community. They also exchange cell numbers with coaches, so it’s easy to stay in touch. We want to be the first call coaches make when a soccer player goes down with an injury.

Every summer, we host a Soccer Medicine Conference for coaches and soccer club directors here in Atlanta. We give presentations on topics such as “the emergency evaluation of the downed athlete” and “concussion in soccer.” In 2022, we opened the conference to parents and got a great response. You can find several of our presentations on our website.

or call 678-506-8974, or complete the appointment form to schedule an appointment with our sports medicine team. Patient appointments are often available within 48 hours.


The post The Emory Soccer Medicine Program Offers Specialized Prevention and Treatment for Soccer Players of All Ages appeared first on Advancing Your Health.

Fri, 16 Dec 2022 03:56:43 -0800 Sportsman
Management after acute injury of the anterior cruciate ligament (ACL), part 2: management of the ACL&injured patient Management after acute injury of the anterior cruciate ligament (ACL), part 2: management of the ACL-injured patient

The post Management after acute injury of the anterior cruciate ligament (ACL), part 2: management of the ACL-injured patient appeared first on Sports Medicine Research.

Thu, 15 Dec 2022 22:21:32 -0800 Sportsman
6 Ways to Ruin Your Knees

Article featured on WebMD

Whether you’re a seasoned athlete, a weekend warrior, or totally laid-back when it comes to exercise, knowing how to protect your knees from damage can mean the difference between a fulfilling lifestyle and longterm, strained mobility.Cruising on the track in the heat of a roller derby match, 27-year-old Rachel Piplica was not at all prepared for the realization that her knee could sideline her from competitive skating for months, possibly years.”Suddenly, I heard a pop and it felt like my knee bent sideways. The pain was so bad I just fell and crawled away,” Piplica tells WebMD.The Los Angeles fashion designer who skates under the name Iron Maiven tried to keep going. “I took one more stride and my knee just let go again. The doctor immediately said, ‘I think you tore your ACL.'”

Piplica had experienced some warning signs during her previous season of skating as captain of her team, but she ignored them for the most part. “I had tremendous pain in my leg anytime I’d squat down so I just kept my right leg straight. But I never saw a doctor for it. I just assumed, ‘I’m in a contact sport and this is what happens,’” she tells WebMD.

Knee deep: A complex and vulnerable joint

Her torn ACL diagnosis confirmed, Piplica quickly learned how susceptible the knees can be to injury. According to the American Academy of Orthopaedic Surgeons, these joints are responsible for sending nearly 15 million Americans to the doctor every year.

And it’s not just athletes who suffer. Knee problems can happen to anyone.

“Because they’re the main hinge between the ground and the rest of your body, the knees serve as your ‘wheels’ that get you around and allow you to be active,” says University of Pennsylvania orthopedic surgeon and sports medicine specialist Nicholas DiNubile, MD. “Life can really go downhill when you damage your knees,” says DiNubile, who is a spokesman for the American Academy of Orthopaedic Surgeons and author of FrameWork – Your 7-Step Program for Healthy Muscles, Bones and Joints.

Bound by an intricate system of ligaments, tendons, cartilage, and muscle, the knee is highly prone to injury. It’s a complex hinge where the femur (thigh bone), tibia (shin bone), fibula (next to tibia) and kneecap all come together.

“It’s hard to find the right balance between mobility and stability; the knee needs to move back and forth, twist a little, and pivot too,” DiNubile says. The knee’s ligaments can tear, its tendons can swell up, osteoarthritis can take hold, and even everyday wear and tear can ruin a perfectly good set of knees.Here are six pitfalls you can avoid to save your knees.

1. Ignoring knee pain.

An occasional ache here and there is common. “But knowing when you can and can’t ignore pain is key,” says sports medicine specialist Jordan Metzl, MD, from the Hospital for Special Surgery in New York City.

Metzl’s rule of thumb: When the pain limits your ability to do what you normally do, you need to have it checked out.

“If your body is sending you signals, you need to listen to them. If they persist, you need to have it checked out,” he tells WebMD.

For Piplica, exploratory surgery revealed a torn meniscus she had endured in the past — unbeknownst to her — followed by the more recent ACL tear.

“In hindsight, maybe that first injury could have been repaired earlier, although I don’t know if I could have avoided this one altogether,” she says. “At least I would have been more careful.”

2. Being overweight.

Every pound of body weight yields five pounds of force on the knee, so even 10 extra pounds can put a considerable load on those joints.

Being overweight also increases your chances of osteoarthritis in the knee, a common and often disabling form of arthritis that wears away the knee’s cushiony cartilage. Excess pounds also cause existing arthritis to worsen more rapidly. According to the CDC, two out of three obese adults suffer from knee osteoarthritis at some time in their life.

Although diet and exercise are critical for weight loss, it’s a double-edged sword.

“If your knees hurt, it’s harder to lose weight through exercise,” says Metzl. So he recommends activities that go easy on the knee.

For example, opt for a stationary bike over running on the treadmill, and walk on a flat surface instead of hilly turf. If you’re a die-hard treadmill fan, then go for longer sessions of walking punched with brief intervals of brisk walking or running every three to five minutes, DiNubile says.

3. Not following through with rehab and rest.

The rest and rehabilitation period after a knee injury is critical to avoiding future pain or reinjury. Depending on the type of damage and treatment, recovery could last anywhere from a couple of weeks to several months.

“During the rehab period, you need someone to help you tell the difference between something that just hurts, and something that’s going to do you harm,” says DiNubile.He tells WebMD that many of his young athlete patients are too eager to return to regular play as soon as they stop limping. He advises patients to work with an orthopedic surgeon, a sports medicine physician, a physical therapist, an athletic trainer, or some combination of these pros, in order to ensure proper focus is placed on gradually strengthening the knees.

4. Neglecting your ACL.

One of the most commonly injured ligaments in the knee, the anterior cruciate ligament (ACL) is responsible for about 150,000 injuries in the U.S. every year.

As Piplica learned firsthand, sports like roller derby that involve quick cuts, twists, and jumping, put the ACL at higher risk for rupturing. More traditional high-risk sports include soccer, basketball, football, and volleyball.Women in particular have a two- to eight-times higher risk for ACL tears compared to men, mainly because the way women naturally jump, land, and turn puts greater strain on the ACL.However, male and female athletes alike can be trained to “rewire” themselves and thus lower risks of knee injury. That’s done through neuromuscular training, which involves supervised practice in improving agility, leg strength, and jump-landing techniques for better knee joint stability.These specialized techniques are effective in reducing risks of knee injury by almost one-half, according to a 2010 review of seven neuromuscular training studies.

“Given what we know in how useful it can be in reducing ACL tears, it’s irresponsible of coaches and parents to not require athletes to undergo neuromuscular training,” says DiNubile.

He recommends that athletes of any age who play ACL risk-prone sports should seek help from an athletic trainer or other trained professional to help avoid this debilitating injury.

5. Overdoing it.

“You make gains in fitness when you work hard and then allow your body to recover. You can’t do a hard workout every day,” Metzl says.

A sudden increase in intensity or duration of exercise can cause overuse injuries from repetitive strain. Tendonitis and kneecap pain are common symptoms in the knee.Pushing too hard is also related to overtraining syndrome, a physiological and psychological condition among athletes in which they exceed their ability to perform and recover from physical exertion, often leading to injury or lowered performance.Be sure to include stretching exercises before and after working out. And follow hard training days with easy ones so your body can recover.6. Overlooking other muscles around the knees.
Weak muscles and lack of flexibility are primary causes of knee injuries. When the muscles around the kneecap, hip, and pelvis are strong, it keeps the knee stable and balanced, providing support by absorbing some of the stress exerted on the joint.DiNubile stresses the importance of building the quadriceps and hamstring muscles, as well as proper strengthening of the body’s core muscles, including the obliques, lower back muscles, and upper thigh.
His favorite tool to help accomplish this strengthening is a Swiss medicine ball. Other exercises to try are knee extensions, hamstring curls, leg presses, and flexibility exercises.Piplica recalls realizing just how weak some of her leg muscles were.”Roller girls are striding out so much with their outer leg muscles, but we aren’t necessarily working our inner knees,” she says. “I remember when I would run for exercise, my calves and shins would hurt so bad. That surprised me, because I thought if anything was strong, it was my legs.”Piplica says she wishes she had been better educated about crosstraining activities for roller skaters, and what muscle groups they need to focus on to keep their knees healthy.

As she awaits surgery to repair her torn ACL, Piplica tells WebMD that her perspective on long-term care for her knees has definitely changed.

“Half of me is frustrated about not being able to skate sooner, but the other half knows how important it is to get better so I don’t do this again. I’m 27 years old with a serious knee injury preventing me from moving around. So I need to look beyond just skating, skating, skating. I don’t want to have knee problems when I’m 40 or 50 because I’m not giving my body the kind of attention it needs right now.”

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.


1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

8:00am – 4:30pm

The post 6 Ways to Ruin Your Knees appeared first on Orthopedic & Sports Medicine.

Thu, 15 Dec 2022 21:53:19 -0800 Sportsman
Study shows link between physical activity and lower risk of severe COVID&19 outcomes Thu, 15 Dec 2022 21:50:48 -0800 Sportsman Meniscus Tear Knee Injury: What You Need to Know One of the most common and debilitating injuries people suffer from is a knee injury, and one of the most frequent kinds of knee injury is a meniscus tear. A meniscus tear takes place when there’s tough fibrous cartilage surrounding the knee joint tears. This can result in pain, swelling, stiffness, instability, and locking of the knee joint.

Meniscus tears are particularly common among athletes due to the repetitive twisting motions they perform while playing their sport. This type of injury can often be seen in high-intensity sports like soccer, basketball, and football. In fact, according to some studies, up to 50 percent of all sports-related knee injuries involve a meniscus tear.

If you suffer from this kind of injury, it’s important for you to contact a meniscal injury clinic and speak to a doctor as soon as possible. An MRI or X-ray can help confirm the diagnosis and allow your doctor to recommend an appropriate treatment.


What Does a Meniscus Tear Feel Like?

If you have a meniscus tear, it is likely that your knee will be painful, swollen, and tender to the touch. You may also have difficulty bending or straightening your knee joint, as well as a feeling of instability when walking or running. Sometimes, you may even hear a clicking or popping sound within the joint.

A meniscus tear can range in severity depending on the location and size of the tear. Some small tears may heal over time with rest and physical therapy, while larger tears may require surgery to repair the damage. The treatment plan for a torn meniscus will depend on age, activity level, and overall health factors.

What’s the Treatment for a Meniscus Tear?

There are a variety of treatments available for a meniscus tear. Non-surgical, regenerative medical treatments include physical therapy, rest, and over-the-counter medications such as ibuprofen or acetaminophen to reduce pain and inflammation. 

Ultrasound diagnostics, platelet-rich plasma (PRP) injections, and stem cell therapy are some of the more advanced regenerative treatments used to help heal a meniscal tear.

Ultrasound Diagnostics: Ultrasound technology is used to detect the location and extent of the tear. This helps guide physical therapy and other treatments for meniscal injury, effectively targeting the area to promote healing. Ultrasound is a non-invasive way of assessing the extent of damage more precisely and can also determine whether surgery is required.

Platelet-Rich Plasma (PRP) Injections: PRP uses a concentrated form of the patient’s blood to stimulate healing. It is a natural therapy that injects the patient’s healing factors into the injured area. The injection can stimulate new cell growth and reduce inflammation, helping the torn meniscus to heal faster than with physical therapy alone.

Stem Cell Therapy: Stem Cell therapy is a cutting-edge treatment option for meniscal tears. The stem cells are harvested from the patient’s body and then injected into the damaged area to help promote healing. Injecting new, healthy cells into the injured area can accelerate healing and reduce inflammation. Stem cell therapy is also a minimally invasive procedure, making it a desirable option for those seeking effective alternatives to traditional surgery.

Surgery may be necessary if non-surgical treatments are unsuccessful or the tear is large and complex. Surgical treatments for a torn meniscus often involve arthroscopic surgery, a procedure in which a surgeon will make several small incisions in the skin around the knee joint. They then insert instruments and cameras through these openings to view and repair the damaged tissue inside the joint. Depending on the size and location of the tear, they may be able to repair it by stitching it back together. In some cases, the tear may be too large or complex to repair, and the surgeon will need to remove the torn piece of cartilage.

When Will My Knee Feel Better?

Recovery from a meniscus tear typically takes several weeks. Doctors at a meniscal injury clinic will likely recommend rest, ice, and physical therapy to help manage pain and swelling. They may also prescribe medications such as anti-inflammatories or corticosteroids to further reduce inflammation and relieve symptoms. As you progress through your rehabilitation program, strength, flexibility, and range of motion should gradually improve in the affected knee.

Following your doctor’s instructions during your recovery period is essential to ensure that your injury heals properly and does not worsen over time. If you experience any persistent pain or discomfort in your knee joint, let them know immediately so they can adjust treatment accordingly. With appropriate care and treatment, most people can expect their knee pain to improve over time and return to normal activity levels.

How Can I Prevent a Meniscus Tear?

To prevent a meniscus tear, it is important to take steps to protect your knee joint. This includes wearing appropriate footwear and protective gear when engaging in physical activity and sports. Additionally, you should incorporate strengthening exercises into your routines, such as squats, lunges, and leg presses, which can help build the muscles that support and stabilize the knee joint. If you experience pain or discomfort while exercising, stop immediately and seek medical attention if necessary.

Proper warm-up exercises before any physical activity can also help reduce the risk of injury. These simple precautions will help ensure your knee stays healthy and strong for many years.


A meniscus injury can be a painful and debilitating injury, but with proper education and preventive measures, it doesn’t have to be. By understanding the mechanics of your knee joint and how to care for it properly, you can help reduce your risk of developing a meniscus tear or other injury. Additionally, incorporating strengthening exercises into your routine will help support the knee joint, making it less susceptible to injury. Taking the time to learn about and protect your knee joint can help ensure long-term health and mobility. 

If you are looking for more information about regenerative medical treatments, contact a trusted meniscal injury clinic like USA Sports. At USA Sports, we offer the latest in regenerative medicine treatments, including PRP, ultrasound diagnostics, and stem cell therapy. What’s more, our team of experts will answer any questions and walk you through every step of the recovery process.

Thu, 15 Dec 2022 15:24:27 -0800 Sportsman
339. Study suggests there is no correct amount of water to drink each day Many people believe they are supposed to drink 8 glasses of water – 8 ounces each – every day. A new study suggests there is no correct amount of water to drink. In the study, published in the journal Science, researchers studied over 5,600 people from 26 countries. They determined that people’s water consumption varies greatly, anywhere from four to 25 cups of water per day. Water needs appear to peak for men in their twenties, while the amount for women stays roughly the same until age 55. The researchers concluded that there is not a specific number of glasses the average human should consume each day. People should adjust the amount of water they drink based on a number of factors, like how physically active they are, how hot and humid it is, and how much they weigh.

The post 339. Study suggests there is no correct amount of water to drink each day appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Thu, 15 Dec 2022 10:13:57 -0800 Sportsman
New Shockwave Therapy

New Shockwave Therapy provide regenerative pain relief for patient. Learn more about Ryan Butler’s amazing results from this new, non-surgical treatment now available at Charleston Sports Medicine.

The post New Shockwave Therapy appeared first on Charleston Sports Medicine & FitMed Partners.

Thu, 15 Dec 2022 10:04:57 -0800 Sportsman
Lifestyle characteristics in adolescent female football players: data from the Karolinska football Injury Cohort Thu, 15 Dec 2022 10:01:00 -0800 Sportsman The power of Nocebo (the opposite of placebo) Last weekend I went on a course for Osteopaths and Physiotherapists about running injuries. One of the most interesting take home points was that many injuries have now been renamed as this can effect the effects on patients.

So for example ITB syndrome how now been renamed ITB pain as even using the word ‘syndrome’ implies long term, unchanging pain and this alone can effect how people feel.

Achilles Tendinopathy is now the official term for what sued to be called achilles tendinitis or achilles tendinosis as these 2 terms imply specific biological processes that are unclear and change the way the osteopath, physio and patient approach the treatment plan.

It’s seems crazy that the name of the diagnosis can have such an effect but the power of the mind never ceases to amaze. Underestimate at your peril!!!

Thu, 15 Dec 2022 04:28:38 -0800 Sportsman
NAD+ IV Therapy: Potential to Reverse Neurodegenerative Diseases By: Dana Engram NAD+ and Aging  Nicotinamide Adenine Dinucleotide (NAD+) is a vital cofactor involved in homeostasis and energy production...

The post NAD+ IV Therapy: Potential to Reverse Neurodegenerative Diseases appeared first on Physio Logic NYC.

Wed, 14 Dec 2022 09:16:23 -0800 Sportsman
Exercise is medicine for cancer and every dose counts, even in late stages of the disease: Study Wed, 14 Dec 2022 09:07:23 -0800 Sportsman Does our weight increase the risk of dementia? It appears so. Does our weight increase the risk of dementia? It appears so.

Obesity is a significant public health concern, as it has been linked to a wide range of negative health outcomes, including heart disease, stroke, and diabetes. In recent years, research has also suggested that obesity may increase the risk of cognitive decline, particularly in older adults. Cognitive decline is a normal part of the aging […]


Continue Reading »

Wed, 14 Dec 2022 08:57:08 -0800 Sportsman
338. Green Mediterranean diet reduces visceral fat If you want to lose unhealthy and dangerous visceral fat, a green Mediterranean diet might be best. In a new study published in the journal BMC Medicine, researchers in Israel studied almost 300 people for 18 months. They compared the effects of a standard healthy diet, the Mediterranean diet, and the green Mediterranean diet with less red meat and additional walnuts, green tea and a green drink each day. The green Mediterranean diet reduced visceral fat 14 percent, significantly more than the other two diets. Visceral fat is the fat that collects between and around our internal organs. It has a close association to cardiovascular disease, diabetes, dementia and premature death.

The post 338. Green Mediterranean diet reduces visceral fat appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Wed, 14 Dec 2022 08:32:49 -0800 Sportsman
Correction: Effect of different recovery modes during resistance training with blood flow restriction on hormonal levels and performance in young men: a randomized controlled trial Wed, 14 Dec 2022 08:19:53 -0800 Sportsman Management of anterior cruciate ligament revision in adults: the 2022 ESSKA consensus part I — diagnostics and preoperative planning Management of anterior cruciate ligament revision in adults: the 2022 ESSKA consensus part I—diagnostics and preoperative planning

The post Management of anterior cruciate ligament revision in adults: the 2022 ESSKA consensus part I — diagnostics and preoperative planning appeared first on Sports Medicine Research.

Wed, 14 Dec 2022 02:30:53 -0800 Sportsman
10,000 Steps a Day May Halve Dementia Risk

Article featured on MedicalNewsToday

As the global population ages, cases of dementia are also on the rise worldwide. The World Health Organization (WHO) states that some 55 million people currently have dementia, and the number is set to rise to 139 million by 2050.

The Centers for Disease Control and Prevention (CDC) estimate that Alzheimer’s disease, the commonest form of dementia, affects around 5.8 million people in the United States alone.

The greatest risk factors for dementia, according to the Alzheimer’s Society, are aging and genetics. Dementia is most common in those aged over 75, and having a close relative with dementia may increase a person’s risk of developing the disorder.

Other risk factors that we cannot control include sex — females are more at risk than males — and ethnicity. However, lifestyle changes, such as increasing physical exercise, controlling blood pressure, and keeping the brain stimulated, can decrease a person’s risk of dementia, even for those who have one or more risk factors.

And physical exercise need not mean sweating it out at the gym or taking up a new sport.

According to a study recently published in JAMA Neurology, simply increasing the number of steps a person takes each day can decrease their dementia risk by as much as 50%.

How did the study proceed?

The study used data from the UK Biobank. The 78,430 participants, of whom 44.7% were male and 55.3% female, had a mean age of 61.1 years. All participants were free of cardiovascular disease and dementia when they enrolled in the study. Researchers followed up with participants after a median of 6.9 years (6.4–7.5 years).

For the study, participants had to wear an accelerometer on their dominant wrist 24 hours a day, 7 days a week, to measure physical activity. The researchers then used an algorithm to work out the step count from the data collected by the accelerometer.

The researchers controlled for variables such as age, sex, race, socioeconomic status, smoking, overall health, and diet when analyzing the data.

At follow-up, 866 participants, or 1.1%, had developed dementia.

“The Alzheimer’s Association is conducting a clinical trial combining exercise with other lifestyle factors, like diet and social/ cognitive engagement, to determine if these factors in combination reduce risk of cognitive decline,” she added.

Dr. Porsteinsson agreed: “There are definite limitations to observational cohort studies but advantages as well. They are hypothesis-generating, that is they point us toward what we may want to study further in a controlled, randomized study. The good news here is that there is a bulk of evidence that suggests that exercise is beneficial in staving off dementia.”

What the study found

“This is an important study that may help inform public health guidelines around the amount of physical activity necessary to reap health benefits,” said Dr. Sexton.

“These results are not surprising given the robust data we have linking physical activity and better cognition. A strength of this paper is it used an objective, widely-understood measure of step count rather than self-reported data,” she noted.

The researchers found that both the number of steps and stepping intensity were associated with reduced dementia risk. For the greatest benefit — a 50% reduction in dementia risk — participants had to walk around 9,800 steps per day. Above this number, no further benefit was seen.

However, the good news for those who cannot achieve this many steps was that just 3,826 steps a day reduced dementia risk by 25%.

Dr. Porsteinsson agreed that any exercise will help reduce risk. “[It’s] never too late to get started and even a relatively small effort is beneficial and can then be added to as endurance improves,” he told us.

Purposeful steps, defined as more than 40 steps per minute, such as when going for a walk, increased the association with reduced dementia risk.

Stay active for mental and physical health

This study adds to building evidence that staying active as you age can maintain physical and mental health and improve longevity.

Another large-scale study of almost 650,000 military veterans found that being physically fit reduced dementia risk by up to 33%. In this study, even a small amount of exercise was found to help reduce dementia risk.

An analysis from the Alzheimer’s Society of 11 studies found that, out of taking regular exercise, not smoking, moderating alcohol intake, maintaining a healthy body weight, and eating a healthy diet, it was regular exercise that had the greatest impact on dementia risk.

For Alzheimer’s disease, regular exercise reduced risk by up to 45%.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.


1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

8:00am – 4:30pm

The post 10,000 Steps a Day May Halve Dementia Risk appeared first on Orthopedic & Sports Medicine.

Wed, 14 Dec 2022 02:02:37 -0800 Sportsman
Fewer, but more serious, injuries at Tokyo 2020 Paralympics than at previous Games Wed, 14 Dec 2022 01:56:15 -0800 Sportsman Newly introduced sports linked to highest athlete injury rates at 2020 Tokyo Olympics Wed, 14 Dec 2022 01:56:14 -0800 Sportsman Stretches and Tips to Manage Aches and Pains this Holiday Season. by Ben Harrison PT, DPT | South Gilbert

With the holiday season being a busy time of year, stretching and exercising often get on the back burner. Holiday preparation like festive decorating inside and out, shopping, standing, and carrying all of those heavy presents can take a toll on the body leading to aches and pains often in the hips and low back areas. Thankfully, these aches and pains can be managed with a few simple daily stretches that only take 5-10 minutes.

Four Stretches to Manage Aches & Pains

Pectoral Musculature Doorway Stretch
Cooking, cleaning, wrapping presents, and shopping all place us in a position where we lean forward with rounded shoulders, which cause tightness in the pectoral musculature.

One way to counteract this tightness is to stretch out your pectoral musculature in a doorway through an exercise called a doorway pec stretch:

  1. Place both hands on each side of a doorway and step into the doorway to feel a stretch along the chest.
  2. Hold this for 15-30 seconds at a time and perform it 3 times.

This stretch will help to bring your shoulders back and open your chest.

Woman stretching shoulders in doorway

Piriformis Stretch
With prolonged sitting, standing, and walking, people often report they feel soreness in the “glutes.” Often times the soreness is caused by a tight piriformis.
You can stretch your piriformis while lying on the ground, the couch, or bed:

  1. Lay on your back with one knee bent up towards your chest.
  2. Place the bent leg’s foot over the other leg.
  3. Place your hands on the bent knee and pull the leg across your body, towards your opposite shoulder, until you feel a stretch in the gluteal region.
  4. Hold the stretch for 15-30 seconds at a time and perform 3 times on both legs.

This stretch can also be performed in a sitting position.

Woman stretching leg in front of Christmas tree
woman stretching leg

Hamstring Stretch
With increased activity, like walking the mall for holiday gifts, tightness is often felt in the back of the legs (hamstrings).
To stretch your hamstrings:

  1. Start by finding a place you can lay on your back, like your bed or a spot on the floor.
  2. Next, place a dog leash or beach towel around one of your feet. While lying on your back and your legs extended straight, use the leash or towel to pull the leg up while keeping the knee as straight as possible.
  3. A stretch should be felt in the back of the leg. Hold for 15-30 seconds and perform 3 times on both legs.

This stretch can also be performed sitting on the side of the bed or couch; see the image below.

Woman stretching hamstring with resistance band
Woman stretching hamstring

Seated Prayer Stretch
The final stretch is called a seated prayer stretch, which stretches the muscles of the low back.

  1. If comfortable, go into the kneeling yoga pose, the child’s pose.
  2. Lean forward so you can place your hands on the floor.
  3. Walk your hands to the left. You should feel a stretch in the low-back musculature on your right side.
  4. Hold for 15-30 seconds and then move to the right side, where a stretch should be felt in the left low back region.
  5. Repeat these steps until you’ve done this 3 times on both sides.

Kneeling child's pose in front of Christmas tree

If you are unable to get into the kneeling child’s pose position, this lower-back stretch can also be performed standing at a counter:

  1. Lean forward and place both hands on the counter.
  2. Walk your hands to the left.
  3. You should feel a stretch in the low-back musculature on your right side.
  4. Hold this for 15-30 seconds and then go to the right side, where a stretch should be felt in the left low back region.
  5. Do this 3 times on both sides.

You can also do this stretch by sitting in a chair, placing your hands on a table, and then sliding the chair back to feel a stretch in the lower back musculature.

Tips to Prevent Back Pain This Holiday Season

Pain in lower back

Back injuries can be frustrating, time-consuming, and costly to fix. Having a back injury can prevent you from being able to be fully present in all of your holiday plans. Having good postural awareness at home, in the car, and at work are essential in providing care for your own back. Whether it involves baking cookies, decorating a tree, or hanging lights around your house, it is important to be cognizant of having correct body mechanics. Remembering correct body mechanics during this busy season can be extremely tough, but here are four proper lifting techniques to help keep you pain-free this holiday season!

  1. Remember to bend your knees and lift with your legs when lifting an object.
  2. Keep the object you are lifting close to your body.
  3. Avoid twisting when lifting, but pivot instead.
  4. Keep your core muscles tight when lifting.

Incorporating proper body mechanics, postural awareness, and exercise can lead to a successful outcome! We hope this helps you stay happy and healthy through the New Year.

If you still feel pain after performing these stretches regularly or following these proper lifting techniques, make an appointment at our physical therapy offices. We’ll provide a tailored exercise and stretching plan to help manage your pain so you can fully enjoy the season.

The post Stretches and Tips to Manage Aches and Pains this Holiday Season. appeared first on Foothills Sports Medicine Physical Therapy.

Wed, 14 Dec 2022 01:38:13 -0800 Sportsman
Associations of Prolonged Occupational Sitting with the Spectrum of Kidney Disease: Results from a Cohort of a Half&Million Asian Adults Tue, 13 Dec 2022 12:18:43 -0800 Sportsman Shoulder Injuries on the Slopes: Rotator Cuff Tears Skier suffering a shoulder injury: rotator cuff

Winter has arrived, which means one thing for ski and snowboard fans: it's time to hit the slopes! However, that also means that Dr. Sterett, Vail Valley's leading orthopaedic surgeon, begins to see an increase in shoulder injuries – the most common being rotator cuff tears.

Your rotator cuff is a group of shoulder muscles responsible for stabilizing the arm while lifting, swinging, and rotating your arm. It's a crucial part of our anatomy, which is why it can be so painfully frustrating when we suffer an injury to this area. 

Signs of a Torn Rotator Cuff

Person with shoulder pain from a rotator cuff tear

An acute rotator cuff tear while skiing or snowboarding is often the result of a fall onto an outstretched arm or a direct hit to the shoulder from a collision. Rotator cuff tears can also develop over time from repetitive movements or natural wear and tear.

If you suffered a fall or collision while skiing or are experiencing shoulder pain and discomfort, here are six signs that may indicate a rotator cuff tear.

  1. Immediate Pain - A sudden, acute tear from a crash while skiing or snowboarding will likely cause immediate and severe shoulder pain, followed by a dull ache. 

  2. Pain With Movement - Lifting, lowering, or rotating your arm may result in sharp pain.

  3. Pain While Sleeping - Pain may worsen when resting or sleeping, especially when lying on the injured side. 

  4. Limited Range of Motion - You may find that you cannot move your arm in certain directions without experiencing significant pain and stiffness, such as lifting your arm above your head or trying to reach behind you. 

  5. Weakness in the Shoulder - Certain activities, such as picking up objects, may become more challenging due to shoulder weakness. 

  6. Clicking Sound - You may experience a popping or clicking sensation when moving the arm, which can be a sign that a muscle or tendon has been damaged. 

If any of the above symptoms sound familiar, it's time to contact an orthopaedic specialist. Not only is early treatment a key factor in preventing further damage, but it’s important to rule out other injuries that can occur in conjunction with acute rotator cuff tears.

How Is a Rotator Cuff Tear Treated? 

Person receiving treatment from a rotator cuff tear

Dr. Sterett of Vail-Summit Orthopaedics & Neurosurgery will accurately diagnose your injury and work with you to develop a treatment plan that gets you back on the slopes as quickly as possible.  

The good news is that about 80% of rotator cuff tears can be treated nonsurgically with the following measures:

  • Rest

  • Ice

  • Arm sling

  • Anti-inflammatory medications

  • Physical therapy

  • Steroid injections

In some cases, Dr. Sterett may recommend surgery as the best option to restore full function to your shoulder. These situations include:

  • If you have a complete or complex tear 

  • You have continued pain and weakness, despite conservative treatments

  • You are an athlete returning to a high level of performance

  • Your job involves frequent, repetitive motions

Read more about rotator cuff surgery

Contact the Top Shoulder Surgeon in Vail Today

If you suffered a shoulder injury, contact Dr. Sterett and his team at Vail-Summit Orthopaedics & Neurosurgery!

As the leading orthopaedic shoulder surgeon in Eagle County — home to two renowned ski resorts — Dr. Sterett is known for his experience and skill in treating ski and snowboard shoulder injuries. He and his team will provide an accurate diagnosis and develop a treatment plan that prioritizes your unique lifestyle and goals. 

Call (970) 476-7220 today or request an appointment through Team Sterett's online form. Same-day and next-day appointments are often available. 

Call (970) 476-7220 ]]>
Tue, 13 Dec 2022 11:10:45 -0800 Sportsman
337. The age kids get their first phones doesn’t affect grades or well&being How old your child is when he or she gets a phone does not seem to have any effect on their development. In a new study published in the journal Child Development, researchers at Stanford followed a group of more than 250 children for five years. Over those five years, most of the children received their first cell phone. The average age at which children received their first phones was just over 11 and a half years old. Families generally chose an age when the parents felt it was best for the child. The researchers found that based on a number of different measures, the age at which children get their first phones has little, if any, effect on outcomes like grades, sleep, depression and well-being.

The post 337. The age kids get their first phones doesn’t affect grades or well-being appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Tue, 13 Dec 2022 11:09:29 -0800 Sportsman
Building a Successful Sports PT Practice with Josh Funk How focusing on clinical outcomes and staff development helps R2P

The post Building a Successful Sports PT Practice with Josh Funk appeared first on Mike Reinold.

Tue, 13 Dec 2022 04:35:26 -0800 Sportsman
Trunk Biomechanics in Individuals with Knee Disorders: A Systematic Review with Evidence Gap Map and Meta&analysis Mon, 12 Dec 2022 21:58:52 -0800 Sportsman Is Postural Control Affected in People with Patellofemoral Pain and Should it be Part of Rehabilitation? A Systematic Review with Meta&analysis Mon, 12 Dec 2022 21:58:52 -0800 Sportsman Associations Between Wearable&Specific Indicators of Physical Activity Behaviour and Insulin Sensitivity and Glycated Haemoglobin in the General Population: Results from the ORISCAV&LUX 2 Study Mon, 12 Dec 2022 21:58:52 -0800 Sportsman Does Jumping Cause Incontinence? Does Jumping Cause Incontinence?

This is a guest article written by Dr. Maureen O’Keefe, DPT who specializes in pelvic health.  She has been specializing in pelvic health and helping people overcome incontinence caused by jumping for over 2 decades.  You can find Dr. Maureen at Purple Mountain Physical Therapy in Grand Rapids, Michigan.  Here at MUV Therapy Physio & Sports Medicine, we also treat pelvic floor dysfunction and athletes who experience incontinence with jumping by providing you much of the in-depth analysis and treatment that Dr. Maureen discusses here.  

In this article you will gain insights into why jumping causes incontinence and how you can correct it. 

Should I expect that jumping causes incontinence after giving birth?  

The short answer to this question is no.  You should never leak urine, even when jumping and after giving birth. Unfortunately, women have come to believe that it is normal.  But leaking urine is never normal, whether it is when jumping, sneezing or laughing.   Just because many of your friends’ experience incontinence with jumping does not make it normal.  One contributor to this problem is that postpartum physical therapy rehabilitation is not provided to you, so you never recover your pelvic floor muscles, core muscles and bladder control ability.  Research supports that working with a specialized pelvic health physical therapist will help your postpartum recovery, including your ability to jump without leaking urine.  

Are my pelvic floor muscles just weak and that’s why jumping causes incontinence?

It is unlikely that weakness in the pelvic floor muscles is the one and only cause of your leakage.  Many women falsely assume their pelvic floor muscles are stretched out and weak, because they gave birth vaginally.  Yes, vaginal birth lengthens and stretches the pelvic floor.  But, by the time you are back to jumping, your muscles likely have improved this somewhat and now those muscles are working in overdrive to try to stop leaking with jumping.  This overdrive is the problem and layering Kegels on top of a muscular system that is already overworked can worsen your leakage.  We need to take the pressure off the pelvic floor by treating your entire bladder control system, which means your back, posture, breathing, ribcage, abdominal wall, hips, knee and feet.  

Why does jumping cause incontinence?

Jumping creates so much up and down forces that jostle the bladder, urethra and pelvic floor.  When jumping we are also generating intra-abdominal pressure to achieve the explosive lift off and landing.  Sometimes we also generate excess intra-abdominal pressure when we hold our breath or bear down when jumping, which causes incontinence.  This jostling + intra-abdominal pressure strains the bladder control system.  When the pelvic floor muscles are overwhelmed by the entire experience, you are asking too much of them.  This is why Kegels don’t solve the problem.  The problem is not to solely strengthen the pelvic floor, the problem also involves your intra-abdominal pressure generators and learning how to optimize the forces  and movement patterns that are jostling and straining your bladder control system.  

When jumping causes incontinence, your pelvic physical therapist will sleuth out the numerous contributing factors to this leakage.  

Pelvic health PTs are specially trained to rehabilitate problems related to bladder and bowel control, pelvic organ prolapse, pelvic floor dysfunction and pelvic pain.  We have training that includes sports and orthopedics physical therapy plus pelvic-specific rehabilitation.  

Common things that cause leakage with jumping that a pelvic floor physical therapist treats:

  1.  Diastasis recti abdominis:  this is a widening and thinning of the linea alba in the abdominal wall and is common after giving birth.  Physical therapy can correct this.  A problematic diastasis recti abdominis will not effectively transfer loads as you move around, so when you jump you lack the intra-abdominal pressure control management system necessary to keep you dry.

  2. Weak deep abdominals:  Research shows that the abdominal muscles and pelvic floor work in tandem.  If the abdominals are not functioning well for you then your pelvic floor will not function optimally.

  3. Lower back pain:  People who have lower back pain have been found in research to also have pelvic floor dysfunction.  Therefore, if you want to stop your incontinence with jumping, then we need to effectively treat your lower back, as well.  Otherwise, the tightness or stiffness you experience in your lower back leads to pelvic floor problems and more bladder leakage can happen.

  4. Pelvic floor dysfunction: The muscles are slow, weak, stiff, tense, overworked or somehow not effectively generating the support necessary to prevent leakage.

  5. Postural misalignment:  this is a very important contributor to jumping causing incontinence.  We often find our patients jump with the ribcage and pelvis not in optimal alignment.  This can lead to an easier pathway for the bladder and urethra to leak urine.  Correcting your posture during higher level activities, like jumping, requires a skilled physical therapist to help you, otherwise you won’t know what you are doing wrong. It is very difficult to make some of these micro-adjustments and figure it out on your own.

  6. Weak hips:  If the glutes, hip flexors or hip rotators aren’t strong and flexible, you are setting your body up to overwhelm the bladder control system, including the pelvic floor muscles. 

  7. Feet or knee problems:  We often see women jumping and experiencing a very slight (or quite large) misalignment of their ankles or knees when they jump.  For example, some women are flat footed, so they jump and the arch of their foot collapses and their knee deviates inward slightly.  Deviations in how the feet or knees land can imbalance the pelvis and alter the ability of the pelvic floor muscles to lift and squeeze to help keep the urethra closed.

  8. Pelvic organ prolapse:  Prolapse is one of the most common things that pelvic health PTs treat.  If you are having prolapse, activities that generate a lot of downward force through your abdomen will strain your area and can contribute to incontinence. Fortunately, pelvic PT helps restore your pelvic organ support system, by addressing your posture, movement patterns, myofascial restrictions, scar tissue, pelvic floor muscle function, core strength, breathing habits, hips and more.  By working on all of these things, you will find that prolapse and incontinence symptoms improve.  

  9. Hypermobile urethra:  If the urethra can move around too much, then urine can easily slip out.  In pelvic PT we work to optimize your body’s ability to support your urethra

  10. Altered movement patterns:  This includes your jumping and landing mechanics, including your foot, knee, hip, pelvic, low back, ribcage and head positions.  How you take off and how you land directly impact your ability to control your urine. 

All of these things are treatable with high quality physical therapy, but it takes an in-depth assessment by your physical therapist to determine exactly what you need.   

At Purple Mountain Physical Therapy in Grand Rapids, Michigan and at MUV Therapy Physio & Sports Medicine, we treat athletes of all ages that experience incontinence caused by jumping.  Our pelvic health physical therapists are also fully trained orthopedic physical therapists and provide whole body treatment to comprehensively solve the problem of your incontinence with jumping.  If you are interested to learn more about Purple Mountain Physical Therapy, you can find us at

Mon, 12 Dec 2022 21:25:33 -0800 Sportsman
Sports team participation linked to increased odds of vaping Mon, 12 Dec 2022 21:24:15 -0800 Sportsman It's snow season: Stay safe on the slopes Mon, 12 Dec 2022 21:24:14 -0800 Sportsman NFL players age faster than the rest of us. Harvard is researching what can be done Mon, 12 Dec 2022 21:24:13 -0800 Sportsman 336. People in better shape are less likely to need sleeping pills A large percentage of adults struggle with sleep, but for many, sleep becomes so much of an issue that they use sleeping pills. A new study published in Mayo Clinic Proceedings suggests that those people in better shape are less likely to need them. Norwegian researchers collected data from roughly 240,000 people. The researchers found that over the 12 years of the study, 17 percent of the participants developed sleep issues that caused them to get a prescription for a sleep medication from their doctors. They found that the adults in the best physical shape used fewer sleep medications. The researchers claim the data suggests that being physically fit can also help you sleep better.

The post 336. People in better shape are less likely to need sleeping pills appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Mon, 12 Dec 2022 13:06:24 -0800 Sportsman
Correction: Fractal correlation properties of HRV as a noninvasive biomarker to assess the physiological status of triathletes during simulated warm&up sessions at low exercise intensity: a pilot study Mon, 12 Dec 2022 12:53:27 -0800 Sportsman Incorporating HRV into your training as a runner Incorporating HRV into your training as a runner

As a runner, monitoring your heart rate is a common way to gauge your fitness level and track your progress. However, heart rate alone doesn’t provide a complete picture of your body’s response to training. That’s where heart rate variability (HRV) comes in. HRV is a measure of the time interval between heartbeats, and it […]


Continue Reading »

Mon, 12 Dec 2022 06:20:47 -0800 Sportsman
Moving towards a triplanar view of hamstring strain injuries Broadening understanding beyond simply ‘sprint’ and ‘stretch’ type injuries may impact injury prevention, rehabilitation, and diagnosis

History of hamstring injury mechanisms
Since 2006, we have known that the mechanism of injury impacts functional deficits, injury location and time to return to play (1-4) . At that point, these mechanisms were viewed as sprint type (occurring, of course, in sprinters) and slow-stretch type (occurring in dancers).  Stretch-type injuries were found to typically have a less severe initial presentation, but take longer to return, and often involved the free tendon of the semimembranosus. Sprint-type injuries meanwhile involved the biceps femoris, and conversely, presented more severely acutely yet tended to return to sport faster. Subsequently, most field-sport based studies describing hamstring injury mechanism call the mechanism simply ‘sprinting’. 

Although widely used, are ‘stretch’ and ‘sprint’ terminologies limited?
A thorough systematic review by Danielsson (5) summarises the mechanism of hamstring injuries. The authors concluded that the stretch type hamstring injury occurred in a position of excessive hip flexion with a hyperextended knee, and that sprint-related injuries most likely occurred during late swing phase. This is supported by the work of Thelen (6) who described peak force and maximal negative work being carried out by the lengthened biceps femoris long head during late swing phase, establishing this during upright treadmill running. While this is certainly a useful finding that advances our understanding, questions remain unanswered away from the treadmill, and in field sports where these injuries are so common. Agility and evasion require movements in 3 planes and across multiple joints, including the trunk (Figure 1). If the trunk has a role in ‘stretch’ injury, it follows that it may have a role In ‘sprint-type’ injury? Can such mechanisms be combined?

Two studies published at the beginning of 2022in the BJSM examine this concept by using systematic video analysis to describe the mechanism of hamstring injury in elite sport for the first time. Kerin, et al. (7) (Infographic 1) describe injuries in professional rugby occurring in five distinct patterns – running, decelerating, kicking, in the tackle and in the ruck. Importantly, the authors frequently observed trunk flexion and ipsilateral rotation, as well as knee extension at the point of injury.

Infographic 1: Infographic prepared by Yann Le Meur presenting the findings of Kerin et al 2022

Similarly, Gronwald, et al. (8) (Infographic 2) described the mechanism of hamstring injury in elite German soccer. This study ended any perception that all football injuries are ‘sprint type’ injuries. Of the 52 included, 25 were sprint type and 27 were stretch type. Table 1 demonstrates how the stretch type injuries occurred kicking and braking and were frequently caused by indirect contact from an opponent (i.e., contact to the body but not the hamstring).

Infographic 2: Infographic prepared by Yann Le Meur presenting the findings of Gronwald et al 2022

How can this impact prevention and rehabilitation?

With an evolving understanding of the biomechanics of injury, and possible tasks or position of risk, strategies can be put in place to potentially reduce injury incidence. Previously, injury prevention strategists have hypothesized that targeting robustness during late swing phase by training the hamstring muscles in appropriate positions. Such an approach is limited as it gives no consideration to the trunk in any plane. An approach to reduce injuries in rugby may involve improving technique around the tackle and ruck, and training hamstring strength at long muscle length (both in trunk and knee flexion), while challenging stability in multiple planes at the trunk (see video from Jurdan Mendiguchia). Exercises like a Split Stance Romanian Deadlift and Single Leg Hip Extension or Glute Ham Raise – incorporating a single arm row to add a transverse plane component – can be useful. The addition of lateral bounds while holding an Aquabag (or otherwise challenging multiplanar stability) may prepare the athlete for the demands of changing direction.  

Can unpicking the mechanism help us diagnose the injury location?
Another potential benefit of integrating mechanism analysis in hamstring injury management is that it may give us further detail as to the injury location. Although Askling found biceps femoris was more frequently injured by sprinters, and semimembranosis by dancers, those findings have not necessarily been replicated elsewhere (1-3). Most stretch-type injuries described by Gronwald, et al. (8) involved the biceps femoris. However, there may be cases where the mechanism of injury is a warning that may create suspicion of a more complex type of injury. 

T-Junction injuries – involving the distal confluence of the short and long heads of biceps femoris – have been shown to have amongst the highest re-injury rate of any injury (9) but can only be diagnosed by MRI, a form of imaging which will not always be available. In the same way as a position of forced trunk flexion and knee extension seems to be associated with semimembranosis injury (see Image 2), our group have repeatedly detected a theme amongst athletes with T-Junction injuries (see Image 1). Frequently these injuries occur during late swing phase (or early stance), with a rapid ipsilateral trunk rotation (often to catch a pass, make a tackle, reach for a ball or to look behind them). If this is indeed a pathognomic mechanism, it could be helpful in aiding clinicians and athletes in more optimally managing these challenging injuries.

Image 1: The mechanism of a T-Junction injury in a professional rugby union player, reproduced from Kerin, et al. (7)


  • ‘Stretch’ and ‘sprint’ type mechanisms may be too limited terms to be truly useful in understanding hamstring injuries
  • Recent publications have described multiple scenarios and types of hamstring injuries in football and rugby union using systematic video analysis
  • These findings may impact upon injury prevention, modify rehabilitation, or assist in determining the most likely area on injury


  1. Askling C, Saartok T, Thorstensson A. Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level. Br J Sports Med 2006;40(1):40-4. doi: 10.1136/bjsm.2005.018879 [published Online First: 2005/12/24]
  2. Askling CM, Tengvar M, Saartok T, et al. Acute first-time hamstring strains during slow-speed stretching: clinical, magnetic resonance imaging, and recovery characteristics. Am J Sports Med 2007;35(10):1716-24. doi: 10.1177/0363546507303563 [published Online First: 2007/06/15]
  3. Askling CM, Tengvar M, Saartok T, et al. Acute first-time hamstring strains during high-speed running: a longitudinal study including clinical and magnetic resonance imaging findings. Am J Sports Med 2007;35(2):197-206. doi: 10.1177/0363546506294679 [published Online First: 2006/12/16]
  4. Askling CM, Tengvar M, Saartok T, et al. Proximal hamstring strains of stretching type in different sports: injury situations, clinical and magnetic resonance imaging characteristics, and return to sport. Am J Sports Med 2008;36(9):1799-804. doi: 10.1177/0363546508315892 [published Online First: 2008/05/02]
  5. Danielsson A, Horvath A, Senorski C, et al. The mechanism of hamstring injuries – a systematic review. BMC Musculoskelet Disord 2020;21(1):641. doi: 10.1186/s12891-020-03658-8 [published Online First: 2020/10/01]
  6. Thelen DG, Chumanov ES, Hoerth DM, et al. Hamstring muscle kinematics during treadmill sprinting. Med Sci Sports Exerc 2005;37(1):108-14. doi: 10.1249/01.mss.0000150078.79120.c8 [published Online First: 2005/01/06]
  7. Kerin F, Farrell G, Tierney P, et al. It’s not all about sprinting: mechanisms of acute hamstring strain injuries in professional male rugby union-a systematic visual video analysis. Br J Sports Med 2022;56(11):608-15. doi: 10.1136/bjsports-2021-104171 [published Online First: 2022/01/21]
  8. Gronwald T, Klein C, Hoenig T, et al. Hamstring injury patterns in professional male football (soccer): a systematic video analysis of 52 cases. Br J Sports Med 2022;56(3):165-71. doi: 10.1136/bjsports-2021-104769 [published Online First: 2021/12/09]
  9. Entwisle T, Ling Y, Splatt A, et al. Distal Musculotendinous T Junction Injuries of the Biceps Femoris: An MRI Case Review. Orthop J Sports Med 2017;5(7):2325967117714998. doi: 10.1177/2325967117714998 [published Online First: 2017/08/11]

Author: Fearghal Kerin


UCD School of Physiotherapy, Public Health and Performance Science, Belfield, Dublin 4, Ireland

Leinster Rugby, Dublin, Ireland

The post Moving towards a triplanar view of hamstring strain injuries appeared first on BJSM blog - social media's leading SEM voice.

Mon, 12 Dec 2022 05:42:17 -0800 Sportsman
Review of Plantar Fibromas plantar fibromas fibromatosis cover

A plantar fibroma is typically a painless mass within the plantar fascia.

The post Review of Plantar Fibromas appeared first on Sports Medicine Review.

Mon, 12 Dec 2022 00:15:01 -0800 Sportsman
The influence of walking speed and effects of signal processing methods on the level of human gait regularity during treadmill walking Sun, 11 Dec 2022 13:19:21 -0800 Sportsman Return to Play Following Achilles Tendon Rupture

Achilles tendon ruptures are typically treated conservatively with a return to play in 6 months.

The post Return to Play Following Achilles Tendon Rupture appeared first on Sports Medicine Review.

Sat, 10 Dec 2022 17:25:28 -0800 Sportsman
Incidence of Lower Extremity Injuries in the NFL on Grass versus Turf lower extremity injuries turf vs grass

Football fans and medical providers have likely noticed increased debate regarding injuries and playing surfaces.

The post Incidence of Lower Extremity Injuries in the NFL on Grass versus Turf appeared first on Sports Medicine Review.

Sat, 10 Dec 2022 17:25:27 -0800 Sportsman
Special Tests for the Neck Exam special tests for the neck exam

Sports medicine physicians and other members of the sports medicine team should be familiar with special tests for the neck.

The post Special Tests for the Neck Exam appeared first on Sports Medicine Review.

Sat, 10 Dec 2022 17:25:26 -0800 Sportsman
Ozempic warning: Doctors urge caution for those using diabetes drug for weight loss

Doctors are being asked to prescribe the diabetes treatment Ozempic, for purposes other than what it was prescribed for.

Watch the video.

The post Ozempic warning: Doctors urge caution for those using diabetes drug for weight loss first appeared on US Center for Sports Medicine. ]]>
Sat, 10 Dec 2022 17:19:01 -0800 Sportsman
Anti&Aging Habits: 4 Myths About Aging and the Truth Behind Them As we age, our bodies go through a lot of changes. We may not be able to do the things we used to do, and we may have to make lifestyle changes. But that doesn’t mean that aging is a bad thing. In fact, there are many misconceptions about aging that people often believe.

Fortunately, science has come a long way to help us understand how aging actually works. In fact, a number of “myths” have been debunked in recent years. Some aspects of aging can be seen in a positive light and can now be easily managed with the help of modern medicine and anti-aging procedures.

From how our bodies change to how our minds work, here are four things everyone gets wrong about aging.

An Aging Appearance Is Inevitable

First and foremost, let’s talk about the most common concern among men and women as they age: their appearance. It’s no secret that our skin changes as we age, becoming more susceptible to wrinkles, sun damage, and other skin blemishes.

But contrary to popular belief, an “aging appearance” is not inevitable. Thanks to advances in medical science, particularly regenerative medicine, there are now more anti-aging treatment options than ever to help reduce signs of aging and keep your skin looking young and healthy. Botox, fillers, and various skincare treatments can all help reduce the visible signs of aging. And with a little bit of care and attention, you can slow down the aging process even further.

Of course, it’s important to remember that everyone ages differently. Some people will show signs of aging earlier than others, and there is no magic solution that will work for everyone. But if you’re concerned about how you look as you get older, regenerative medicine and anti-aging treatments can help.

You’ll Become More Sedentary

As we age, it’s common to become less active and more sedentary. We might have different energy levels than we did when we were younger, and it can be harder to motivate ourselves to stay active. But this doesn’t mean you have to give up your active lifestyle altogether.

There are plenty of ways to stay fit and active as you age. Taking up a new hobby, such as gardening or hiking, can help you stay physically active. What’s more,  research has shown that remaining active and engaged can help reduce the risk of dementia and other cognitive issues. So, don’t let the misconception that you have to become more sedentary as you age keep you from enjoying a healthy and active lifestyle.

But what if you feel like you’re stuck in a rut and can’t seem to find the motivation to stay active?

Again, modern medicine has come a long way, and there are now many options for treatments and therapies that can help. If you struggle to stay active, talk to your doctor about what anti-aging habits might work best for you. From energy-boosting therapies to specific exercise programs, there’s a solution to help you reap the benefits of staying active.

The Older You Get, the Less Sleep You Need

Another common misconception about aging is that the older you get, the less sleep you need. In fact, most experts recommend that adults over 65 get between 7 and 8 hours of sleep each night.

While it’s true that older adults tend to sleep less than younger adults, this is usually due to factors like medications or health conditions, not simply because they don’t need as much sleep. In fact, sleep is crucial for older adults to help them maintain their mental and physical health.

If you can’t get enough shut-eye, you might need to make a few adjustments to your routine. Anti-aging habits like exercise, new hobbies, and dietary changes can all help improve your sleep patterns. If these don’t help, talk to your doctor about potential causes and solutions for your routine and lifestyle.

You Become More Isolated as You Age

It’s a sad but common stereotype that older adults are isolated and lonely. While it’s true that some older adults do experience social isolation, this is by no means inevitable. In fact, some of the topics mentioned above can also be used to help you stay socially active.

For example, taking care of your appearance can boost your confidence and help you feel better about yourself, making socializing easier. Staying physically active can also help you stay connected to others, as many older adults participate in group exercise classes or other activities.

Moreover, there are many opportunities for socializing specifically designed for older adults. For example, there are often senior centers in communities that offer a variety of activities, from art classes to dance lessons to book clubs. There are also many online social networks and forums specifically for older adults.

Sat, 10 Dec 2022 17:17:49 -0800 Sportsman
Optimize Your Athletic Performance and Reduce Recovery Time with Therapeutic Massage An athlete getting therapeutic massageIf you are an athlete, you likely already understand the importance of maintaining good health, especially when competing in the sport you love. But did you know that working with an experienced physical therapist can hugely improve your athletic performance and overall health, especially when recovering from an injury know...

The post Optimize Your Athletic Performance and Reduce Recovery Time with Therapeutic Massage appeared first on Tennessee Sports Medicine.

Sat, 10 Dec 2022 17:11:22 -0800 Sportsman
Why is diaphragmatic breathing important? The diaphragm, a large dome-shaped muscle at the base of the lungs, plays an important role in breathing — though you may not be aware of it. When you inhale, your diaphragm contracts and moves downward. This creates more space in your chest cavity, forcing the lungs to expand. When you exhale, the opposite happens — your diaphragm relaxes and moves upward in the chest cavity pushing air out. 

Normal breathing is relatively shallow and does not use the lungs’ full capacity. During diaphragmatic breathing, you consciously use your diaphragm to take deeper breaths.

Two phases of breathing

Benefits of Diaphragmatic Breathing

Diaphragmatic breathing helps you use your diaphragm correctly while breathing by:

  • Strengthening the diaphragm
  • Improving control of your core
  • Slowing the breathing rate
  • Lowering heart rate and blood pressure
  • Promoting relaxation

What conditions does it help with?

Diaphragmatic breathing may help several conditions that cause symptoms that affect how you breathe, including:

  • Anxiety/ Stress
  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD): In COPD, the airways within the lungs become damaged and inflamed, obstructing airflow in and out of the lungs. The diaphragm also tends to be weaker. The body often tries to compensate for this weakness by engaging the back, neck, and shoulder muscles while breathing.
  • Stress: Reduces stress hormones in the body, mainly cortisol.

Diaphragmatic breathing can help treat certain conditions, but it shouldn’t be the only treatment. It may be a beneficial add-on treatment for people with anxiety or respiratory conditions such as COPD or asthma. However, it is not an effective standalone treatment for these conditions.

How do I practice diaphragmatic breathing?

  1. To begin with, practice diaphragmatic breathing in a relaxing area, such as a quiet room. Avoid distractions like cell phones, televisions, and others. Instead, focus on the breathing technique and the bodily sensations you feel while practising.
  2. Lie on a flat surface (or in bed) with your knees bent. You can use a pillow under your head and your knees for support if that’s more comfortable.
  3. Relax your shoulders, shifting them down away from the ears.
  4. Place one hand on your upper chest and the other on your belly, below your rib cage. This will allow you to feel your diaphragm move as you breathe.
  5. Breathe slowly through your nose for 4 seconds, breathing deeply towards your lower belly. The hand on your chest should remain still, while the one on your belly should rise.
  6. Tighten your abdominal muscles and let them fall inward as you exhale through pursed lips for 4 seconds. The hand on your belly should move down to its original position
  7. Repeat these steps several times for the best results. Practice for five minutes several times a day if possible.


Sat, 10 Dec 2022 17:08:51 -0800 Sportsman
2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

The post 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces appeared first on Sports Medicine Research.

Sat, 10 Dec 2022 17:04:58 -0800 Sportsman
Reminder: Monitor A Patient’s Mental Wellbeing After a Concussion High school students who reported a sport- and recreation-related concussion in the past 12 months were more likely to report depressive symptoms and suicidal ideation than those who did not. Students who reported multiple concussions in the past 12 months were about twice as likely to report attempting suicide than those who reported a single concussion.

The post Reminder: Monitor A Patient’s Mental Wellbeing After a Concussion appeared first on Sports Medicine Research.

Sat, 10 Dec 2022 17:04:57 -0800 Sportsman
1… 2… 3… Prior Concussions Predict Persistent Postconcussion Symptoms in Youth Athletes with three or more prior concussions were more likely to develop persistent postconcussive symptoms and take longer to recover than peers with fewer previous concussions.

The post 1… 2… 3… Prior Concussions Predict Persistent Postconcussion Symptoms in Youth appeared first on Sports Medicine Research.

Sat, 10 Dec 2022 17:04:55 -0800 Sportsman
A Proposed Conceptual Sport Nutrition Approach for Athlete Development and Assessment: The Athlete Nutrition Development Approach Sat, 10 Dec 2022 17:04:54 -0800 Sportsman Pacing Behaviour Development and Acquisition: A Systematic Review Sat, 10 Dec 2022 17:04:53 -0800 Sportsman Effects of Acute Resistance Exercise on Executive Function: A Systematic Review of the Moderating Role of Intensity and Executive Function Domain Sat, 10 Dec 2022 17:04:53 -0800 Sportsman Do cortisone shots cause weight gain?

We use cortisone for many diseases, such as allergies, autoimmune disorders, skin diseases, and musculoskeletal conditions. This drug can be given as tablets, liquid, nasal spray, or injections. It also has many potential side effects depending on the dose, duration of use, and how it is given. So, do cortisone shots cause weight gain and other side effects, and how do we prevent these side effects?

What is cortisone?

Cortisone is a synthetic derivative of a naturally occurring drug called cortisol. The adrenal glands above the kidneys produce cortisol to regulate and control many body processes including inflammation, hormones, body temperature, and the immune system. Taking cortisone has a powerful effect on reducing inflammation and regulating the immune system.

What are cortisone shots used for?

cortisone injection AC joint

Cortisone shots are used for musculoskeletal arthritis (such as osteoarthritis or inflammatory arthritis) or tendonitis. Examples of common conditions include Achilles tendonitis, jumper’s knee, rotator cuff tendonitis, and knee and hip osteoarthritis.

Is there a difference between cortisone shots and tablets?

Yes. Cortisone tablets such as prednisolone are often taken by mouth and given to treat serious conditions such as lupus, severe eczema, and multiple sclerosis. However, the drug is used at high doses and for a long duration. The drug is absorbed by the gut and enters the circulation, affecting the whole body. As such, it also has the potential to produce many side effects, such as weight gain, insomnia, and Addison’s disease.

However, most steroids used for the musculoskeletal system are given as cortisone shots. These shots provide a high concentration of cortisone in a localised area such as a joint, bursa, or tendon sheath. Therefore, little cortisone is absorbed systematically, which reduces many side effects. Also, after 4-6 weeks, we expect all the cortisone from one shot to be eliminated from the body.

So do cortisone shots cause weight gain?

man measuring waist as concerned about cortisone injection and weight gain

As a general rule – no. The amount of cortisone absorbed by the body is minimal after a single cortisone shot for joint or tendon problems. Moreover, a few cortisone injections over 3-6 months are unlikely to produce severe side effects such as weight gain. Compare this effect to long-term tablets. In a recent study, high-dose oral tablets over two years caused at least a 5% weight gain.

Side effects of cortisone shots for musculoskeletal conditions

While a cortisone shot does not cause weight gain, we must be aware of local side effects. These adverse effects include:

  • Cortisone flare: This reaction is common 12-24 hours after local cortisone shot and can last up to a week. Treatment includes rest from activity, ice, and topical and oral anti-inflammatories.
  • Skin colour changes: Cortisone injected just under the skin can reduce the pigmentation the skin produces, leading to a colour change. While the effect is not permanent, it can take months or years to settle, particularly in dark-skinned people.
  • Fat atrophy: While oral tablets can cause you to put on more fat, localised injections cause fat shrinkage, also called fat atrophy. This effect causes a dimpling of the skin, which may look cosmetically unappealing.
  • Tendon rupture: Recent evidence suggests that a localised cortisone shot can cause the weakening of tendons, increasing the risk of rupture. This effect is most pronounced in the first six weeks after injection.
  • Infection: A cortisone shot can increase the risk of infection by altering the immune cells around the area injected. We can reduce this risk using a strict sterile technique, including sterile gloves and dressing packs.
  • Damage to articular cartilage: Recent evidence suggests that repeated cortisone shots into a joint could decrease articular cartilage volume. We should be cautious about repeated injections into one joint.
  • Increase in blood sugar: A cortisone shot can increase blood sugar for 2-4 weeks. This effect is pronounced in people who are diabetics. Therefore, we should be cautious about cortisone injections in unstable diabetes.
  • Facial flushing: Some people develop a pronounced facial flush, which starts about 2-4 hours after an injeciton and lasts up to 24 hours. It can also happen with future cortisone shots.

Other commonly asked questions related to: Do cortisone shots cause weight gain?

How long does it take for a cortisone shot to work?

Generally, a cortisone shot takes 4-5 days to start working. However, we often say you should leave about a week before an event for the cortisone shot to work. Also, you need to be aware that cortisone can cause a flare of pain in the first few days. Therefore, you must rest for a few days after the cortisone shot to prevent the flare from worsening.

How long do cortisone shots last?

The effect of a cortisone shot can last from six weeks to six months. As cortisone reduces inflammation, it can make you feel great. However, this effect is temporary, as cortisone does not cure the disease. Nevertheless, this window of pain relief can help with rehab.

Are cortisone shots better under ultrasound?

guided cortisone injection into shoulder of young man

Yes. There is good evidence that ultrasound guidance improves the accuracy and effect of a cortisone shot. Guidance also reduces the side effects such as skin changes and fat trophy. If you are thinking about a cortisone shot, you should see a doctor with experience in ultrasound-guided injections. Unfortunately, not all practitioners performing injections are qualified. See this blog for the top 4 questions to ask before you have an ultrasound-guided injection. 

Final word from Sportdoctorlondon: Do cortisone shots cause weight gain?

Cortisone shots concentrate the drug in the injected area, such as the tendon, joint, or bursa. So, systemic side effects such as weight gain are not common. However, local side effects, including skin depigmentation and fat atrophy, are. Therefore, you should see a doctor with injeciton experience to prevent side effects. Dr Masci has 15 years of experience in ultrasound and ultrasound-guided injections, including cortisone, PRP, and hyaluronic acid.

Related topics: 

Dr. Masci is a specialist sport doctor in London. 

He specialises in muscle, tendon and joint injuries.

The post Do cortisone shots cause weight gain? appeared first on Sport Doctor London.

Sat, 10 Dec 2022 16:53:21 -0800 Sportsman
Knee aspiration: When should you do it?

Fluid on the knee, also called a knee effusion or water on the knee, can be a painful condition with fluid build up in and around the knee joint. Generally, we treat fluid on the knee with simple strategies such as ice, medication, and a compression wrap. However, sometimes we must drain fluid from the knee, also called a knee aspiration. So, how do you perform knee drainage, and when should you do it?

Causes of fluid on the knee

fluid in the knee needing aspiration

The knee joint is a synovial joint lined by synovium, producing fluid. This fluid protects the cartilage lining the joint surface and reduces friction with joint movement. However, when the joint becomes diseased, it has excess synovial fluid. Common causes of excess knee fluid include osteoarthritis, inflammatory arthritis, infection, or traumatic injuries such as meniscal or cruciate ligament tears.

When should you do a knee drainage? 

We drain fluid from the knee for two reasons:

  • You want to find out the cause of water on the knee, i.e., for diagnostic purposes.
  • You want to help reduce the swelling, especially when simple measures such as ice and ibuprofen fail. The build-up of knee fluid greater than 50mls often causes pain and restricts mobility. Draining the knee can ease the symptoms.

Can you diagnose knee diseases from draining fluid?

Yes. Knee effusions are not all the same. For example, fluid in the knee due to trauma, such as a meniscal tear, differs from fluid from inflammatory arthritis, such as gout.

When we drain the knee, we send it to a laboratory to analyze the types of cells in the fluid. Also, microbiologists look for bacteria or crystals in the fluid, which can point to the cause. We use this information with other tests such as X-rays, MRI, and blood tests to confirm the cause.

How do you drain fluid from the knee?

picture of arthroasmid injected into knee joint with ultrasound-guidance

Ususally, we perform a knee aspiration in a clean clinic room. Generally, we target the top part of the knee joint just above the patella.

First, we clean the area with antiseptic. Second, we use a needle to puncture the skin to get to the knee joint. It is better to use ultrasound to direct the needle into the joint to improve accuracy. Also, ultrasound allows us to empty the knee of fluid entirely. Finally, we place a bandage on the puncture site to prevent bleeding from the skin. The entire process can take a few minutes.

Sometimes, when fluid on the knee is due to inflammation or an injury, we inject cortisone or other injectables such as hyaluronic acid or platelet-rich plasma. In addition, we recommend regular ice and a compression bandage to prevent the knee effusion from returning.

Risks of knee aspiration

Generally, the procedure is low risk, mainly if done in a clean room and with ultrasound guidance. However, there is a small risk of the knee joint returning or introducing infection. In addition, superficial swelling and skin bruising can occur at the entry site.

Does draining fluid from the knee hurt?

Generally no. You may feel slight pain or discomfort as the knee goes into the joint. However, taking the fluid out of the knee should not be painful. In addition, using ultrasound improves the accuracy of needle placement and reduces procedure discomfort.

If we analyze the fluid on the knee, we’ll need to speak to you after a few days.

What to do after a knee aspiration?

The steps after a knee aspiration are essential. First, leave the bandage on until your doctor tells you to take it off. You should keep the entry site clean. Second, you can go back to normal activities after the procedure, but you should avoid jumping back into sports or walking longer until you’re told to do so. Finally, if the knee is sore, you should ice every and take ibuprofen or NSAIDs every 4-6 hours until the pain disappears.

Other frequently asked questions about knee drainage:

What are the different ways to reduce fluid on the knee? 

Simple measures to control water on the knee include the following:

  • Regular ice packs for 10 minutes every 4-6 hours
  • Using a compression bandage to apply pressure to the joint
  • NSAIDs such as ibuprofen or diclofenac
  • wearing a knee brace for walking or sports

Can a knee effusion return? 

Yes. Fluid on the knee can return after days or weeks. The key is to find the cause so that the treatment can be more effective and stop it from returning.

A final word from Sportdoctorlondon about knee aspiration

Knee drainage is an excellent technique to help with diagnosis and reduce symptoms from knee fluid build-up. You should see an experienced doctor who can perform this skill efficiently, preferably with the help of ultrasound to improve the effect.

Related conditions to knee aspiration:

Dr. Masci is a specialist sport doctor in London. 

He specialises in muscle, tendon and joint injuries.

The post Knee aspiration: When should you do it? appeared first on Sport Doctor London.

Sat, 10 Dec 2022 16:53:21 -0800 Sportsman
Knee tendon injury: how to manage

The knee is complex consisting of a hinge joint surrounded by tendons at the front, sides, and back. So is it any wonder we are prone to knee tendon injury? This blog explores knee tendon injuries which are common, and how to manage them.

How does a knee tendon injury happen? 

a volleyball player with jumpers knee

Most cases of knee tendon damage occur due to excessive activity. Generally, too much exercise without adequate rest leads to tendon overload. As a result, the tendon swells and loses its ability to function like a spring, causing pain. We call this process tendonitis.

Sometimes, sudden explosive activity causes stretching and tearing of knee tendons. This tear can be partial or full thickness.

In rare cases, knee tendons can injure from a direct blow leading to pain and swelling like tendonitis.

Common knee tendon injuries 

Tendon pain at the front of the knee includes patellar tendonitis, also called jumper’s knee, and quadriceps tendonitis. At the inside of the knee, we often see pes anserine bursitis. Finally, active people develop low hamstring tendonitis at the back of the knee, also called semimembranosus tendonitis.


man holding hand due to knee clicking

Usually, tendon pain presents as focal pin-point pain. The site of the pain depends on the tendon affected, e.g., pain from patellar tendonitis is felt below the knee cap, while quadriceps tendonitis presents above the knee cap. Generally, pain severity depends on exercise intensity; lower intensity means less pain, while higher intensity produces more severe, long-lasting pain.

In some cases, we see localised swelling around the swollen tendon. But symptoms such as generalised, swelling, giving way, or locking are not associated with tendon injuries and are more likely due to other knee problems such as a meniscal tear, osteoarthritis, or ligament damage.

Knee tendon injury diagnosis 

jumpers knee on ultrasound

First, we start with a thorough history and physical examination. Then, in most cases, we follow up an assessment with investigations such as ultrasound or MRI. Typically, we see tendon damage, such as collagen breakdown. Also, imaging looks at other knee structures to exclude other causes of knee pain.

It is essential to find the reasons for developing tendon pain. Often, we find people who have pushed themselves too much with their training. Usually, there has been a recent increase in training intensity, such as the introduction of interval or hill training. In addition, in some cases, certain conditions, such as menopause, obesity, and diabetes, increase the risk of tendonitis.


We suggest you see a tendon specialist to determine the best treatment for your tendon injury.

First, we start with exercise therapy. Strength training reduces pain from tendonitis by improving tendon structure and increasing muscle strength to shield the injured tendon.

Second, we use additional treatments such as GTN patches, shockwave therapy, and tendon injections to help with exercise.

Finally, tendon surgery should be avoided unless all other treatments have failed, as surgery results are not guaranteed, and risks are higher than other treatments.

Final word from Sportdoctorlondon about tendon injuries.

Tendon injuries are common in the knee and are associated with pain and reduced function. You should see a tendon expert who can assess your tendon injury and decide on the best management plan specific to you and your demands.

Related conditions:

Dr. Masci is a specialist sport doctor in London. 

He specialises in muscle, tendon and joint injuries.

The post Knee tendon injury: how to manage appeared first on Sport Doctor London.

Sat, 10 Dec 2022 16:53:20 -0800 Sportsman
Arthritis Causes and Treatment Options in Charleston, SC Arthritis of any kind is a condition that can result in a decreased quality of life. We offer several arthritis treatment options in Charleston, SC. Whether you’re looking for rheumatoid arthritis treatment, hand arthritis treatment, knee pain relief, or want to reduce overall joint pain in Charleston, SC, we have options to improve your quality of life.   Rheumatoid Arthritis Treatment in Charleston, SC. Rheumatoid arthritis is an auto-immune condition that often has a rapid onset. Some people who suffer from it experience symptoms that appear, disappear, and reappear. We offer a treatment for rheumatoid arthritis that can help reduce joint pain and discomfort, stiffness, swelling, pain, and inflammation.   Our surgical procedures are custom-tailored to patients with rheumatoid arthritis and provide pain relief. We offer surgical and non-surgical solutions for rheumatoid arthritis and can design the best treatment plan for your needs.   Treating Hand Arthritis in Charleston, SC. The aging process and joint issues can lead to hand arthritis. We offer several treatment options to reduce this condition’s symptoms, including surgical and non-surgical treatment options. Our hand specialist can evaluate your arthritis symptoms and make treatment recommendations to help alleviate pain.   Treating Knee Pain in Charleston, SC. The aging process, genetics, degeneration, and athletic injury can all lead to knee pain. We offer several treatment options for knee pain caused by arthritis or another condition. Our sports medicine physicians can evaluate the source of your pain and make treatment recommendations to help alleviate that pain. We can personalize a treatment plan with one of our sports surgery options, including knee replacement or our arthroscopy minimally invasive surgery.   Treatment to Reduce Joint Pain in Charleston, SC. Arthritis can also cause generalized joint pain in different areas of the body. We offer treatment options, including joint replacement with the Mako Robotic Arm-Assisted technology to address joint pain and alleviate long-term symptoms.   Don’t let arthritis pain limit your mobility and prevent you from participating in the activities you love. We can identify the source of your pain and develop a treatment plan to help you heal and restore your quality of life. Contact us today at South Carolina Sports Medicine & Orthopaedic Center to learn more about our services and schedule an initial consultation with one of our experts.

The post Arthritis Causes and Treatment Options in Charleston, SC appeared first on South Carolina Sports Medicine.

Sat, 10 Dec 2022 16:49:30 -0800 Sportsman
Legs of sprinters: Highly muscular, still maneuverable Sat, 10 Dec 2022 16:48:15 -0800 Sportsman Quarter of former Olympians suffer from osteoarthritis Sat, 10 Dec 2022 16:48:14 -0800 Sportsman From South Korea to Finland, Kevin D. Plancher, MD, MPH, FAOA, FAAOS Is Always On The Move New York City, NY and Greenwich, CT
November 21, 2022

Our last update had Kevin D. Plancher, MD, MPH, FAOA, FAAOS as an honored professor at the Korean Shoulder and Elbow Society (KSES) Fall Symposium. This week we find Kevin in Levi, Finland for the FIS World Cup as a team physician with the Stifel U.S. Alpine Team Women’s Team! While in attendance Dr. Plancher had the honor of meeting the U.S. Ambassador to Finland, Douglas Hickey. The celebrations were non-stop as the team witnessed Ava Sunshine’s debut in the World Cup circuit earning her first points while coming in with two top-30 finishes. Katie Hensien also placed in the top-30. All eyes were on Mikaela Shiffrin this weekend as she ran away with her 75th and 76th World Cup victories and broke the record for the most podiums in a single discipline by any female skier. Read more about the debut World Cup weekend.


Kevin D. Plancher, MD, MPH, FAAOS, is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is one of only thirty-six Orthopaedic Surgeons who hold American Board of Orthopaedic Surgery certification in both Surgery of the Hand and Orthopaedic Sports Medicine. He is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.

Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care.

The post From South Korea to Finland, Kevin D. Plancher, MD, MPH, FAOA, FAAOS Is Always On The Move appeared first on Plancher Orthopaedics & Sports Medicine.

Sat, 10 Dec 2022 16:40:33 -0800 Sportsman
Best Exercises for Lower Back Pain Flare&Ups

Article featured on ProTailored

Why Do I Have Low Back Pain?

Low back pain is pain that occurs below the ribs, in the lumbar region of the spine. There are many causes of low back pain. Muscle tightness, injury to the ligaments or discs in the back, or problems with the bones and joints may lead to low back pain. Common causes include improper lifting, poor posture, lack of regular exercise, fracture, ruptured disk, or arthritis. Almost everyone will experience some level of low back pain at some point. Most of the time, your back will start to feel better on its own. However, sometimes the pain will not go away on its own and will require some form of intervention. Physical therapy is a great option to help with low back pain. Our physical therapists can do a full evaluation to determine what may be causing the irritation/inflammation/pain. The treatments will be focused on addressing the cause of the inflammation and helping to decrease pain levels.

Risk Factors for Low Back Pain

Some risk factors of developing low back pain include repetitive movements such as lifting, pulling, or anything that twists the spine. However, sitting at a desk all day can also be hard on your back, especially if your low back is not well supported, or you sit with poor posture.

Prevention of Low Back Pain

Prevention of the low back includes maintaining proper posture while sitting, but also while lifting or pulling. You want to make sure that you bend at the knees and lift with the legs rather than with your back. Exercise and having strong abdominal and back muscles can also help in the prevention of low back pain. If you are prone to low back pain, you may also want to try sleeping on a firm surface, sitting in supportive chairs (that are the correct height), and avoiding high-heeled shoes.

How Can Physical Therapy Help?

Our physical therapists will do a thorough examination to help determine the source of your pain. They will then work towards decreasing the source of the irritation with the use of manual techniques, cupping, scraping, dry needling, and therapeutic exercises. They will also help you determine things to do at home to help you manage and decrease your pain, and work towards preventing future pain.

What Should I Do During Flare-Ups or When I Have a Lot of Pain in the Low Back?

One of the best things that you can do when you have a flare-up or high levels of pain in the low back is to keep the back moving. Your pain levels may be so high that all you want to do is find a comfortable position and not move for a while. However, motion is key in helping alleviate low back pain. But there is a balance here, as you do not want to overdo it and create more pain. Therefore, the best thing to do is work in PAIN-FREE RANGES OF MOTION. That means movements that you can tolerate and that do not increase your pain.

Best Exercises for Flare-Ups of Low Back Pain

Lower Trunk Rotations

  • Start by lying on your back with both knees bent
  • Slowly rock your knees together to one side; hold for a second or two and then rock to the other side
  • If you have sharp pain with this motion, do not go as far!
  • This should feel like a stretch and should not be a sharp pain!
  • Complete slow rotations back and forth 20x

Single Knee to Chest

  • Start by lying on your back with both knees bent
  • Bring one knee up to your chest and hold for 5-10 seconds
  • Repeat on the other side
  • Do this exercise 10x on each side
  • If you have sharp pain with this motion, do not go as far!
  • This should feel like a stretch and should not be a sharp pain!

Pelvic Tilts

  • Start by lying on your back with both knees bent
  • Slowly flatten your back into the table
  • Then slowly rock your pelvis forward so that only your low back lifts off the table
  • Do this exercise back and forth slowly 20x
  • If you have sharp pain with this motion, do not go as far!
  • This should feel like a stretch and should not be a sharp pain!

Piriformis stretch

  • Start by lying on your back with both knees bent
  • Bring one leg up and place your ankle on your opposite knee
  • Use your hand to put pressure on your knee until you feel a stretch
  • Hold this position for 30 seconds and repeat 3x on each side
  • If you have sharp pain with this motion, do not go as far!
  • This should feel like a stretch and should not be a sharp pain!

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.


1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

8:00am – 4:30pm

The post Best Exercises for Lower Back Pain Flare-Ups appeared first on Orthopedic & Sports Medicine.

Sat, 10 Dec 2022 16:36:43 -0800 Sportsman
Possible Ways to Fall Into Back Pain
Article featured on Atlanta Spine Institute

A chill in the air, sweaters, football, pumpkin spice, and colorful leaves are all signs that fall is here. Cold weather is coming, which means this is your last chance before winter to get those outdoor maintenance tasks done that you’ve been avoiding in the summer heat. Injuries from cleaning are more common than you’d think, and millions of people visit the ER every year for anything from improper lifting to lawnmower accidents. We all want to get our outdoor chores done, but it’s best to avoid them making us sore! Back injuries, muscle strains, injuries from repetitive motion, accidents, and tendonitis all top the list for common fall cleaning injuries. Never underestimate the falls, slips, and trips that can happen in the blink of an eye!

Stay ahead of these injuries with the tips below to help prevent fall injuries happening to you!

Rake Smart

If you’ve ever raked a yard, you know it’s no joke. It can be a full-blown exercise routine, depending on the yard. Take these tips into consideration before you get started this fall!

  1. Warm Up: You don’t exercise without stretching first, so don’t rake either. Stretch for at least ten minutes first.
  2. Size Matters: Make sure you buy a rake that is comfortable for your strength and height. Some rakes come with padded handles to prevent blisters. If they don’t, get some gloves to protect your hands.
  3. See Clear: We know it’s chilly, but keep hats and scarves out of your line of vision. It’s easier to avoid tripping if you can see what’s in front of you on the ground!
  4. Alternate: If you hold the rake the same way the whole time, it will cause strain and soreness in certain muscles. Switch hand and foot position to avoid overusing the same muscles.
  5. Bend Your Knees: When picking up leaves or branches, make sure to bend at your knees. This will help prevent injuring your back.
  6. Resist the Slip: With fall comes rain, which can make for slippery leaves. Wear footwear that is slip-resistant to avoid slipping on wet leaves or grass.
  7. Keep It Light: Too many leaves can be too heavy, especially if they’re wet. Pack your bags light to avoid carrying too much weight to help prevent back strain.

Mow Safe

Maybe you mow the lawn regularly, or maybe it’s your first time. Either way, there are certain precautions anyone should take while operating a lawnmower.

  1. Turn It Off: Of course you need power to mow the lawn, but you need gas to get the power! Before you refuel your mower or perform any maintenance, make sure the engine is off and cool.
  2. Keep Your Extremities Away: Never clear debris from under the mower with your hands or feet; instead, use a broom or sturdy stick. Just keep your hands and feet away from the blades at all times. Even if the engine is off, don’t risk it.
  3. Keep Your Guard Up: Some lawnmowers come with guards, shields, and/or safety devices. Do not remove these! They are there for your protection.
  4. Turn It Off: Oh, was this already mentioned? Never leave your lawn mower unattended while running. Just don’t.
  5. Wear Shoes. Good Shoes.: Don’t mow the lawn barefoot, or in sandals. Tennis shoes are made for physical activity and you could be on your feet for a couple of hours with a push mower. Even on a riding mower, wear tennis shoes. They help protect your feet from debris.
  6. No Drinking: Well, you should drink water, but no alcoholic beverages. It seems like common sense to not be inebriated while operating a machine, but it needs to be said.
  7. Release: Buy a mower that has safety features like handle release. This stops the mower from moving forward if you let go of the handle.
  8. No Children: A young person should be at least 12 years old with supervision and training to operate a lawnmower. They should be 16 to operate a push mower.

Climb Carefully

When falling leaves clog up the gutters, it’s time to bring out the ladder. It’s very easy to get hurt using ladders, so take these tips into consideration the next time you climb one.

  1. Inspect: Any time you use a ladder, make sure you inspect it first. Check for loose screws and hinges, and clean off anything on the ladder like mud or liquids to avoid slipping.
  2. Level: Use a level and firm surface on which to place the ladder. Make sure all four legs are stationed evenly. Soft ground will cause it to move or tilt.
  3. Engage: Before you climb, make sure safety braces and hinges are engaged.
  4. Avoid the Top: Do not stand or sit on the pail shelf of a ladder (it’s the very top). This is not meant to support the weight of a person.
  5. Choose Wisely: If you don’t have the right ladder for the job, don’t do the job until you do. Use a step or utility ladder for low or medium heights and for high heights use an extension ladder.
  6. Get Off: If you get uncomfortable and need to stretch while you’re on a ladder, get off. It’s better to take the extra ten seconds to climb down and reposition. Tilting the ladder even a bit because you are stretching could cause it to tip over.


Not every tip can be categorized. Here you will find some other tips to remember this fall while working hard.

  1. Stretch Again: It’s best to stretch before any physical activity, but most people don’t remember to stretch again when they’re done. Just a quick ten minutes when you’re done will do your body wonders, and it’s a nice, relaxing cool-down.
  2. Water. Water. Water.: Remember to stay hydrated. Make sure you take breaks for water. If it’s hard for you to remember to take a break, then set an alarm on your phone.
  3. Dress Appropriately: When working outdoors in the fall, it’s good to dress in long sleeves and pants. The thicker the material the better, but it needs to be weather-appropriate also. Sleeves and jeans help protect your skin from bug bites, scratches, and sunburn.
  4. Goggles: If you’re using motorized equipment, remember to wear safety goggles. This protects your eyes from debris and dirt.
  5. Earmuffs: Same as with goggles, especially if the equipment is loud. Protect your hearing.
  6. Mask and Gloves: Chemicals are contained in things like fertilizer and insect poison. Gloves and a mask will help prevent inhalation of toxic chemicals. Also, keep anything with toxic chemicals away from pets and children.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.


1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

8:00am – 4:30pm

The post Possible Ways to Fall Into Back Pain appeared first on Orthopedic & Sports Medicine.

Sat, 10 Dec 2022 16:36:42 -0800 Sportsman
How Retraining Your Brain Could Help With Lower Back Pain

Article featured on WebMD

Are you among the hundreds of millions of people worldwide with low back pain? If so, you may be familiar with standard treatments like surgery, shots, medications, and spinal manipulations. But new research suggests the solution for the world’s leading cause of disability may lie in fixing how the brain and the body communicate.

Setting out to challenge traditional treatments for chronic back pain, scientists across Australia, Europe, and the U.S. came together to test the effectiveness of altering how neural networks recognize pain for new research.

The randomized clinical trial recruited two groups of 138 participants with chronic low back pain, testing one group with a novel method called graded sensorimotor retraining intervention (RESOLVE) and the other with things like mock laser therapy and noninvasive brain stimulation.

The researchers found the RESOLVE 12-week training course resulted in a statistically significant improvement in pain intensity at 18 weeks.

“What we observed in our trial was a clinically meaningful effect on pain intensity and a clinically meaningful effect on disability. People were happier, they reported their backs felt better, and their quality of life was better,” the study’s lead author, James McAuley, PhD, said in a statement. “This is the first new treatment of its kind for back pain.”

Brainy Talk

Communication between your brain and back changes over time when you have chronic lower back pain, leading the brain to interpret signals from the back differently and change how you move. It is thought that these neural changes make recovery from pain slower and more complicated , according to the Neuroscience Research Australia (NeuRA), a nonprofit research institute in Sydney, Australia.

“Over time, the back becomes less fit, and the way the back and brain communicate is disrupted in ways that seem to reinforce the notion that the back is vulnerable and needs protecting,” said McAuley, a professor at the University of New South Wales and a NeuRA senior research scientist. “The treatment we devised aims to break this self-sustaining cycle.”

RESOLVE treatment focuses on improving this transformed brain-back communication by slowly retraining the body and the brain without the use of opioids or surgery. People in the study have reported improved quality of life 1 year later, according to McAuley.The researchers said the pain improvement was “modest,” and the method will need to be tested on other patients and conditions. They hope to introduce this new treatment to doctors and physiotherapists within the next 6 to 9 months and have already enlisted partner organizations to start this process, according to NeuRA.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.


1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

8:00am – 4:30pm

The post How Retraining Your Brain Could Help With Lower Back Pain appeared first on Orthopedic & Sports Medicine.

Sat, 10 Dec 2022 16:36:41 -0800 Sportsman
Why Sports Medicine Is Important for Athletes When you are maintaining an active lifestyle, it’s essential to be proactive about taking care of your body. Not only is it necessary to manage aches and pains that occur, but you can also be diligent about preventing injuries.

A sports medicine doctor can be a great resource if you are an active athlete looking to speed up your recovery or improve your game. Adding specialized sports medicine services can be the edge you need to stay in the game and optimize your performance.

In fact, sports medicine for athletes is more than performance training and injury prevention. You can expect many more benefits while working with a sports medicine expert.

Sports Medicine Specialization

Visiting a doctor who specializes in sports medicine means that you are working with an expert. Not only do these doctors have orthopedic training, but they work with active athletes all day long.

These specialists are trained to treat and diagnose athletic injuries. Since they are focusing on these types of injuries specifically, you can be confident knowing that they have years of experience with other patients who have similar conditions.

Injury Prevention

Don’t wait until after an injury occurs before you see a sports medicine doctor. If you are proactive about this care, then you can actually prevent injuries before they happen.

Sports medicine providers understand what athletes are going through in the game and during training sessions. In addition to treating acute injuries, such as a torn ligament or broken bone, these doctors also understand how to handle chronic, repetitive-motion conditions.

When you are actively working with a sports medicine doctor, then you will receive advice on preventing injuries in the future. Additionally, your doctor will offer recommendations to help you avoid re-injury when you get back in the game.

Rehabilitation Support

Even if you are careful in the game, there is always the risk of injury. As an athlete, a seemingly minor injury can take you out of commission, making you miss the season and stop your training.

Most of the time, sports injuries will require a recovery and rehabilitation period. It’s essential that you follow the doctor’s orders because the suggested treatments will be vital to your recovery.

An experienced sports medicine doctor will know the best methods for speeding up your recovery, minimizing symptoms, and improving the long-term prognosis after an injury.

Cutting Edge Treatments

General healthcare providers spend time helping patients with a wide variety of health issues. However, since the doctors are spread thin, they don’t often have a specialty or focus, which means they might not have the latest information about specific conditions or treatments.

On the other hand, sports medicine doctors focus on sports injuries and treatments daily. So, they are up-to-date on the latest treatments and cutting-edge technology. Having access to this relevant information can be vital to speeding up your recovery and improving your overall outcome.

Mobility and Strength

In addition to strength, athletes also need mobility and flexibility to move with speed and agility. A sports medicine doctor works with athletes to improve their individual performance.

You will notice a difference when you are participating in sports activities. Additionally, it’s nice to feel the strength and mobility in all other areas of your life as well.

Personalized Care

One of the most notable benefits of working with a sports medicine provider is that you get a personalized care plan. It’s all about you!

Our team at Orthopedic Associates takes the time to understand the needs of each patient. Then, we design a care plan that is tailored to your condition, fitness, and goals. We look at physical strengths and weaknesses and find ways to support your performance through specialized training, certain equipment, and more.

Getting Back in the Game

Of course, you are anxious to return to the field as soon as possible. But recovery takes time.

Your sports medicine doctor will offer recommendations about when you can start playing again. This personalized timeline helps you avoid re-injury and also prevents compounding problems in the future.

It’s important to follow your doctor’s timing recommendations so you can prevent any issues that could take a toll on your performance and future participation.

Patient Education

One of the benefits of working with a sports medicine doctor is that these healthcare providers partner with their patients. Instead of simply prescribing medication and sending you home, a sports medicine expert works to educate each patient about things they can do before, during, and after sports.

A sports medicine doctor can be your primary care resource, especially if you are a semi-professional or pro athlete. Your provider can help with everything from nutritional counseling to preventive health screenings, diagnosis, and more.

Athletic Team

Not only do your coaches and trainers help with developing the necessary skills, but other professionals can also be critical in support of each athlete. Building a team you can trust means you always have someone to turn to when you have questions or need assistance.

A sports medicine doctor understands the unique dynamics faced by athletes. Our doctors work with other people on your athletic team, including trainers, physical therapists, surgeons, and more.

How to Know When You Need a Sports Medicine Doctor

There are a few circumstances in which an athlete will contact a sports medicine doctor:

  • Injury: Something happened, and you sustained an injury. Whether you are in pain or your performance is being affected, it’s essential to visit a sports medicine doctor as soon as possible.
  • Chronic Pain: Some athletes will live with chronic pain due to the wear and tear on the joints and throughout the body. A sports medicine professional can be a great resource if you are looking for ways to reduce the pain and feel better each day.
  • Performance Improvements: You don’t need to be injured to visit a sports medicine doctor. Many athletes are proactive about this type of care so they can improve their performance, strength, and agility.

Sports Medicine Services for Pro and Recreational Athletes

You don’t need to be a professional athlete to benefit from sports medicine services. Our team of doctors helps pro athletes as well as recreational “weekend warriors.”

Whether you are training for your first marathon or hoping to go to the championship game, we are here to support your journey. Schedule a consultation to learn more about how sports medicine can be individualized for your unique needs.

At Orthopedic Associates, we provide each patient with a full-service approach for sports injuries, chronic pain, and more. Contact us when you are ready to book an appointment. Call at your convenience:  (972) 420-1776.


The post Why Sports Medicine Is Important for Athletes appeared first on Orthopedic Associates.

Sat, 10 Dec 2022 16:36:39 -0800 Sportsman
Study examines whether cortisone&like medicine can reduce pain after total knee arthroplasty Sat, 10 Dec 2022 16:34:25 -0800 Sportsman Stereotactic MRI&guided adaptive radiation therapy shows promise for treating pancreatic cancer Sat, 10 Dec 2022 16:34:25 -0800 Sportsman What Helps an ACL Heal Faster? An ACL injury is a common knee injury that involves a partial or full tear of the Anterior Cruciate Ligament in the knee joint. It is a common injury amongst athletes such as basketball, soccer, and volleyball players. It can also occur in people with physical jobs depending on the physical demands of their work.

What is an ACL?

The ACL is a ligament that connects the tibia (shin bone) to the femur (thigh bone) and helps to keep the knee stable during pivoting or twisting movements. Interestingly, there are case studies of people who are not born with an ACL and do not experience any difficulties. This suggests that people may be able to rehabilitate from ACL injury completely without surgery. 

Why Do ACL Injuries Occur?


An ACL injury occurs when the knee is subjected to forces beyond what the ACL can handle. That can occur from a plant and twist injury, a fall, a sudden deceleration or trauma to the knee. Many cases of ACL injuries are non-contact and are interesting from a physiotherapy perspective since it would be important to identify the factors that contributed to the injury in order to prevent recurrence. ACL injuries can be partial or full tears of the ligament.


There are some factors that are not changeable. Those are the Q angle, PTS angle, ACL size, and intercondylar notch size. Although these are not factors that are modifiable, there are modifiable factors such as: the control of the hip and ankle muscles which affect knee position when landing from jumps, training errors, and muscle imbalances. A good physiotherapist will be able to assess these risk factors for you and create a customized plan to get you back to 100%.

What are my options for ACL injuries?

There are three options when it comes to rehabilitation of an ACL injury (partial or full tear).

  1. Surgery (full tear) - this option is for people who play sports at a high level such as competitive athletes or want to return their body as close to their normal anatomy as possible. The surgery and recovery time is typically 9-12 months, including the physiotherapy afterwards.

  2. Non-Surgical management (full or partial tear) - this is a growing and potentially preferable option for people who want to improve their quality of life as quickly as possible including returning back to high level sports/competition. The advantage is that there is a quicker recovery and in some cases a near complete recovery without the delays and risks associated with surgery.

  3. Bracing (full or partial tear) - bracing has evolved as a strong tool for the treatment and prevention of recurrences. A quality custom made brace such as the ones that we make for patients at our clinic are a great option.

What Do I do if I think I have torn my ACL?

The best way to rehabilitate an ACL injury is to have an accurate assessment by a trained physiotherapist. At MUV Therapy, our experts are trained in orthopedic manual therapy and testing in order to determine the cause of your knee problem and what may have occurred. Through close collaboration with a medical team, we can diagnose and treat ACL injuries and help return people back to sport, work, and life. Delaying the start of treatment can lead to complications such as knee flexion contracture, muscle imbalances, and potentially chronic pain. Not to mention a large component of an effective rehabilitation plan for an ACL injury includes addressing fears and beliefs around injury. Many of our patients appreciate the holistic approach that we take when helping our athletes return to sport, including addressing psychological factors.

What Does Physiotherapy do for an ACL?

After an ACL injury, physiotherapy focuses on helping you recover your normal movement, muscle strength, and balance again. A good physiotherapy program will also include a comprehensive biomechanical assessment of your body that will help to highlight why the injury may have occurred in the first place. Although it can be a long process, it is well worth it to get the right treatment for your knee injury. After all, people who have ACL injuries can be more prone to the development of osteoarthritis later in life and we know that maintaining your knee flexibility and strength helps to delay the onset of degeneration and arthritis.

Not sure if you may have injured your ACL? Click on the buttons below to learn more. We offer free phone consultations to help you make a better decision about your options after ACL injury.

Ask About Availability & Cost Speak to a Physio ]]>
Sat, 10 Dec 2022 16:31:36 -0800 Sportsman
Getting Back to Overhead Exercises in the Gym Here are some things to consider when helping people return back to the gym and into overhead pressing exercises.

The post Getting Back to Overhead Exercises in the Gym appeared first on Mike Reinold.

Sat, 10 Dec 2022 16:31:32 -0800 Sportsman
Dynamic Knee Valgus and Pelvic Pronation with Steve Dischiavi Knee valgus without tension may be disadvantageous, but what if we could control knee valgus dynamically?

The post Dynamic Knee Valgus and Pelvic Pronation with Steve Dischiavi appeared first on Mike Reinold.

Sat, 10 Dec 2022 16:31:32 -0800 Sportsman
Do former football players age faster? Sat, 10 Dec 2022 16:30:17 -0800 Sportsman One&minute bursts of activity during daily tasks could prolong your life, says study Sat, 10 Dec 2022 16:30:15 -0800 Sportsman New study reveals gender bias in sport research. It's yet another hurdle to progress in women's sport Sat, 10 Dec 2022 16:30:14 -0800 Sportsman A Study on Concussions: Meet Harriet Owen, Professional Cyclist Getting a concussion is a serious injury, especially if it goes undiagnosed or untreated. Head trauma, no matter how small, should always be tested for possible concussions, because as we'll read, they can have big consequences if left alone.

You get rear-ended on your way home from work, a stray foul ball hits you when your attention is elsewhere at your child’s baseball game, you trip over a root on a hike and don’t have time to catch yourself before your head hits the ground – head injuries are more common than you might expect in everything you do. When doing recreational activities, though, especially contact ones, our risk of concussion skyrockets more than any other time, and most people might not think to take the proper precautions once the injury occurs.

What is a concussion?There’s an age-old myth of ‘concussions don’t happen in non-contact activities’ that manages to fool many of us, but without proper gear, training, or awareness, you’re just as vulnerable to concussions in non-contact activities as you are in contact ones. And you can, of course, still get a concussion that isn’t sports-related – adults are especially prone to getting them as a result of a fall.

Any head injury can result in a concussion, which is defined by the CDC as,

“…a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth. This sudden movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and sometimes stretching and damaging brain cells.”

Each year, there’s a suspected 1.7-3.8 million concussions that happen due to sports and recreational activity, but there’s a catch: only 5 in 10 concussions are reported or detected, which means there’s a hidden 50% of concussions that go untreated.

If some concussions are so insignificant as to go undetected, then why worry about them? Surely a headache for a few days can’t be that bad, right?

Wrong, actually.

Meet Harriet Owen, a professional cyclist from the UK who took over a year to recover from a concussion – one she thought was simply a temporary headache that developed from crashing her bike like she had done so many times before.

Harriet Owen and Her Story

Can minor concussions be serious? This professional cyclist says yes - her's took 15 months to recover from.Having been cycling since she was 11 years old, Harriet Owen’s love for biking is a long, multi-generational one. Ever since she was a child growing up in Oxford, United Kingdom and watching her father compete in local races, Harriet looked at a bike and saw fun and excitement, but perhaps not her future as a professional cyclist, at the time.

Her cycling teams stretch back to 2011, but her professional career didn’t start until 2015, and she was a year into it before coming over to the United States to race in criteriums in 2016. Her experience with concussions, though, began in March of 2021, as she was participating in her team’s first training camp in Belgium.

On their first ride together, Owen and her team set out to practice some basic drills and rotating techniques. Whilst in the middle of the pack, the rider directly in front of Owen hit a bump in the road and subsequently knocked into the back wheel of the teammate in front of her, resulting in a crash that no one had time to react to.

As she and another teammate were sent right over the top of the crash, she collided head-first into the ground, earning what she thought was a scuff on her helmet and a bit of a headache that would go away after a while – nothing that she even remotely thought would end up being a concussion that would take 15 months to recover from.

From a minor injury to a nearly career-ending experience, Harriet quickly found that her concussion – left untreated or mistreated by the neurologists that she saw as the headaches persisted – was far more severe than she thought. Despite having to face a serious injury in a foreign country, Harriet found a support system that led her to the life-changing, innovative training and treatment that she received right here in Louisville with the help of Dr. Grossfeld, Dr. Mark Lynn of Lynn Family Vision, and their colleague Dr. Tad Seifert, a nationally-renowned neurologist.

Coming back from 15 months of constant pain, memory and concentration issues, personality changes, mood swings, and constant fatigue was a battle that Harriet had to struggle through with previous doctors telling her to take over the counter pain medications. She was constantly overexerting her body and mind, and demoralizing adjustments in her everyday life led to periods of depression. Now, though, with the ability to look back at her experience, Owen has come out of it with a depth of knowledge regarding concussions, symptoms, signs, prevention methods, and a high respect for and understanding of the consequences that result from leaving head injuries untreated, as well as a story to tell other athletes to raise awareness.

Make sure to tune into the next few blogs to learn more about Harriet’s story, her treatment, her roadblocks and hurdles on the way to recovery, and all about concussions, including their symptoms, their severity, and how they can affect facets of your life that you might not have considered.

If you or someone you love has suffered a concussion or head injury in the Louisville, Kentucky area, board-certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

The post A Study on Concussions: Meet Harriet Owen, Professional Cyclist appeared first on Louisville Bones.

Sat, 10 Dec 2022 16:29:03 -0800 Sportsman
When to Phase Out Sports Gear for Safety Reasons Sports gear should be replaced for safety

When it comes to sports, especially athletes who are serious about their performance and further opportunities, equipment plays a big part in a lot of different aspects of the game. From how well they play, to how long, to if they can at all since there are a lot of requirements – sports gear can very quickly become a pricey addition to giving up evenings and weekends to get to practices or watch games. Unfortunately, some sports require more equipment than others and, for safety’s sake, need to be replaced more often.

From structural integrity to an entire change in your form that puts more pressure on your bones and joints, phasing out gear is integral to those who participate in sports regularly. If you’re not sure if you or your child’s equipment needs to be replaced, we’ve done the research for you and have come up with a list of sports and their subsequent equipment that needs to be inspected, monitored, and renewed once their time in the safety parameter is up.

Running Shoes

When it comes to specialized sports gear, running is one that doesn’t require an entire bag of different items. However, the equipment it does require – running shoes – are a very important detail that contributes both to performance and safety.

As shoes wear out, they will:

  • Lose tread, which can lead to slipping
  • Develop fabric holes in the top
  • Lose sole cushioning, which leads to more impact on your muscles and joints and more strain in your tendons and ligaments, and even stress fractures
  • Cause your gait to change with the deterioration of material

To avoid this, it is recommended that you change your running shoes out every 300-500 miles or 4-6 months. Pay attention to your runs, though, and if you run more than that, it could be sooner!

Signs that shoes (include cleats!) are getting worn down and need replacing:

  • You feel more sore or have aches and pains in your feet, ankles, knees, hips, or spine
  • You get new blisters/the shoes are uncomfortable
  • The shoe shows excessive wear or breakage on the interior or exterior
  • The shoe doesn’t feel like it protects you anymore


So many sports require cleats to play; you’ll often find that cleats are not interchangeable between each individual playing field. Even so, some are similar in regard to how long you can wear them, and others are quite different. Sports gear that is categorized as non-running shoe footwear is just as important as running shoes, but with the highly differential nature between pure running and running during a game, need to be treated differently, as well.

  • Cycling:

For these specialized cleats, it’s recommended that they’re replaced every 3,000-5,000 miles cycling or when you notice them either beginning to get stuck in the pedal or not catching on.

  • Soccer:

Usually, every season does a number on soccer cleats. By the time a full, higher-intensity season is finished, they might be holding on by a few threads! For a lower-level season, such as a recreational or school league, cleats will usually last for a couple of seasons, but replace when they begin to lose shape or form holes, since every position will have a different playing style and intensity, which affects the life of the boot.

  • Football:

Like soccer, football cleats will usually only last for one season. Depending on the surface that you’re playing on, though, you may be switching from one type of cleat to another, and each pair will last a little longer.

  • Baseball/Softball:

In general, baseball and softball cleats will last around 6 months to a year, or approximately 1-2 years of weekly games, depending on how often they’re used. If they are used in a higher league, where practices and games multiple times a week occur, then it will be much shorter. Cleats should provide stability, grip, and acceleration; once they stop giving that, it’s time to invest in a new pair.

  • Honorable mention: Skates:

With skates, since the actual fabric and material part never actually touch the ice, more often then not, it’s only the blade that needs to be replaced. It’s recommended that the blades be replaced once they are dulled down to lower than 3/8″ at the center of the ball of the foot area or the center of the heel area. In regard to the material part, you should be on the look out for loose rivets, holes, proper stiffness and support, and quality of the blade holder.

Mouth Guards

As a general rule, you should be replacing your mouth guard after every season or every 6 months. Not only does this provide cleanliness and sanitation, but mouth guards become less effective with use, thinning out and fraying and not being able to protect your teeth as well.

However, especially with younger mouth guard-wearers, there are some circumstances that they should be replaced sooner. These are:

  1. If it gets damaged, thins, or deformed
  2. If your mouth is still growing or you are undergoing orthodontic treatment
  3. If your bite has changed (losing baby teeth or getting wisdom teeth removed will both change a bite)


Depending on the sport, again, helmet replacement has a different time frame, especially in reference to the material it’s made with and how it’s used.

  • Bike helmets: Every 5-10 years depending on amount of use. More biking = sooner. Less biking = later.
  • Football helmets: The CDC recommends every helmet be replaced entirely every 10 years, but reconditioned and recertified every 2 years.
  • Batter/catcher helmets: After 10 years, batter helmets are not eligible for recertification and should therefore be replaced. However, some helmets are recommend not to recondition/recertify at all, and should be replaced every 3-5 years, depending on the quality of it.
  • Motor sports and equestrian helmets: Every 5 years is the standard, but if the material shows any signs of extreme wear and tear such as cracks, tears, breakage, or loose parts, its essential that it’s replaced sooner.


There is a lot of nuance to softball and baseball gloves, which are the two sports that use them for safety reasons along with performance.

The life and safety that a glove provides depends heavily on the use and care put into the glove. For higher leagues, the normal life of a glove is about 2 years, and then noticeable wear and tear begins to show, and the replacement happens. In order to protect the thinly covered bones in your hand from the intense and often fast-moving projectiles that you’re trying to catch, your glove needs to be up to the task of giving you the best performance and the best protection.

It’s important to phase out gloves when:

  1. The padding feels thin and your hand feels unprotected
  2. The material feels dense and heavy when you use it
  3. There is a ripping, cracking, or other physical deficiencies
  4. The form is floppy, formless, and doesn’t hold shape anymore

Bats and Rackets

With these types of very necessary pieces of sports gear across the board, phasing them out can be a question of safety, especially when considering average breakage points and whether or not the gear breaking would put anyone at risk at any given time, but more often than not, this category of gear can be phased out when it loses its functionality.

Baseball bats, with as much as they’re thrown around in proximity to other players and fans, are probably the riskiest of the items in this category, and their time in the hands of players usually lasts from 1-3 years. Especially with wooden bats, which break and shatter more often than composite and aluminum bats, there should be consistent and often inspection of bats to make sure that there are no physical deformities, rips, tears, or sharp edges present.

Tennis, pickleball, squash, badminton, etc. rackets should be inspected for any fraying of the strings, as well as any exposed material underneath the grip of the racket that might cause you pain when it twists and shifts as you play. The materials begin to break down with the nature of the game – flexing and bending in a way that, overtime, will distort the racket and cause structural degradation. It’s suggested that, on average, around every 2 years, you might want to start looking for an upgrade.

Protective Gear/Pads

In football, with as much contact as there is, it’s important for the safety gear outside of helmets to be properly cared for, reconditioned, and replaced. Shoulder pads should be cleaned and sanitized after every use, reconditioned every year, and replaced every 3-4 years. Sometimes, the retired pads can be reused and passed down to the junior varsity team for practice or a younger league that isn’t as intense as others are, but protective sports gear needs to be up to standard and able to prevent injuries in those situations for them to be ethical.

Have You Had a Sports Injury Near Louisville, KY?

If you or someone you love has suffered a sports injury in the Louisville, Kentucky-area, board certified sports medicine physician Dr. Stacie Grossfeld at Orthopaedic Specialists PLLC can help. Orthopaedic Specialists PLLC is accepting new patients, and same day appointments are available. For additional information or to schedule an appointment, please contact Orthopaedic Specialists PLLC today at 502-212-2663.

The post When to Phase Out Sports Gear for Safety Reasons appeared first on Louisville Bones.

Sat, 10 Dec 2022 16:29:00 -0800 Sportsman
Now is the Time to Use Your Health Insurance Benefits Before the Year is Up As the end of the year is rapidly approaching, it is important to review your health insurance benefits to ensure you do not lose out on low-cost treatments. If you’ve already met your deductible, now is the perfect time to schedule an appointment for anything you have been putting off as medical costs are lower, and deductibles restart in January. At Jaffe Sports Medicine, we recommend reviewing the following items in your health insurance plan before the year is over. 


Deductibles are the out-of-pocket costs determined by the insurance plan you chose. Once your deductible is met for the year, costs are either reduced or eliminated, making the cost of treatment much lower. If you’ve been thinking about an elective procedure or visiting Jaffe Sports Medicine an appointment, check to see if your deductible has been met and plan accordingly before the end of the year.

Out-of-pocket Maximums

If you have met your out-of-pocket maximum, all other costs will be met in full by your insurance. Assess your benefits to see what your out-of-pocket maximum amount is and if it has been met. It so, this is a great time to schedule any procedures or buy medications before the year is over. 

Government Savings Plans

Savings plans such as health savings accounts (HSAs) or flexible spending accounts (FSAs) help pay for medical expenses not normally covered by insurance. HSAs are tax-free savings plans that do not have to be met in a calendar year. It can help you pay for deductibles, co-insurances and co-pays as well as prescriptions. FSAs are tax-free accounts that must be used in the current year, or you will lose any remaining money. Be sure you have checked the amounts in these types of accounts so that you know what will roll over from your HSA for next year, or what you have left to spend in your FSA so that you do not lose it. 

Regardless of your plan, it is always good to be mindful of your benefits. December is a great month to “Use ‘em before you lose ‘em.” Call today to schedule doctor visits or procedures before the end of the year so they will be covered by insurance or at a lesser cost. To schedule an appointment with Jaffe Sports Medicine, visit to make an appointment.

The post Now is the Time to Use Your Health Insurance Benefits Before the Year is Up first appeared on Jaffe.

Sat, 10 Dec 2022 16:22:33 -0800 Sportsman
3 Common Foot and Ankle Sports Injuries (And How to Avoid Them) Foot and ankle injuries are prevalent in sports, especially those that involve a great deal of running or potential trauma to the legs, such as soccer, basketball, hockey, or rugby. While there are many different types of foot and ankle injuries that can occur due to strain or contact, here are the most common in sports medicine: 

Ankle Sprainfoot and ankle injuries

An ankle sprain occurs when the foot is twisted either too far inward or too far outward, damaging the ligament. Most sprains cause only a moderate amount of damage and pain and can be healed through the R.I.C.E. method–rest, ice, compression, and elevation. 

Sprained ankles are common in sports where a quick pivot is necessary, such as turning on a dime to intercept a ball carrier in football. Strengthening the core and leg muscles and ensuring the use of supportive footwear can help prevent sprains. If an athlete is prone to having “weak ankles,” they can also wear a brace to stabilize the ligaments. 

Achilles Tendinitis 

Achilles tendinitis is a cumulative injury that occurs due to overuse of the Achilles tendon. The tendon becomes inflamed, causing sharp pain along the back of the foot. This condition happens gradually over time as the tendon wears down after continued use. Most often, the onset of pain happens when an exercise routine becomes even more active, such as in various sports training camps. 

In many cases, cortisone steroid injections will help reduce inflammation and alleviate pain. It is recommended that the patient decrease their exercise and rest the affected foot whenever possible. Physical therapy can often be helpful as well, allowing the tendon to stretch so that it’s more resilient and resistant to injury.

Stress Fracture

Common in sports with a lot of repetitive motion, such as basketball or tennis, stress fractures are not breaks of the bone but rather cracks caused by repeated impact. Poor conditioning and improper equipment can create a situation where the foot or ankle are not getting the support they need, and the resulting fracture only compounds the problem with pain and swelling of the affected area.

Athletes should take care to wear supportive foot or ankle braces to help reduce the impact on vulnerable bones. Acknowledging pain and taking days to rest the foot can help prevent most stress fractures. 

When you’re involved in sports, it’s important to know your body’s limits and respect them. If you’re experiencing pain in your foot or ankle, notify your doctor and rest the affected area as much as possible. Doing so should help you avoid some of the most common sports injuries.

Contact our experts at Hampton Roads Orthodopaedics Spine & Sports Medicine. We want to help you get back to the activities you love by treating any new or old sports injury you may have. Call 757-873-1554.

The post 3 Common Foot and Ankle Sports Injuries (And How to Avoid Them)  appeared first on Hampton Roads Orthopaedics Spine and Sports Medicine.

Sat, 10 Dec 2022 16:20:03 -0800 Sportsman
Introducing Heidi Blaski, DNP, FNP&C Hampton Roads Orthopaedics Spine and Sports Medicine is proud to introduce Heidi Blaski, D.N.P, F.N.P-C.

Heidi joined Hampton Roads Orthopaedics Spine and Sports Medicine in October 2022 as a nurse practitioner. We are grateful to have her on our team. She is experienced, kind, caring and motivated. She genuinely cares for her patients and loves what she does.

Education and Experience

Heidi Blaski

Originally from New York, Heidi received her Bachelor of Science in Nursing from Hartwick College and her Bachelor of Science in Athletic Training from Canisius College. She went on to earn her Doctor of Nursing Practice from the University of San Diego.

Heidi is board certified by the American Association of Nurse Practitioners. She was the recipient of the United States Air Force Health Professions Scholarship Program, and served in the United States Air Force as a primary care provider. In New York, she worked on a specialty orthopedic, trauma and spine unit at a level one trauma center.

Outside the Office

Outside of the office, you can find Heidi with her family and two dogs. She loves fitness, spending time outdoors, golfing and hiking.

Come see us in Hampton 

You can feel comfortable and confident knowing that you are in the experienced and caring hands of our healthcare professionals at Hampton Roads Orthopaedics Spine and Sports Medicine. If you are dealing with chronic pain or discomfort, a lingering sports injury, chronic wounds, or other orthopaedic concerns, schedule an appointment online or call (757) 873-1554.

The post Introducing Heidi Blaski, DNP, FNP-C appeared first on Hampton Roads Orthopaedics Spine and Sports Medicine.

Sat, 10 Dec 2022 16:20:02 -0800 Sportsman
Happy Holidays from HROSM! happy holidays

The post Happy Holidays from HROSM! appeared first on Hampton Roads Orthopaedics Spine and Sports Medicine.

Sat, 10 Dec 2022 16:20:01 -0800 Sportsman
The Causes and Presentation of Heart Disease… A Case Study The Causes and Presentation of Heart Disease… A Case Study

Grant Wahl was a well-respected and well-known soccer analyst and journalist. He died recently in Doha during the 2022 world cup. While the precise cause of death is not known, the symptoms he shared in his newsletter are telling. His story should help inform others about the risks of heart disease and how the symptoms […]


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Sat, 10 Dec 2022 16:19:59 -0800 Sportsman
4 Things Runners Shouldn’t Do 4 Things Runners Shouldn’t Do

As a runner, it’s essential to take care of your body and avoid habits that can lead to injuries or burnout. Here are four things that runners should avoid in order to stay healthy and keep improving. To properly warm up, start by doing some light stretches and dynamic movements, such as walking lunges, leg […]


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Sat, 10 Dec 2022 16:19:59 -0800 Sportsman
10 Foods to Increase Muscle Strength Improving one’s fitness doesn’t stop at the gym if you’re trying to increase your muscle strength and lose body fat, it’s enormously important to consume nutrient-rich foods which nourish and recuperate your body after a workout. Both nutrition and physical activity are critical if you want to gain lean muscle. It’s essential to challenge your body through physical activity, but your progress will stall without proper nutritional support.

Woman sitting on the floor eating healthy food.

Don’t just reach for a protein shake or frozen pizza when dinner time rolls around. Invest your time and money in food that’ll foster your overall health, enhance your physique and reduce your chances of illness in the long run.

Bring this list with you to the grocery store and stock up on these 10 foods to help build muscle, increase strength and improve your health:

Boiled egg, seasoned.

Eggs. As one of nature’s most complex, complete, and flexible foods, eggs are the gold standard of protein. Every egg contains 7 grams of protein, plus a host of other essential vitamins and minerals.

Plate of salmon.

Wild Salmon. With 20 grams of protein in every 100-gram serving, wild salmon will accelerate your results while sports training in Phoenix. Wild salmon is also a great source of omega-3 fatty acids. Avoid farm-raised salmon, though – they’re often fed a poor diet, so contain limited nutritional benefits.

Quinoa. Interestingly, quinoa packs more protein than any other major grain. Moreover, it’s a rich source of minerals and vitamins, particularly B vitamins. If you’re unfamiliar with B vitamins, they help metabolize and digest proteins and carbohydrates, helping you bulk up.

Spinach. Take it from Popeye. Spinach is fantastic fuel for muscle building because it contains iron and nitrates to promote muscle growth. These nitrates also help regulate blood pressure, immune defenses, and cell metabolism. Serve your dinner on a bed of spinach (cooked or raw) every night for constant, delicious intake.

Greek yogurt. Dairy contains both high-quality protein and a mixture of fast-digesting whey protein and slow-digesting casein protein. Research has shown that people experience increases in lean muscle when consuming a combination of fast- and slow-digesting dairy proteins. But not all dairy is created equal. Greek yogurt contains approximately double the amount of protein as regular yogurt.

Closeup of sunflower seeds.

Sunflower seeds. With 23 grams of protein per serving, sunflower seeds are a delicious and healthy snack for building muscle. Sunflower seeds earn health food bonus points because they’re low in cholesterol and sodium.

Soybeans. Yes! Only half a cup of cooked soybeans contains 16 grams of protein, healthy unsaturated fats, and several vitamins and minerals. Soybeans are a particularly good source of vitamin K, iron, and phosphorus. Iron is used to store and transport oxygen in your blood and muscles.

Chicken. You probably already know that chicken is a staple in any high-protein, low-fat diet. Here’s why: chicken’s protein-to-fat ratio is unbeatable – a hearty 100-gram serving packs a whopping 31 grams of protein with only 4 grams of fat. For a delicious, protein-packed lunch, stir-fry your chicken with spinach, quinoa, and garlic.

Tuna. In addition to 20 grams of protein per 3-ounce (85-gram) serving, tuna contains high amounts of vitamin A and several B vitamins, including B12, niacin, and B6. These nutrients are important for optimal health, energy, and exercise performance. Additionally, tuna provides large amounts of omega-3 fatty acids, which support muscle health. Particularly important for older adults. Research has shown that omega-3 fatty acids can slow the loss of muscle mass and strength that occurs with age.

Dry meat, jerky.

Lean jerky. When you’re on the go, try a high-quality protein from meat such as lean jerky. Many different types of meat can be made into jerky, so the nutrition facts vary. Most fat is removed from lean jerky during processing, so almost all calories in jerky come directly from protein.

Lastly, try protein powders if you need a quick meal replacement or a quick and easy option to add more protein to your daily routine. While any good diet should focus on whole foods, there are times when dietary supplements can be beneficial. If you have trouble getting enough protein from foods alone, you could consider adding protein shakes to your daily routine. Dairy protein powders, such as whey and casein, are some of the most popular. Other options are soy and pea.

If you would like more information on how to keep your body functioning at optimal performance, please contact your local Foothills Sports Medicine Physical Therapy clinic today!

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The post 10 Foods to Increase Muscle Strength appeared first on Foothills Sports Medicine Physical Therapy.

Sat, 10 Dec 2022 16:12:20 -0800 Sportsman
Debunking 4 Fitness Myths In the New Year, I, along with many others, partake in the tradition of resolutions; I try to push myself to improve my health, personal, family, and career goals. Our main goal at Foothills Sports Medicine is to get our patients healthy enough to return to the activities they love, but we often find excuses to avoid caring for ourselves. So let’s tackle some of these myths or excuses and make this the year we all focus on our goals. 

Person holding knee in pain

MYTH 1: “Aches and pains are expected with exercise.”

This is absolutely not the case. Muscle soreness is often expected after workouts, but pain or discomfort in your back, knees, or ankles is never normal. Understanding the difference between muscle soreness and pain in the muscles and joints is essential. Muscle soreness can often feel dull or tight, or you may feel fatigued, whereas pain can be sharp and often linger with no relief. Aches and pains often arise when you are not adequately taking care of your body. Exercise should not be a negative experience for you; it should be a time you enjoy and are focused on yourself and reaching your goals.

Hiker sprinting up mountain

MYTH 2: “The longer my workout, the more beneficial it is.”

Time is often one of the biggest excuses people use not to be active. Working out does not have to consume your entire day or even a whole hour. The American Heart Association suggests only 30 minutes a day for five days a week. Let’s put that into perspective: studies have recently shown that the average person spends about 90 minutes on their phone daily, leading up to about 23 days a year and about 3.9 years of an average person’s life. You can incorporate this activity into your daily routine by walking at lunch, parking farther away from your office, or even taking the stairs multiple times throughout the day. Be smart with your activity, work hard while you are training, and always put your best effort into your workouts, and you will not have to spend hours at the gym.

Husband helps wife elevate ankle.

MYTH 3: “I’ll never be flexible—my muscles have been tight all my life.”

Muscles can be trained. It was inflexible stems from not correctly training your muscles. Whether you don’t exercise consistently or exercise incorrectly, both can cause muscle imbalances. Our body is a machine that needs every single part to work together correctly to function at its fullest potential. When we have imbalances in our bodies, we will find ways to compensate, creating restrictions. Incorporate a foam roll session into your daily routine to promote the tissues’ ability to return to a relaxed state.

Woman leans against bridge due to feeling fatigued.

MYTH 4: “If I’m not sore or in pain, I’m not working out hard enough.”

Do not make soreness your priority. Many factors contribute to being sore, including but not limited to the type of exercise, the number of reps, and the weights being used. Try to use other tangible measures to verify that you are working hard, i.e., your progress from session to session. Are you able to complete more this time? What is your fatigue level in comparison? Use your feelings after a workout. How is your stress level? Are you feeling happy?

If you have questions about what you may feel during your workouts or other activities, schedule a visit to one of our many locations for a complimentary Rapid Recovery Injury Assessment.

The post Debunking 4 Fitness Myths appeared first on Foothills Sports Medicine Physical Therapy.

Sat, 10 Dec 2022 16:12:18 -0800 Sportsman
What is Instrument Assisted Soft Tissue Mobilization (IASTM)? By Garrett Lachvayder, PTA at Foothills South Chandler

IASTM is the newest soft tissue mobilization technique that has hit the industry. It is a type of treatment that allows your Physical Therapist to break down scar tissue and fascial restrictions effectively and restore normal soft tissue texture, flexibility, and function quickly.

It utilizes several specialized tools to treat soft tissue injuries. For example, it can be used on any body, including muscles, tendons, ligaments, fascia, and joints.

While many people use the IASTM technique as a treatment method for acute injuries (such as strains), some choose this type of therapy as a preventative measure – especially if they are highly active and know they’re at risk for overuse injuries. IASTM can help loosen up tight muscles and tendons—which allows your body to heal more quickly—reducing your risk of chronic pain or re-injury in that area.

PT using IASTM treatment on patients foot.

How IASTM Works

IASTM uses a variety of instruments on the body, including flat and curved bars, rubber balls, and brushes, to apply pressure directly to tight muscles or tendons. The application of that pressure breaks down scar tissue, relieves inflammation, and stimulates healing underneath the surface of your skin.

The goal is to increase blood flow in those areas, so they heal more quickly and efficiently; this also improves flexibility as it loosens up stiff joints and moves quickly (which helps reduce pain). Increasing oxygenation in your injured joint or tendon tissue, IASTM helps relieve swelling, so you don’t suffer from chronic stiffness after every workout session (or a long day at work). The best part about IASTM is that it’s non-invasive, meaning you don’t have to worry about surgery or taking time off work to heal. It’s also much less painful than other forms of physical therapy (like deep tissue massage), so it’s easier for most people to handle.

Combining these two treatments is powerful, as it can help you recover from injury faster. With IASTM and physical therapy in your arsenal, you’ll be back to full strength (and pain-free) in no time!

PT using IASTM treatment on patients arm.

What Are the Different Tools Used in IASTM Therapy?

IASTM tools are designed for the treatment of soft tissue injuries. They’re made from high-quality materials like stainless steel, Teflon-coated tips, and silicone. So they don’t irritate your skin as you work out knots in tight muscles that repetitive or strenuous movement patterns may have created (e.g., crossing arms over chest all day).

IASTM tools for physical therapy.

The variety of Instruments available makes it possible for therapists to customize their treatments based on the needs of their clients. Physical therapists can use IASTM tools to treat acute and chronic soft tissue injuries and provide preventative measures against future problems. The instruments can also work in other types of treatment, such as trigger point therapy and myofascial release. They can be used on many body parts, including muscles, tendons, ligaments, and fascia. The tools are designed to apply a specific amount of pressure to tissue so that a therapist can work through it without causing damage or pain to the client.

The tips of these instruments can be either blunt or sharp, depending on the treatment given. As a general rule, the sharper the tool, the more intense and specific the soft tissue treatment.

What Conditions Does IASTM Treat?

IASTM can treat a wide range of conditions, including:

  • Muscle and tendon injuries
  • Arthritis
  • Frozen shoulder
  • Sports injuries
  • Tennis elbow
  • Plantar fasciitis (heel pain)
  • Fibromyalgia
  • Sciatica (pain due to irritation or compression of the sciatic nerve)
  • Carpal tunnel syndrome (numbness and tingling in fingers and hand)
  • Tension headaches

Benefits of IASTM Therapy

The goal of IASTM therapy is to promote healing and reduce pain. It does this by increasing circulation, breaking up scar tissue and fascia (connective tissue), loosening tight muscles, reducing inflammation, and stimulating nerves. This helps the body recover faster from injuries and improves overall health by preventing future problems. The benefits of IASTM therapy include:

  • Reduced pain and inflammation
  • Increased blood flow and lymph flow
  • Improve the following range of motion (ROM)
  • Less muscle soreness after activity
  • Better sleep
  • Better overall health

How IASTM Helps Muscles and Tendons Heal More Quickly

When you have a muscle or tendon injury, your body will try to repair it by creating scar tissue and new collagen. This takes time and can cause pain and stiffness. IASTM helps speed up this process by breaking down scar tissue and fascia (connective tissue) to allow blood and lymph to flow through your tissues more easily. This helps speed up recovery while also preventing future problems.

How IASTM Increases Range of Motion

Muscles and joints are often restricted because of scar tissue or adhesions that have formed between your muscles and fascia. This is even more likely to happen if you’ve had an injury. IASTM helps break down these adhesions so your body can move more freely.

How IASTM Reduces Chronic Pain

The body naturally wants to be in a state of homeostasis or balance. When you injure yourself, your body goes into protection mode and creates adhesions between muscles and fascia to stabilize the area and prevent further injury. The problem is that these adhesions can cause pain when they limit the range of motion or make movement difficult. IASTM helps reduce this chronic pain by breaking down scar tissue so that blood and lymph can flow freely through your tissues.


Instrument Assisted Soft Tissue Mobilization (IASTM) is a safe, effective treatment for many conditions. IASTM uses a curved or flat surface instrument to apply pressure to tight muscles and tendons. This therapy stimulates healing by increasing blood flow and breaking up scar tissue.

IASTM can help you in the following ways: reduce pain, increase range of motion and improve muscle function. If you have any reason to believe that you may be suffering from injuries such as chronic low back pain or neck issues, please request an appointment with Foothills Sports Medicine Physical Therapy today to see if IASTM is the proper treatment for you.

The post What is Instrument Assisted Soft Tissue Mobilization (IASTM)? appeared first on Foothills Sports Medicine Physical Therapy.

Sat, 10 Dec 2022 16:12:17 -0800 Sportsman
Did I Tear My MCL? Skier with a torn MCL

If you've recently sustained a knee injury and are experiencing pain on the inner side of your knee joint, you may be wondering if you tore your medial collateral ligament (MCL). 

Whether from a fall while skiing, a twist of the knee playing soccer, or a hard hit during ice hockey, MCL tears are a common injury among athletes. 

In most cases, MCL tears can be treated without the need for surgery. However, they all require proper care to heal fully and avoid damage to other structures of the knee.

 How Do MCL Tears Occur?

MCL tears are common in athletes

The MCL is a band of tissue that runs along the inside of your knee, connecting the shinbone to the thigh bone. It helps stabilize the knee joint and prevents your knee from bending too far inward. 

The MCL can be stretched or torn when a force pushes the knee joint beyond its normal range of motion. Common causes include:

  • A direct blow to the outside of the knee, like from a tackle in football

  • Hyperextension of the knee (read more about how this commonly occurs in skiers)

  • Landing awkwardly from a jump

  • Sudden twisting of the knee during cutting or pivoting maneuvers, like in soccer

What Does a Torn MCL Feel Like?

MCL symptoms

Symptoms are often felt on the inner side of the injured knee and will vary depending on whether the ligament is stretched, partially torn, or in severe cases, completely torn. These include:

  • Immediate pain

  • Tenderness

  • Bruising

  • Feeling like the knee may give out

  • Difficulty walking or bearing weight

  • A popping sound when the injury occurs

What Is the Treatment for an MCL Tear?

The good news is that the MCL has an excellent blood supply, which means that the ligament can often heal on its own and without the need for surgery. 

At Vail-Summit Orthopaedics & Neurosurgery, Dr. Sterett will start by reviewing your medical history, symptoms, and how the injury occurred. He will then examine your knee for signs of tenderness, swelling, and instability. Imaging tests may be ordered to confirm the diagnosis and the severity of the tear, which is graded on a 1 to 3 scale.

  • Grade 1: Mild injury where the MCL is stretched but not torn.

  • Grade 2: Moderate injury where the MCL is partially torn.

  • Grade 3: Severe injury where the MCL is completely torn.

Once a diagnosis is confirmed, Dr. Sterett and his team will work with you to develop a comprehensive treatment plan unique to your needs, recommending conservative measures whenever possible. Treatments methods may include:

  • Rest, ice, compression, and elevation (RICE)

  • Anti-inflammatory medication

  • Restricted weight-bearing

  • Knee brace 

  • Physical therapy

Biologics such as stem cells or PRP have been used to promote a more rapid or robust healing of a complete MCL tear.  Make sure you ask about this option!

While recovery times vary widely depending on the injury's severity, grade 1 and 2 tears generally take two to four weeks to heal, while grade 3 tears can take up to eight weeks or longer. 

Surgery is usually only recommended in cases where:

  • There is a complete tear of the MCL off of the tibia. MCL tears off the femur (these account for over 90% of tears)  typically do not need surgery. 

  • There is damage to other ligaments.

  • The tear isn't sufficiently healing after conservative therapy.

Contact Dr. Sterett for Expert Treatment of MCL Injuries

If you're experiencing knee pain and think you might have injured your MCL, contact Dr. Sterett and his team at Vail-Summit Orthopaedics & Neurosurgery today. 

Whether your goal is to get back to professional sports or return to your favorite mountain activities, Team Sterett will develop an individualized treatment plan that helps you achieve your goals.

Call (970) 476-7220 to schedule an appointment today at convenient locations in Edwards or Vail, Colorado. You can also request an appointment online

Sat, 10 Dec 2022 15:57:08 -0800 Sportsman
Acupuncture for Sports Injuries Acupuncture for Sports Injuries

Whether you are a professional, college, or high school athlete (or maybe just a weekend warrior), you know that injuries can happen when you least expect it. Sometimes, it’s a traumatic injury because your body was pushed beyond its limit and sometimes, the injury comes from simple overuse. And every athlete wants to get back on the field, court, or track as quickly as possible.

Many athletes have discovered that acupuncture is an ideal treatment to augment recovery, speed up healing, and reduce pain. Acupuncture basically works like this. When you suffer an injury, the flow of energy (also known as Qi) to and from the area becomes disrupted which causes pain and stagnation. Blood circulation can also be limited which can extend healing times, prolong swelling and bruising, which all combine to most people taking more pain medications.

Acupuncture is used to reestablish the flow of Qi, or energy, to the injured area. This all helps to increase circulation, blood flow and to remove cellular waste from the injury. Your acupuncturist might also add herbal medicine to your acupuncture treatments to help alleviate pain. Herbs used for injuries can be applied topically or taken internally, depending on the type of injury sustained.

According to the Pacific College of Health and Science, “Specific acupuncture styles and techniques were developed to stop pain and dramatically increase recovery time. This tradition continues today, and its use has expanded into competitive athletics that result in similar injuries. Pain is one of the most common complaints in sports injuries followed by reduced function. The whole approach of Traditional Chinese Medicine and acupuncture to the treatment of pain and reduced function is to see it as a disorder in the body’s natural state. The treatment is geared toward rectifying the disorder and restoring internal harmony.”

“Recent studies show that acupuncture effectively treats sports injuries such as strains, sprains, neck, shoulder, elbow, wrist, hip, knee and ankle pain, swollen muscles and shin splints. In addition to treating the injury, Acupuncture can also improve performance and give athletes a competitive edge.”

Because of this “competitive edge,” many professional sports teams have acupuncturists on staff to help shorten healing time and resolve overuse injuries (i.e., throwing/pitching, tennis elbow/shoulder, track and field injuries, etc.). However, you don’t have to be a competitive athlete to benefit from regular acupuncture treatments.

A 2015 study from Zhengzhou University examined the effects of Traditional Chinese Medicine style acupuncture and herbal treatments on amateur and professional athletes suffering from motor impairments due to physical training. The study ultimately found that the “total effective rate for the acupuncture only group was 70% and the herbal medicine group achieved a 62% effective rate.” Not bad results at all. However, the group receiving both acupuncture and herbal medicine achieved a total effective rate of just more than 84%. The researchers concluded that “acupuncture combined with herbs is highly effective for the treatment of physical activity induced motility impairments. The combined therapeutic approach is more effective than either treatment modality as a standalone procedure.”

If you are training for a triathlon or marathon, or you are a regular at the tennis courts or the golf course, you might want to consider regular acupuncture treatments to keep those injuries at bay. Talk to your acupuncturist about different preventative measures to stop injuries before they start or talk to them about a recovery plan if you have already had an acute traumatic injury. They can help you reach your goals of getting back in balance and getting back to the sports you love. Don’t wait, make an appointment today!

Acupuncture for Sports Injuries was last modified: October 26th, 2022 by admin

The post Acupuncture for Sports Injuries appeared first on Dr. Julie Reyes.

Sat, 10 Dec 2022 15:57:00 -0800 Sportsman
Acupuncture for Chronic Back Pain Acupuncture for Chronic Back Pain

A Harris Poll released earlier this year found that approximately three out of ten U.S. adults currently suffer from chronic low back pain. To put it another way, that’s an estimated 72.3 million people! Common treatments usually include prescription medications which bring their own complications and side effects into the picture. If you are looking for a drug-free alternative to your back pain, acupuncture could be the solution you have been searching for. 

What the Research Says

According to the experts at WebMD, chronic low back pain is one of the conditions most touted by research suggesting acupuncture could be an effective treatment tool. WebMD also pointed to guidelines from the American Pain Society and the American College of Physicians who say “doctors should consider acupuncture as an alternative therapy for patients with chronic low back pain that’s not helped by conventional treatment.”

How It Works

If you have never experienced an acupuncture treatment, you might be wondering just how it works. First, your acupuncturist will take a detailed health history to determine the best course of treatment for your pain. They may also prescribe herbs and dietary changes to help your condition as well. 

A typical treatment involves inserting thin needles at specific points on the body. These points help to connect the meridians throughout the body, thus making sure the flow of energy (also known as Qi) is balanced. Stimulating the various points (depending on your particular health concern and the severity of the pain) can correct any energy imbalances, thus relieving pain with little or no side effects. The medical experts at WebMD also believe that “acupuncture has fewer adverse side effects than many of the standard treatments for back pain. 

Many people wonder how many treatments it will take to find relief. It all depends on the severity of the issue but typically six to twelve sessions are scheduled. Again, depending on the severity of the condition, sessions can be done once or twice a week and can last for 30 to 90 minutes. Less severe issues could require fewer treatments, but in severe cases, additional sessions may need to be scheduled to completely address the condition. 

In general, the acupuncture points that focus on treating back pain are found on the hands, at the back of the knees, on the hips, stomach, lower back, and feet. Two of the most common points that can help relieve back pain are Liver 3 and Kidney 3. A 2019 study published in Pain Medicine measured the effects of acupressure as a treatment of chronic low back pain. Researchers found that “the relaxing and stimulating acupressure groups showed a pain reduction of 35% and 36%, respectively, which was greater than the care group. The stimulating acupuncture group also experienced better fatigue improvement compared to the care group.”

It’s important to note that your chronic back pain could be a sign that there are other issues and imbalances happening in your body. This is something your practitioner will consider as they conduct the health history intake with you before treatment begins. In addition to relief from your back pain, you may notice other positive side effects like improved digestion, better sleep and less stress and anxiety. 

If you suffer from chronic back pain and are looking for a treatment option with little to no side effects, call your local acupuncturist and make an appointment today! 

Acupuncture for Chronic Back Pain was last modified: November 28th, 2022 by admin

The post Acupuncture for Chronic Back Pain appeared first on Dr. Julie Reyes.

Sat, 10 Dec 2022 15:56:54 -0800 Sportsman
334. Two simple ways women can decrease their risk of hip fracture Hip fractures can be devastating injuries to older adults, often impairing their ability to walk even after surgery to fix them. In a new study published in the journal Clinical Nutrition, researchers at the University of Leeds found two simple ways women can reduce their risk of hip fracture. Using participants from the UK Women’s Cohort Study, the researchers determined that women who eat an additional 25 grams of protein each day decrease their risk of hip fracture 14 percent. That can be animal or plant protein. Eating 3 to 4 eggs or a steak or piece of salmon would add 25 grams of protein. Surprisingly, drinking an additional cup of coffee or tea each day reduced the risk 4 percent.

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Sat, 10 Dec 2022 15:55:42 -0800 Sportsman
77. How α2&macroglobulin appears to stop cartilage breakdown and improve arthritis In the December 8, 2022 episode of Better Than Ever Live!, I discuss a relatively new advance in the treatment of osteoarthritis called α2-macroglobulin. We talk about what it is, how it appears to work, and what it’s role in the treatment of arthritis could be.

Subscribe to Better Than Ever Live!

Remember, if you are watching this show on YouTube or Facebook, and you want to make sure you don’t miss an episode, subscribe to Better Than Ever Live! as an audio podcast wherever you get your podcasts. If you are listening to this podcast and you want to comment on topics, join us live on YouTube and Facebook, and soon on other social media platforms. Go to, click subscribe and hit the bell to be notified when I’m on live. And make sure to follow my Facebook page –

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Sat, 10 Dec 2022 15:55:41 -0800 Sportsman
335. If you want to get more exercise, find active friends It’s been said that we are the average of the five people we spend the most time with. If that saying is true, then we might want to choose people who are physically active to be in our circles. In a new study published in the journal PLOS ONE, researchers created a mathematical model to learn the influence of social interactions on community exercise patterns. Their model showed that without social interactions, populations experienced a long-term decrease in physically active individuals, and most people exhibited sedentary lifestyles. But when the model had sedentary people interacting frequently with people who were active, they became more active themselves over time. In other words, if you want to exercise more, spend more time with people who like to exercise.

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Sat, 10 Dec 2022 15:55:40 -0800 Sportsman
How to Beat Burnout for Good Feeling overwhelmed and exhausted? Here's why. ]]> Sat, 10 Dec 2022 15:46:48 -0800 Sportsman How Chiropractic Care Helps Improve Posture Adjustments are helpful for more than just back pain. ]]> Sat, 10 Dec 2022 15:46:47 -0800 Sportsman The influence of removing home advantage on the Chinese Football Super League Sat, 10 Dec 2022 15:42:45 -0800 Sportsman The effects of fluid absorption and plasma volume changes in athletes following consumption of various beverages Sat, 10 Dec 2022 15:42:45 -0800 Sportsman Warm up with music and visual feedback can effect Wingate performance in futsal players Sat, 10 Dec 2022 15:42:45 -0800 Sportsman The effect of mindfulness&based interventions on elite athlete mental health The question of how to improve mental health is receiving increased attention across all walks of life. Placing the spotlight on elite sport, some interesting challenges arise. Athletes are admired, sometimes even adored, for their physical and psychological strength. Conflicts arise, however, when the very thing athletes are inherently good at (enduring adversity to achieve success) stands in the way of them identifying and acknowledging vulnerability and then seeking mental health support. As a former professional athlete and now a PhD researcher in this area, I believe that understanding the relationship between performance and mental health is key to implementing effective mental health strategies. This blog provides an overview of our recently published study exploring the effect of mindfulness-based programmes on elite athlete health – available here.


Why is this study important?

Mindfulness is an innate ability that is underpinned by skills that can be learned, practised, and enhanced. It entered western medicine in the form of group-based stress reduction programmes where participants are taught meditative practices. The aim is to improve their ability to focus on the present moment and be non-judgmentally aware of the thoughts and feelings that arise. Mindfulness has since become a popular and widely recommended means of improving mental health, with many other mindfulness-based programmes emerging, including some specifically designed for athletes.


Mindfulness-based approaches have also been used in sport as a way to improve athletic performance, so it’s feasible that they have the potential to improve both mental health and performance. By delivering the programmes to groups, rather than on an individual basis, some of the stigma associated with seeking mental health support could also be reduced. Our study evaluated the best available evidence to determine whether mindfulness-based programmes were an effective method of improving elite athlete mental health.


How did the study go about this?

Following guidelines for conducting a systematic review, we extensively searched the available literature for studies that randomly assigned half a group of athletes to a mindfulness-based programme and the other half to an active or non-active control (e.g., relaxation, or just training as usual). We included 12 studies that reported relevant mental health assessment scores. Results were extracted from each study and pooled together to allow the data to be analysed as a single dataset. We then compared the mental health results of 314 athletes that had undergone a mindfulness-based programme with the results of the 300 athletes that were in the control groups.  


What did the study find?

Overall, athletes that underwent the mindfulness-based programmes reported improved mental health compared to the athletes in the control groups. Significantly reduced symptoms of stress, psychological distress, and anxiety were reported. Both general symptoms of anxiety and competition anxiety reduced, indicating that mindfulness-based programmes could support performance alongside mental health. Significant increases in psychological wellbeing and mindfulness were also found. Symptoms of depression reduced, but this result was not statistically significant meaning further research measuring depression is required. Only four percent of athletes assigned to the mindfulness-based programme dropped out compared to nine percent in the control group. This tells us that these programmes are an acceptable form of intervention in elite sport settings.

We also found that mindfulness-based programmes designed specifically for sport may be the most effective, and that effectiveness increases as athlete age increases. The results were particularly strong in one study that assessed retired elite athletes. 


What are the key take-home points?

Mindfulness-based programmes improved mental health overall. By developing programmes that are specifically adapted for athletes, and delivering them in group settings with a focus on performance enhancement, it may be possible to broadly improve the mental health of many athletes at once. Mindfulness-based programmes also have the potential to navigate some of the barriers athletes face when seeking-help, and might contribute to reducing some of the stigma around mental health in elite sport. 


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Sat, 10 Dec 2022 15:41:32 -0800 Sportsman
Effect of degree of rapid weight cutting prior to competition on in&competition injury risk in collegiate Division I wrestlers. Keywords: Wrestling, weight loss, injury

In this blog post, we will explore our study that investigated the association between degree of rapid weight loss (weight cutting) and in-competition injury in Division I collegiate wrestlers [1]. We used data that was collected over seven years at the University of Wisconsin for the analysis.


Why is this study important?

Weight cutting is a central feature of the sport of wrestling where athletes dehydrate themselves to make weight prior to competition. The goal of weight class sports is to make sure that athletes compete against other athletes of similar size. However, weight cutting is also perceived to be advantageous because it could allow athletes to compete against smaller and weaker opponents, assuming that they can recover quickly enough to be effective. In collegiate wrestling, athletes weigh in only 1-2 hours prior to competition, which doesn’t give them much time to recover and rehydrate [2].

How did the study go about this?

We used prospectively collected DXA scans (dual energy X-ray absorptiometry) from the preseason and midseason setting to assess body composition changes (fat, lean mass, body weight) in that interval. We then compared midseason weight to competition weight to estimate the degree of weight cutting our athletes undergo. In-competition injuries were recorded during those seasons and hazard ratios were calculated.

What did the study find?

The degree of weight cutting among our cohort of collegiate wrestlers was profound—on average, injured athletes cut 7% of their body weight and uninjured athletes cut 5.7% of their body weight. Dehydration of this degree has been associated with impaired cognitive function, lower power output, and lower muscle contraction velocity. In a sport as physical as wrestling, diminished function in these domains could lead to reduced ability to respond to an opponent’s actions and lead to injury. We found that for every kilogram of body weight lost, wrestlers had a 14% increased risk of injury during competition. We also assessed the relationship between win percentage and weight change and found no correlation between them.

What are the key take-home points?

Weight cutting is a feature of weight class sports like wrestling, but there may be opportunities to improve the health and safety of athletes. The NCAA has previously changed weight cutting rules after three Division 1 wrestlers died from complications of massive rapid weight loss. These rule changes have been effective at preventing death [3], but there is an opportunity to further reduce the risk of less catastrophic injury. In collegiate wrestling, athletes must undergo a weight certification process that determines the lowest weight class they may compete in based on their expected weight at a minimum of 7% body fat. One option could be to raise the minimum acceptable body fat percentage allowed. Another possibility is to further reduce the interval from weigh-ins to competition such that wrestlers step onto the mat to compete directly from the scale. This would not eliminate weight cutting, but it would further disincentivize athletes from massive rapid weight loss.


Efforts to transform the rules around weight cutting are likely to face stiff resistance from stakeholders within the wrestling community. Stories about weight cutting are a part of the lore of wrestling culture. As in most sports, discipline is a highly valued trait in wrestling. The ability to endure and excel despite weight cutting is a central feature of this paradigm. Indeed, when the NCAA transformed the weight cutting policies in 1998, prominent figures in the sport vocally opposed such changes even after catastrophic events within the sport [4]. Regardless, the health and safety of athletes are paramount. Education alone will not result in safer degrees or methods for weight loss unless the playing field is level. Reasonable policy changes to limit weight cutting should be considered by the organizations responsible for such legislation, as has been done to improve safety in other sports.


Author affiliations:

Department of Orthopaedics and Rehabilitation, Madison, WI, USA

University of Wisconsin-Madison, Badger Athletic Performance, Madison, WI, USA

University of Wisconsin-Madison, Biostatistics and Medical Informatics, Madison, WI, USA



1 Hammer E, Sanfilippo JL, Johnson G, et al. Association of in-competition injury risk and the degree of rapid weight cutting prior to competition in division I collegiate wrestlers. Br J Sports Med 2022;:bjsports-2022-105760. doi:10.1136/bjsports-2022-105760

2 Houston ME, Sharratt MT, Bruce RW. Glycogen depletion and lactate responses in freestyle wrestling. Can J Appl Sport Sci 1983;8:79–82.

3 Oppliger RA, Landry GL, Foster SW, et al. Wisconsin minimum weight program reduces weight-cutting practices of high school wrestlers. Clin. J. Sport Med. 1998;8:26–31. doi:10.1097/00042752-199801000-00007

4 Media not telling rest of story, Smith says. The O’Colly. 1998.

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Sat, 10 Dec 2022 15:41:31 -0800 Sportsman
Starting non&operative treatment in ACL injuries: no need to be afraid of more meniscal procedures Keywords: anterior cruciate ligament injury, meniscal tear, physical therapy

Although recent evidence supports starting non-operative treatment in anterior cruciate ligament (ACL) injuries, orthopaedic surgeons are uncertain in doing so. Will starting non-operative treatment lead to an increase in meniscal tears? This idea is often used as an argument to choose for an early ACL reconstruction. Treating patients is based on scientific evidence, mainly acquired on a group level. This blog is based on a recent study that has given us more high-quality evidence to consider bespoke treatment for the ACL injured patient (1). 

Why is this study important?

About 40 to 60 percent of the patients with an ACL rupture have an associated meniscal tear. A meniscal injury increases the risk for osteoarthritis, can lead to additional complaints such as a locking knee and pain, and often requires surgical intervention. It is thought that persistent instability in the ACL deficient knee leads to more meniscal injuries. Surgeons choose to perform an early ACL reconstruction to reduce instability and hopefully reduce the risk of new meniscal injury. The existing evidence is too weak to conclude that early surgery in ACL ruptures indeed protects for additional meniscal injuries. The available evidence is not from randomised controlled trials (RCT) and is therefore not optimal to address this question. Therefore, we evaluated the risk of additional new meniscal tears in our RCT.

How did the study go about this?

We performed a secondary analysis on data from the Conservative versus Operative Methods for Patients with ACL Rupture Evaluation (COMPARE) trial in which patients with an acute ACL rupture were randomised to early ACL reconstruction (surgery within 6 weeks after randomisation) or rehabilitation therapy with optional delayed ACL reconstruction (at least three months of physical therapy). In the COMPARE trial 167 patients were included and randomised, 85 in the early ACL reconstruction group and 82 in the rehabilitation therapy plus optional delayed ACL reconstruction group. Of the latter, 41 patients (50%) received a delayed ACL reconstruction during two-year follow-up. In the current paper we evaluated whether a meniscal procedure was performed during the two-year follow-up period (yes or no).

What did the study find?

During the two-year follow-up 25 patients in the early ACL reconstruction group (29%, 25/85 patients) had an additional meniscal procedure. In the rehabilitation plus optional delayed ACL reconstruction group 17 patients (21%, 17/82 patients) had a meniscal procedure in the ACL injured knee. Patients that had initial rehabilitation therapy had no more meniscal procedures compared to patients that had early ACL reconstruction (risk ratio 0.67, 95% confidence interval 0.40 to 1.12; p-value 0.12).

What are the key take-home points?

In this study the number of meniscal procedures in patients with an ACL rupture who were treated with rehabilitation therapy and optional delayed ACL reconstruction does not differ from patients who received early ACL reconstruction. Based on the results of this study on data of a high quality RCT, clinicians can safely start non-operative treatment in ACL injured patients without the risk of more meniscal procedures. However, there should still be a focus on preventing meniscal lesions and awareness of secondary risk of osteoarthritis.

Authors and affiliations: 

Sabine van der Graaff, MD, Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, Rotterdam, The Netherlands

Max Reijman, PhD, Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, Rotterdam, The Netherlands

Duncan Meuffels, MD, PhD, Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, Rotterdam, The Netherlands


  1. van der Graaff SJA, Reijman M, van Es EM, et alMeniscal procedures are not increased with delayed ACL reconstruction and rehabilitation: results from a randomised controlled trialBritish Journal of Sports Medicine Published Online First: 22 September 2022. doi: 10.1136/bjsports-2021-105235

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Sat, 10 Dec 2022 15:41:29 -0800 Sportsman
Four Tips To Deal with Holiday Stress stretch and meditation

Written By:

Brooklyn Wiley, Performance Coach at ATH-North Houston




Stress is something that comes along with the joys of the holiday season and it is important that we prepare ourselves. One of the most important things is staying close to the daily or weekly routine that you and your family have in place. In this post we will give a variety of suggestions to help keep your stress levels under control and be able to enjoy the holidays. Don't let holiday stress keep you down this year by following these four simple tips.

Sat, 10 Dec 2022 15:37:41 -0800 Sportsman
Six To Fit Transformation Challenge ATH gym floor weight racks

Are you ready for a fitness challenge?

Sat, 10 Dec 2022 15:37:40 -0800 Sportsman
10 Facts about Low Back Pain

We were lucky enough to attend our annual APA breakfast and hear Peter O'Sullivan speak about recent advances in treatment of lower back pain.

Here are 10 facts about low back pain, backed by a review of the latest medical research evidence(O’Sullivan et al 2019):

1. Persistent back pain can be scary, but it’s rarely dangerous. It can be distressing and disabling, but it’s rarely life-threatening and you are VERY UNLIKELY to end up in a wheelchair.

2. Getting older is not a cause of back pain. Although it is a widespread belief and concern that getting older causes or worsens back pain, research does not support this, and evidence-based treatments can help at any age.

3. Persistent back pain is RARELY associated with serious tissue damage. Backs are strong – if you have an injury, tissue healing occurs within three months. So if pain persists beyond this timeframe, it usually means there are other contributing factors. A lot of back pain begins with no injury or with simple, everyday movements. These occasions may relate to stress, tension, fatigue, inactivity or unaccustomed activity which make the back sensitive to movement and loading.

4. Scans rarely show the cause of back pain. Lots of scary-sounding terms can be reported on scans such as “disc bulges”, “protrusions” or “prolapse” etc. However, the reports don’t say that these findings are very common in people without back pain symptoms and they don’t relate to how much pain you feel or how disabled you are. Scan results can also change and most disc prolapses shrink over time.

5. Pain with exercise and movement doesn’t mean you are doing harm. When pain persists, the spine and surrounding muscles can become really sensitive to touch and movement. The pain you feel during movement and activities reflects how sensitive your structures are, NOT how damaged you are. So it’s safe and normal to feel some pain when you start moving and exercising, and it usually settles down with time as you get more active. In fact, exercise is one of the most effective ways to treat back pain.

6. Back pain is not caused by poor posture. How we sit, stand or bend does not cause back pain even though these activities may be painful. A variety of postures are healthy for the back. It is safe to relax during everyday tasks such as sitting and bending.

7. Back pain is not caused by a “weak core”. Weak “core” muscles do not cause back pain, in fact, people with back pain often tense their “core” muscles as a protective response. Imagine this is like clenching your fist very tightly after you’ve sprained your wrist, which can cause your forearm muscles to feel tense all the time and doesn’t help in relieving the ache that has now spread to the forearm muscles. Learning to relax the “core” muscles will be more helpful in managing back pain.

8. Backs do not wear out with everyday loading and bending. In the same way, lifting weights makes muscles stronger, moving and loading make the back stronger and healthier. So activities like running, twisting, bending and lifting are safe if you start gradually and practice regularly.

9. Pain flare-ups don’t mean you are damaging yourself. While pain flare-ups can be very painful and scary, they are not usually related to tissue damage. The common triggers are things like poor sleep, stress, tension, worries, low mood, inactivity or unaccustomed activity. Controlling these factors can help prevent exacerbations, and if you have a pain flare-up, instead of treating it like an injury, try to stay calm, relax and keep moving!

10. Injections, surgery and strong drugs usually aren’t a cure. Spine injections, surgery and strong drugs like opioids aren’t very effective for persistent back pain in the long term. They can have unhelpful side effects. Finding low-risk ways to put yourself in control of your pain is the key.


O’Sullivan, P., Caneiro, J., O’Sullivan, K., Lin, I., Bunzli, S., Wernli, K. and O’Keeffe, M., 2019. Back to basics: 10 facts every person should know about back pain. British Journal of Sports Medicine, 54(12), pp.698-699.

Sat, 10 Dec 2022 15:35:10 -0800 Sportsman
Best Treatments for Dislocated Shoulder Shoulder Dislocation Is a Common Injury Requiring Professional Treatment

Dislocated Shoulder Treatment Pembroke Pines FLA dislocated shoulder can be quite a painful injury, but there are some excellent dislocated shoulder treatments available that can return the full range of motion.

Shoulder dislocation is a common sports injury. This happens when the upper part of the humerus (or the arm) bone pops out of the shoulder socket. But you do not have to be involved in athletics to have a dislocated shoulder.

Shoulder dislocation can be caused by trauma, such as falling on the arm or lifting a heavy object, or traumatic stress, such as repetitive pressure that gradually loosens the shoulder joint, causing instability and eventual dislocation. If you believe you have suffered a shoulder dislocation, you should seek treatment immediately.

An untreated shoulder dislocation can result in several complications, including torn muscles, ligaments, or tendons, damage to the blood vessels or nerves, or chronic shoulder instability that increases the chance of recurrence and can lead to other chronic orthoepic conditions such as arthritis.

What Are the Symptoms of a Dislocated Shoulder?

If, after a fall, impact to the shoulder area, or simply throughout ongoing physical activity, you experience any of the following symptoms, you should seek immediate treatment at a hospital emergency department or urgent care facility:

  • Severe shoulder pain, especially at the joint
  • Your shoulder looks visibly out of place
  • Inability to move the shoulder, pain upon movement, or shoulder weakness
  • Numbness and tingling


Physical palpation and medical imaging such as x-rays, CT scans, ultrasounds, or MRIs will be used to confirm a diagnosis of a shoulder dislocation.

Learn more here: Dislocated Shoulder Treatment 101: Things You Need To Know

Best Dislocated Shoulder Treatments

Treatment for a dislocated shoulder begins with having the dislocated bone replaced in its socket. Once the bone is replaced correctly in the socket, treatment does not end there.

  • Additional dislocated shoulder treatments include.
  • Activity modification and/or immobilization with a sling
  • Anti-inflammatory medication
  • Icing or applying heat to the shoulder joint
  • Strengthening exercises and/or physical therapy

You should always follow up on any initial dislocated shoulder treatments with a consultation with an orthopedic surgeon. If the shoulder dislocation involves the tearing of tendons and ligaments, which could often be the case, shoulder surgery or other shoulder dislocation treatments may be necessary.

Dislocated Shoulder Treatment at All-Pro Orthopedics

Dislocated Shoulder Treatment Pembroke Pines FLA dislocated shoulder can be a severe injury. It would be best if you never attempted to reset or “pop back in” the dislocated shoulder bone on your own without medical supervision. You could cause further damage.

After going to the emergency room or having your primary doctor treat your dislocated shoulder, you should see a professional orthopedic surgeon like All-Pro Orthopedics for follow-up and additional dislocated shoulder treatment.

A dislocated shoulder often also involves tears in ligaments and tendons or other injuries to surrounding tissues which may require surgery or other orthopedic interventions to repair. At All-Pro Orthopedics, we offer the latest surgical as well as non-invasive and minimally invasive techniques for treating shoulder dislocation and soft tissue injuries.

We have perfected minimally invasive approaches and strive to use these whenever possible to allow for faster recovery times and less shoulder pain so you can get back to doing the things you love that much quicker.

If your dislocated shoulder does not respond to conservative treatment, or your imaging suggests tendon or other soft tissue damage, some of the other dislocated shoulder treatment options include:

    • Minimally invasive arthroscopic reconstruction
      This is a technique where the surgeon will make a small incision in your shoulder area and insert a very thin tube called an arthroscope to see and repair the damage. Arthroscopic surgery allows for quicker recovery times and less pain.
    • Ligament and Tendon Reconstruction and Repair
      It is pretty common for torn tendons and ligaments to also occur with a shoulder dislocation. As part of our advanced dislocated shoulder treatments, we offer arthroscopic techniques to provide ligament and tendon repair and reconstruction in a minimally invasive environment.
    • Bone Transfer and Grafting
      In certain situations, following shoulder dislocation, the bone of the shoulder socket or ball may be damaged. Bone grafting or bone transfer techniques using bone from other body parts may be used to repair this damage as part of your overall recovery from a shoulder dislocation.

All-Pro Orthopedics and Sports Medicine doctors specialize in treating common sports-related injuries and orthopedic conditions such as dislocated shoulders.

As a team of doctors specializing in orthopedics and sports medicine, we can help you reach your physical goals and prescribe individualized treatment plans for your specific needs to get you back in the game as soon as possible.

You can contact one of our friendly appointment specialists in Pembroke Pines, FL at (954) 399-5976 to schedule your initial consultation.


The post Best Treatments for Dislocated Shoulder appeared first on All-Pro Orthopedics & Sports Medicine.

Sat, 10 Dec 2022 15:32:32 -0800 Sportsman
Regenerative Medicine Therapy and Sports Medicine with Dr. Destin Hill As a member of the Emory Sports Medicine team, Destin Hill, MD, spends most of his time treating patients in the Emory Orthopaedics & Spine Center at Flowery Branch – right next to the Atlanta Falcons Training Camp. But during football season, because Emory Healthcare is the official team healthcare provider of the Atlanta Falcons, he can often be found at Mercedes-Benz Stadium or traveling with the team, providing care for professional football players.

Dr. Hill is a sports medicine physician who specializes in the care of athletes of all ages and a team physician for the Atlanta Falcons. On an episode of The Weekly Checkup, he spoke about injuries all athletes can face, and regenerative medical therapies available at Emory Healthcare’s Orthopaedics & Spine Center.

The Weekly Check-Up · 8/14/22: Dr. Destin Hill of Emory Healthcare

Caring for Players During a Game

Often, people ask Dr. Hill what it’s like being on the field and treating players during a game. “Four team physicians are at every game,” he says, “Two orthopedic surgeons, and two primary care sports medicine physicians.” Sometimes, cardiologists and neurologists from Emory Healthcare attend the games as well.

If a player may be injured during a game, Hill says, the Falcons’ head athletic trainer and Emory Healthcare’s lead team physician run onto the field. “Those are usually the two guys you see on TV, bending down, talking to players,” he says. “When they come off the field, we divide and conquer – maybe one of us takes the X-ray, or to the blue tent for concussion evaluation, something like that.”

After treating pro athletes for more than a decade, Hill says he’s seen how the NFL’s changes have made a difference to the players. “The NFL’s data has shown that there are less concussions occurring in the average NFL game than before,” he says. He also explained that new guardian caps helped reduce concussions. “So, another way the NFL’s trying to help protect the players by [them] wearing this active extra protection on the helmets.”

Go Where the Players Go

Dr. Hill estimates that 90% of his time is actually spent treating patients who aren’t professional athletes – and who have a variety of conditions or injuries. And at Emory Healthcare, the latest technology and innovative research is a part of making sure every patient receives expert care and new treatment options. For some orthopedic conditions, new research in regenerative medicine therapy might offer some patients pain relief – and one day, maybe more.

One condition that can benefit from regenerative medicine therapy is osteoarthritis, which affects an estimated 58.5 million adults in the U.S.

Osteoarthritis and Regenerative Medicine Therapy

Osteoarthritis is the most common type of arthritis and its symptoms often affect the fingers, knees, and hips. In 2012, physicians at Emory Orthopaedics & Spine Center were among Atlanta’s first health care providers to begin offering regenerative stem cell therapy, a treatment for osteoarthritis and related joint issues. This treatment harnesses the ability of a patient’s own stem cells to repair damaged tissue, reduce pain, and promote healing.

“Regenerative medicine is in the infancy stage in orthopedics,” says Hill. “We are doing lots of research trying to figure out exactly what it is and what it can become. The hope is that one day you may have a muscle tear or knee arthritis or something and you can put some of your own stem cells in there, and that fixes the problem for you – repairs the tendon, heals up your cartilage or your bones.”

Physicians at Emory Orthopaedics & Spine Center in Atlanta are among a select group of physicians around the country to offer stem cell therapy and other regenerative medical therapies for the relief of osteoarthritis pain and chronic tendonitis. These types of treatments are typically used for painful joints for patients who have moderate osteoarthritis in the hip, knee, shoulder, ankle, or thumb and it is not just available only to athletes. These injections provide a non-surgical treatment option for long-lasting relief from chronic joint pain. Emory Healthcare also sometimes treats soft tissue injuries such as tears or severe tendinosis–which is caused by chronic overuse of a tendonwith stem cell therapy.

How Does Stem Cell Therapy Work?

Stem cell therapy can be a treatment option for many patients with osteoarthritis. Stem cell therapy is a unique non-surgical procedure using the patient’s own stem cells and growth factors that may help repair damaged tissue, reduce pain, and promote healing. “Stem cells can be extracted from bone marrow, body fat, and amnio products. At Emory, the physicians practice from the patient’s own cells, which is either from their bone marrow or from their fat,” says Dr. Hill. This is a two-step procedure; a) harvesting of stem cells and b) either the bone marrow or fat is removed and collected to inject them into the patient. Overall, 75-80% of Emory’s patients have had significant pain relief and improved function of the joint following the procedure.

Platelet-Rich Plasma (PRP) Therapy

Another type of regenerative medicine Emory Healthcare provides is called Platelet-Rich Plasma (PRP) therapy, which is commonly used to treat athletes. PRP therapy is a safe, non-surgical procedure that offers pain relief to athletes who endure chronic pain from tendon injuries. PRP therapy uses platelets from the athlete’s blood to rebuild a damaged tendon. “The patient’s blood is drawn and placed in a centrifuge where the blood is spun down into different layers separating the platelets. Then, the platelet-rich plasma is injected into the injured part of the tendon with the guidance of an ultrasound machine,” says Dr. Hill. PRP therapy has been successful in relieving the pain within the three months after the healing process has started.

Physicians at Emory Orthopaedics & Spine Center like Dr. Hill provide lots of care to athletes as well as general patients. The innovative research done at Emory can benefit professional athletes along with patients with osteoarthritis and sports injuries. To learn more about your condition and the treatment options, visit

About Emory Orthopaedics & Spine Center

Emory Orthopaedics & Spine Center constitutes over 90 musculoskeletal physicians; the team is supported by athletic trainers and therapists helping to care for the most professional, elite, and collegiate athletes in Georgia – serving as the Official Team Healthcare Providers for the Atlanta Falcons, Atlanta Hawks, Atlanta Braves and Atlanta Dream.

The post Regenerative Medicine Therapy and Sports Medicine with Dr. Destin Hill appeared first on Advancing Your Health.

Sat, 10 Dec 2022 15:31:17 -0800 Sportsman
Augmented and Virtual Reality Tools Are Making Sports Injury Prevention Real for Young Athletes College-level and professional athletes can access the most advanced training programs and technology for sports injury prevention and recovery. But researchers at Emory Sports Performance and Research Center say younger athletes would benefit most from advanced sports injury prevention programs and tools.

“We know that the way children grow and develop impacts their risk for sports-related injuries,” says center director Gregory D. Myer, PhD, professor of orthopaedics at Emory University School of Medicine. “Helping kids play safe and stay safe through their growing years can keep them active and competitive.”

Myer began his sports medicine career studying anterior cruciate ligament (ACL) injuries in young women. The ACL is one of two ligaments in the center of the knee and can often be torn while playing sports. Meyer points to research showing that just over half of young athletes return to competitive sports following an ACL injury.

Created in collaboration with the Atlanta Falcons, the center’s efforts focus on the science of making sports activities—from football to fútbol—safer for kids. “Injury of any kind is a key factor for quitting sports,” Myer says. “And with so many young kids playing a lot of sports at a pretty high level, we know we have a huge opportunity to make a difference.

“It makes more sense to start implementing sports injury prevention programs early rather than after athletes play through their high-risk years.”

Myer has found that those high-risk years begin around puberty—a critical time to keep kids active.

“When injuries happen, kids are removed not only from their sport but also from that sport’s built-in social network,” Myer says. “This creates a big risk that kids will head down a pathway of physical inactivity.”

Gaming Their Way to Sports Injury Prevention

To gather information about injury and reach young athletes in a meaningful way, the Emory Sports Performance and Research Center team uses advanced imaging, augmented reality (AR) and virtual reality (VR).

Myer and his team use these tools to see how the brain responds to certain movements and help young athletes train their brains to be safer sports participants.

For example, the team is using magnetic resonance imaging (MRI) to study existing brain connections and whether they can be adapted to reduce injury risk.

The team is also investigating the effectiveness of biofeedback on sports injury prevention. In this study, athletes train by “competing” against characters in AR and VR worlds. There, they receive biofeedback—information about their movements—and can use that feedback to make movement corrections that could prevent future injury.

The center also focuses on concussion prevention and finding better ways to predict when it’s safe to return to play following a concussion. This work is important, Myer says, not only for the impact concussions can have on the brain but also because of the elevated risk they bring for secondary musculoskeletal injuries. Research has shown that sports-related concussions can affect muscle control, which could result in knee or other lower-extremity injuries even after athletes are cleared to return to play.

Broadening Their Reach

While their work relates to a range of sports, the center’s team focuses on basketball, volleyball and soccer, as these athletes have higher rates of knee injuries.

But of the three, soccer is where most injuries occur. That’s why soccer players account for the largest portion of their research population, both for concussion and knee injury studies.

But Emory Sports Performance and Research Center’s work with soccer injury prevention extends far beyond their own facility.

Recently, representatives from the Bundesliga—a professional soccer league in Germany—visited the center to learn more about the work they are doing and see how it could be implemented across their professional and developmental leagues.

As international organizations work to expand injury prevention abroad, the center is also working to reach more people across Georgia and the U.S.

The center’s home base is located next to the Atlanta Falcons training center and inside the Emory Orthopaedics & Spine Center at Flowery Branch. But the team believes they can expand their reach because of the advances and growing availability of personal AR and VR equipment.

“At the Emory Sports Performance and Research Center, we’re trying to find a way to bridge neuroscience with biomechanics to create a mind-body solution to build better and safer athletes,” Myer says. “We see our lab as a place for research, development and testing before deploying technologies more broadly.

“For us, it’s all about creating a healthy love of activity and sport and removing the negatives that injuries can create.”

Innovation at Emory’s Sports Performance and Research Center

The Emory Sports Performance and Research Center located next to the training facility and inside the Emory Orthopaedics & Spine Center at Flowery Branch is a new leading-edge research center, serving both the professional athletes of the Atlanta Falcons as well as community members of all ages. Researchers are focused on injury prevention in young athletes. The team conducts ongoing research and technology development for concussion prevention, sports injury prevention and performance enhancement.

About Emory Orthopaedics & Spine Center

Emory Orthopaedics & Spine Center offers a full range of services to diagnose, treat and repair bones, joints and connective tissue, such as muscles and tendons. Our team puts your health and well-being first. Part of our commitment to patients is making sure you receive the care you need when you need it.

We have 11 office locations throughout metro Atlanta and beyond. We are the official healthcare team provider for the Atlanta Braves, Atlanta Dream, Atlanta Falcons, Atlanta Hawks, and over 40 collegiate, high school and community sports programs.

Request Your Appointment

To request your appointment with Emory Orthopaedics & Spine Center at Flowery Branch, visit

To view a list of our locations and to make an appointment, visit


The post Augmented and Virtual Reality Tools Are Making Sports Injury Prevention Real for Young Athletes appeared first on Advancing Your Health.

Sat, 10 Dec 2022 15:31:16 -0800 Sportsman
We Need to Workout How Much Exercise Affects Each Blood&Based Brain Measure for Concussions Physical exertion may alter some blood-based brain measures that investigators hope can help clinicians objectively diagnose a concussion.

The post We Need to Workout How Much Exercise Affects Each Blood-Based Brain Measure for Concussions  appeared first on Sports Medicine Research.

Sat, 19 Nov 2022 09:25:20 -0800 Sportsman
Intrinsic Risk Factors for Ankle Sprain Differ Between Male and Female Athletes: A Systematic Review and Meta&Analysis Sat, 19 Nov 2022 09:25:18 -0800 Sportsman Pellegrini&Steida lesion: What should you do?

Medial collateral ligament tears cause pain and swelling inside the knee. Generally, MCL injuries settle with a period of bracing and rehab. However, in some cases, the healing of an MCL tear is complicated by calcification, also known as Pellegrini-Steida syndrome. What is a Pellegrini-Steida lesion, and how do we treat it?

What is Pellegrini-Steida lesion? 

X-ray showing calcification in medial ligament

A calcium deposit on the top part of the medial collateral ligament is known as a Pellegrini-Steida lesion. Calcification leads to pain and stiffness of movement. Generally, these lesions are more common in men between 25-40, forming weeks after a knee injury.


In most cases, a Pellegrini-Steida lesion forms after an acute injury to the medial collateral ligament. Tearing of the ligament leads to bleeding and swelling of the ligament fibers. Rather than healing, the body responds by depositing calcium in the torn ligaments. Calcium deposits form within 2-4 weeks of an injury and may take up to 6 months to disappear. In rare cases, this condition can occur spontaneously without an injury history.

Symptoms of Pellegrini-Steida syndrome

Generally, people with this condition describe a history of injury to the inside of the knee. Ususally, symptoms improve initially, only to worsen after 2-4 weeks with increasing medial knee pain and restriction in movement. Some people find they can’t straighten their affected knee fully. In addition, touching the top part of the MCL is painful.

Other causes of inside knee pain need to be excluded, including knee arthritis, an avulsion fracture of the medial femoral epicondyle, semimembranosus tendonitis, or myositis ossificans.

Pellegrini-Steida syndrome Imaging

X-ray showing calcification medial collateral ligament known as Pellegrini-steida syndrome

An X-ray will often confirm the diagnosis of calcification at the top part of the medial collateral ligament. Calcium deposits are seen after about three weeks. Calium can also be seen on ultrasound or MRI.

Treatment of Pellegrini-Stieda lesion 

Most cases of Pellegrini-Steida syndrome settle with conservative management.

Simple treatment 

Generally, we use oral anti-inflammatories to reduce pain and swelling. In addition, rest from sports, range of motion exercises, and rehab will accelerate recovery. Some examples of knee range of motion exercises include heel slides, seated knee bending, and seated chair slides.

Nonetheless, cases that prove stubborn need an ultrasound-guided injection. We direct a needle under ultrasound to break up the calcification into smaller pieces to help the body resorb the calcium deposits. An injection of cortisone around the calcification will also assist in recovery. Generally, it is important for you to see a doctor experienced in ultrasound-guided interventions.

Surgery for Pellegrini-Steida lesion 

Ususally, we only reserve surgery in cases that fail conservative management. In complex issues, we excise the calcification, careful not to remove too much normal ligament.

Overall, results from surgical excision are, at best, unpredictable. Recent studies show a high recurrence rate or laxity from excessive removal of the medial ligament.

Final word from Sportdoctorlondon regarding the Pellegrini-Steida lesion

Pellegrini-Steida syndrome is due to calcification of the medial collateral ligament after trauma leading to pain and restriction in the movement of the knee. Most cases settle with simple treatments such as ice and anti-inflammatory medication.

Related conditions:

Dr. Masci is a specialist sport doctor in London. 

He specialises in muscle, tendon and joint injuries.

The post Pellegrini-Steida lesion: What should you do? appeared first on Sport Doctor London.

Sat, 19 Nov 2022 09:10:28 -0800 Sportsman
Women footballers not on level playing field for sports technology, study finds Sat, 19 Nov 2022 09:03:52 -0800 Sportsman Globetrotter Kevin D. Plancher, MD, MPH, FAOA, FAAOS Is At It Again! New York City, NY and Greenwich, CT
November 14, 2022

Kevin D. Plancher, MD, MPH, FAOA, FAAOS traveled to South Korea this past week and attended the Korean Shoulder and Elbow Society (KSES) Fall Symposium. And the 12th Annual Daejoen Shoulder Symposium. While in attendance he gave two lectures representing his research team at the Orthopaedic Foundation; Anterior Instability With Bone Loss: Are You Overwhelmed? A Quick Algorithm To Pick The Best Procedure and Infections in Shoulder Surgery: My Thoughts, My Tricks, and Changing Dogma. Dr. Plancher was also awarded an Honored Professor and a KSES Lifetime Member.

Kevin D. Plancher, MD, MPH, FAAOS, is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is one of only thirty-six Orthopaedic Surgeons who hold American Board of Orthopaedic Surgery certification in both Surgery of the Hand and Orthopaedic Sports Medicine. He is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.

Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care.

The post Globetrotter Kevin D. Plancher, MD, MPH, FAOA, FAAOS Is At It Again! appeared first on Plancher Orthopaedics & Sports Medicine.

Sat, 19 Nov 2022 08:53:58 -0800 Sportsman
Mothers' activity levels may depend on number and ages of children Sat, 19 Nov 2022 08:40:48 -0800 Sportsman Strength gain is associated with training volume in low responders, new study finds Sat, 19 Nov 2022 08:40:47 -0800 Sportsman Real&world evidence study of regenerative medicine and shoulder surgery Sat, 19 Nov 2022 08:40:46 -0800 Sportsman Back pain in gymnastics

Gymnastics Medicine founder Dr. Elly Hart on what to do if you are experiencing back pain in gymnastics.

Back pain is NOT normal for any gymnast or athlete to have. Any gymnast who experiences acute (an injury from a fall or awkward landing) or chronic (long lasting and without a specific fall/injury) back pain should be seen and evaluated by a medical provider.

The incidence of back pain in gymnasts ranges from 25-85% (1) and one study found that for women’s collegiate sports, gymnastics had the highest rate of back pain compared to all other women’s sports (2). Risk factors for having back pain include, but are not limited to, abdominal muscle weakness, tightness with hip extension, shoulder flexion, and thoracolumbar fascia, increased femoral anteversion, genu recurvatum (hyperextended knees), increased thoracic kyphosis (rounded upper back), and performing repetitive motions (specifically extension of the lumbar spine).

To understand more about back injuries, we have to learn about the anatomy. The back is made up of bones (vertebrae), muscles, tendons, ligaments, vertebral discs, nerves, and more. The cervical spine has 7 vertebrae and makes up your neck. The thoracic spine has 12 vertebrae and connects to the ribs. The lumbar spine has 5 vertebrae and makes up your low back. There are vertebral discs between each of the vertebrae and the discs help absorb force from landing and pounding.

If back pain is occurring in your gymnast, you should seek medical attention. During the medical visit a physical exam will be performed, and sometimes diagnostic tests may be ordered. These tests may include an x-ray, MRI, CT scan, or possibly a bone scan.

Once you have been seen by a medical provider you will be given a diagnosis or reason for your back pain. The most common causes of back pain in gymnasts are spondylolysis, spondylolisthesis, discogenic back pain, and mechanical/gymnast back pain (3).

Spondylolysis is a stress fracture or fracture of an area of the vertebra, mostly commonly in the low back, and occurs from repetitive hyperextension (arching backwards) and rotation of the lumbar spine (1,3). Preventable risk factors to have a spondylolysis include, but are not limited to, lacking shoulder flexion, reduced thoracic mobility, reduced hip extension mobility, hinging from your lumbar spine, decreased core strength, and sports/skills with repetitive hyperextension (arching backwards) (3). Gymnasts may explain that they have pain with arching/extension skills such as bridges, back walkovers, and back handsprings in the low back. A medical provider may order a variety of diagnostic tests to understand your back pain and where the spondylolysis is occurring. When a gymnast has a bilateral spondylolysis (fractures on both sides of the vertebra), and the vertebra starts to slide forward this is called spondylolisthesis.

Discogenic back pain is an injury to the disc of the spine and typically occurs in an adolescent or young adult gymnast, or a gymnast with a history of having a spondylolisthesis. It most commonly occurs in the lumbar spine and risk factors for having discogenic back pain include, but are not limited to, sports with repetitive hyperflexion (bending forward), and a history of a previous back injury (3). This typically occurs from repetitive flexion of the spine causing the disc to be pinched or squeezed. Gymnasts typically explain that they have pain with flexion-based skills, sometimes have tingling or pins and needles down their leg, and their pain is worse when they sneeze, cough, or strain. If this injury is suspected, you should see a medical provider and diagnostic tests may be ordered.

Mechanical/Gymnast low back pain is any type of back pain caused by placing abnormal stress and strain on the back and is a diagnosis of exclusion (meaning everything else was ruled out by a medical provider) (3). This can occur in any gymnast and at any age. Risk factors for mechanical/gymnast low back pain include, but are not limited to, decreases in shoulder flexion, thoracic mobility, hip extension, and core strength, and sports with repetitive hyperflexion (bending forward) and hyperextension (arching backward), and a history of previous back injury. Because this is a diagnosis of exclusion your medical provider may order several diagnostic tests.

Once you have been cleared by a medical provider it is important to follow the below steps with your progression back to gymnastics:

• Obtain clearance from a medical provider to go back to gymnastics
• Go slow
• However long you are out, is how long you should take to get back all of your skills
• Listen to your body
• Consider changing elements in your routine – eg if your gymnast has a spondylolysis and extension-based skills caused her injury, consider removing extension-based skills until a later date/farther out from the injury date
• Prevention, Prevention, Prevention (see the next paragraph)
• Have a plan in place and include the gymnast, parent, coaches, and medical team

Prevention is key to avoid back pain. Studies have shown that working on core stabilization/strength, increasing thoracic spine mobility, fixing posture, increasing hip flexor flexibility, and increasing gluteus and periscapular strength can decrease back pain and injuries (1, 3, 4). Other ways to decrease back pain is to look at the “hinge point”-where a gymnast is bending or hinging from (4). Gymnasts should be using their entire spine to arch backwards and flex forward. The back bend should look like a true arch and not an upside-down “V” (see below).

In summary, gymnasts who experience back pain should be seen by a medical provider, the most common causes of back pain are spondylolysis, spondylolisthesis, discogenic back pain, and mechanical/gymnast back pain, and prevention is key to avoid back pain and injury.


1. Spine Injuries in the Sport of Gymnastics. David Kruse, MD and Brooke Lemmen, MD
2. Lumbar Spine Injuries in National Collegiate Athletic Association Athletes A 6-
Season Epidemiological Study. Jeffrey D. Hassebrock, MD, et. al.
3. The Young Injured Gymnast: A Literature Review and Discussion. Elspeth Hart, PAC, ATC; William P. Meehan III, MD; Donald S. Bae, MD; Pierre D’Hemecourt, MD,
FACSM; and Andrea Stracciolini, MD, FACSM
4. Stretching the Spines of Gymnasts: A Review. William A. Sands, et. al.

Dr. Elly Hart, DScPAS, PA-C, MPAS, ATC, LAT is a Physician Assistant at Boston Children’s Hospital and founder of Gymnastics Medicine: Education and Research.

Original blog post can be found in the October 2022 USA Gymnastics Newsletter: 

The post Back pain in gymnastics appeared first on Gymnastics Medicine.

Sat, 19 Nov 2022 08:24:27 -0800 Sportsman
Tennis / Golfer’s Elbow: What It Is and How to Treat It by Adam Halseth PT, DPT, SCS | Northeast Scottsdale

Tennis elbow or golfer’s elbow is not a very common condition. It only impacts around 1 to 3 percent of adults every year. But your chances of developing it increase as you get older. Though its name makes it sound like it’s a condition that solely impacts these sports, it is possible to get tennis or golfer’s elbow even if you’ve never played either game in your life. 

Below you’ll find key information to know about this painful condition, including why it happens, how to tell if you have it, and what treatment options are available.

Young woman experiencing pain while working out in a gym.

Understanding Tennis / Golfer’s Elbow

Tennis/golfer’s elbow is one of the most common causes of elbow pain. It is often persistent and painful enough to warrant physical therapy and/or a doctor’s office visit. Tennis/golfer’s elbow happens when the tendons that connect your lower arm to the outside of the elbow bone become swollen and inflamed.

As this happens, it can lead to microscopic tears in the muscles and tendons. These tears can cause a lot of pain, even though they’re very small.

Typically, people don’t experience these symptoms unless they make a lot of repetitive motions. Though the general population doesn’t have a high likelihood of getting tennis/golfer’s elbow, as much as half of all players will experience it at some point in their lives.

What Causes Tennis / Golfer’s Elbow

If you’re wondering what are the causes, the answer is a lot of things! As mentioned, tennis/golfer’s elbow usually occurs because of repetitive elbow joint motions. In addition to tennis and golf, here are some other activities that can lead to elbow pain and discomfort:

  • Fencing
  • Squash
  • Weight lifting
  • Racquetball
  • Raking
  • Typing
  • Painting
  • Carpentry
  • Knitting
  • Gardening
  • Swimming

Did some of the items in the above list surprise you? Fortunately, there are things you can do to decrease your likelihood of developing elbow pain or minimize symptoms if you already have it. Keep reading to learn more.

Man holding elbow in pain while playing tennis

5 Symptoms of Tennis / Golfer’s Elbow

Do you have elbow pain that makes you wonder whether you have tennis/golfer’s elbow or something else? Though a doctor or therapist should be consulted to make the most accurate diagnosis, these are five common symptoms:

  1. Discomfort when you lift something
  2. Weakness in your hand or forearm when making a fist or gripping something
  3. Recurring pain just below the bend in your elbow (on the outside of your forearm)
  4. Pain that radiates from the elbow down toward the wrist
  5. Discomfort when twisting the forearm (for example, when opening a jar or a door)

As you can see, the primary symptom is pain in the elbow area. Conditions that mimic tennis elbow include the following:

  • Radiocapitellar arthritis
  • Osteochondritis dissecans  
  • Intra-articular plica
  • Rotary instability

A visit to your PT can help rule these conditions out if you aren’t sure whether you have tennis/golfer’s elbow or another condition.

Prevention Techniques

The best way to avoid developing tennis/golfer’s elbow is to avoid making repetitive motions too frequently. If you play a sport or do any other activity requiring repetitive use of your arm and handle muscles, make sure you take frequent breaks. During your breaks, stretch out the muscles of your arms.

It’s also important to warm up the muscles of your arms before engaging in any physical activity that requires using your elbows and/or arms. When the muscles are warm, they can stretch and retract more easily without causing injuries.

When you’re finished with a sports game or workout, and you’ve stretched out your arm muscles, consider applying ice to your elbows if you feel any heat or inflammation in those areas. If you already have tennis elbow symptoms despite your best efforts, consider getting physical therapy.

Physical Therapy Treatment Options

Physical therapy can help improve the flexibility and strength of your forearm muscles, so you’re less likely to develop tennis elbow again. Physical therapy can also facilitate healing and reduce pain by encouraging blood flow to the affected tendons and muscles. Blood contains oxygen, which the muscles need to heal and function optimally.

Six common physical therapy treatment options recommended for tennis elbow:

  1. Muscle stimulation
  2. Ultrasound
  3. Ice massage
  4. Braces and tape to support the affected area
  5. Specialized stretches and exercises
  6. Non-steroidal anti-inflammatory medications

During your recovery from tennis/golfer’s elbow, it’s important not to rush things. If you push your body before it’s ready and your condition has sufficiently healed, you could set yourself back. Before returning to your previous activity level, ensure you can grip objects without pain and that your elbow no longer appears or feels swollen. When you can flex and move your affected elbow without any trouble or discomfort, you can start returning to your normal activities.

Get Your Quality of Life Back

If you’re ready to get your life back and recover fully from your tennis/golfer’s elbow symptoms, we would love to help. Contact Foothills Sports Medicine Physical Therapy today to request your appointment.

The post Tennis / Golfer’s Elbow: What It Is and How to Treat It appeared first on Foothills Sports Medicine Physical Therapy.

Sat, 19 Nov 2022 08:17:40 -0800 Sportsman
75. How BPC 157 might help relieve knee pain In the November 17, 2022 episode of Better Than Ever Live!, I discuss a very popular peptide called BPC 157. I’ll explain what BPC 157 is and how it might work. Then I’ll share a study looking at its use injected into the knees of patients with knee pain to see if it could be a good treatment for osteoarthritis and other types of knee pain.

Subscribe to Better Than Ever Live!

Remember, if you are watching this show on YouTube or Facebook, and you want to make sure you don’t miss an episode, subscribe to Better Than Ever Live! as an audio podcast wherever you get your podcasts. If you are listening to this podcast and you want to comment on topics, join us live on YouTube and Facebook, and soon on other social media platforms. Go to, click subscribe and hit the bell to be notified when I’m on live. And make sure to follow my Facebook page –

The post 75. How BPC 157 might help relieve knee pain appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Sat, 19 Nov 2022 07:56:20 -0800 Sportsman
319. Need for instant gratification on social media affects mental health Constantly staying connected on social media appears to have negative mental health consequences for many adults and children. In a recent study published in the journal Psychology of Popular Media Culture, researchers found that people who post a large number of selfies tend to have higher levels of certain narcissistic traits and more fragile self-esteem. They also describe a condition called “phantom pocket vibration syndrome,” in which you feel your phone vibrating even when it isn’t. The researchers say that it’s worth examining how you use social media. If you feel the need for instant gratification or peer pressure, if you are trying to imitate someone, or you are focused on whether what you post is liked or not, you could lose sight of what really are the most important things in life.

The post 319. Need for instant gratification on social media affects mental health appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Sat, 19 Nov 2022 07:56:20 -0800 Sportsman
320. Just two minutes of vigorous exercise per day might help you live longer Only 15 minutes of vigorous exercise each week – or just two minutes each day – appears to reduce your risk of death, cancer, and heart disease. In a new study published in the European Heart Journal, Australian researchers followed over 70,000 adults between the ages of 40 and 69 with no evidence of cardiovascular disease or cancer. The participants wore wearable devices to monitor their physical activity. Perhaps not surprisingly, the researchers found that the risk for all adverse health outcomes decreased as people increased how much and how often they took part in vigorous physical activity. But even as little as 15 minutes of vigorous physical activity per week lowered all-cause mortality and cancer risk by 15 percent. Only 20 minutes per week lowered heart disease risk 40 percent.

The post 320. Just two minutes of vigorous exercise per day might help you live longer appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Sat, 19 Nov 2022 07:56:19 -0800 Sportsman
Acute circulatory and femoral hemodynamic responses induced by standing core exercise at different rotational cadence: a crossover study Sat, 19 Nov 2022 07:39:42 -0800 Sportsman Let’s Play Ball: COVID&19 Graduated Return to Play Guidlelines Keywords: Basketball, COVID-19, return to play

The outbreak of Coronavirus disease (COVID-19) resulted in suspension of youth, academic and professional sport in New Zealand, and around the world.  Following resumption of domestic and international competition there have been several reports of an increased number of athletes testing positive for COVID-19 after returning to competition (1). In light of these concerns, it is essential that sporting organisations provide ‘informative, consistent and specific guidance for safe return to training and competition’ (2), delivered in context to the sport. This blog presents an overview of the Basketball New Zealand COVID-19 Graduated Return to Play (GRTP) Guidelines and is written to assist athletes resume safe training ahead of return to competition that promotes health and performance in an easy-to-follow GRTP infographic.

Guidance Scope 

In light of recent concerns surrounding the return to play of athletes following COVID-19 disease, this document has been prepared by the Basketball New Zealand Coronavirus (COVID-19) Framework Project Team to provide guidelines for coaches and athletes, taking into consideration the New Zealand Public Health guidelines regarding COVID-19 at the time of publication (3).  As public health guidelines will continue to change as greater levels of evidence are published (4-6), these changes need to be considered before advising athletes.


Target audience and applicability of guidelines

The guidelines are ONLY applicable to those who have had mild to moderate illness (or are asymptomatic), and not requiring hospital care. The guidelines are NOT suitable for those who are not being closely supervised by a healthcare practitioner. In such cases, it is recommended that you seek guidance from appropriate physician.


Expert Opinion

The guidance is based on expert opinion of leading medical, academic and high-performance personnel, taking into consideration the current available literature on Graduated Return to Play (GRTP) outlining experiences of athletes who are known to have contracted COVID-19. This has resulted in published guidelines moving closer to a ‘symptoms’ as opposed to ‘time-course’ based approach (7-10).


Athlete Progression

As athletes may unintentionally detrain as a result of self-isolation periods following COVID-19 infection due to the illness and/or lack of facilities to maintain their fitness (11, 12) it is recommended that athlete training progressions follow a linear step-type loading principle with incremental increases in training load (13, 14). The GRTP guidelines outline that the athlete can advance to the next stage ONLY if there are NO worsening of symptoms at rest, and at the level of physical activity achieved in the previous GRTP stage without a worsening of  symptoms. The concepts of training load, progression, and recovery are key considerations for coaches, performance staff and team physicians supporting athletes (15), and have been previously addressed (13). 


50/30/20/10 Rule  

The “50/30/20/10” rule serves as a useful approach to individual and team load progression, as outlined in the Joint Consensus Paper by the National Strength and Conditioning Association (NSCA) and Collegiate Strength and Conditioning Coaches Association (CSCCa) (16).  With the reintegration of players into the training environment, it is recommended to reduce the overall training volume by 50% of the uppermost planned volume initially. This is followed by a 30% reduction in uppermost planned volume, then 20%, and 10%. Such an approach to progressive overload may assist with the successful reintegration into the training environment. Follow this link for more detail of the 50/30/20/10 rule (13).


Recovery Strategies

Recovery is defined as a ‘multifaceted (e.g., physiological and psychological) restorative process relative to time’ (17). From a basketball-specific perspective, recovery should target the physiological and psychological stress associated with the return to training and competition (18). Common recovery strategies include sleep, cold water immersion, massage, compression, nutrition and hydration interventions (19-21).  It is also important that psychological and emotional wellness is not be overlooked during this process (22). As there is no ‘one-size-fits-all’ approach to recovery (20), it is important to educate athletes about the importance of individualised, self-initiated, proactive recovery strategies (19-21).


Protocol Commencement

This GRTP protocol should only commence when the athlete is:

  1. Free from all but the mildest ‘above neck’ symptoms (e.g., mild headache, loss of taste or smell); and
  2. Off treatments that may mask symptoms (e.g., paracetamol).

NOTE: In the case that a symptomatic athlete tests negative for COVID-19 they should continue to consult with their physician during their recovery, as per any viral illnesses.


Red Flag Indicators

If any of the ‘red flags’ indicators outlined in Table 1 or other concerning symptoms occur, a medical practitioner should be consulted immediately, and as a minimum the athlete should rest and reattempt the previous stage after at least 24 hour without symptoms. It is recommended that a medical practitioner be consulted at any stage if there are concerning symptoms or indications (i.e., ‘red flags’).


Table 1. Red Flags Indications

Indicator Descriptor
Severe or increasing breathlessness Disproportionate to the amount of effort.
Thromboembolic events Unusual, sharp, pain or discomfort in chest or abdomen, muscle pain +/- limb swelling.
Exertional light-headedness Not just when standing up from a sitting position
Syncope Fainting / passing out
Unusually high heart rate During exercise or slow HR recovery on cessation of exercise.
Unusually high RPE For a given exercise intensity (compared with previous known RPE responses.
Psychological Increased mental health / anxiety-related difficulties
Athlete illness perception Increased perception of moderate / severe illness symptoms


Adapted from the UK Home Countries Institutes of Sport (10) and Elliott and colleagues (23).


GRTP descriptions and progressions 

Table 2 describes GRTP actives and progression of stages for athletes who experience any ‘below neck’ symptoms. While Table 3 outlines GRTP actives and progression of stages for athletes who are either asymptomatic or have mild above neck symptoms only. These stages are outlined in the accompanying infographic at the bottom of this blog.


Table 2. GRTP descriptions and progressions: ‘below neck’ symptoms

Stage Descriptor
  • Involves minimum rest period during 7-days self-isolation (19) in order to optimise the recovery and protect the cardio-respiratory system. 
  • Household activities and light exercise when feeling well enough.
  • If symptoms are improving, and physician approves, progression to stage 2. 
  • Light aerobic activity. Keep the intensity low (RPE 1-2). 
  • <70% HR max working for 15 minutes only. 
  • Monitor how you feel the next day.
  • Progression over a minimum of 2 days.
  • Increase the intensity of the activities working at <80% HR max (RPE 3-4). 
  • Complete <50% uppermost training load.
  • Progression over a minimum of 2 days.
  • Progress to more complex training drills at RPE 5-6 for 45 minutes. 
  • Perform conditioning activities at a heart rate <80% HR max. 
  • Introduce competitive drills <20% of session time. 
  • Complete <70% uppermost training load.
  • Progression over a minimum of 2 days.
  • Resume team training
  • Complete <80% uppermost training load. 
  • Keep heart rate <80% HR max and train for 60 minutes. 
  • Competitive and contact work <30% of session time.
  • Medical physician review to determine return to competition status.
  • Back into high intensity and full training leading into competition. 
  • Manipulate training components as required to meet player needs. 
  • Continue to monitor Health and Wellness status.


Table 3. GRTP descriptions and progressions: Mild above neck symptoms only

Stage Descriptor
  • Commence at Stage 2, minimum of 7 days self-isolation period (19)
  • Light aerobic activity. Keep the intensity low (RPE 1-2). 
  • <70% HR max working for 15 minutes only. 
  • Monitor how you feel the next day.
  • Increase the intensity of the activities working at <80% HR max (RPE 3-4). 
  • Complete <50% uppermost training load.
  • Progression over a minimum of 2 days.
  • Progress to more complex training drills at RPE 5-6 for 45 minutes. 
  • Perform conditioning activities at a heart rate <80% HR max. 
  • Introduce competitive drills <20% of session time. 
  • Complete <70% uppermost training load.
  • Progression over a minimum of 2 days.
  • Resume team training
  • Complete <80% uppermost training load. 
  • Keep heart rate <80% HR max and train for 60 minutes. 
  • Competitive and contact work <30% of session time.
  • Medical physician review to determine return to competition status.
  • Back into high intensity and full training leading into competition. 
  • Manipulate training components as required to meet player needs. 
  • Continue to monitor Health and Wellness status.


Key Considerations

  1. In all cases, if any of the previously detailed ‘red flag’ symptoms manifest, or if the athlete or anyone else supporting them has any concerns, the medical physician should be consulted immediately, and the GRTP should be ceased.
  2. Some people take over 3 weeks to recover and return to full training, and some mild symptoms may also persist (e.g., mild breathlessness, fatigue, reduced or altered smell / taste), which may extend the return to training process, according to the clinical scenario and performance requirements.
  3. As previously detailed the self-isolation period should be followed in accordance with follow directions of the appropriate Health Authorities (i.e., 7 days) (24), so all activities during that period will need to be performed within the athlete’s home.


Basketball New Zealand GRTP Infographic for coaches and athletes:



Stephen P. Bird, BHMvt(Hons), PhD 

Athlete Health and Performance Lead, Basketball New Zealand, Wellington New Zealand

Professor, Sport and Exercise, School of Health and Medical Science, University of Southern Queensland, Ipswich QLD Australia 


Anousith Bouaaphone, PGDHSc (Musculo), BHSc(Phty)

Physiotherapist New Zealand Men’s Basketball Team, Wellington New Zealand


Hamish Osborne, MBChB, MMedSci, FACSEP

Sport and Exercise Physician, New Zealand Men’s Basketball Team, Wellington, New Zealand

Senior Lecturer, Sport and Exercise Medicine, University of Otago


Mel Downer

National Pathways Manager at Basketball New Zealand, Wellington New Zealand


Chris McLellan, BExSc, MPhty, PhD.

Vice President of Sports Performance, Florida Panthers, Sunrise Florida 

Professor, Sport and Exercise, School of Health and Medical Science, University of Southern Queensland, Ipswich QLD Australia

None for any author.



  1. Forster V. Tokyo Olympic Games Releases Covid-19 Data – 127 People Test Positive So Far. Forbes Magazine. Jersey City, NJ Forbes Media, 2021.
  2. Löllgen H, Bachl N, Papadopoulou T, et al. Infographic. Clinical recommendations for return to play during the COVID-19 pandemic. Br J Sports Med 2021;55(6):344-45.
  3. New Zealand Government. COVID-19 (novel coronavirus) Wellington, New Zealand: Ministry of Health, New Zealand Government; 2022 [updated Apr 22. Available from: [Accessed Apr 6 2022].
  4. Biswas A, Elliott Niall , Martin R, et al. The BASES Expert Statement on Graduated Return to Play Following Covid-19 infection. Sport Exerc Sci 2021;67(Spring):62-67.
  5. Davey MS, Davey MG, Hurley R, et al. Return to play following COVID-19 infection—a systematic review of current evidence. J Sport Rehab 2022;31(2):218-23.
  6. Udelson JE, Rowin EJ, Maron BJ. Return to play for athletes after COVID-19 infection: The fog begins to clear. JAMA Cardiol 2021;6(9):997-99.
  7. Elliott N, Martin R, Heron N, et al. Infographic. Graduated return to play guidance following COVID-19 infection. Br J Sports Med 2020;54(19):1174-75.
  8. Hughes D, Saw R, Perera NKP, et al. The Australian Institute of Sport Framework for rebooting sport in a COVID-19 environment. J Sci Med Sport 2020;23(7):639-63.
  9. Netball New Zealand. COVID-19 Care NetballSmart Auckland, New Zealand: Netball New Zealand,; 2022 [Available from: [Accessed Apr 10 2022].
  10. UK Home Countries Institutes of Sport. Coronavirus graduated return to play for performance athletes: Guidance for healthcare practitioners who are supporting performance athletes: UK Home Countries Institute of Sport; 2021 [updated Apr 05. Available from: [Accessed Jan 12 2022].
  11. Bhatia RT, Marwaha S, Malhotra A, et al. Exercise in the severe acute respiratory syndrome Coronavirus-2 (SARS-COV-2) era: A question and answer session with the experts endorsed by the section of Sports Cardiology and Exercise of the European Association of Preventive Cardiology (EAPC). Eur J Prev Cardiol 2020;27(12):1242-51.
  12. Jukic I, Calleja-González J, Cos F, et al. Strategies and solutions for team sports athletes in isolation due to COVID-19. Sports 2020;8(56)
  13. Bird SP, Osborne H, King L, et al. Basketball New Zealand Guidelines: Safe return to training for players in preparation for a condensed National Basketball League season following COVID-19 restrictions. NZ J Sports Med 2020;47(1):49-53.
  14. Reiman MP, Lorenz DS. Integration of strength and conditioning principles into a rehabilitation program. Int J Sports Phys Ther 2011;6(3):241-53.
  15. American College of Sports Medicine. Load, overload, and recovery in the athlete: Select issues for the team physician—A consensus statement. Med Sci Sports Exerc 2019;51(4):821-28.
  16. Caterisano A, Decker D, Snyder B, et al. CSCCa and NSCA Joint Consensus guidelines for transition periods: Safe return to training following inactivity. Strength Cond J 2019;41(3):1-23.
  17. Kellmann M, Bertollo M, Bosquet L, et al. Recovery and performance in sport: Consensus statement. Int J Sports Physiol Perform 2018;13(2):240-45.
  18. Calleja-González J, Terrados N, Mielgo-Ayuso J, et al. Evidence-based post-exercise recovery strategies in basketball. Physician Sportsmed 2016;44(1):74-78.
  19. Halson SL. Recovery techniques for athletes. ASPETAR Sports Med J 2015;4(4):12-16.
  20. Minett GM, Costello JT. Specificity and context in post-exercise recovery: it is not a one-size-fits-all approach. Front Physiol 2015;6(130)
  21. Bird SP. Implementation of recovery strategies: 100-point weekly recovery checklist. Int J Athl Ther Train 2011;16(2):16-19.
  22. Bird SP. Impact of COVID-19 on athlete mental health: Strategies to promote emotional wellness. Int J Strength Cond 2021;1(1):e1-5.
  23. Elliott N, Biswas A, Heron N, et al. Graduated Return to Play after SARS-CoV-2 infection – what have we learned and why we’ve updated the guidance [Blog]. British Journal of Sports Medicine 2022 [updated Apr 23. Available from:].
  24. New Zealand Government. Advice for people with COVID-19 Wellington, New Zealand: Ministry of Health, New Zealand Government; 2022 [updated Apr 8. Available from: [Accessed Apr 8 2022].


The post Let’s Play Ball: COVID-19 Graduated Return to Play Guidlelines appeared first on BJSM blog - social media's leading SEM voice.

Sat, 19 Nov 2022 07:38:05 -0800 Sportsman
UCL Injuries in Quarterbacks UCL injuries in quarterbacks cover

The elbow injury to Josh Allen is dominating headlines and we provide some insight and evaluate potential options and prognosis.

The post UCL Injuries in Quarterbacks appeared first on Sports Medicine Review.

Wed, 16 Nov 2022 07:04:50 -0800 Sportsman
Heavy Resistance Training Versus Plyometric Training for Improving Running Economy and Running Time Trial Performance: A Systematic Review and Meta&analysis Wed, 16 Nov 2022 06:48:10 -0800 Sportsman Platelet&rich plasma therapy: Most frequently asked questions

Platelet-rich plasma therapy, or PRP injection, is a relatively new treatment for common musculoskeletal diseases such as arthritis and tendonitis. However, there are so many practitioners offering different types of PRP. As a person who is thinking about Platelet-rich therapy for arthritis or tendonitis, which one do you choose? And does a more expensive system mean a better result? So, this blog will answer the most frequently asked questions on PRP.

What is Platelet-rich plasma therapy? 

platelet-rich plasma at cellular level

Put simply, PRP is a blood sample with a higher concentration of platelets. We obtain PRP from your blood. Blood is centrifuged so the heavier cells, such as white and red cells, move to the bottom. The top part of the sample contains plasma with a high concentration of platelets. These platelet cells have a high concentration of growth factors, communicating with other cells in the joint or tendon to reduce inflammation.

Which PRP system is best?  

Not all PRP systems are the same. For example, some designs have a platelet concentration of 2-4X with low white cells. Other methods contain a higher concentration of platelets up to 8X with a higher concentration of white cells. Although studies continue, we think a platelet concentration of 3X with low white cells is better for knee arthritis. In comparison, a higher concentration of 6-8X with increased white cells is better for tendonitis.

What is the ideal platelet-rich plasma therapy? 

We don’t know. However, it is essential to use a system with a CE marking of 2B. A CE mark is a certification that the products meet a certain standard of safety and sterility. Most large companies developing PRP use a CE marking of 2B. However, some smaller companies developing cheaper PRP don’t have this certification. Therefore, you should ask your doctor about the CE marker for the PRP you are considering using.

Does Platelet-rich plasma therapy work?

Yes, but not for all conditions.

PRP is effective for the following conditions:

  • Knee arthritis: We have 23 RCT trials showing PRP is better than placebo of other injectables.
  • Tennis elbow: A review of studies shows benefits compared to cortisone or placebo, but not all studies are positive.
  • Plantar fasciitis: 9 RCTs show PRP is better than cortisone for heel spurs or plantar fasciitis.

In addition, there is increasing evidence that PRP is better than cortisone for rotator cuff tendonitis, although we need more studies.

Is PRP injection safe? 

injection of platelet-rich plasma for tennis elbow

Yes. Given we are using your blood, there is little chance of a severe adverse effect. The risk of infection is much less than other injectables, such as hyaluronic acid or cortisone.

Does PRP regenerate cartilage or tendons?

No. Despite the hype, there is no evidence that PRP or any other injectable (stem cells, hyaluronic acid) regenerates your joints or tendons. Instead, they work by improving the environment of the joint or tendon so you feel less pain and can exercise more.

How long does PRP take to work? 

Generally, we think that PRP takes 4-6 weeks to start working. In addition, we recommend more than one injection – ususally 2-3 injections every 2-4 weeks.

How to prepare PRP for knee injection? 

Generally, we suggest little preparation but recommend the following:

  • Hydrate with fluids (1-2L) on the day of the procedure
  • Stop all simple anti-inflammatory medications such as ibuprofen at least a week before the procedure and for two weeks post-injection.

How long does a PRP treatment last?

male clutching knee due to arthritis and wants a platelet-rich plasma injection

Studies suggest the PRP effect lasts up to 12 months, perhaps longer. However, some studies, such as PRP in greater trochanteric syndrome, have shown a longer-term impact of up to 2 years. 

Cost of Platelet-rich plasma therapy 

PRP therapy can be expensive. But higher cost does not necessarily mean it will be more effective. Generally, PRP injections in London cost £350 to £1000 per injection.

Dr. Masci offers PRP injections for a cost-effective price from £375 to £475 per injection.

Alternatives to Platelet-rich plasma therapy: 

Hyaluronic acid 

Hyaluronic acid is a naturally occurring substance found in joints, ligaments, and tendons. We know that hyaluronic acid reduces inflammation and stops the breakdown of cartilage.

Evidence suggests that hyaluronic acid injections such as Durolane improve pain and function in knee arthritis. In addition, high molecular weight hyaluronic acid has a better effect than medium to low molecular weight.


Cortisone is a potent anti-inflammatory that reduces pain and swelling in arthritis and tendonitis. Generally, we suggest limiting cortisone injections for inflamed joints from arthritis because cortisone hurts cartilage and tendon structure.

Stem cells 

Stem cell injections have become popular in the last five years. However, there is very little evidence to suggest that stem cells are better than other injectables, such as PRP. In addition, a recent study suggested stem cells were not better than saline for knee arthritis.


arthrosamid injection

Arthrosamid is a non-degradable hydrogel that attaches to the lining of the joint. We think that Arthrosamid reduces pain by decreasing inflammation produced by the synovial lining.

Although Arthrosamid has been shown to reduce pain in knee arthritis, we need longer-term data before we can offer it to patients as our first injection option.

Other frequently asked questions about PRP therapy

Can PRP therapy cause blood clots? 

No. We don’t think PRP increases the risk of blood clots. However, you should avoid PRP if you have been diagnosed with a blood disorder such as leukemia or lymphoma.

Does PRP treatment hurt? 

It shouldn’t be. Blood extraction from the forearm or elbow is simple. Injeciton of PRP into a joint or tendon is better tolerated with ultrasound guidance. However, as local anesthetic should not be used, the injeciton can be a little more painful than other injections.

After the injection, it is important to rest the joint or tendon for at least a week. If needed, you should also take painkillers such as paracetamol and/or codeine. You should avoid anti-inflammatories such as ibuprofen.

Generally, we estimate that 10% of patients get a short-term flare after PRP injections – more common in tendons than joints.

Platelet-rich plasma therapy contraindications

Generally, PRP is well tolerated. However, there are specific contraindications to PRP, including:

  • Blood cancer such as lymphoma or leukemia
  • Active cancer on chemotherapy
  • Blood disorders causing reduced platelet count, such as thrombocytopenia
  • Pregnancy
  • Chronic use of anti-inflammatory or blood-thinning drugs such as aspirin or ibuprofen
  • Suspected septic arthritis or infection
  • Injecting into a joint replacement

Does PRP regenerate cartilage or tendons? 

No. We have no evidence that PRP regenerates cartilage or tendon structure. However, unlike cortisone, PRP does not harm tissue structure.

Does Asprin hurt platelet-rich plasma therapy? 

Yes. Aspirin will inactivate platelets and reduce the growth factor effect at the time of the injection. Therefore, we think Asprin causes a reduced PRP effect. However, Warfarin and Apixaban do not affect platelet function and can be used.

We suggest stopping anti-inflammatories such as Asprin and ibuprofen about one week before and up to two weeks after your last PRP injection.

Do we use local anesthetic with PRP injections? 

We think local anaesthetic is cytotoxic. So, in theory, mixing local anesthetic with PRP might negate the positive effects of PRP. In practice, you should limit the amount of local anesthetic you use for PRP injections.

What are rehab guidelines post-PRP injection?

It depends on the structure and pathology injected. However, generally, we suggest avoiding impact activity in the large weight-bearing joints for a week. For tendons, you need to be a little more conservative and suggest re-engaging with strengthening after 10 days and a graded return to running after 4 weeks.

Final word from Sportdoctorlondon regarding Platelet-rich plasma therapy

Platelet-rich plasma treatment has shown promising results in certain musculoskeletal conditions, such as knee arthritis, tennis elbow, and plantar fasciitis. However, it is not the panacea for all states and does not regenerate the cartilage or knee.

Related conditions:

Dr. Masci is a specialist sport doctor in London. 

He specialises in muscle, tendon and joint injuries.

The post Platelet-rich plasma therapy: Most frequently asked questions appeared first on Sport Doctor London.

Wed, 16 Nov 2022 06:40:10 -0800 Sportsman
How Often to Work Out for Strength, Weight Loss, and Health Article featured on MedicalNewsToday

How often a person needs to work out to see results will depend on their fitness goals. Losing weight, building muscle, and increasing endurance and stamina each require a different approach to training.

Exercise has a range of important benefits. It enhances overall health, helps a person maintain moderate weight, relieves stress, and can promote restful sleep.

Due to this, what people wish to achieve through exercise differs among individuals. Some people may use exercise as a weight loss technique, whereas others may want to build their strength.

This article addresses how often a person should work out based on their particular goals.

It is advisable to consult a doctor before starting any workout or strength training program, as they can offer advice on how to work out safely and minimize the risk of injury.

How often to work out for weight loss

At its most basic level, weight loss is about solving a math problem.

A person must burn off more calories than they take in on a daily basis. Some of the ways a person can accomplish this include:

  • eating fewer calories each day than they burn off
  • increasing their physical activity to burn off more calories
  • increasing their muscle mass so that they burn more calories at rest

There is controversy surrounding whether exercise alone is enough to achieve weight loss.

For example, some research suggests that exercise can cause the body to start to compensate by adjusting metabolism as a means to hold on to body fat.

Exercise still has a role to play in weight loss, but for maximum benefits, a person should combine it with a healthful calorie-controlled diet that reduces their calorie intake.

Researchers also note that continuing to exercise after weight loss can help stop people from regaining the weight.

The American Heart Association (AHA) recommend a combination of cardiovascular training and strength training to boost health and burn calories.

Cardiovascular training

The AHA recommend getting at least 150 minutes of moderate intensity activity or 75 minutes of vigorous activity throughout the week.

A person can also engage in a mix of moderate intensity and vigorous activities should they prefer.

Example of moderate intensity activities include:

  • brisk walking at a speed of at least 2.5 miles per hour (mph)
  • dancing
  • gardening
  • riding a bicycle slower than 10 mph
  • tennis
  • water aerobics

Examples of vigorous activities include:

  • hiking, particularly uphill or while wearing a heavy pack
  • jumping rope
  • running
  • swimming
  • taking an aerobics class
  • vigorous yard work, such as digging

Ultimately, a person can gain the greatest health benefits by engaging in at least 5 hours of physical activity a week.

Strength training

Strength training involves using resistance to build muscle.

Muscle can help make the body more metabolically active, increasing the rate at which it burns calories.

The AHA recommend engaging in moderate-to-high intensity resistance training on at least 2 days of the week. Examples of approaches to resistance training include:

  • Lifting weights: This could involve using weight machines or free weights to perform exercises such as biceps curls, bench presses, and leg presses.
  • Using body weight for resistance: Exercise examples include lunges, squats, and tricep dips. A person does not require any equipment to do these.
  • Using resistance bands: Resistance bands are stretchy elastic bands that help increase the amount that a person’s muscles must work. Resistance bands vary in tightness, with tighter ones increasing the exercise intensity. A person can perform exercises such as squats, lunges, biceps curls, and triceps extensions using resistance bands.

Anyone who is new to exercise and unsure where to begin may wish to consult a certified personal trainer. A trainer can advise the individual on what exercises are suitable for their level of health and fitness, as well as how to perform them correctly and safely.


Exercise programs for enhancing aerobic capacity and building muscle strength can vary.

Often, the “best” exercise program is the one that a person is willing and able to perform on a routine basis.

With regular efforts and increasing intensity, a person should see their desired results over time.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.


1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

8:00am – 4:30pm

The post How Often to Work Out for Strength, Weight Loss, and Health appeared first on Orthopedic & Sports Medicine.

Wed, 16 Nov 2022 06:28:29 -0800 Sportsman
Can A Sports Medicine Doctor Perform Surgery? When you experience a musculoskeletal injury, immediate treatment is essential to ensure proper healing and recovery. It doesn’t matter if this injury happened on the playing field or was an unexpected accident somewhere else: limited mobility and pain can take a toll on all areas of your life.

If you are an athlete, you want to get back in the game as soon as possible. A sports medicine doctor can be a great resource to help you manage the pain and speed up healing.

Sports Medicine Doctor vs. Orthopedic Surgeon

While general physicians can offer support with pain relief, they don’t have the specialized training you need. So, primary care physicians will often refer you to a sports medicine doctor or orthopedic surgeon.

Both of these specialties overlap, but there are notable differences to consider, and you need to understand what sets them apart.

Sports Medicine Doctor

These specialists focus on nonsurgical treatment options to promote healing in a minimally-invasive way. But there are times when surgery is necessary because of physical trauma that must be repaired.

Some sports medicine doctors are also orthopedic surgeons, which means you can access a full range of treatments from one provider. In addition, if your sports medicine doctor doesn’t have surgical training, they often work alongside another orthopedic surgeon who can provide the necessary surgical care.

The benefit of visiting a sports medicine doctor is that they have specialized knowledge for a variety of injuries relating to sports activities: acute injuries, chronic pain, and overuse injuries.

Not only do sports medicine doctors treat injuries and pain, but they also partner with patients to help with performance improvements and steps to prevent injuries in the future. The goal is to boost overall performance on the playing field and protect the athletes as much as possible.

Orthopedic Surgeon

A doctor with orthopedic surgery experience has completed medical school and continued their training for an additional 5+ years of residency beyond medical school. Many orthopedic surgeons have subspecialties, such as a specific part of the body, like the back or feet.

Talk to your sports medicine doctor about referral options if your injury requires surgical intervention. Your sports medicine provider might be able to offer the surgical treatments that you need. Otherwise, they likely have a trusted surgeon for a referral.

Keep in mind that meeting with a sports medicine provider who is also trained in orthopedic surgery doesn’t necessarily mean that you will be going under the knife. In fact, our team of doctors always prioritizes minimally-invasive treatments first. Then, if the nonsurgical treatment methods aren’t enough, the doctor will discuss surgery with the patient.

While sports medicine doctors typically work with athletes, orthopedic surgeons often have a broader patient base. They treat a range of conditions, including arthritis, osteoporosis, carpal tunnel, back pain, bone tumors, and more.

The surgeon can help with different types of tissue repair, as well as spinal surgery, joint replacement, and any other surgical interventions necessary for improving a patient’s movement and function.

Can a Sports Medicine Physician Perform Surgery?

The skillset and training vary from one sports medicine doctor to the next. All of these doctors have an understanding of orthopedics and know the nuances of sports injuries and treatments.

Sports medicine doctors offer a comprehensive approach to assist in the healing and recovery process, including treatments paired with dietary recommendations and exercise/training regimens.

It’s common for sports medicine doctors to focus on nonsurgical options. However, some of these specialists might be surgically trained as well. 

Certain doctors can perform micro-invasive surgical procedures but don’t perform large open surgeries. If major surgical intervention is necessary, then they will refer you to meet with another provider. When you meet with a sports medicine doctor for your initial consultation, ask about their training and available services.

One of the benefits of choosing Orthopedic Associates is that we have a team of doctors with the full range of skills. Our goal is to provide everything you need in one convenient location. Your provider works closely to offer a customized treatment plan, with options available to bring in another in-office provider if additional treatments or services are needed.

Should You See a Sports Medicine Doctor?

A sports medicine doctor can be a great resource if you participate in any sports. It doesn’t matter if you are a pro athlete or a weekend warrior – sports medicine helps people of all ages and ability levels.

The benefit of visiting with a sports medicine doctor first is that you have access to a specialist who understands the nuances of injuries, diagnosis, treatment, and prevention for sports-related injuries.

Many of these sports medicine doctors can offer surgical treatments as needed. If they don’t have the specialization for surgery, they likely have a colleague who can assist with the treatments you need.

Sports Medicine: Injury Treatment and Beyond

An injury might seem like an unavoidable aspect of participating in sports. But the truth is that you don’t have to be at risk when you are in the game. Proactive training and care can be an effective way to minimize the chances of injury on the field.

Sports medicine doctors are passionate about helping athletes overcome their injuries. At the same time, these specialists like to take a proactive approach to help athletes who also want to prevent injuries in the future.

There are many ways to prevent injury through stretching and exercise. Your sports medicine physician can put together a personalized plan to improve your results going forward.

Full-Service Care for Sports Medicine and Orthopedics

Our team at Orthopedic Associates understands the importance of full-service care to help you get back on your feet as soon as possible.

Not only do you have access to a sports medicine expert, but your provider also works alongside orthopedic surgeons as well as nutritionists, athletic trainers, and physical therapists.

You can be confident knowing that your treatment plan is designed to help you achieve the best results possible. Every patient receives personalized services from a team that understands the details and nuances that impact a successful recovery.

Schedule a Consultation with a Sports Medicine Doctor

If you are experiencing chronic pain or have an acute injury from your training, we invite you to schedule a consultation with a sports medicine expert. Reach out to our team to book an appointment.

Not only do we assist with the diagnostic and treatment process. But our providers partner with each patient to offer ongoing care that will improve sports performance going forward.

Orthopedic Associates is here to help with a full-service approach. You are invited to book an appointment. Call today: (972) 420-1776.


The post Can A Sports Medicine Doctor Perform Surgery? appeared first on Orthopedic Associates.

Wed, 16 Nov 2022 06:28:27 -0800 Sportsman
The 7 RunWell Pillars of Resilient Running For such a simple activity, runners excel in getting injured or sidelined from training due to pain. Here are the keys to becoming a resilient runner.

The post The 7 RunWell Pillars of Resilient Running appeared first on Mike Reinold.

Wed, 16 Nov 2022 06:23:32 -0800 Sportsman
Ruptured ACLs can heal without surgery, study finds Wed, 16 Nov 2022 06:22:55 -0800 Sportsman New Zealand scored C+ for physical activity in children and teens—what&apos;s driving this and what can be done? Wed, 16 Nov 2022 06:22:54 -0800 Sportsman Sports study: Women soccer players not on level playing field for sports technology Wed, 16 Nov 2022 06:22:53 -0800 Sportsman Why You Should Turn to Physical Therapy First by Vince Kame Jr.
PT, MS, ATC | Owner of the South Chandler Location

Over the past 20 years, more states have granted patients direct access to physical therapy without a physician referral. Although the state of Arizona has already offered this type of access for several years, it was not until recently that insurance companies began paying for physical therapy without a physician referral.

The main reason for this change comes from the mounting data proving that visiting a physical therapist first might reduce costs and improve the overall outcome of injury rehabilitation. Historically, the process from injury to recovery has been to see a physician, try medication, receive diagnostic imaging, rest, and hope for a resolution. If the problem was not resolved, the next step was to try physical therapy and maybe some sort of medical intervention such as injections or surgery. However, because of the increasing cost of medical care, insurance companies and patients have been looking for methods to lower the cost of rehabilitation. One of these methods is to try PT first for musculoskeletal problems.

Top Three Reasons to Seek Physical Therapy First for Pain

1. Reduce or eliminate pain.

Physical therapy provides the opportunity to reduce or eliminate pain through specific therapeutic exercises and manual therapy techniques, such as joint and soft tissue mobilization, to restore normal joint mechanics to support and help heal injured tissues. Modalities such as ultrasound, electrical stimulation, and taping techniques can also reduce pain during recovery.

2. Avoid or recover from surgery.

In many cases, if physical therapy can address the reasons contributing to pain, you may be able to avoid surgery altogether. If you do need surgery, pre-surgery physical therapy can improve mobility and strength and help get you in better condition, making it easier to recover from surgery with postoperative physical therapy more quickly and with better outcomes.

Woman works through obstacle.

3. Improve mobility.

If you have difficulty with standing, walking, or transitioning, such as moving from a sitting to a standing position, exercises to improve flexibility and strength can improve your ability to move with greater ease, making everyday activities more enjoyable. Physical therapists can also instruct and fit you for an assistive device such as a cane, crutches, or other assistive devices designed to improve your mobility.

When looking at patients who went to physical therapy first, there was an average savings of over $250 in one study and over $1,000 in another. Overall, there were substantial savings across the board with less imaging, less medication, and even less treatment.
Similarly, a study looking at patients with low back pain reported significant cost savings.

Physical therapy can offer a pain management alternative to opioid use.

Again, these savings came from PT first’s role in reducing emergency room visits, imaging such as X-rays and MRI, and opioid use. This study also found a 9% increase in completing functional goals when using PT first.

Physical therapy has evolved greatly over the past 20 to 25 years, as have the patients it serves.  Due to costs and other factors, the goal now is to fix the problem as soon as possible with as little healthcare use as possible. Physical therapy enables the therapist to treat the cause of the pain early on and to begin the rehabilitation by restoring the proper mechanics that may be causing the pain.

We are also trained to recognize when physical therapy is not the proper or best first course of action and can point patients in the best direction. The physician-physical therapy team is still the standard when dealing with musculoskeletal problems. This team will always be present for and critical to the care of a high percentage of patients. However, as healthcare evolves, the evidence favoring a physical therapy first approach continues to grow.

If you have any questions regarding direct access to physical therapy or to schedule a pain assessment contact your nearest Foothills Sports Medicine Physical Therapy clinic.

The post Why You Should Turn to Physical Therapy First appeared first on Foothills Sports Medicine Physical Therapy.

Wed, 16 Nov 2022 06:10:34 -0800 Sportsman
316. Sugar and sedentary lifestyle more harmful for men Consuming sugar and leading a sedentary lifestyle has harmful effects on men. In a new study published in the journal Endocrinology, researchers at the University of Missouri examined the insulin resistance of blood vessels in 36 young, healthy men and women. Vascular insulin resistance is a hallmark of obesity and type 2 diabetes that contributes to cardiovascular disease. The researchers had the participants cut their physical activity from 10,000 to 5,000 steps per day and increased their sugar intake by having them drink six cans of soda per day for 10 days. For men, but not for women, the more sedentary lifestyle and high sugar intake cause decreased blood flow in the legs stimulated by insulin, as well as a decrease in a protein that regulates insulin sensitivity and serves as a marker for cardiovascular disease.

The post 316. Sugar and sedentary lifestyle more harmful for men appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Wed, 16 Nov 2022 05:58:19 -0800 Sportsman
317. Alcohol offers no health benefits to younger adults Alcohol offers no health benefits to younger adults, according to a recent study published in The Lancet. Researchers at the Institute for Health Metrics and Evaluation at the University of Washington looked at the risk of alcohol consumption on 22 health outcomes, including injuries, cardiovascular diseases, and cancers for men and women between the ages of 15 and 95 in over 200 countries. They calculated that more than 1.3 billion people consumed harmful amounts of alcohol. Across the world, the largest group of people drinking unsafe amounts of alcohol were males between 15 and 39 years old. For people under 40, the researchers found no health benefits from alcohol but did find significant risk, including increased motor vehicle accidents, suicides, and homicides. For adults over 40 without underlying medical conditions, a small amount of alcohol might slightly reduce the risk of cardiovascular disease, stroke, and diabetes.

The post 317. Alcohol offers no health benefits to younger adults appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Wed, 16 Nov 2022 05:58:18 -0800 Sportsman
Effects of a 9&weeks arch support intervention on foot morphology in young soccer players: a crossover study Wed, 16 Nov 2022 05:49:37 -0800 Sportsman Acute effects of game&based biofeedback training on trunk motion in chronic low back pain: a randomized cross&over pilot trial Wed, 16 Nov 2022 05:49:37 -0800 Sportsman ACL Injury rehabilitation: clinical implications from an OPTIKNEE systematic review This blog is part of a series on work by OPTIKNEE Consensus. This is an international consensus group focused on improving knee health and preventing osteoarthritis after a traumatic knee injury.

Keywords: Rehabilitation, Anterior cruciate ligament, OPTIKNEE

Anterior cruciate ligament (ACL) tears are one of the most talked about injuries in sports medicine. Most people who tear their ACL will embark on a rehabilitation program (with or without ACL surgical reconstruction).  The international OPTIKNEE consensus project aims to optimize knee health and prevent post-traumatic osteoarthritis (OA) following knee injuries like ACL tears. As part of this consensus, we recently published a systematic review of systematic reviews in BJSM (OPEN ACCESS) examining the effectiveness of different rehabilitation interventions to improve symptomatic, functional, clinical, psychosocial and quality of life outcomes, and prevent re-injury after ACL (and/or meniscal) injury (1). The summary of this study is outlined in this blog.     

Why is this study important?

ACL and meniscal injuries can be devastating (2, 3). Although many people successfully regain pre-injury function and return to sport after extensive rehabilitation and surgery, pain, psychological distress and reduced function are equally as common. They cannot return to pre-injury sport – an activity that brings them enjoyment with all the long-term health and wellbeing participation benefits (4). There is little consensus about the optimal components of an ACL tear rehabilitation program to achieve pre-injury function, activity and quality of life, leading to significant variations in approaches. Systematic reviews of systematic reviews pull together the highest level of evidence as a one-stop shop to inform clinical practice.

How did the study go about this?

This study reviewed systematic reviews of randomised clinical trials that evaluated the effectiveness of any rehabilitation intervention following traumatic ACL and/or meniscal injury (a common secondary injury) to improve symptomatic and/or functional outcomes. We assessed outcomes relating to pain, symptoms, function, re-injury, psychosocial factors, quality of life and adverse events.

What did the study find?

We found 22 systematic reviews, including 142 randomised controlled trials of mostly men (56% – 95%), and almost all after ACL reconstruction (none following isolated meniscal injury). In general, there was a disappointingly low level of evidence for the effectiveness of rehabilitation interventions to improve symptomatic and functional outcomes after ACL injury.

The strongest level of evidence (moderate certainty) was found for:

  1. Neuromuscular electrical stimulation to improve quadriceps strength.
  2. Open versus closed kinetic chain exercises to be similarly effective for quadriceps strength, self-reported function, and knee laxity.
  3. Structured home-based rehabilitation to be similarly effective to structured in-person rehabilitation for quadriceps and hamstring strength, self-reported function, and knee laxity.
  4. Postoperative knee bracing to provide no benefit to physical function and knee laxity.

Low certainty evidence was found for:

    1. Pre-operative rehabilitation consisting of 3–6 weeks of muscle strengthening and neuromuscular (i.e., function and stability) control exercises to improve self-reported and physical function (e.g., hop performance) 3 months post-ACLR.
  • Cryotherapy during the first 1-2 days post-ACLR reduces postoperative pain and analgesic use up to approximately 1-week post-surgery compared with no cryotherapy.
  • Psychological interventions including guided imagery, relaxation, coping modelling and visual imagery 6-12 weeks after ACLR to improve psychological and knee laxity outcomes.

Figure 1: Evidence map for ACL rehabilitation interventions. Only the four most consistent outcomes reported across systematic reviews presented for clarity. CKC, closed kinetic chain; CPM, continuous passive motion; NM, neuromuscular; NMES, neuromuscular electrical stimulation; OKC, open kinetic chain.

Click here for an interactive version of the above figure!

See this infographic for the take-home messages from this study:


  1. Culvenor AG, Girdwood MA, Juhl CB, et al. Rehabilitation after anterior cruciate ligament and meniscal injuries: a best-evidence synthesis of systematic reviews for the OPTIKNEE consensus. British Journal of Sports Medicine. 2022:bjsports-2022-105495.
  2. Bruder AM, Crossley KM, Mosler AB, Patterson B, Haberfield M, A. D. Co-creation of a sport-specific anterior cruciate ligament injury risk reduction program for women: A concept mapping approach. Journal of Science and Medicine in Sport. 2020;23(4):353-360.
  3. Bruder AM, Patterson BE, Donaldson A, et al. Creating Prep to Play PRO for women playing elite Australian football: A how-to guide for developing injury prevention programs. Journal of Sport and Health Science. 2021;doi:
  4. Bruder AM, Crossley KM, Donaldson A, AB. M. Through the athlete lens: A novel study exploring the perspectives and experiences of injury prevention practices in women playing elite Australian football. Brazilian Journal of Physical Therapy. 2021;doi:


Author and Affiliations:

Andrea Bruder, Brooke Patterson, Adam Culvenor

Dr Andrea Bruder, La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia

[email protected]


OPTIKNEE Steering Committee Lead Associate Professor Jackie Whittaker


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Wed, 16 Nov 2022 05:49:36 -0800 Sportsman
Marathon Runner Nutrition Principles Marathon Runner Nutrition Principles

Blog by Nikki Simmons and Meredith Sorensen, MS, RD, LD


Meredith Sorensen is a performance dietitian for Memorial Hermann Rockets Sports Medicine Institute and former collegiate distance runner for the University of Houston. Nikki Simmons is a dietetic intern whoassisted with this project.

Wed, 16 Nov 2022 05:46:30 -0800 Sportsman
Who Can Benefit Most From Anterior Hip Replacement? Top Five Advantages of Anterior Hip Replacement Surgery

Anterior Hip Replacement Pembroke Pines FLAnterior Hip Replacement surgery has many advantages over traditional hip replacement procedures.

The thought of replacing a hip probably conjures nightmare images of intense, invasive surgery and a long and protracted recovery. Such fears keep many people living with the pain of a damaged hip because they fear the surgical procedure.

However, patients needing hip replacement need to know about a relatively new technique – anterior hip replacement — which uses less drastic techniques to achieve just as effective results.

In an anterior hip replacement, we enter through the front of the body to replace the hip bone, which means we leave all of the muscles that are most important to mobility intact.

Here are the Top Five advantages of Anterior Hip Replacement.

  1. Muscles are maintained – Because this technique involves little or no cutting of muscles during the procedure, there are few muscles to be repaired once the new hip joint has been replaced. This is the main advantage of anterior hip replacement; without damaging the muscles, that is what leads to less pain, more mobility, and quicker recoveries.
  2. More accurate imaging – Advanced imaging techniques are used during this procedure, allowing for more precise placement of the replacement joint.
  3. Return of greater range of motion – In a traditional hip replacement, patients are told to refrain from specific movements or activities even once the new joint is in place.
    Anterior hip replacement results in greater mobility and flexibility, and few, if any, such restrictions are in place, and patients can usually return to all of their regular physical activities.
  4. Less post-operative pain – One of the most significant drawbacks of traditional replacement is that surgery is invasive and requires much cutting of bone and muscle. Patients experience considerable post-operative pain, which often has to be controlled with opioids, which have their own problems. Because this technique does not cut the muscles, patients have far less pain.
  5. Faster recovery – Again, because no muscles are cut, the recovery time from an anterior hip replacement is much quicker. Usually, recovery is only about a week, and patients can return home the same day as the procedure. As opposed to traditional hip replacement, which requires a hospital stay and can take up to 8-weeks to recover from!

Anterior Hip Replacement Surgery At All-Pro Orthopedics

Anterior Hip Replacement Pembroke Pines FLSince Anterior Hip Replacement surgery is such a new technique, there are not many orthopedic surgeons familiar with the procedure, and few, if any, who have been doing it as long as All-Pro,
Only the most advanced orthopedic surgeons should perform this operation.

At All-Pro Orthopedics, we have the training and experience to confidently perform anterior hip replacement surgery in Palmetto, Pembroke Pines, West Palm Beach, and Hollywood.

The results of anterior hip replacement at All-Pro can be life-changing. Ultimately you will want to meet with an orthopedic surgeon or sports medicine specialist to see if anterior hip replacement suits you.

You can contact one of our friendly appointment specialists at (954) 399-5976 to schedule your initial consultation.

The post Who Can Benefit Most From Anterior Hip Replacement? appeared first on All-Pro Orthopedics & Sports Medicine.

Wed, 16 Nov 2022 05:43:27 -0800 Sportsman
Arthroscopic Rotator Cuff Repair Fri, 11 Nov 2022 21:06:56 -0800 Sportsman Superior Capsular Reconstruction for Irreparable Rotator Cuff Tear Fri, 11 Nov 2022 21:06:54 -0800 Sportsman Advances in the Treatment of Rotator Cuff Tears Fri, 11 Nov 2022 21:06:51 -0800 Sportsman 75. Why arthroscopic meniscus surgery could be harmful for older adults In the November 10, 2022 episode of Better Than Ever Live!, I discuss surgery for a meniscus tear, one of the most common operations performed in the United States. I’ll explain why arthroscopic surgery to treat the tear – a clean-up or debridement of the meniscus and the knee – might actually be harmful for some adults.

Subscribe to Better Than Ever Live!

Remember, if you are watching this show on YouTube or Facebook, and you want to make sure you don’t miss an episode, subscribe to Better Than Ever Live! as an audio podcast wherever you get your podcasts. If you are listening to this podcast and you want to comment on topics, join us live on YouTube and Facebook, and soon on other social media platforms. Go to, click subscribe and hit the bell to be notified when I’m on live. And make sure to follow my Facebook page –

The post 75. Why arthroscopic meniscus surgery could be harmful for older adults appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Fri, 11 Nov 2022 12:39:58 -0800 Sportsman
315. Better sleep leads to higher work ambitions for women Women who sleep well might have improved work-related ambitions, according to a new study published in the journal Sex Roles. Researchers at Washington State University surveyed 135 adult workers twice each day for two weeks. At lunchtime each day, participants reported how they slept the night before and described their current mood. Each evening, they reported their efforts towards status and responsibility at their job. The researchers found that better sleep quality appeared to have a direct impact on women’s moods and improved how they felt about advancing in their careers. Men’s sleep appeared to have no effect on their work ambitions. 

The post 315. Better sleep leads to higher work ambitions for women appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Fri, 11 Nov 2022 12:39:57 -0800 Sportsman
Kevin D. Plancher, MD, MPH Name EAO President New York and Greenwich, CT
November 1, 2022

Kevin D. Plancher, MD, MPH, FAOA, FAAOS attended the Eastern Orthopaedic Association’s 53rd Annual Meeting in Atlantic City October 26-29, 2022. Dr. Plancher moderated the Rapid Fire
Session 5C – Sports Medicine early Saturday morning. After which he was inducted as the incoming EOA President; pictured here with EOA 2022 President Amar S. Ranawat. Save the date for EOA 2023 54th Annual Meeting at The Charleston Place Hotel in South Carolina, October 26–28, 2023.

Kevin D. Plancher, MD, MPH, FAAOS, is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is 1 of only 36 Orthopaedic Surgeons who hold American Board of Orthopaedic Surgeons certification in both Surgery of the Hand and Orthopaedic Sports Medicine. He is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.

Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care.

The post Kevin D. Plancher, MD, MPH Name EAO President appeared first on Plancher Orthopaedics & Sports Medicine.

Fri, 11 Nov 2022 05:45:36 -0800 Sportsman
Kevin D. Plancher, MD, MPH, FAOA, FAAOS – One of Only Thirty&Six New York City, NY and Greenwich, CT
November 3, 2022

Kevin D. Plancher, MD, MPH, FAOA, FAAOS is an orthopaedic surgeon holding certification from the American Board of Orthopaedic Surgery. More importantly, Dr. Plancher is one of only thirty-six Orthopaedic Surgeons who hold American Board of Orthopaedic Surgery certification in both Surgery of the Hand and Orthopaedic Sports Medicine. You can verify ABOS certification online at

Kevin D. Plancher, MD, MPH, FAAOS, is a board- certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. He is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.

Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice with offices in New York City and Greenwich, CT. Leaders in

orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care.

The post Kevin D. Plancher, MD, MPH, FAOA, FAAOS – One of Only Thirty-Six appeared first on Plancher Orthopaedics & Sports Medicine.

Fri, 11 Nov 2022 05:45:34 -0800 Sportsman
Kevin D. Plancher, MD, MPH, FAOA, FAAOS Attends AAHKS 2022 New York City, NY and Greenwich, CT
November 7, 2022

Kevin D. Plancher, MD, MPH, FAOA, FAAOS attended the American Association of Hip and Knee Surgeons 2022 Annual Meeting November 3–6, 2022. While in attendance at AAHKS 2022 Dr. Plancher presented his team’s paper – Lateral Patella Facet OA Is Not Contraindicated for Medial UKA: Mean 10-Year Outcomes & Survivorship.

Kevin D. Plancher, MD, MPH, FAAOS, is a board- certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is one of only thirty-six Orthopaedic Surgeons who hold American Board of Orthopaedic Surgery certification in both Surgery of the Hand and Orthopaedic Sports Medicine. He is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.

Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care.

The post Kevin D. Plancher, MD, MPH, FAOA, FAAOS Attends AAHKS 2022 appeared first on Plancher Orthopaedics & Sports Medicine.

Fri, 11 Nov 2022 05:45:33 -0800 Sportsman
7 Most Common Accidents and Injuries During Back to School Article featured on HealthPartners

Whether your kiddo is a little daredevil or just a bit klutzy, accidents happen.

The good news is that most mishaps result in minor injuries that can be treated with a dab of antibacterial ointment, a little rest, and lots of hugs and kisses. But the reality is that every tumble has the potential to be “the big one” – an injury that has you speeding toward the nearest hospital.

But it’s a fine line. What kinds of child injuries really raise the boo-boo bar? When is a trip to urgent care enough? And when might you need to seek highly-specialized emergency care at a pediatric trauma center?

1. Falls: The most common cause of injury for kids of all ages

Falls are the leading cause of injury among children. In fact, the Centers for Disease Control and Prevention (CDC) says that roughly 8,000 children are treated in U.S. emergency rooms for fall-related injuries every day.

When and where are falls most likely to happen?

Playgrounds, especially slides and monkey bars, are some of the most common causes of injury. Other common fall hazards include:

  • Stairs
  • Beds without railings
  • Windows
  • Elevated landings
  • Baby walkers
  • Slippery bathtubs
  • Cluttered pathways

Also, while falls are the most common injury for kids of all ages, babies and toddlers are especially fall-prone. Little humans simply don’t have the same movement control and balance that older kids and adults do. Of course, there are numerous child fall prevention best practices that can help reduce the chances of a serious injury. But falls can still happen in a flash.

What types of fall injuries may need specialized trauma care?

Head, neck, back or spine injuries, and broken bones top the list. More specifically, these injuries can often need the highest level of trauma care – or what’s often called Level 1 trauma care. Why? These kinds of injuries can be more complex, which may require expert care from a range of specialists.

In addition, we suggest that you bring your child to a trauma center right away if they’re experiencing any of the following symptoms after a fall:

  • Difficulty breathing
  • Possible broken bones – especially if the potential fracture is located in areas like the head, face, neck, back or pelvis, or if a bone has pierced through the skin – ligament tears or a spinal cord injury
  • New or worsening bleeding or swelling, headache, nausea or vomiting
  • Loss of consciousness or memory loss surrounding the accident

Learn more about what to do if your child falls and hurts themselves.

2. Being struck by or against an object: Accidental impacts

Most kids get bumped into on a regular basis – especially if they play sports (or have older siblings). Usually these run-ins are minor accidents caused by playing a little too hard or getting distracted.

But according to CDC and NEISS All Injury Program data from 2000-2018, the frequency of emergency department visits after being struck by or against an object is second only to falls, especially for kids aged 0-14.

When and where are kids most likely to get struck by or against an object?

These types of childhood injuries can happen anytime and anywhere. Here’s just a sampling of some of the accidents that fall into this category:

  • Walking into a wall, door or piece of furniture
  • Being hit by an object such as a baseball or a falling storage box
  • Getting hit and hurt by another player during a football, soccer, lacrosse, softball, baseball or other sports game
  • Being pinned under a piece of furniture or an appliance that tipped over

What types of “struck by or against” injuries may need trauma care?

Head, neck, back or spine injuries, and broken bones are often top trauma priorities for these types of accidents, too. Also, if your child is injured after being pinned under or against something, internal injuries can be a concern.

We suggest heading to a pediatric trauma center if your child is experiencing any of the following symptoms:

  • Difficulty breathing
  • Possible broken bones – especially if the potential fracture is located in areas like the head, face, neck, back or pelvis, or if a bone has pierced through the skin – ligament tears or a spinal cord injury
  • New or worsening bleeding or swelling, headache, nausea or vomiting
  • Loss of consciousness or memory loss surrounding the accident

3. Motor vehicle accidents: The most common injury for teen drivers and riders

There are millions of motor vehicle accidents every year. Next to falls, these accidents are the most common causes of nonfatal injuries among teenagers.

When and where are motor vehicle accidents most likely to happen?

Whether your child is cruising in your family car or riding an ATV at the cabin up north, motor vehicle accidents can happen anytime. And teens between 16 and 19 are at a higher motor vehicle crash risk than any other age group, according to the CDC.

Why? One reason is because teens are less experienced drivers or they’re riding with less experienced drivers.

The CDC says that the crash risk for teen drivers is especially high during their first few months of licensure. In addition, the presence of other teen passengers increases crash risks.

When may trauma care be needed after a motor vehicle accident?

Motor vehicle accidents can cause a range of injuries – some obvious and some subtle. And even low-speed accidents can leave kids with an injury.

After any motor vehicle accident, we suggest getting your child checked out. Some injuries may or may not present themselves right away. Urgent care can be a good choice for minor bumps, scrapes or bruises.

If an ambulance arrives and paramedics say a trip to the ER is recommended, we suggest you follow their advice and ask to be taken to the nearest pediatric trauma center.

In addition, we recommend seeking pediatric emergency care if your child has any of the following injuries or symptoms:

  • Difficulty breathing
  • Visible or possible head, neck or back injuries
  • Possible broken bones – especially if the potential fracture is located in areas like the head, face, neck, back or pelvis, or if a bone has pierced through the skin – ligament tears or a spinal cord injury
  • New or worsening bleeding or swelling, headache, nausea or vomiting
  • Loss of consciousness or has memory loss surrounding the accident

4. Cuts and puncture wounds: Injuries that are more than a little scratch

Whether they’re playing with friends or helping you in the yard, a lot of kids accidentally cut or poke themselves with something sharp. Most wounds will sting and throb, but once they’re cleaned and patched up they typically heal pretty quickly.

But more serious lacerations or piercings are relatively common, especially for kids between 5 and 14 years old.

When are cuts and piercings most likely to happen?

Usually, most deep cuts or piercings occur after another common kid injury occurs – namely a bad fall or being hit by something. But other household accidents involving machinery like yard tools, kitchen appliances or cutlery can be the culprits, too.

When may trauma care be needed for cuts and piercings?

If your child has any lacerations or puncture wounds that occurred after a fall, being hit by an object, or may involve a broken bone, head to the nearest trauma center. Multiple injuries will likely require care from multiple specialists.

If a cut or puncture is the primary injury, get emergency pediatric trauma care if your child’s injury is:

  • Bleeding heavily or the bleeding hasn’t decreased after five to 10 minutes of direct pressure
  • Causing numbness or inability to move fingers, toes, arms, legs, joints or other parts of their body
  • Deeper or longer than ½ inch
  • Located on your child’s head or face, or close to an eye
  • Caused by a dirty or rusty object
  • Embedded with dirt, gravel or other debris
  • Has ragged or separated edges
  • Caused by an animal or human bite
  • Extremely painful
  • Showing signs of infection (e.g. increased warmth, redness, swelling or drainage, or foul odor)

5. Bites and stings: Wounds caused by animals, insects and humans

The vast majority of bites and stings are minor – requiring little to no medical treatment. But according to the previously mentioned CDC and NEISS All Injury Program data, bites and stings are the third most common reason for ER visits for kids aged 0-9.

When and where are bites and stings most likely to happen?

Like any injury, bites and stings can happen anytime, anywhere. Among children, dog bites are some of the most common injuries we see.

When may trauma care be needed after a bite or sting?

After any bite or sting, seek emergency pediatric trauma care if:

  • The wound (or wounds) is bleeding heavily or the bleeding hasn’t decreased after five to 10 minutes of direct pressure
  • The wound (or wounds) is showing signs of infection (e.g. increased warmth, redness, swelling or drainage, or foul odor)
  • Your child is having difficulty breathing or showing other signs of an allergic reaction such as swell hives, wheezing or trouble swallowing, rapid pulse or dizziness

Specifically for animal bites, seek emergency care if:

  • The animal that bit your child is wild
  • The bite or bites are deeper or longer than ½ inch – especially if they’re located on your child’s face and/or near an eye
  • The bite is from a venomous snake or spider
    • Venomous snake and spider bites are rare in the Midwest, and Minnesota and Wisconsin have just two species of poisonous snakes
  • The bite is from a bat (which is uncommon in Minnesota and beyond, but requires fast care)

6. Foreign bodies: When something is where it shouldn’t be

It’s safe to say that every kid experiences a “foreign body” at some point during their childhood. Whether it be a splinter in their finger or a sweet pea in their nose, curious kiddos get things stuck.

But more serious cases happen. In fact, it’s the fourth most common reason for an ER trip for kids between 1 and 4 years old.

When and where are foreign body injuries most likely to happen?

Most of the time, the child will inhale or ingest something on their own. This can happen during a mealtime or during playtime, when there are a lot of choking hazards around.

When may trauma care be needed for removing a foreign body?

Most foreign bodies can pass through their gastrointestinal track without issue, but sometimes they become lodged in the throat, stomach or soft tissues. Choking and bowel obstructions are the biggest concerns, and require emergency medical care.

If your child appears to be choking, take action by using choking first aid techniques like back blows or the Heimlich maneuver to dislodge the object. If you don’t know how or your efforts aren’t working, call 911.

If your child has swallowed something and you’re unsure if it can be passed naturally, call your doctor. Go to a pediatric trauma center if you notice any of the following symptoms of a possible bowel obstruction:

  • Severe abdominal pain, cramping or swelling
  • Vomiting
  • Bloating
  • Loud bowel sounds
  • Inability to pass gas
  • Constipation

7. Burns: Injuries that aren’t only caused by fire

Whether a curious hand grabs for a hot pan or repeated sunscreen applications didn’t get the job done, mild burns are pretty common for kids.

But only a little amount of time – sometimes just seconds – is needed for burn injuries to worsen.

When and where are burns most likely to happen?

Thermal burns – burns caused by coming into contact with flames, or hot metals, liquids or steam – are the most common among children. But other types of burns include:

  • Chemical burns caused by acids or solvent cleaners (e.g. bleach, ammonia, paint thinner)
  • Electrical burns after coming into contact with an electrical current
  • Radiation burns (aka sunburn)
  • Friction burns such as road rash or carpet burn
  • Cold burns such as frostbite

When may trauma care be needed for burn injuries?

If a burn has caused any damage below the epidermis – the outer layer of the skin – some degree of specialty care may be needed. Blisters signal a second-degree burn that’s gone deeper, and any charring or whitish marks are a sign of the most severe third- or fourth-degree burns.

The more severe or widespread the burn, the higher degree of specialty care that is needed and suggest that kids get specialized burn care if:

  • Burns are located on the face, ears, hands, feet or genital area where permanent damage is a risk if not treated properly
  • Burns appear deeper than first-degree and/or cover a large area of the body (e.g. larger than the size of your palm)
  • There are signs of infection (e.g. increased warmth, redness, swelling or drainage, or foul odor)
  • Pain, irritation or discoloration worsens

For the worst kid injuries, get the best possible trauma care

Accidents happen. And the worst ones can result in injuries that need highly-specialized care from pediatric trauma experts.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.


1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

8:00am – 4:30pm

The post 7 Most Common Accidents and Injuries During Back to School appeared first on Orthopedic & Sports Medicine.

Fri, 11 Nov 2022 05:40:58 -0800 Sportsman
How to Build a Successful Cash&Based PT Practice A successful cash-based physical therapy business has a lot to do with customer service, here's some tips.

The post How to Build a Successful Cash-Based PT Practice appeared first on Mike Reinold.

Fri, 11 Nov 2022 05:33:41 -0800 Sportsman
Having trouble sleeping? Try exercise Fri, 11 Nov 2022 05:32:43 -0800 Sportsman Why athletes&apos; skills fail them—and how focusing on memory can help professionals and amateurs perform better Fri, 11 Nov 2022 05:32:42 -0800 Sportsman Neurophysiologist explains how concussions disrupt everyday life in the short and long term Fri, 11 Nov 2022 05:32:41 -0800 Sportsman Post&surgical Wounds and Healing Surgery is necessary in some circumstances for repairing broken bones, removing ulcers, replacing joints and more. However, patients who fail to properly care for their post-surgical wounds can find themselves back in the doctor’s office or worse – back on the operating table.

post-surgical wounds

After surgery, it is important to properly care for your wounds so that they can heal as quickly as possible and avoid infection. Depending on the type of surgery you have, your wounds may be different. However, there are some general guidelines that you can follow to ensure that your wounds heal properly. In this article, we will discuss the different types of post-surgical wounds, the average time it takes for them to heal and how to properly care for them.

Types of surgical wounds

There are three types of post-surgical wounds: closed, open and laparoscopic surgical wounds. Closed surgical wounds are those that are closed with stitches, staples or adhesive strips. They usually take about two weeks to heal properly. Open surgical wounds are those that are left open to heal. They usually take about four weeks to heal properly. Laparoscopic surgical wounds are those that are made with small incisions and a tiny camera is inserted into the abdomen through one of the incisions. The average healing time for these types of wounds is about two weeks.

How to care for post-surgical wounds?

Regardless of the type of surgical wound, you should keep the wound clean and dry during the period of recovery. You may need to keep the wound covered with a bandage or dressing, depending on the severity of the wound. Be sure to follow your doctor’s instructions on caring for the wound, and visit your doctor if the wound begins to bleed or ooze.

Why is it important to care for your wounds?

It is important to properly care for your post-surgical wounds because if they are not cleaned and dried correctly, they may become infected. Infected wounds can cause a great deal of pain and can delay the healing process. Additionally, improperly cared for wounds can also lead to scarring. Therefore, it is important to follow your doctor’s instructions on how to care for your wound.

When should you see a doctor?

If you notice any redness, swelling or discharge from your wound, you should contact your doctor. These may be signs of infection. Additionally, if your wound is not healing properly or if you have any other concerns, you should contact your doctor.

If you have any questions about how to care for your wound, be sure to ask your doctor or healthcare provider. Our physicians at Hampton Roads Orthopaedics Spine and Sports Medicine are experts in wound care and are here to answer any questions you may have. Just call (757) 873-1554.

The post Post-surgical Wounds and Healing appeared first on Hampton Roads Orthopaedics Spine and Sports Medicine.

Fri, 11 Nov 2022 05:22:39 -0800 Sportsman
How to Stay Healthy on Thanksgiving Overindulgence is a common Thanksgiving theme. With plates full of carbs, sugars, and gravy, it is easy to veer off your normal diet and overeat. The good news is, you don’t have to fall victim this year. Instead, follow our tips about how to keep it healthy on Thanksgiving.

Instead of the bird bathed in butter …
This herb-roasted turkey comes highly rated and doesn’t call for any butter in the recipe.  Or, if you prefer a vegetarian option, make these wild-rice-stuffed butternut squash. With ingredients like cinnamon powder, dried cherries, and fresh sage, this recipe may make the holiday a vegetarian feast every year.

Putting chopped sweet potatos in the oven
Instead of sweet potato casserole …
Make these roasted sweet potatoes with honey and cinnamon. You’ll get the same flavor without the calories. You can top the dish with chopped pecans to give a crunch that resembles the typical topping of a sweet potato casserole.

Instead of mashed potatoes …
Swap the butter for olive oil, put down the potato masher, and forget about having to add boiled potatoes to your Thanksgiving to-do list. Before baking, these red potatoes are diced up and placed on a baking sheet with rosemary, garlic, and salt.

Instead of canned cranberry sauce …
Make your own. Cranberry sauce is really easy to make. Plus, the sauce will turn out flavorful and fresh instead of … wiggly. An added bonus: you can make this side the night before.

Instead of high-calorie stuffing …
Try subbing out the carbs for cauliflower. This recipe is made on the stove, so it’s one less item to have to worry about juggling the cooking time along with the turkey in the oven. With the additions of carrots, onions, and mushrooms — the concoction is a vegetable medley that tastes more like stuffing, which we call a win-win.

Instead of creamed green beans …
Get a whole bunch of fresh green beans to make this recipe. Chop up some mushrooms and red onion. Toss in some olive oil and place in the oven for 15 minutes. While it’s cooking, sauté up some bread crumbs with oregano. Add in parmesan and the zest of a lemon. Top the green beans with the breadcrumb mixture, and serve!

Instead of a regular pumpkin pie …
This savvy baker manages to add delights like whipped cream to her pumpkin pie while still offering a recipe with less fat and calories and the addition of some protein. For best results, make the night before; it will be one less thing to have to add to the oven the day of and you’ll achieve much cleaner cuts.

Nutritional guide lines of a balance plate of food.

Think about the plate
Sure, those potatoes look good, and cranberry sauce is one of those things you can only have during the holidays, but if you’re really trying to have a healthy Thanksgiving, you need to know what a healthy Thanksgiving plate looks like. A good rule of thumb is to think about your plate this way:

  • ½ of the plate should have veggies
  • ¼ of the plate is for protein
  • ¼ of the place is for starches

For the remaining bits, like cranberry sauce and gravy — which we think should be enjoyed full-calorie — you should have very small servings. Think of them as garnishes.

8 tips for a healthier Thanksgiving!

Tip #1: Stay hydrated. Drink plenty of water to keep your body hydrated, as many Thanksgiving meals are loaded with sodium.
Tip #2: Pick 1-2 dishes to indulge in. Eyeing the pumpkin pie? Enjoy a slice, make sure it’s in moderation.
Tip #3: Get outside. Enjoy the beautiful Arizona weather with your friends and family. Try a new hiking trail, walk around your neighborhood, or even a local Turkey Trot!
Tip #4: Beat the post-Thanksgiving meal lull with a cup of coffee or hot green tea. Both options have been shown to help increase metabolism.
Tip #5: Try a lighter, healthier option on your holiday favorites. Pinterest is full of unique, fun, and healthy recipe alternatives.
Tip #6: Begin your day with breakfast. Eat a hearty and healthy breakfast like rolled oats, a veggie scramble, or rye bread to kick start the day.
Tip #7: Steer clear of the appetizer table. It’s hard to resist when there’s lots of finger food right before you. Instead, try sitting in the living room and enjoying conversation with your friends and family.
Tip #8: Schedule a fat-burning workout for the day after Thanksgiving. It’s a great way to jumpstart your long holiday weekend.

We hope you now know how to stay healthy on Thanksgiving. If you find that pain is getting in the way of enjoying your holiday, let’s fix that. Schedule an appointment with our physical therapy clinic today.

The post How to Stay Healthy on Thanksgiving appeared first on Foothills Sports Medicine Physical Therapy.

Fri, 11 Nov 2022 05:14:22 -0800 Sportsman
314. Even a small amount of extra weight can damage your knees Osteoarthritis affects over 32 million adults in this country. A new study suggests that gaining even a small amount of weight significantly worsens arthritis of the knees. In the study, presented at the International Congress on Obesity, Australian researchers reviewed the data for over 250,000 patients. They found that an increase of just 11 pounds increased the chance of needing a knee replacement 34 percent for women and 25 percent for men. Pain and other arthritis symptoms became more severe as they gained weight, and their x-ray signs of arthritis worsened. Doing what you can to maintain a healthy weight appears to be a great way to avoid joint replacements down the road.

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Fri, 11 Nov 2022 04:56:05 -0800 Sportsman
Killing two birds with one stone: Evaluate sprinting horizontal force production capacities to improve performance and injury risk management. How the evaluation of sprinting horizontal force production capacities can macroscopically evaluate lower limb function.

Keywords: sprint mechanics; lower limb function; sports injury prevention.

Sprinting is important for athletes, coaches, and health professionals for both performance and injury risk management [1]. Sprinting can be defined as running with the intention of maximal acceleration and/or velocity. The performance of sprinting acceleration is associated with the ability to produce and apply high levels of force in the horizontal direction [2]. Such information is of great importance when we want to evaluate, monitor and/or train for sprinting. Evaluating and monitoring sprinting horizontal force production capacities is now used in field settings for sprinting performance enhancement, [3,4] as well as in more analytical evaluations such as isolated single joint strength assessments. This ability to produce horizontal force during sprinting is mainly associated with the lower limb posterior chain muscles actions [5,6]. Thus, we can consider that sprinting horizontal force production capacities evaluation allows an overall evaluation of the lower limb function during sprinting action. More specifically, this evaluation targets the overall posterior chain muscles function during sprinting action. Recent studies also supported the interest of evaluating sprinting horizontal force production for hamstring injury management [7–11]. 

This blog will explain how to assess sprinting horizontal force production capacities and why they can be of interest for both injury risk management and to performance improvement.  

What are sprinting “horizontal force” production capacities?

Sprinting horizontal force production capacities correspond to the maximal values of the force developed by an athlete onto the ground in the anteroposterior direction at any running velocities. These capacities decrease linearly when velocity increases, which is well described by the F-v relationship (see the graph 1.3 in the figure 1), [12] and its two extrema: FH0 and V0, corresponding to the force production capacities at low and high velocities, respectively (figure 1) [12]. Considering that sprinting horizontal force production capacities mostly depends on the lower limb and posterior chain muscles during sprinting action, [5,6] evaluation of FH0 and V0 can provide information about the lower limbs and posterior chain muscles function during the sprinting action.

Figure 1: Illustration of the sprinting horizontal force production capacities evaluated by the F-v relationship, FH0 and V0 as descriptors of the lower limbs function during the sprinting action (some graphics are inspired from Cross et al.[13]).

How can we evaluate sprinting horizontal force production capacities in field practice?

Evaluation of the sprinting horizontal force production capacities requires a maximal sprint acceleration up to maximal running velocity (~30 to 60 metres) during which  the  position-time or velocity-time data are measured. Such measurements can be done using any technology that provides reliable data (e.g., radar, laser, 1080, photocells, or Global Positioning Systems, video camera [4,12]. Such maximal sprint accelerations are a common task for most trained athletes and can easily be included at the end of the warm-up session or in a specific sprinting training session. To obtain reliable and valid information, testing protocols, measurements and data analyses should be accurate and rigorously standardised (e.g., similar fatigue, training, time of day, warm-up conditions [12].

Why are sprinting horizontal force production capacities of interest for injury risk management?

Since sprinting horizontal force production capacities can provide information on the function of the lower limbs during sprinting, lower limb impairment can cause changes to these force capacities, especially impairment of the posterior chain muscles. When changes to the force capacities are not compensated by other parts of the kinetic chain during sprinting, sprinting horizontal force production capacities can decrease (i.e., decrease in FH0 or V0). In other terms, the lower limbs are unable to produce the same levels of force in the horizontal direction over the sprinting entire acceleration. This can highlight a problem in the lower limb posterior chain. However, this is not specific to a single part of the chain. A FH0 decrease has been reported after hamstring injury [7,8]. In addition, lower FH0 were prospectively associated with higher risk of hamstring injury [9,11]. This could indicate that hamstring muscles could represent the weakest part of the kinetic chain. However, this is not always the case and decrease in sprinting horizontal force production capacities could be the consequence of other lower limb injuries, such as ankle sprain, calf muscle injury, knee pain, overtraining or fatigue. Therefore, sprinting horizontal force production capacities evaluation can help highlight an issue, with a more integrative, functional and performance-oriented approach, [9] justifying a subsequent deeper analysis. Such an evaluation can be done as a screening test [9–11] for primary prevention and/or as a return to sport test [7,8] for secondary prevention.

Increase the end-user’s “buy-in” by killing two birds with one stone:

  • Implementation of new strategies, measures or tools always represents a challenge. End-users now have lots of possibilities/opportunities to assist training and injury risk management, but often little time available. There is a need for efficiency.
  • Since sprinting horizontal force production capacities evaluation is already used in routine for acceleration performance enhancement, no additional measurement is required (from athletes or staff members) to generate information for lower limbs injury risk management.
  • We therefore suggest an extension of the use of analysed data, with a two-way application opportunity: sprint acceleration training and injury risk management. This is a win-win performance-prevention approach.

Authors names & Affiliations:

Pascal Edouard 1,2, Jurdan Mendiguchia 3, Caroline Prince 4,5, Pedro Jimenez-Reyes 6, Kenny Guex 7,8, Johan Lahti 9, Pierre Samozino 4, Jean-Benoît Morin 1,10

1 Univ Lyon, UJM-Saint-Etienne, Inter-university Laboratory of Human Movement Biology, EA 7424, F-42023, Saint-Etienne, France

2 Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France

3 Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, Spain

4 Univ Savoie Mont Blanc, Inter-university Laboratory of Human Movement Biology, EA 7424, F-73000 Chambéry, France

5 Physiotherapy department and motion analysis lab, Swiss Olympic Medical Center, La Tour Hospital, Meyrin, Switzerland

6 Centre for Sport Studies, Rey Juan Carlos University, Madrid, Spain 

7 School of Health Sciences (HESAV), HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland

8 Swiss Athletics, Haus des Sports, Ittigen, Switzerland.

9 Université Côte d’Azur, LAMHESS, Nice, France

10 Sports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, New Zealand

Correspondence to

Pascal Edouard, MD PhD, Department of Clinical and Exercise Physiology, Sports Medicine Unit, IRMIS, Campus Santé Innovations, University Hospital of Saint-Etienne, 42 055 Saint-Etienne cedex 2, France. Tel.: +33 674 574 691; Fax numbers: +33 477 127 229; E-mail: [email protected]

Funding: No funding. 

Competing Interest: None declared. PE is Associate Editor for the BJSM and the BMJ Open Sports and Exercise Medicine.


1 Edouard P, Mendiguchia J, Guex K, et al. Sprinting: a key piece of the hamstring injury risk management puzzle. Br J Sports Med 2022;0:1–2. doi:10.1136/bjsports-2022-105532

2 Morin J-B, Bourdin M, Edouard P, et al. Mechanical determinants of 100-m sprint running performance. Eur J Appl Physiol 2012;112:3921–30. doi:10.1007/s00421-012-2379-8

3 Morin J-B, Samozino P. Interpreting Power-Force-Velocity Profiles for Individualized and Specific Training. Int J Sports Physiol Perform 2016;11:267–72. doi:10.1123/ijspp.2015-0638

4 Morin J, Samozino S. Biomechanics of Training and Testing: Innovative concepts and simple field methods. Springer International Publishing 2018. 

5 Schache AG, Dorn TW, Blanch PD, et al. Mechanics of the human hamstring muscles during sprinting. Med Sci Sports Exerc 2012;44:647–58. doi:10.1249/MSS.0b013e318236a3d2

6 Morin J-B, Gimenez P, Edouard P, et al. Sprint acceleration mechanics: The major role of hamstrings in horizontal force production. Front Physiol 2015;6. doi:10.3389/fphys.2015.00404

7 Mendiguchia J, Samozino P, Brughelli M, et al. Progression of Mechanical Properties during On-field Sprint Running after Returning to Sports from a Hamstring Muscle Injury in Soccer Players. Int J Sports Med 2014;35:690–5. doi:10.1055/s-0033-1363192

8 Mendiguchia J, Edouard P, Samozino P, et al. Field monitoring of sprinting power–force–velocity profile before, during and after hamstring injury: two case reports. J Sports Sci 2016;34. doi:10.1080/02640414.2015.1122207

9 Edouard P, Lahti J, Nagahara R, et al. Low Horizontal Force Production Capacity during Sprinting as a Potential Risk Factor of Hamstring Injury in Football. Int J Environ Res Public Health 2021;18:7827. doi:

10 Lahti J, Mendiguchia J, Ahtiainen J, et al. Multifactorial individualised programme for hamstring muscle injury risk reduction in professional football : protocol for a prospective cohort study. BMJ Open Sport Exerc Med 2020;0:e000758. doi:10.1136/bmjsem-2020-000758

11 Lahti J, Mendiguchia J, Edouard P, et al. A novel multifactorial hamstring screening protocol: association with hamstring muscle injuries in professional football ( soccer ) – a prospective cohort study. Biol Sport 2022;39:1021–31.

12 Morin J-B, Samozino P, Murata M, et al. A simple method for computing sprint acceleration kinetics from running velocity data: Replication study with improved design. J Biomech 2019;94:82–7. doi:10.1016/j.jbiomech.2019.07.020

13 Cross MR, Lahti J, Brown SR, et al. Training at maximal power in resisted sprinting: Optimal load determination methodology and pilot results in team sport athletes. PLoS One 2018;13:e0195477. doi:10.1371/journal.pone.0195477

The post Killing two birds with one stone: Evaluate sprinting horizontal force production capacities to improve performance and injury risk management. appeared first on BJSM blog - social media's leading SEM voice.

Fri, 11 Nov 2022 04:43:12 -0800 Sportsman
Physical Therapy Can Help Golfer’s Hip Mobility and Pain A man playing golfAre you noticing soreness or pain in your hip? Does your back seem to feel better the more warmed up your hips are? Golfing requires a tremendous range of motion to swing the club effectively. Our physical therapists at Tennessee Sports Medicine understand golfing mechanics and how vital your hips...

The post Physical Therapy Can Help Golfer’s Hip Mobility and Pain appeared first on Tennessee Sports Medicine.

Thu, 10 Nov 2022 07:21:20 -0800 Sportsman
Physical Therapy For Soccer Performance Training Soccer imageAre you struggling to recover from a soccer injury? Are you looking to take your training to the next level? At our physical therapy clinic, our therapists understand the most effective way to resolve your injuries and enhance your soccer-specific training for optimal performance! Soccer is the most popular youth...

The post Physical Therapy For Soccer Performance Training appeared first on Tennessee Sports Medicine.

Thu, 10 Nov 2022 07:21:19 -0800 Sportsman
Missing Therapeutic Exercises After an Ankle Sprain May Lead to a Bad Year Performing therapeutic exercise after an ankle sprain reduces the chance of a knee, hip, or lumbar spine injury over the subsequent year.

The post Missing Therapeutic Exercises After an Ankle Sprain May Lead to a Bad Year appeared first on Sports Medicine Research.

Wed, 09 Nov 2022 18:01:39 -0800 Sportsman
313. Caffeine during pregnancy can lead to shorter children Pregnant women who drink even small amounts of caffeine before giving birth tend to have babies who turn out to be shorter as children. In a new study published in the journal JAMA Network Open, researchers at the National Institute of Child Health and Human Development found that children of mothers who consumed caffeine during pregnancy were shorter at age 4 than the children whose mothers did not consume caffeinated beverages and foods. This gap in height increased every year until age 8. The American College of Obstetricians and Gynecologists recommends keeping caffeine consumption under 200 milligrams per day while pregnant, or between one and two cups of coffee. But in this study, as little as half a cup of coffee each day led to shorter children.

The post 313. Caffeine during pregnancy can lead to shorter children appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Wed, 09 Nov 2022 16:46:32 -0800 Sportsman
Adherence to exercise and fitness following exercise&based outpatient cardiac rehabilitation: a cross&sectional survey for Germany Wed, 09 Nov 2022 16:33:39 -0800 Sportsman Why Does RA Often Occur in the Joints of the Hands? Article featured on MedicalNewsToday

In people with rheumatoid arthritis (RA), the immune system attacks healthy tissues in the lining of the joints. It often affects the hands, wrists, and feet. Over time, these joints can become stiff and deformed. Here’s why RA often affects these areas, along with treatments that may help prevent and treat pain.

Why does RA affect the hand joints?

RA tends to affect many joints at once. Often, symptoms first appear in the small joints of the middle fingers and in the bases of the hands and toes. It usually occurs in the same joints on both sides of the body.

RA may affect small joints in the hands first because there are many more joints in the hands than in other parts of the body.

The hands have 29 joints each. These joints are supported by a complex network of muscles, ligaments, and tendons that has evolved to perform complex tasks.

In people with RA, the immune system attacks and causes inflammation in the joint lining, or synovium. The synovium produces a fluid that lubricates the cartilage covering the ends of bones, allowing the bones to glide smoothly against each other when a person bends the joint.

A person with RA may experience symptoms such as pain, swelling, and stiffness in the joints. Over time, chronic inflammation in the joints may cause the cartilage to gradually wear away.

The condition may also progress to larger joints, such as the knees, ankles, or elbows.

In addition to affecting the joints, RA can cause inflammation that can also impact a person’s:

  • heart
  • lungs
  • eye
  • kidneys
  • skin

Common symptoms

Some research suggests that RA has a slow onset in more than 50% of cases.

Around 25% of people have abrupt RA onset. Experts believe that it is linked to gum inflammation from bacteria called Porphyromonas gingivalis. People will not experience gum inflammation or gingivitis (gum disease) from this infection unless they smoke.

RA is progressive, which means that the symptoms get worse over time. Treatments such as disease-modifying antirheumatic drugs (DMARDs) and nonsteroidal anti-inflammatory drugs can help slow the progression of RA but cannot cure the condition.

Early signs and symptoms of RA include tenderness, pain, swelling, or stiffness in joints that:

  • affect more than one joint
  • usually start in small joints, such as the hands, wrists, or feet
  • affect the same places on both sides of the body
  • last for at least 6 weeks
  • may be accompanied by stiffness in the morning for 30 minutes or longer

The fingers may appear swollen, like sausages. Inflammation can eventually cause irregularities in the joints and an inability to properly bend or straighten these joints.

Some other common symptoms of RA include:

  • weight loss
  • fever
  • weakness
  • fatigue

Over time, inflammation can affect other parts of the body, leading to symptoms such as:

  • dryness, pain, and inflammation in the eyes
  • sensitivity to light
  • small bumps in the skin over bones called rheumatoid nodules
  • shortness of breath
  • a dry mouth
  • gum inflammation or infection
  • a low red blood cell count

Home remedies

Home remedies do not replace medical treatments such as DMARDs, which can help slow the progression of RA. A person should never stop or change their prescribed treatment plan before speaking with a doctor.

Several home remedies may help alleviate pain, swelling, or stiffness in the joints due to RA. These remedies include:

  • heating pads or warm baths, to loosen up stiff joints
  • ice packs, to relieve joint pain and swelling
  • meditation and deep breathing techniques, to help a person relax and take their mind off the pain
  • acupuncture
  • massage
  • splints for the fingers or wrists
  • assistive devices, such as ergonomic keyboards or jar openers
  • lotions with capsaicin, to help relieve localized pain

The following supplements have limited scientific evidence proving their benefits but are worth bringing up with a doctor:

  • cannabidiol (CBD) products
  • fish oil
  • turmeric
  • glucosamine
  • probiotics

Making certain dietary changes can also reduce inflammation throughout the body and help a person lose weight. This may help relieve RA symptoms. Having an anti-inflammatory diet includes eating:

  • less sugar
  • fewer processed foods
  • less red meat
  • less full fat dairy
  • more fresh fruits
  • more vegetables
  • whole grains
  • lean meat
  • fish
  • legumes
  • nuts
  • seeds

Some people with RA may find that avoiding gluten or eating more fermented foods, such as yogurt and sauerkraut, helps with symptoms.

A person should always talk with a doctor before trying any new supplements or making any major dietary changes.


For people with RA hand pain, exercise may improve the symptoms and maintain joint mobility and function.

Some research suggests that performing therapist-recommended hand exercises may improve grip and hand function while also relieving RA symptoms.

A 2018 study in 841 people with RA suggests that hand exercises may improve mobility and function. The study also concludes that performing a hand exercise routine likely does not relieve pain or improve a person’s grip and strength in the short or long term.

  • Here are three simple hand exercises that a person can try:
  • Gently squeeze a small, squishy ball or a stress ball.
  • Place the hand out flat with the palm up. Bend each finger, one by one, into the palm. Hold, release, and repeat.
  • Place the hand flat on a table. Lift one finger off of the surface and release it back down. Repeat with each finger, one by one.
  • Getting regular, gentle, full body exercise helps increase strength and range of motion in the joints, which can improve daily functioning. It also helps a person maintain a moderate weight, which can improve RA symptoms.

A person should aim to incorporate the following into their routine:

  • cardiovascular exercises, such as walking or swimming
  • full body strengthening exercises
  • light stretching

Some exercise is always better than none. Although feeling some discomfort is OK, a person should stop exercising if they feel significant pain.

When to talk with a doctor

A person should talk with a doctor if they experience any early symptoms of RA, including:

  • persistent pain or stiffness in the joints
  • joints that are warm to the touch
  • difficulty moving or engaging in daily activities

For people who already have a diagnosis of and treatment plan for RA, a doctor visit is warranted if they:

  • experience any new symptoms
  • feel that their treatments are no longer managing their symptoms
  • develop any side effects from their medications

A person should also talk with a doctor before starting new supplements or a new diet. Also, they should always talk with a doctor before changing or discontinuing their medications.

  • A person should ask questions of their care team as needed. The team will often consist of the following healthcare professionals:
  • a primary care physician
  • a rheumatologist, who will specialize in treating musculoskeletal conditions such as RA
  • a rheumatology nurse, who can help educate the person about RA
  • a physical therapist, to help with mobility issues and teach hand exercises
  • an occupational therapist, to share devices and techniques that help a person live with their symptoms and go about their daily tasks
  • a mental health professional, to help with stress and anxiety, which are more common in people with RA
  • an orthopedic surgeon, to correct joint damage with surgery as necessary

The takeaway

RA is an autoimmune condition that affects many joints in the body. The condition causes the immune system to attack the lining in the joints, causing pain and swelling. Because there are many joints in the hands, people usually experience the first symptoms of RA in their hands.

Medications such as DMARDs help slow the progression of the condition. Several home remedies can also help manage the symptoms. Hand exercises may improve hand mobility, while full body exercise may relieve the symptoms and improve overall well-being.

A person’s healthcare team can help determine the best treatment plan to manage pain and improve functioning.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.


1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

8:00am – 4:30pm

The post Why Does RA Often Occur in the Joints of the Hands? appeared first on Orthopedic & Sports Medicine.

Wed, 09 Nov 2022 00:01:23 -0800 Sportsman
The Different Manifestations of Back Pain and How to Approach Them Back pain is one of the most prevalent medical problems in the United States and is something that most people will experience during some stage in their lives. In fact, eight in ten Americans will face some type of back pain in their lifetime. Not only is back pain one of the most common reasons for missing work, it also interferes with everyday living activities.

Ranging from a dull ache to sharp, stabbing pain, back pain can develop from an injury or may be due to advanced age. While back pain manifests in a variety of ways, the goal of Jaffe Sports Medicine is to diagnose and treat the root cause of your back pain with a variety of interventional modalities.

In order for Jaffe Sports Medicine to fully treat and understand your pain, it is important to first understand and identify where the pain is coming from. Most back pain falls under three categories: axial, referred or radicular pain.

Axial Pain

Axial pain is often confined to a single spot or region of the body. A muscle strain is a common example of axial pain and typically responds well to rest and medication.

Referred Pain

A dull or achy pain, referred pain can move around or vary in intensity. A common example of referred pain is lower back pain which can unfortunately be trickier to treat than others. Referred pain often responds well to physical therapy, injections, strengthening muscles and decreasing inflammation.

Radicular Pain

Radicular pain feels like searing, radiating pain and is caused by compression or inflammation of the spine. The pain is typically localized to the lower back and may include pain that radiates down the legs. Physical therapy, injections and nerve-blocking techniques can help alleviate this type of pain.

The duration of the pain is also used in diagnosing and treating back pain. Pain is considered to be acute, subacute or chronic. Acute pain may last a few days to a week, while subacute lasts a little longer and chronic pain lasts longer than 12 weeks.

Jaffe Sports Medicine is here to diagnose your back pain and provide an individualized treatment plan. Treatments for back pain may include one or a combination of the following methods: physical therapy, medication, injections and radiofrequency ablation. Surgery is an option but is used as a last resort.

Physical therapy exercises increase flexibility, while also strengthening muscles and improving posture. By itself or combined with other treatments, physical therapy is a great solution to lessen back pain.

For immediate relief from back pain, cortisone injections are a great option. The injections go into the space around the spinal cord and nerve roots, helping to ease pain by decreasing inflammation. While relief only lasts for a month or two at a time, injections are successful in diminishing back pain.

Radiofrequency ablation is a technique where a needle is inserted into the area causing pain. Radio waves pass through the needle to the damaged nerves, interfering with the pain signals from the brain. The technique is often successful diminishing back pain. 

Learn more about Jaffe Sports Medicine’s approach to treating back pain by visiting and schedule an appointment by visiting

The post The Different Manifestations of Back Pain and How to Approach Them first appeared on Jaffe.

Tue, 08 Nov 2022 16:15:44 -0800 Sportsman
The 3 Most Common Knee Injuries on the Slopes (Plus, How To Prevent Them)
Knee injuries are common while skiing

Every year, hundreds of thousands of people — visitors and locals alike — hit the slopes throughout Eagle and Summit counties in search of corduroy, bluebird days, and deep pow. 

 It's also the time of year when Dr. Sterett of Vail-Summit Orthopaedics & Neurosurgery begins to see an influx of knee injuries associated with skiing and snowboarding. 

 In this blog post, we'll look at three of the most common ski-related knee injuries and offer tips on how to avoid them.

#1 Medial Collateral Ligament (MCL) Tear

Beginner skier in the snowplow position

The MCL is a stabilizing ligament that runs along the inner side of your knee. An MCL sprain or tear can occur when your knee forcefully twists or the outside of your knee takes a strong, direct hit.

While anyone can suffer an MCL injury, they're more common among beginner and intermediate skiers due to the frequency of using the "snow plow" technique to slow or stop. When the skis' tips point toward each other, your knees are more vulnerable in a knock-kneed position. If you catch an edge or lose control, the sudden force can tear your MCL.

Symptoms of an MCL tear typically include: 

  • Inner-knee pain

  • Feeling like your knee might give out 

  • A locking or catching sensation

  • Swelling and stiffness

  • Some people experience a popping sound

An MCL tear, while painful, can often be treated with conservative measures without the need for surgery. Read more about treating MCL tears. 

#2 Anterior Cruciate Ligament (ACL) Tear

ACL tear from falling while skiing

The second most common injury — and also the most well-known — is an ACL tear. The ACL is one of four ligaments in the knee and provides stability for the knee joint by preventing excessive forward and backward movements.

The ACL can tear when the knee is twisted beyond its normal range of motion. This injury often occurs when someone falls backward (the ski's tail acts as a lever forcefully rotating the knee), catches an edge, or lands off-balance from jumps. 

One of the telltale signs of a torn ACL is feeling and hearing a pop. Other symptoms include:

  • Pain that can be sharp and severe

  • Swelling immediately or several hours later

  • Difficulty putting weight on the injured leg

  • Feeling like your knee might give out

  • Limited range of motion

Unfortunately, a completely torn ACL can't heal on its own. Surgery is often recommended to restore stability and function and ensure a return to the activities and sports they love most. Read more about ACL surgery.

#3. Meniscus Tear

Snowboarder with a meniscus tear

Your knees are stabilized by two C-shaped pieces of cartilage called menisci. These act as shock absorbers, helping to distribute weight evenly in the knee joint. 

A meniscus tear is an injury that can occur when there's a sudden twist or rotation of the knee, especially when you're bearing weight on a foot that's in a fixed position (such as within a ski boot).

Symptoms of a torn meniscus include:

  • Pain in the knee joint

  • Popping sensation when the injury occurs

  • Swelling and stiffness

  • Difficulty extending the knee fully

  • A feeling of the knee locking or catching

Minor meniscus tears can be treated with conservative measures, but surgery may be recommended in moderate to severe cases. Read more about treatment for meniscus tears.

How to Reduce Your Risk of a Ski-Related Knee Injury

Skier and snowboarder

We know you're eager to hit the slopes, but before you do, check out these tips that can protect your knees and possibly prevent a season-ending injury. 

  1. Focus on your fitness before ski season. Cardio and strength training combined with flexibility and balance exercises will help improve your performance and prevent injury.

  2. Check your equipment. Ensure your boots, bindings, poles, and skis/snowboards are the proper size and fit for your height, weight, and ability level.

  3. Warm up before hitting the slopes. A good warm-up routine will help get your muscles loose and ready for action, which can help reduce your risk of injury. 

  4. Ski within your abilities. It's important to know your limits. You might want to head straight to the back bowls, but if you are a beginner or haven't been on the slopes in a while, take it easy at first. Build your confidence and skills by skiing on easier terrain before venturing into more challenging territory.

  5. Use proper technique. Are you using proper form when skiing or snowboarding? If you're unsure, it's best to spend some time with an instructor. Not only will this improve your overall performance, but a professional can also teach you how to fall (it happens to everyone) in a way that reduces your risk of a knee injury.

  6. Know when to call it. If you start to feel sore or tired, take a break! And although "just one more run" is hard to pass up, you don't want to be completely exhausted on the last lap of the day. There's a good reason why more injuries occur later in the day. Instead, head to aprés on a high note. 


Knee Injury in the Vail Valley? Contact Dr. Sterett Today. 

If you injured your knee on the slopes, contact Dr. Sterett: Vail-Valley's most trusted orthopaedic knee surgeon. 

As the Head Team Physician for the U.S. Women's Alpine Ski Team, plus one of the few knee specialists who have earned a Certificate of Added Qualification in Sports Medicine, Dr. Sterett will design a treatment plan that gets you back to making first tracks.

Call (970) 476-7220 and make your appointment today. Urgent care and same-day appointments are often available. 

You can also schedule a consultation using Team Sterett's online form.

Tue, 08 Nov 2022 15:48:14 -0800 Sportsman
312. One of every 10 older adults has dementia A new study shows that one of every 10 adults over the age of 65 in this country has dementia. Over one in every five has some cognitive challenges. In the study, published in the journal JAMA Neurology, researchers analyzed the cognitive test results of 3,500 participants 65 and older. Those tests measured aspects such as attention, memory, and comprehension. The rates of dementia proved to be roughly the same for men and women, but dementia clearly increased as participants got older, with 35 percent of those in their nineties having dementia. In terms of race and education, the rates of dementia were higher for Blacks as well as those with no high school diploma.

The post 312. One of every 10 older adults has dementia appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Tue, 08 Nov 2022 15:47:20 -0800 Sportsman
Cross&cultural adaptation and validation of the Kerlan&Jobe Orthopaedic Clinic shoulder and elbow score in Finnish&speaking overhead athletes Tue, 08 Nov 2022 15:34:26 -0800 Sportsman Stress Ultrasound of the UCL stress ultrasound of the ucl

Dynamic ultrasound can assess for partial tears in the anterior band of the UCL.

The post Stress Ultrasound of the UCL appeared first on Sports Medicine Review.

Tue, 08 Nov 2022 09:20:27 -0800 Sportsman
Cuboid Stress Fractures cuboid stress fractures cover

cuboid stress fractures introduction Though rare, an isolated cuboid stress fracture should be considered in a patient presenting with lateral foot pain. Overuse injuries are a common entity in medical practice. Stress reactions and fractures make up a significant portion of patients in a typical sports medicine clinic.  Due to the repetitive mechanical forces dissipated …

The post Cuboid Stress Fractures appeared first on Sports Medicine Review.

Tue, 08 Nov 2022 09:20:27 -0800 Sportsman
Special Tests for Physical Exam of the Hip special tests for the hip exam

Physical examination of the hip can be aided by focused special tests to help determine the cause of the patients pain.

The post Special Tests for Physical Exam of the Hip appeared first on Sports Medicine Review.

Tue, 08 Nov 2022 09:20:26 -0800 Sportsman
What is good sleep and how do we get it? November 29, 2017


When recovering from injury what is one of the most important investments you can make in a 24-hour day? Sleep. Sleep is when our body heals and repairs itself.  During this restorative stage of sleep, blood pressure drops, breathing slows down, blood flow moves to the muscles and tissue is repaired, according to the National Sleep Foundation. Hormones, such as the human growth hormone, are secreted at this time as well.  So how much is right for you? According to neuroscientists, the amount of sleep needed by an individual is determined by your genetics, your age, and the amount of physical and psychological stress you have exposed yourself to.  An average adult needs between 7.5 and 8 hours of sleep per night.  But many people can function with 6 hours’ sleep, and there also some who need 9 hours or more.  As a patient or athlete recovering from injury you have special demands on your body. Because getting a good night’s sleep is challenging for you at times, we have put together a recipe for encouraging your body to get into sleep mode for that coveted 8-hour period.  We have put together 9 things you can do right away that can positively affect your body’s ability to sleep well:

  1. Turn off the TV! Your normal circadian rhythms which affect your ability to sleep are altered when you introduce light sources into your bedroom after dark. Eliminate light form screen sources from the I-pad, cellphone, laptop or any other electronic gadget.

  2. Keep the room cool. The body will fall into a more restful rhythm with a dark, cool and quiet room.

  3. Avoid eating after 8:30 pm. It is hard on your system when it is trying to transition to slowing all metabolic activities and you slam down a fatty and carb-loaded Happy Burger or Sleeve of Oreos after you have digested your dinner.  Give the GI tract a break, let that poor liver of yours recover and stop eating after dinner which was hopefully devoured before 8:29 pm!

  1. Try this: Lay flat on your back without a pillow. Slowly breathe in to full lung capacity through your nose, and hold this for four full seconds, then slowly through pursed lips, control an expiration of that air out of your lungs until they are completely emptied (you will never fully empty them, btw) and hold again for another full 4 second count. The repeat this type of breathing until 10 cycles are performed. I like to combine this with the relaxation technique of silently saying to yourself “My feet and toes are relaxed . . . my ankles are relaxed . . . my legs are relaxed . . . my knees….” And so on until you reach your scalp. Usually, you will have competed the 10 cycles of hold-breathing or hopefully, fallen asleep.

  2. Take note of your dietary intake. Research has demonstrated that a diet high in sugar and fat can contribute to erratic sleep.  Eat breakfast, lunch and dinner, No caffeine after 3 pm. Remember too that while taking in alcohol may make you feel drowsy, studies have demonstrated that brain wave activity is affected in such a way as to make sound, uninterrupted sleep less likely.

  3. Avoid dehydration. Take in enough water so that your urine is consistently clear or light in color. Hydrate well one hour before working out or practice and continue to drink water throughout your day.

  4. Remember that exercise is one of the most universally accepted activities you can do to help encourage a good night’s sleep.

  5. If you sleep on your side, place a pillow between your knees and thighs to reduce lateral and sheer forces to the spine and pelvis. If you are a back sleeper, avoid pillows that are too full under your head. A pillow that is too big forces your head forward into flexion that is unnatural and tends to encourage a forward flexed spine that is stressful to the joints, discs and ligaments of the cervical and thoracic spines. If you sleep on your tummy, slide down so that your feet are off the edge of the bed reducing lower extremity and anterior ankle stress, and do not use a pillow under your head as this causes undue coupling of extension and rotation to the neck.

9. Sleep in loose-fitting and comfortable PJ’s that don’t restrict or compress your extremities.

Good luck with your rest and recovery and stop in and see us at one of our clinics!

Top Tier Sports Medicine has 2 locations in Melbourne, FLorida.  Our Suntree Clinic: 6300 N Wickham Road, Suite 133B, Melbourne, FL 32940 (321)421-7117 and Peoples Clinic:494 S Harbor City Blvd, Melbourne, FL 32901 (321)610-7978.  Official rehabilitation affiliate providers for the LPGA and Washington Nationals.


We look forward to working with you!

Tue, 08 Nov 2022 09:12:13 -0800 Sportsman
What is Impact Testing and why is it important to you? October 5, 2017

What is ImPACT?

Top Tier Sports Medicine ImPACT Program


ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is the most scientifically validated computerized neurocognitive test used by more than 7,400 high schools and 1,000 colleges and universities to help evaluate and manage suspected concussions. Since 2006, over 7.5 million individuals have taken the ImPACT test.

ImPACT comes in two forms:

1. BaselineTest–Administered by Top Tier Sports Medicine before the start of a sport season, school year, or other activity. Baseline scores are collected and stored on our HIPAA compliant server. ImPACT recommends re-administering the baseline test every two years.

2. Post-InjuryTest–Administered by Top Tier Sports Medicine when a concussion is suspected. Test results are compared to baseline scores and/or normative data scores as part of a healthcare provider’s assessment of the injury. Multiple post-injury tests may be given to an individual during treatment and rehabilitation.

Here’s How ImPACT Works:

25-minute computerized, online test for ages 12-59 Delivered via a secure web portal

Taken via a desktop computer (PC and Mac compatible) that has an internet connection and a mouse

  • Administered in the presence of a physician, nurse, athletic trainer, athletic director, or coach (only a licensed healthcare provider can administer an ImPACT post-injury test)
  • Results interpreted by a licensed healthcare provider What does ImPACT measure?The test tracks a persons symptoms and measures multiple aspects of cognitive functioning, including attention span, working memory, sustained and selective attention time, non-verbal problem solving, and reaction time.

    Top Tier Sports Medicine is the only clinic in Brevard county with ImPACT certified physical therapists and affiliations with ImPACT certified physicians. Top Tier Sports Medicine can handle all the testing as well as the rehab to return the athlete to school and sport.

    Investing in ImPACT testing demonstrates the county’s vision to provide the best protect from neurological injury.  Come see us at Top Tier Sports Medicine and ImPACT can help you!

    Top Tier Sports Medicine has 2 locations in Melbourne, FLorida.  Our Suntree Clinic: 6300 N Wickham Road, Suite 133B, Melbourne, FL 32940 (321)421-7117 and Peoples Clinic:494 S Harbor City Blvd, Melbourne, FL 32901 (321)610-7978.  Official rehabilitation affiliate providers for the LPGA

We look forward to working with you!

Tue, 08 Nov 2022 09:12:12 -0800 Sportsman
What is Proper Recovery? November 2, 2017

Elements of Rest and Recovery

1. Sleep: Sleep is the most important time to recover. Adequate levels of sleep help to provide mental health, hormonal balance, and muscular recovery. You need to get enough sleep, which is between seven to ten hours. Everyone has individual needs based on their lifestyle, workouts, and genetic makeup.
• Hours slept before twelve at night are proven to be more effective than those slept after.
• Fresh air and cooler temperatures help to improve the quality of sleep.

2. Hydration: Drinking adequate amounts of water is critical to health, energy, recovery, and performance. The simplest way to check hydration is to look at your uine. If it is clear to pale yellow you are hydrated. The darker and more color in your urine the less hydrated you are and the more water you need to drink.
• Water is the best way to hydrate.
• Replace electrolytes- a great source is pedialyte, if your wanting to make a homemade electrolyte replacement drink the recipe is: 1/2 cup fresh orange juice. 1/4 cup fresh lemon juice. 2 cups of water (filtered or purified) or raw coconut water. 2 tbsp organic raw honey or organic maple syrup. 1/8 tsp Himalayan Pink salt or Celtic sea salt.
• Flavorings, Crystal Light, and other additives simply give you system more to process and cause it further strain. Stick to adding a lemon or lime.

3. Nutrition: Everything you eat has the ability to help heal your body, or to poison it. Eating clean and balanced meals in moderation is proven to be effective to remain healthy and increase performance. Food in our society goes far beyond fueling the body, so it is not always such a simple choice.

Dedicating additional time primarily to the three categories of sleep, hydration, and nutrition will increase your output ability, improve you ability to heal and allow you to recover more quickly.

Top Tier Sports Medicine has 2 locations in Melbourne, Florida.  Our Suntree location: 6300 N Wickham Road, Suite 133B, Melbourne, FL 32940 (321)421-7117 and Melbourne location:494 S Harbor City Blvd, Melbourne, FL 32901 (321)610-7978.  Official rehabilitation affiliate providers for the LPGA and Washington Nationals.





We look forward to working with you!

Tue, 08 Nov 2022 09:12:11 -0800 Sportsman
Here&apos;s how I tackle knee pain at the clinic! Tue, 08 Nov 2022 08:55:42 -0800 Sportsman Butt Pain Part Three – Is The Piriformis Muscle a Victim?

Is Your Buttock Pain Due To An Over-Active Piriformis Muscle?

This is our third blog of a series about Deep Gluteal Syndrome, formerly called Piriformis Syndrome. This blog will be exploring whether the Piriformis Muscle is causing Deep Gluteal Syndrome or if it is the victim.

If you missed it, go check out part one, where we described common causes of Deep Gluteal Syndrome (DGS). This is when the sciatic nerve is entrapped as it exits the pelvis and travels through the deep structures of the buttock in the back part of the hip.

Part Two in this series went through how Sacroiliac Joint Sprains, Strains and Dysfunction can contribute to ongoing buttock pain or sciatica. You can watch the video of Dr. Gord getting his SIJ’s assessed and adjusted by his colleague at the clinic, Dr. Batinić.

Is Your Buttock Pain Due To An Over-Active Piriformis Muscle?

Ok, so we can agree that the Piriformis muscle is tight and sore and pinching the sciatic nerve. But, you have to ask yourself, did the Piriformis muscle just wake up one day and decide it was going to misbehave?

A really important thing to keep in mind is that your piriformis might be getting over-tasked by compensating for something else that isn’t functioning properly. There are a lot of scenarios where the poor little piriformis muscle is getting bullied by other areas not doing their job.

The way we try and sort that out at our Calgary clinic follows two concepts called reciprocal inhibition and synergistic dominance.

Dr. Gord went into this in his video workshop, which we featured in part one of this blog series. The video is packed full of tons of useful info but it is one of our longer sessions. If you want to zoom in on the specific compensation that leads to this problem, skip ahead to the the 2-minute 50-second mark and watch through to the 9-minute 30-second mark.

As it turns out, Dr. Gord’s Piriformis Muscle is the victim of his Glutes not pulling their weight. You can watch how Physiotherapist, Stephanie Henderson assesses and determines how weak Dr. Gord’s butt actually is.

SPOILER ALERT: He has a pretty weak butt!


Buttock and Sciatica-type pain can have numerous causes, all grouped under a Diagnosis of Deep Gluteal Syndrome (formerly Piriformis Syndrome). The Piriformis muscle has often been blamed as the cause, however, one thing to keep in mind is that this poor, little muscle may be the victim of other bigger muscles not doing their fair share of the work.

Buttock pain is common and needs to be properly assessed and diagnosed by a chiropractor, physiotherapist, or qualified healthcare professional before you can hope to figure out which treatments will be best. Feel free to reach out directly if you would like help diagnosing your buttock pain or sciatica. You can book an appointment online by clicking here.

Tue, 08 Nov 2022 08:22:45 -0800 Sportsman
Butt Pain Part Four – Clinical Pilates Could Be The Answer!

Can Clinical Pilates Reduce Your Butt Pain?

This is the fourth blog from our series about Deep Gluteal Syndrome, formerly called Piriformis Syndrome. This blog has Dr. Gord working with Physiotherapist and Clinical Pilates Specialist, Stephanie Henderson, using Pilates to rebuild his butt strength.

If you missed it, go check out part one, where we described common causes of Deep Gluteal Syndrome (DGS). This is when the sciatic nerve is entrapped as it exits the pelvis and travels through the deep structures of the buttock in the back part of the hip.

Part Two in this series went through how Sacroiliac Joint Sprains, Strains and Dysfunction can contribute to ongoing buttock pain or sciatica. You can watch the video of Dr. Gord getting his SIJ’s assessed and adjusted by his colleague at the clinic, Dr. Batinić.

Part Three in this series went through how to determine whether the Piriformis Muscle is causing Deep Gluteal Syndrome or if it is the victim of a compensation mechanism.

What Is Causing Your Butt Pain?

National Spine Care | Explaining to Patient

You learned in our previous blog that the piriformis might be getting over-tasked by compensating for something else that isn’t functioning properly. In this case, Dr. Gord’s Glutes are quite weak so the poor, little Piriformis muscle is having to do the job that the bigger Glutes aren’t doing…and you know what, that never ends well.

As it turns out, Dr. Gord’s, Piriformis Muscle is the victim of his Glutes not pulling their weight. In case you missed it, you can click here to watch how National Spine & Wellness Physiotherapist, Stephanie Henderson, assesses and determines how weak Dr. Gord’s butt actually is.

SPOILER ALERT: He has a pretty weak butt!

Treating Weak Glutes

Now for our recommended fix. Watch how Physiotherapist and Clinical Pilates Specialist, Stephanie Henderson puts, Dr. Gord through some Clinical Pilates to strengthen his weak Glutes.

SPOILER ALERT: Dr. Gord’s hip movement ain’t pretty!

Dr. Gord strengthens his Glutes on the reformer!


Buttock and Sciatica-type pain can have numerous causes, all grouped under a diagnosis of Deep Gluteal Syndrome (formerly Piriformis Syndrome). The Piriformis muscle has often been blamed as the cause, however, one thing to keep in mind is that this poor, little muscle may be the victim of other bigger muscles not doing their fair share of the work.

Buttock pain is common and needs to be properly assessed and diagnosed to determine a treatment plan. Feel free to reach out directly if you would like help diagnosing your buttock pain or sciatica from our Physiotherapist and Clinical Pilates specialist. You can also request an appointment with Stephanie by clicking here.

Tue, 08 Nov 2022 08:22:44 -0800 Sportsman
How To Out Run The Grim Reaper?

OK, so it comes as no surprise (Spoiler Alert) most of us know exercise is good for you. Yup, it’s true and guess what, we should probably be eating more fruits and veg right?

Most of us inherently understand we’re supposed to be active but we think most of us also feel we could (should?) be doing better at this.

Life gets in the way of dedicating time to taking care of our physical well-being. If we’re honest with ourselves, it turns out, we’re not that great at doing what we’re supposed to do. I mean, personally, during COVID, I built a nice home gym in my garage, which I now typically walk by on my way to my man cave to chill and binge Netflix! ????

National Spine Care | Calgary Custom Exercise

How Much Activity Is Currently Recommended?

Did you know the WHO (World Health Organization) recommends adults do a minimum of 2.5 hours per week of moderate-intensity aerobic activity (e.g. walking briskly) and 1.25 hours per week of vigorous-intensity aerobic activity (e.g. running, jogging, cycling) or an equivalent combination? They also recommend muscle strengthening exercises (MSE) at least 2 times per week targeting all major muscle groups.

How Is The Planet Doing?

Not great. Yup, you read that right, the WHO, through its magical population-based research, has figured out that 1.4 billion adults don’t meet the recommended aerobic activity levels and 70% of us don’t meet the recommendations for muscle-strengthening exercises.

“70% of us don’t get the amount of physical activity each week recommended to improve our well-being”

So, what does this mean for our health? Well…this results in a bunch of us every year succumbing to what they call “physical inactivity deaths”. In fact, this is now ranked as the #4 all-time leading risk factor for death, and it is something we can prevent.

Why Don’t We Bother Getting Enough Exercise?

Let’s face it, being active is easy to do but it’s also easy not to do it. The current physical activity (PA) promotion attempts have been largely ineffective because:

  1. Current targets appear largely unachievable by the public…I mean seriously, who is going to work out 5 – 6 hours each week when you can kick back on the couch with an adult beverage and some snacks while binging Netflix or watch pro-athletes be active?
  2. The end goal of improving your health may not provide enough motivation to get us moving. But, what does that mean? Keep reading to find out.

What's The Minimum?

OK, so now we know that most of us don’t do the amount of physical activity the WHO says we’re supposed and this is causing all of us to suffer poor quality of life and we die sooner than we should. These researchers decided that we don’t do what we know we should because it seems like way too much and the end goal is too esoteric and fuzzy.

So, they took a different approach. Rather than nagging us about the optimal amount, they tried to figure out what is the minimum amount of activity we can do to create a positive health benefit.

They looked at 400,000 adults in the United States to determine the minimum amount of aerobic and strengthening exercise necessary to create a positive health benefit.

You can check out their paper published in the September issue of BMJ Sports Med here.

What They Figured Out

Adults should perform at least 1 hour per week of aerobic exercise (moderate and/or vigorous, whichever is more enjoyable and sustainable) to significantly improve health and reduce the risk of death by all causes. They found little evidence that more than 3 hours per week of aerobic exercise yielded any additional benefits. Additionally, MSE performed 1-2 times per week independently improves health and reduces the risk of death by all causes and furthers health improvements gained from aerobic PA.

According to their findings, the optimal exercise regimen for reducing the risk of death by all causes is a total 3 hours (180 minutes) per week of combined aerobic and Muscle Strengthening Exercises (MSE’s).

So, if you’re a gym rat, that could look like 1 hour total of Aerobic and 2 x 1-hour strength sessions every week. If you don’t go to a gym, maybe you build in daily 20 – 30′ brisk walks. That would get you well past the aerobic recommendations but it wouldn’t address the strength side of the equation. Can’t ignore that if you want to live longer AND have a higher quality of life as you go. Let’s face it, who wants a higher quantity of life without good quality?

Also, keep in mind, aerobic exercise should be a combination of moderate and/or vigorous and MSE’s (e.g., resistance training, calisthenics) should targetall 7 major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

Is This Doable?

We were chatting in the clinic’s lunchroom about this and at first glance, this struck us as a lot to ask. I mean we’re busy right? Rather than nagging our patients to be more active, we thought we should do a self-check to see how we measure up.

We decided that we would start keeping track of our weekly activity and see how that measures up to both the WHO’s recommendations but also, these author’s minimums.

The first step was to see how much time we spent each week being active. Instead of worrying about what we did for activities, we just wanted to start keeping track of how many minutes we dedicated to specific activities. NOTE: We haven’t used the term “exercise”. We referred to “Activity”, so, we tracked how long we did activities like:

    • Walking (solo, with our dogs, kids, or partners)
    • Hiking
    • Cycling
    • Strengthening
    • Other (dancing, taking the stairs)

National Spine, What's Your Time?

So move on over to our Facebook page to see how we’re doing.

It’ll be fun to watch how this might grow. This isn’t a challenge of sorts (unless you want to make it into one). It is more of a curiosity we have about what these researchers figured out.

Want to jump in? We’re interested to hear from you if you think these exercise recommendations are realistic?

You’re welcome to share what you did but in the early stages we’re in right now, don’t worry so much about sharing that. Just tell us how much time you spent being active.

If you are wanting more personalized tips on what exercises you should be doing, feel free to contact us or book an appointment online by clicking here.

Tue, 08 Nov 2022 08:22:43 -0800 Sportsman
Exercise science researchers pinpoint method to &apos;prescribe&apos; aerobic exercise like medicine Tue, 08 Nov 2022 08:19:08 -0800 Sportsman The importance of exercise as you age Tue, 08 Nov 2022 08:19:07 -0800 Sportsman Exercising on an empty stomach burns 70% more fat, study finds Tue, 08 Nov 2022 08:19:06 -0800 Sportsman ABC of Football Medicine® Lesson 9: The role of motor control in the muscle injury prevention – Part 2 The application of the motor control plan: from simple to complex, from the generalization to the specialization -> CHAOS. The practical application of the concepts we’ve introduced to you in...

The post ABC of Football Medicine® Lesson 9: The role of motor control in the muscle injury prevention – Part 2 appeared first on Football Medicine.

Mon, 07 Nov 2022 11:36:05 -0800 Sportsman
ABC of Football Medicine® Lesson 9: The role of motor control in the muscle injury prevention – Part 1 Navigating through the pillars of muscle injury prevention, here’s a recap: -> chapter 4 presented a introduction to load monitorization, diving into the means of monitoring and the impact that...

The post ABC of Football Medicine® Lesson 9: The role of motor control in the muscle injury prevention – Part 1 appeared first on Football Medicine.

Mon, 07 Nov 2022 11:36:05 -0800 Sportsman
ABC of Football Medicine® Lesson 8: Athletic Development role in muscle injury prevention – Part 3 Be sure to read  Part 1 or Part 2 of this chapter before going through with this piece. If you already did, enjoy!   Having understood the means and aims of athletic...

The post ABC of Football Medicine® Lesson 8: Athletic Development role in muscle injury prevention – Part 3 appeared first on Football Medicine.

Mon, 07 Nov 2022 11:36:05 -0800 Sportsman
How Acupuncture Can Improve Lung Health How Acupuncture Can Improve Lung Health

The health of our lungs isn’t necessarily talked about a lot when general health is discussed. Typically, cardiovascular health, chronic pain, cholesterol and stroke risk tend to be the more common topics. Many don’t think about lung health until there is a problem and then improving it becomes priority number one.

And it isn’t just lung cancer that is the biggest concern. There are a host of other respiratory diseases that can cause problems. Chronic Obstructive Pulmonary Disease or COPD has jumped up the list of lung issues causing airflow blockage and breathing related problems. According to the Centers for Disease Control, COPD was the fourth leading cause of death in 2018 with almost 15.7 million Americans being diagnosed.

There are some respiratory ailments that can be prevented but others might be due to poor lifestyle choices (like smoking) or due to genetics. Many of the drugs used to ease the symptoms of these issues come with dangerous side effects. Acupuncture is an effective and natural way to boost your lung health.

Acupuncture approaches each patient individually so treatment protocols for the same issue will almost certainly vary even if the same issue is being treated. Acupuncturists may also use nutritional changes and herbs to help ease and correct respiratory conditions.

Acupuncture, or Traditional Chinese Medicine (TCM) believes that the body is full of energy called Qi and when Qi is out of balance, a whole host of health issues can occur. Acupuncture helps to regulate this flow of energy throughout the body to achieve balance.

There are three main acupuncture points that are addressed when dealing with respiratory issues. Kidney 27 is located bilaterally on the chest, just below the collarbone. This point is used to open the lungs, encourage full breathing and to reduce coughing. Lung 5 can be found at the end of the crease in the elbow, just outside of the tendon. This point opens the airways and the throat while also reducing coughing and wheezing. Ren 17 is in the middle of the chest, right between both nipples. This point opens the chest, loosens congestion, stops coughing and encourages full breathing.

And the researcher backs up these claims. A 2012 study published by the National Health Research Institute shows that acupuncture can improve breathing ability in COPD patients. According to the study, patients received daily acupuncture treatments for 12 weeks using the same acupuncture points on each patient. The study found that patients receiving regular acupuncture treatments show significantly better scores rating their ability to breath.

Our entire bodies function more optimally when we nourish it properly. We all know certain foods can help with certain things (i.e., the anti-inflammatory diet, the heart healthy diet, the low cholesterol diet, etc.) like building immunity, lowering inflammation and contributing to a healthy heart. Believe it or not, there are foods that can help to open the lungs and increase circulation. Garlic and onions are anti-inflammatory and help to fight off infections. Chili peppers open the nasal passages, stimulate the mucus membranes and fight off bacteria. There are also five key herbs for lung health: astragalus, cordyceps, Ophiopogon, Ashwagandha, and Eleuthero coccus.

If you suffer from a respiratory illness like COPD, emphysema, a chronic cough or just want to make sure your lungs are functioning as best as possible, talk to your acupuncturist about your treatment options. When our lungs aren’t balanced, it can lead to many other health issues when we don’t get the oxygen we need. Your acupuncturist will do a full health history and talk to you about your concerns and health goals. Make an appointment today to boost your lung health and get your whole body back in balance.

How Acupuncture Can Improve Lung Health was last modified: October 26th, 2022 by admin

The post How Acupuncture Can Improve Lung Health appeared first on Dr. Julie Reyes.

Mon, 07 Nov 2022 11:18:42 -0800 Sportsman
311. A happy relationship improves recovery from heart attack It appears that being in a happy marriage or long-term relationship can help you recover faster from a heart attack. In a new study presented at the American Heart Association’s Scientific Sessions, Yale researchers analyzed close to 1,600 men and women between the ages of 18 and 55 across the country treated for heart attacks. All of the patients were in a committed relationship or marriage at the time of their heart attacks. Each one described their level of marital stress one month after the heart attack, as well as sharing aspects of their physical and mental health. The researchers found that those who reported moderate or severe marital stress were two-thirds more likely to report chest pain, and nearly 50 per cent more likely to be readmitted to hospital, than those who reported mild or no marital stress. It’s clear that stress in our daily lives, including relationship stress, can have a profound effect on recovery from medical conditions.

The post 311. A happy relationship improves recovery from heart attack appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Mon, 07 Nov 2022 11:18:38 -0800 Sportsman
How to combat the pandemic of physical inactivity? This blog provides an overview of a recent systematic review (1) which aimed to determine the effect of different physical activity intervention components on step counts in addition to self-monitoring. Our study was a collaboration between Charles University, Prague, St. George’s University of London and the National Institute of Cardiology, Warsaw. We analysed the added value of different interventions aimed at increasing physical activity beyond self-monitoring of physical activity. Additional interventions included goal setting, different forms of counselling, keeping a diary, printed materials, mobile apps and websites, text messaging, or providing incentives. 


Why is this study important?

Despite knowing about the many established physical and mental health benefits of regular physical activity, many people lead sedentary lives and find it hard to increase their physical activity levels. Most clinical interventions in daily life are limited to a single message on the importance of regular physical activity for health and the need for its implementation in daily routines, which has limited efficacy. More successful means to combat physical inactivity are desperately needed.

Various interventions to promote physical activity have been tested in clinical trials, most compared interventions to  usual care. In recent years different self-monitoring devices such as pedometers, fitness trackers or smartphone apps (collectively known as activity monitors) have become widely available. Several systematic reviews have demonstrated that self-monitoring using different activity monitors can lead to substantial physical activity increases. However, until now, none of the systematic reviews have analysed the added value of complex physical activity interventions beyond self-monitoring. 


How did the study go about this?

We searched five databases to look for randomized controlled trials using different interventions to promote physical activity, but with self-monitoring in both treatment arms. The studied arms were therefore different only in terms of the additional intervention beyond physical activity self-monitoring. Eighty five eligible studies were found (including 12,057 participants) and 75 of those studies were included in the meta-analysis. We analysed the effect of any physical activity increase directly post intervention and for some studies we were also able to examine effects up to 24 months later. 


What did the study find?

We found that adding interventions to physical activity self-monitoring led to an initial increase on average of an extra 926 steps/day.  This positive initial effect of interventions was decreasing with time: each additional week decreased the step-count on average by approximately 10 steps/day. Interventions with a prescribed goal such as a number of steps daily and those involving human counselling, particularly via phone/video calls, were associated with a greater increase in the daily step-count than interventions with added print materials, websites, smartphone apps or incentives. In the long-term, there was a less evident but still positive effect, leading on average to an additional 413 steps/day up to 2 years post-intervention.


What are the key take-home points?

Based on available evidence, those who are physically inactive should be encouraged to use pedometers, fitness trackers or smartphone apps to monitor their daily step-count and to set goals to increase this by a specific number of steps. Other interventions can also be considered; however, these should provide additional benefit beyond simple self-monitoring. Remote phone/video counselling is another potentially highly effective and convenient component of physical activity interventions. Our findings should be further explored as a promising way of combatting the pandemic of physical inactivity, both at a population level and within individual clinician and patient encounters.


Author and Affiliations:

Tomas Vetrovsky, Tess Harris, Łukasz Małek 

Dr Tomas Vetrovsky, Faculty of Physical Education and Sport, Charles University, Prague, 16252, Czech Republic; [email protected]



1. Vetrovsky T, Borowiec A, Juřík R, et al Do physical activity interventions combining self-monitoring with other components provide an additional benefit compared with self-monitoring alone? A systematic review and meta-analysis British Journal of Sports Medicine  Published Online First: 07 September 2022. doi: 10.1136/bjsports-2021-105198

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Mon, 07 Nov 2022 11:04:53 -0800 Sportsman
Does Hypoxia and Stress Erythropoiesis Compromise Cardiac Function in Healthy Adults? A Randomized Trial Sun, 06 Nov 2022 00:01:42 -0700 Sportsman A Simple Model for Diagnosis of Maladaptations to Exercise Training Sun, 06 Nov 2022 00:01:42 -0700 Sportsman Deadlifting and Daisy Chillin Sat, 05 Nov 2022 00:20:58 -0700 Sportsman Daisy Does Toronto and I Do Squats Sat, 05 Nov 2022 00:20:57 -0700 Sportsman Daisy Parade and Dad Cant Deadlift Sat, 05 Nov 2022 00:20:55 -0700 Sportsman COVID Email: May 19 In today’s email, I’m going to take a look at one of the main risk factors during this pandemic. A patient’s metabolic health when infected is a primary determinant of how they will fare. It’s a dense topic with far-reaching implications, so the goal here is to simply start to look at this issue.

Also, as a Podium patient, you now have a resource for antibody testing wherever you live!

In today’s email:

  • Risk of Obesity

  • LabCorp Antibody Testing

Obesity and COVID

One thing we continue to see with this pandemic is that a patient’s experience with SARS-CoV-2 is often related to their health status when infected. I don’t know of any good research to suggest that you are less likely to contract COVID when otherwise healthy, but it is evident that patients with certain underlying medical conditions are likely to suffer much more severe illness if they do catch the virus.

In the US, a shocking number of adults have a chronic metabolic diseas (or multiple such illnesses). These are “diseases of lifestyle”, often preventable or extremely modifiable by the choices and actions of the patient. Included in this list are:

  • Diabetes (Type 2)

  • Hypertension

  • COPD or Emphysema

  • Coronary Artery Disease (Heart Disease)

  • Obesity

All of these are, for the most part, related to lifestyle. Also important is the fact most occur on a gradient or spectrum. In other words, it’s not like you put on a couple of pounds one weekend and you’re suddenly “obese”. Weight gain occurs over many years, progressing through a spectrum of overweight designations. All along this spectrum, detrimental health consequences exist, and they become more prevalent and severe with increasing weight gain. (Of course, we’re talking about body weight gained as excess fat, not muscle.) For a person who is 5’ 10”, a diagnosis of “obesity” is attained when they weigh 209 pounds or more. That does not mean that at 208 they are perfectly healthy. By the same token, the risks of obesity when facing COVID are not so markedly defined. Someone who is 5’ 10” and 195 pounds may classify as “overweight” rather than “obese”, but they still have higher risk than someone who is 175 pounds. (Again, these are general numbers, not taking body composition into account.)

In the US, 88% of adults have either an underlying chronic illness or are overweight or obese. Stated another way, only 12% of our adult population would be considered metabolically healthy. To make matters potentially worse, much of that 12% is likely concentrated among younger adults. Once we start looking at cohorts of American adults in their 40s and 50s, the percentage of healthy individuals declines sharply.

While we do not yet have the direct data, it stands to reason that our country is paying the price for these excesses during this pandemic. The vast majority of patients who experience severe illness or death with COVID-19 have an underlying metabolic illness, including obesity. On the other hand, most of those otherwise healthy patients with COVID-19 (non-diabetic, non-smokers, healthy weight…) have relatively mild courses when infected. There is a direct correlation between metabolic health and likelihood of death from this virus.

I find it interesting to dig into the reasons why this is the case, but I recognize that not everyone wants to read the specifics around how belly fat increases inflammation and may predispose a patient to cytokine storm. So instead, let’s just think about the ramifications of these statistics. If we as Americans took better care of our bodies, it is reasonable to expect that our death rate with COVID-19 would be remarkably lower. If we valued metabolic health, real food, and active lifestyles, it is conceivable that our economy would not be taking the hit that it is now. We talk about reopening the country while protecting the vulnerable. This seems to be a great strategy toward getting our economy back on line quickly. In fact, what if we had been able to do this from the outset, never fully shutting down? How do you achieve those things when 88% of your population constitutes “the vulnerable” though?

As a population, we have put ourselves in a very weak position. There are numerous reasons for this, each worth its own dissertation. We fail to exercise regularly. We allow for food policy that values corporate welfare over population health. We prefer pharmaceutical solutions over lifestyle modification. Now, we find ourselves in a position where all of this comes to a head. For those among the 88%, there is no cure to purchase. The best odds lie in investment. Investment in your body and your health.

Admittedly, the readers of this email largely fall into the 12%. However, I feel it is important to note what we are seeing with this disease. All of you, my patients, take your health and fitness seriously. We should recognize this moment as a reminder why that is important, and consider how you can help those you love be better prepared in the future. The message here is not one of “doom and gloom”. Instead, it is a positive reminder that our fate often lies in our own hands. Every small decision and habit makes a difference. When you lace up your running shoes tomorrow, you can add to the list another reason why it feels so good to make the choice to invest in yourself.

Antibody Testing at LabCorp

As discussed last week, antibody testing is becoming more widely available and more reliable. Such serologic testing tells us whether you have been exposed to the virus and if you have evidence of immunity. These tests are now available through our testing partner, LabCorp. If you’ve not been tested and would like to be, please let us know.

Sat, 05 Nov 2022 00:05:12 -0700 Sportsman
COVID Email: June 3 What have we learned?

I was recently asked by a patient, “So what’s new with COVID? Is there anything we’ve learned recently?” Ok, maybe I’m paraphrasing a bit, but that was the gist of it. The question made me realize that perhaps it’s a good time for a quick review of where we stand now. To keep it simple(r), I’ll do this in a bulleted fashion.

  • The degree of risk after infection is dependent on a patient’s baseline health. Those with pre-existing conditions and certain metabolic health concerns are more likely to suffer severe illness or death. Conversely, if you are healthy, fit, and active, you are much more likely to have a mild case, should you become infected.

  • There was a time when it seemed that possibly large numbers of infected individuals were asymptomatic throughout the course of infection. As more data has been gathered, we now know that unlikely to be the case. Instead, there is a fairly lengthy pre-symptomatic time frame, when an infected person may spread the illness without demonstrating current symptoms. However, most people who contract SARS-CoV-2 will have some degree of symptoms eventually.

  • The primary means of transmission remains respiratory droplet spread when people are in close contact for extended time periods. While it may be possible to walk past someone and contact the virus in lingering aerosols, it is unlikely that this is a frequent mode of transmission. Likewise, it seems that spread via surfaces may not be as worrisome as initially thought. This is related to a concept called “viral load”, which describes how much virus a person is exposed to. Aerosols and surfaces may not provide enough viral load to reliably cause infection. That said, this is no reason to stop washing your hands or to start licking public countertops. Hygiene is still king! The real take-home is that you should be selective about who you spend extended periods of time around, as that is likely the highest risk activity.

  • Long-term lung and heart injury is possible after infection, even when otherwise healthy individuals contract the illness. The specifics are not intimately understood, but this should provide rationale for not “just going out, getting the virus, and being done with it.” The risk of such ongoing disability is very low, but it exists.

  • Infection generally confers some degree of immunity. There are surely some individual determinants of how long that immunity lasts and how robustly it manifests. It is estimated that most recovered patients will enjoy months or years of immunity, and they will likely have milder cases should they contract the illness again later.

  • A “second wave” is almost a certainty. No one knows whether it will be a large spike or a more attenuated one. Perhaps a bigger question involves how society will respond. Will we shut down again? Will we instead choose to shelter only those who are vulnerable? I suspect it will be a piecemeal response in the US, running the full gamut with little overarching coordination. Could get interesting!

  • A safe, effective vaccine is still quite a ways off, but progress is being made. In the past weeks, announcements have been made regarding various projects, and often times stock prices for these biotech companies jump upon such announcements. However, these are early trials, often trying to establish safety in small groups of 10-50 people. You might imagine, that’s a far cry from having data to suggest safety and efficacy across a population. We’re getting there, but I don’t suspect we’ll see a safe, effective, widely deployable vaccine in this calendar year…or perhaps even next year.

  • Ultimately, we may need to move toward “herd immunity”, but we are still a long way from approaching this. Given the sickly nature of our general populace, we need to proceed with measured pace. This is where, unfortunately, our country’s poor health handicaps us economically. In the end, payment is always due.

  • We are only a few months into this pandemic! It may seem like forever, but the pace of scientific advance has been incredibly fast when we consider the timeline. There is much yet to learn, but don’t discount the fact that we have been progressing by leaps and bounds, in a manner not typically seen in immunologic and public health science.

As things progress, I will send updates when it makes sense. At this time, I don’t see a need for weekly or even biweekly emails. However, as always, please contact me with any question that may arise. We may do some COVID specific podcasts in the coming weeks and months as well, especially if there are any topics you’d like me to dig into with more depth.

Sat, 05 Nov 2022 00:05:11 -0700 Sportsman
COVID Email: June 26 Screen Shot 2020-06-25 at 4.56.34 PM.png

Here we go again…maybe?

As a country, our COVID-19 numbers have gone back to moving in the wrong direction. We enjoyed a slight plateau, even a bit of a drop in cases, for a short while. However, we have reversed that trend, which has the unfortunate consequence of generating another one of these emails from me :)

Previously, I’d written about the likelihood of a “second wave”. This is not a second wave though. What we are seeing now is the extension of the first wave, moving into regions beyond where the pandemic first struck the US. More than half of all states are seeing rising case numbers, some are setting records daily. It has been argued that this is due to increased testing, but the data clearly shows otherwise. Hospitalizations do not increase simply because more people get tested, yet that is what we are seeing. The percentage of all tests which return positive results has increased as well, so there is no validity to an argument that this increase is simply due to the US testing more people. Fortunately, we have not seen a rise in deaths. In fact, deaths continue to decline. Hopefully that signals a real change in the epidemiology, but I fear that deaths may simply be a lagging indicator, typically rising 2-3 weeks after case rates begin to rise. It could be the case that deaths are lower because many more of the infected individuals are younger. We are seeing more twenty- and thirty-year-olds getting infected, likely due to a widespread resumption of social activities. If those milder cases continue to comprise a greater percentage of all illness, perhaps that buffers the otherwise bad news of increased infection rates. Time will tell.

In my opinion, the current circumstances should serve as a reminder to all of us that normalcy has not returned. In fact, we are unlikely to see normalcy anytime soon. That doesn’t mean we need to castastrophize this increase in infections, but we should take it as a reminder that basic defenses still matter. Don’t let your guard down or be lulled into a false sense of security. COVID is here, and it’s not going anywhere in the near future.

There remain questions around immunity…probably more now than there were a month ago. It is still uncertain whether infection leads to immunity, and if it does, how long that lasts. It appears that some people may get infected, fight off the illness, yet not produce adequate antibodies to prevent a second infection. We just don’t know. Given that and the fact that infection presents a very real financial risk for many of my patients (athletes who can’t compete or earn a living when sick), I still think it makes sense to mitigate risk and avoid illness at this time.

Pro Advice

Last week, I attended the PGA’s RBC Heritage at Hilton Head Island. During the event, the PGA Tour had its first incidence of a player testing positive for COVID-19. This week, there have been a couple more positives at the event in Connecticut. Upon learning of the positive in Hilton Head, I sent an email to those of you who are PGA players. For the benefit of my patients who are not among this group, I’ve placed an excerpt of that advice below.

“I hope you all take this as a reminder that COVID is here and your actions matter when it comes to mitigating your own risk.  Hilton Head is crawling with people this week, and we’ve seen that very few of the vacationers are taking steps to socially distance.  You can make decisions to lower your risk of COVID…and avoid a forced withdrawal.

With this in mind, I want to address some things that may seem simple but will go a long way toward keeping you healthy this week and in weeks to come.

  • This virus is primarily spread via close contacts with individuals in enclosed spaces.  This means any interaction closer than 6 feet from someone which lasts longer than 10 minutes while indoors.  Please limit these types of interactions, especially in public spaces.  In your daily routines while on the road, this typically occurs when in restaurants or gyms.  Of course, if someone seems ill, avoid interaction for any amount of time.

  • In some of the emails I’ve sent during the pandemic, I discussed some strategies for supporting immune function and (hopefully) limiting your likelihood of infection.  Aside from basic hygiene, which is hugely important, there is scientific rationale for ensuring you are consistent with diet and supplement regimens.  Here is a link to one of the emails which included this information.

  • As you get back to competing, things will seem more normal.  Don’t be lulled into a false sense of security.  Evaluate whether it makes sense to visit restaurants, bars, and coffee shops.  Consider options such as take-out or delivery.  Eat outside, away from others when you do visit restaurants, and limit trips into public spaces.

  • When you go to the grocery or other locations away from the course, I would recommend that you wear a mask or cloth face covering.  Can’t hurt.  Might help.  Evidence for their utility is increasing.

  • Consider ways that you can train without going to the gym.  If you can travel with equipment (dumbbells, kettlebells, TRX, bands), give it a try.  However, training in a gym may be necessary or simply preferred. If you do go to a gym, wipe down all equipment before you use it and again afterward, and avoid touching your face.  Take a container of Clorox wipes with you, and use them liberally.  Try to keep 12 feet or more between you and other exercisers.  As people exercise, their respiratory rate and force of breathing increases.  This would lead to an infected individual shedding greater amounts of virus while exercising.  Given that, I would suggest completing all aerobic or endurance training outdoors.

On the issue of masks, I find it strange and disheartening that it has become such a polarizing and politicized topic. Evidence for their utility continues to mount. The highly-respected journal, Annals of Internal Medicine, published a couple articles on this topic recently. For those inclined to read about it, HERE is one worth perusing. Masks aren’t perfect, but it’s not an issue of binary utility. In other words, it’s not that they either work or don’t work. Rather, it’s an issue of whether they help to limit spread, and the evidence suggests they do. Worst case, they don’t help much and you look silly in a mask. Seems a small price to pay for possibly helping to contain the outbreak. I honestly don’t see what all the fuss is about. When you go to the gym, the grocery, or take a flight, wear a mask!

The Podium (Our Podcast for You!)

The podcast is published! You can find it on our website, at Apple Podcasts, and most other places where you might get your podcasts. This project has been created as a resource for you, our patients at Podium! I hope you enjoy it.

We have started to record Season 2, but I want to highlight an episode from Season 1. Give this one a listen, as it has wide-ranging applicability!


Episode 3 of Season 1 addresses the utility of Creatine as a supplement. Many think of it as something only for weight-lifters and power athletes, but there is good data to suggest its utility for endurance athletes and to aid in cognitive performance. I now take 2.5g of creatine every day, and I think there is likely reason for all of you to do the same. Take a listen, and let me know what questions you have!

Sat, 05 Nov 2022 00:05:09 -0700 Sportsman
CPD EVENT – Medical Acupuncture &amp; Dry Needling Course – July 13 &amp; 14 2019

**NEW CPD Course**
⚠ medical acupuncture & dry needling
⏩ when: July 13 & 14 2019
⏩ where: Kensington Physio, 7 Russell Gardens W14 8EZ
⏩ cost: £350
???? to book: register here or call 020 7603 0040

CPD EVENT – Medical Acupuncture & Dry Needling Course – July 13 & 14 2019 was last modified: June 17th, 2019 by Kensington Physio

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Fri, 04 Nov 2022 23:57:26 -0700 Sportsman
Stem Cell Treatment for Knee Pain Have you heard about stem cell treatment for knee pain? Osteoarthritis (OA) is the number one joint disorder in the United States. It is defined as the loss of articular cartilage that lines the end of bones. According to the CDC, over 32.5 million adults suffer from knee osteoarthritis, including over 10% of males and 13% of females over the age of 60. As our population continues to age and live longer, those numbers will only continue to grow.

Knee Osteoarthritis Treatment

Typical symptoms of knee OA include pain, stiffness, swelling and loss of motion. The symptoms can cause limitations in activity that can significantly affect your ability to function and your quality of life.

When you suffer from knee OA, your body is unable to grow new articular cartilage. Treatments primarily focus on controlling the symptoms of OA. Initially, you might treat the symptoms with over-the-counter medications such as ibuprofen or acetaminophen. As symptoms worsen, prescription medications and treatments such as physical therapy can be added. More severe pain can be treated with injections, including corticosteroids or viscosupplements such as Orthovisc. When those treatments stop working, your only option left is to have the knee replaced.

Stem Cell Treatment for Knee Pain

Recent advances in research have provided an alternative treatment that can often postpone the need for surgery. Stem cells provide hope for treatment for a number of severe, degenerative conditions, especially knee OA. Stem cells are cells in the body that are able to regenerate themselves through cell division. They serve as a repair system for the body.

Early stem cells were harvested from donated embryos that were not used during in vitro fertilization. There was a lot of debate regarding the ethical use of these embryos. Recently, much of the research has shifted to focusing on adult stem cells, where there is no ethical debate.

Injecting adult stem cells into the area of injury allows for healing of the damaged tissue. The property of differentiation provides stem cells the ability to heal tissues that the body otherwise is unable to regenerate due to poor blood supply. The injected stem cells help attract the body’s own stem cells to contribute to the healing process. In addition, stem cells have a broad spectrum of growth factors the help block inflammation, adding to the treatment’s success.

Early research has shown promising results with stem cell treatment for knee pain in improving patient’s pain and function following treatment. However, more research is needed to learn exactly how the stem cells work and if we are able to fully regrow the cartilage lost with knee OA.

Click HERE to learn more about the services offered for knee pain treatment at Jersey Shore Sports Medicine. To schedule a consultation with Dr. Sokalsky, please call us at 609-904-2565 or click HERE.

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Fri, 04 Nov 2022 23:56:44 -0700 Sportsman
Why Should I See a Sports Medicine Physician? When you hear the term sports medicine, it commonly conjures an image of an elite athlete having their ACL reconstructed by an orthopedic surgeon, or a severe fracture fixed surgically with plates and screws. However, most injuries to the muscles and joints of our body do not require surgery. Fortunately, there is an entire specialty dedicated to nonsurgical treatments for these types of injuries – Primary Care Sports Medicine. Primary Care Sports Medicine or Sports Medicine specialists undergo primary residency training in a field of general medicine, such as Family Medicine, and then additional fellowship training in sports medicine.

A sports medicine physician has the additional training to treat most injuries to athletes, as well as weekend warriors and even patients who lead more sedentary lifestyles. Sports medicine physicians can diagnose and direct the treatment of sprains and strains to muscles, ligaments and tendons. They can also treat chronic conditions such as joint arthritis.

Non-surgical treatments that can be provided by sports medicine physicians include cortisone injections, viscosupplement injections, manipulative therapy and medications. They can also prescribe additional treatments such as physical therapy. Many nonsurgical sports medicine physicians additionally offer regenerative treatments such as platelet rich plasma injection and stem cell therapy.

With a background in general medicine, nonsurgical sports medicine physicians are also able to address non-orthopedic injuries like concussions. They are also able to help recognize the signs of underlying medical conditions that can cause pain or otherwise affect activity performance. For example, young, female athletes, particularly those in sports like figure skating and gymnastics, can be at risk of stress fractures due to physiologic changes from poor nutrition. Another example is athletes competing in cold weather can have asthma-like symptoms such as coughing and shortness of breath while training without having true asthma. These are conditions that if recognized and treated early can significantly improve performance and keep athletes on the field by avoiding injury.

Nonsurgical sports medicine doctors treat most “orthopedic” injuries without the need for surgery. In addition, they can help monitor the overall health of athletes, identifying potential medical problems that could be lurking under the surface.

And, remember sports medicine physicians are well suited to provide comprehensive medical care for the “non-athlete” as well, and are excellent resources for the individual who wishes to become active or begin an exercise program. For the “weekend warrior” who experiences an injury, the same expertise used for the competitive athlete can be applied to return the individual as quickly as possible to full function.

Common examples of treatment provided by nonsurgical sports medicine physicians include:

  • Acute injury treatment (sprains, strains, knee & shoulder injuries and fractures)
  • Overuse injury treatment (rotator cuff, tendonitis, osteoarthritis)
  • Concussion (mild traumatic brain injury)
  • Athletes with chronic or acute illness (such as asthma)
  • Nutrition and performance issues
  • Exercise prescription for patients who want to increase their fitness
  • Injury prevention
  • “Return to play” decisions
  • Recommendations on safe strength training and conditioning exercises
  • Healthy lifestyle promotion

Interested in learning more about services offered at Jersey Shore Sports Medicine? Click HERE.

To schedule a consultation with Dr. Sokalsky, please call the office at 609-904-2565 or click HERE for an appointment.

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Fri, 04 Nov 2022 23:56:44 -0700 Sportsman
Winter Workout Safety Tips Are you practicing winter workout safety? As the temperature dips and winter approaches, it is not unusual for you to shift your workout to more indoor activities, especially at gyms and fitness centers. However, with the specter of COVID all around us, you may decide to continue exercising outside for health safety reasons. Outdoor workouts can continue this winter if you are aware of the unique risks brought about in colder months as opposed to those in the summer months.

5 Outdoor Winter Workout Health and Safety Tips

Layer Up

While it is a natural instinct to bundle up against the cold, it is important to remember that our bodies produce a lot of heat that needs to be dissipated while exercising. Be sure to wear multiple thin layers that can be easily removed during a workout to help release the built-up heat. Layers close to the skin should be made of synthetic fibers that can wick away moisture and keep the skin dry. Outer layers should help protect against the elements such as wind, rain and snow. Additionally, with shorter days, the outer layers should be lighter in color or include reflective materials for working out in the dark.

Protect Your Extremities

In cold weather, the body shunts more blood flow to the core of the body to help maintain proper body temperature. This leaves the outermost parts your body, fingers, toes and ears, more vulnerable to the cold and possible frostbite. Be sure to include additional protection such as hats or headbands for your ears and gloves your hands. Specialized winter footwear may be necessary to protect your feet as typical running shoes are designed to release heat while running. An additional option may be to buy your sneakers a half size bigger to allow space for thicker socks. Finally, the same rules apply for covering your hands and feet as with the rest of your body. Stick to synthetic fibers close to the skin with thicker fibers covering those.

Warm Up

All your workouts require a proper warmup. Increasing the blood flow to muscles and tendons increases the temperature and pliability of the tissues, decreasing the risk of injury. However, in the cold of winter, it can take longer to achieve the increase in blood flow and tissue temperature.

And be sure to make the warmup a dynamic one. The old form of static stretching, like bending over to touch your toes, does not provide the necessary effect to decrease injury risk. Instead, movements such as body weight squats and lunges can get the muscles ready for a winter workout involving running or cycling.


Many people forget about the importance of hydration in cold weather because they do not feel the added stress of excess heat and perspiration like in the heat of the summer months.
However, there are several factors in cold air that increase the demands on fluid maintenance in the body. Warming the cold, dry air as we breath it in and more rapid evaporation of sweat in the cold are just a couple causes of significant water loss during a winter workout. Make sure to maintain regular fluid intake throughout your workout to prevent dehydration. For workouts under an hour, water is sufficient. But longer workouts should include some type of sports drink or electrolyte replacement.

Keep Moving

Outdoor workouts are likely to be more popular than usual with the reality of COVID this winter. While the cold can be uncomfortable for many of us, the important thing is to keep some form of exercise routine. Moving our workouts outside can be performed safely by following the few, simple tips above.

Want to get better results from your exercise routine? Suffer from a chronic sports injury? Contact Us for a comprehensive Sports Medicine Consultation.

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Fri, 04 Nov 2022 23:56:43 -0700 Sportsman
Not every load is risky for an injury Fri, 04 Nov 2022 23:54:07 -0700 Sportsman Injury prevention training in football: let&apos;s bring it to the real world. Fri, 04 Nov 2022 23:54:06 -0700 Sportsman Which parameters to use for sleep quality monitoring in team sport athletes? Fri, 04 Nov 2022 23:54:05 -0700 Sportsman Remembering Dr Squat

Last week we lost Dr. Fred Hatfield, also known as Dr. Squat. First man at the age of 45, he set a squat world record by lifting 1014 pounds in the 100 kg weight class, the first person to squat more than 1000lbs. You may recognise the hands supported safety bar squat I sometimes use or as its sometimes called the 'Hatfield Squat'.

I remember coming across Dr Hatfields work when researching strength training for boxers nearly 17 years ago, I was 17 or 18 I came across this in all its pre Web 2.0 glory details his training routine with Evander Holyfield before his dominant win over Buster Douglas, Holyfield was a lean 208 where as Douglas was a heavy 246, a watershed moment for physical preparation for boxing. Dr Hatfield rightfully called out long distance running a poor conditioning choice, implemented strength training and plyometrics into the heavyweight boxers routine.

To quote Dr Hatfield himself "Ideally, the boxing punch consists of a synchronization between arm, leg, and trunk actions. The punching movement of a boxer consists of leg extension, trunk rotation, and arm extension, in succession. The more effective the coordination between arm, leg and trunk movements, the greater the impact force of a punch. The leg muscles play a vital role in the power developed in this sequence. Increasing leg force development and coordinating it with trunk and arm action is probably the most effective way to increase punching power.

Because boxing is an explosive sport, ballistic training methods are especially effective during weight training for boxing. This kind of training method requires the athlete to perform each repetition explosively, with maximal intended velocity. Finally, in my view, the best way to weight train for competitive boxing is via a cycled training schedule. This type of training schedule integrates workouts and exercises that will meet all the basic performance demands of boxing, strength, power, speed, agility, and strength endurance."

You have to remember at the time this was considered an enormous departure for boxing preparation. This was 1990.

Lets be honest not much has changed and we continue to build on the work of great coaches like Hatfield moving forwards. Thank you Dr Hatfield for your contribution to the field.
Fri, 04 Nov 2022 23:52:57 -0700 Sportsman
Sample Nine Week Conditioning Model Posted originally on twitter for those curious about the type of conditioning model I use for MMA/BJJ. just one of many ways we can sequence. Very dependant on sport training volume and athlete needs/ability. Highly inspired by @rugby_strength_coach and Joel Jamieson. Looking to run a similar model for combat athletes at the new facility.

Fri, 04 Nov 2022 23:52:57 -0700 Sportsman
Reflections on weight&loss from a fat guy.
John Sanderson on the bench

*John is a Powerlifting client of mine. Who I have worked with for sometime. He put this excellent post together on Facebook which he has allowed me to share here.

I’ve existed in and around the fitness community for several years now, and in that time I’ve learned a few things about a few things. I am not a fitness model, nor am I am triathlon competitor or a CrossFit athlete. I am fairly strong for someone that’s lifetime drug free and has only been seriously training strength for a few years. I’m also fat. I’m not talking chubby, or “could do with losing a few pounds”, I mean fat, proper fat; I’m currently at about 34% bodyfat, and that’s not great. But I’ve also been a lot worse, and I’m making progress.

There are countless guys and girls that are sub 10% bodyfat telling you exactly what tricks you need to lose weight… why are you listening to them? They’re usually young enough that their metabolism is in overdrive, they’ve never been fat so don’t actually know what it’s like to try to lose it, or they’re “wind-assisted” in the gym and they’d find it hard to put on much fat if they tried!
Here’s a few things that I’ve learned, and I hope they can be of some use to you.

1. Calories in – Calories out. This is what it’s all about. There’s no such thing as a magic secret to losing or gaining weight, it’s just science. If you want to lose weight then you need to be in a calorific deficit, and if you want to gain weight then you need to be in a calorific surplus. It’s that simple. All those fancy diets that the celebrities use just follows that principle, they’re just dressed up in fancy gimmicks. Low carb – by cutting out 1 of the 3 groups of macros what they’re doing is actually having a calorific deficit… if you don’t follow that principle you can still put on weight without carbs… I’ve done it. Slow carb – the same. Atkins – the same. Intermittent fasting – amazingly enough, by limiting your food intake to a small window each day you’re not eating as much as you did before… calorific deficit again… but if all you eat in that window is chocolate and doughnuts you’re gonna put on weight… I’ve done it. 5:2 diet… the same as intermittent fasting. Juice diets – calorific deficit. Herbalife – have a guess? Yep, calorific deficit. Are you seeing a pattern here?
Regardless of what limits you place on your diet, if you’re not conforming to calories in – calories out you’re going to fail. I know because I’ve done it and failed every time.

2. If you eat alone you’re probably going to eat more that you would if you eat with company. This works 2 ways, by eating alone there’s no one there to judge you on your choices, so you eat the dinner you prepared, and then the lump of cheese in the fridge because, well, why not right? And now you’re on a roll so let’s have that chocolate you’ve got left over from Easter, and then the cake your nan made you go home with the other day… and before you know it you’ve had 2000 calories in 30 minutes and you ate it all so quick you didn’t really enjoy any of it!

The other benefit of eating with company is that, generally, we tend to chat when we’re with people, and that adds time on to the meal, this actually gives your body a chance to realise that you’ve put some food into your mouth and given your body some time to tell you when it’s had enough, we’ve all eaten so much so quickly that we feel ill for the rest of the night right? Wouldn’t it be nice to not have to go through that again?

3. If you want to lose weight then just reducing your calories isn’t always the best option, sometimes you need to increase your activity instead. I know loads of people that seem to think that dropping their intake to 1200 calories per day (or even lower) is the only way they’ll lose weight, but when you’re intake is that low you’re more likely to do even less than you were because you’re tired, so you drop the calories some more, and some more and then you fall into a pit of despair eating – I’m talking pizza, cake, chocolate, nachos, cheese, more cheese, anything bacon flavoured, ice-cream, doughnuts… and why wouldn’t you? You’ve basically tortured yourself with meniscal portions and endless salads that taste of tinned tuna and hatred. But take a step back… from the chair and then a step forward, and then another step forward, and then another one… I’m pretty sure you see where I’m going with this. Try just walking more, and not meandering, I mean actually walking, with purpose and a decent pace; this is going to increase your activity for the day on its own which means you drop have to drop another 300 calories. Go to the gym, lift some weight, use some machines, do some HIIT classes, just do something that gets the heart rate up. There are so many different activities available out there now, there must be something you enjoy, and if you don’t have time for classes then try to fit something into your normal routine, go for a walk at lunch, spend a little less time sat in one go, walk back and forth from the water dispenser a few more times each day.

4. Monitor your calories honestly. This is something I’ve struggled with before, not the act of monitoring them, but doing it honestly. Apps like MyFitnessPal and the like are great tools for recording your food, there’s a massive libraries of information on there so pretty much everything you eat is a barcode scan away from going in the diary… but sometimes we don’t like the numbers it’s coming back with… surely that tiny bit of chocolate isn’t really 212 calories? That must be wrong… how much for a biscuit? Nah, must be a glitch. Well, if I don’t put in that I had that doughnut at lunch then I’ve stayed under my calorie goal for the day, so… it was a one off, I’ll leave it out. What’s the point of recording the data if you’re going to filter what goes in there? You’ll get 4 weeks down the line and you won’t see the progress you want to see and assume that there’s something else wrong because you’ve stuck to what the app told you to do… except you haven’t really have you? I’ve you’ve had a bad day then put it in, I’d love to say you learn to not have them, but that’s just not true, what will happen though is that you’ll look back over your dairy and realise why you’ve not seen the progress you want to see. It’s not the fault of the method, it’s just that doughnuts are really tasty and willpower is a lie. I think I’ve found a way to deal with that though… for now…

5. Routine is your friend. If I plan my food for the week, or even just for the day, then I know what allowances I have for stuff. For example, I tend to have the same thing for lunch a couple of days in a row, so I put that in my diary ahead of time, and I also tend to have the same breakfast every day, so I put that in ahead of time, and now I know how many calories are left for the rest of the day, which means that when I get offered that chocolate biscuit later one by one of my co-workers I can make an informed decision about it… sometimes I’ve say “thank you very much” and swallow that damn chocolatey treat whole and then have a few less calories for dinner, and sometimes I’ll politely decline because I’d rather have that extra bit of cheese on my spag bol for dinner, because cheese. Routine also means that you can find some things that you really enjoy and that fill you up without spending all of your calorie tokens on them. I’m not saying you should eat the same thing for every meal every day, I’m just saying that all plans fail if you fail to actually plan.

6. Cheat days are a lie. It’s good to have a planned deviation every now and then, a day where you get to eat the things you’ve been craving so that you get it out of your system and can be good for the rest of the time, but when that happens every week, or even every few days, are you actually maintaining a deficit? I’ve known people, and I’m included in this, to have a nice little 500 calories deficit Sun-Fri and then overeat by 3000 calories on a Saturday… what’s the math there? (6*-500)+3000=0

So you’ve not actually achieved anything there have you? If you’re gonna have pizza for dinner, try to reign it in a bit, the same with ice-cream or cake, all of it really, just make sure you actually think about how much you’re gonna eat that day and work it in properly. You can’t actually CHEAT!

Fri, 04 Nov 2022 23:52:57 -0700 Sportsman
310. Sounds from nature, like birdsong, can improve your mental health It appears that the sounds we hear throughout the day impact our mood and mental health. In a new study published in the journal Scientific Reports, researchers at the Max Planck Institute for Human Development in Germany studied the effects of traffic noise and birdsong on close to 300 participants. They found that listening to birdsong significantly reduced anxiety and paranoia. It did not have a noticeable effect on depression. On the other hand, traffic noise worsened the participants’ depressive states. Going outside, or even listening to birdsong audio clips, might be a way to improve your mental health and well-being.

The post 310. Sounds from nature, like birdsong, can improve your mental health appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Fri, 04 Nov 2022 23:50:30 -0700 Sportsman
Development of a Multidimensional Pain Questionnaire in Professional Dance (MPQDA): a pilot study Fri, 04 Nov 2022 23:47:01 -0700 Sportsman Exercise and depression: How does exercise compare to antidepressants for managing non&severe depression? Authors:  Francesco Recchia, Chit K Leung, Edwin C Chin, Daniel Y Fong, David Montero, Calvin P Cheng, Suk Yu Yau, Parco M Siu 

In this blog we explain the findings from our recent review published in BJSM on the use of exercise, antidepressants and/or their combination for combating symptoms of non-severe depression in adults. 

Why is this study important?

Depression is a leading cause of disability worldwide and is estimated to affect over 320 million people (1). Depression can have debilitating effects on both mental and physical health, and can severely affect mood, interpersonal relationships and quality of life (2). 

Second-generation antidepressants are the standalone treatment for depression, however many depressed patients, especially those with non-severe depression, are hesitant to initiate antidepressant treatment. Some of the reasons for refusing treatment include high costs, adverse effects, social stigmatization and the belief that the treatment will not be effective (3). 

Lately, physical exercise has gained attention as a potential treatment alternative that is cheaper, safer and more accessible than antidepressants. However, it is unclear whether exercise can have similar benefits on depressive symptoms compared to antidepressants. 

This study is important because it compares the effects of exercise to the effects of a conventional clinical treatment for depression. The results will inform clinical practice guidelines about the potential of exercise to improve symptoms of non-severe depression.

How did the study go about this?

We conducted an extensive literature review and searched for studies on depressed individuals who were randomly allocated to an exercise, antidepressants, or exercise plus antidepressants intervention and that assessed symptoms of depression before and after the intervention. We then extracted relevant data from the included studies and compared the extent to which each of the treatment approaches alleviated the depressive symptoms of participants. We made use of recognized reporting guidelines (PRISMA, CINeMA) and conducted a number of statistical analyses to ensure that our results were accurate and were rigorously obtained. 

What did the study find?

Overall, we found evidence from 21 studies on over 2,500 participants that were randomized to an exercise, antidepressant or exercise plus antidepressant intervention, or to a non-interventional control condition. 

When compared to controls, studies of exercise, antidepressants and exercise plus antidepressants showed greater alleviations of depressive symptoms. However, when compared to one another, none of the three treatments was superior to the other. 

We also found that participants who were assigned to an exercise intervention were more likely to drop out from the study than participants who took antidepressants, although this was based on a lower number of studies. 

What are the key take-home points?

Physical exercise performed on its own or in combination with antidepressant treatment can alleviate symptoms of depression to a similar extent as antidepressants alone. Our results support the adoption of exercise as an alternative treatment for non-severe depression in adults. Clinicians should consider recommending exercise to individuals who show signs of depression of mild or moderate severity.  



  1. World Health Organization. Depression and other common mental disorders: global
    health estimates. Geneva: World Health Organization, 2017.
  2. Kessler RC. The costs of depression. Psychiatr Clin North Am 2012;35:1–14. 
  3. Sansone RA, Sansone LA. Antidepressant adherence: are patients taking their
    medications? Innov Clin Neurosci 2012;9:41–6.

The post Exercise and depression: How does exercise compare to antidepressants for managing non-severe depression? appeared first on BJSM blog - social media's leading SEM voice.

Fri, 04 Nov 2022 23:47:00 -0700 Sportsman
Use it or lose it...

The aging process is commonly associated with a loss of muscle strength and power, and an overall decline in function and physical fitness, with the result being weakness. This is often seen as being a non-preventable aspect of the human timeline, which to some extent is true, however, that is not to say that this decline cannot be slowed. Thus, the question is whether a loss in muscle strength is directly related to ageing (and non-preventable), or whether it is due to reduced exercise and activity as the individual ages.

There are some components of age-related weakness that cannot be controlled for, with a 1-3% loss in arm and leg muscle strength for every year of age above 601. This loss in muscle strength and infiltration of fat has been found to be one of the major predictors of functional decline and loss of independence1. More importantly, strength training and physical activity has found to be a predictor for maintaining, and even IMPROVING, muscle strength in elderly populations 2. Although, we do lose muscle mass as we age, with regular exercise, it is possible to build strength and reverse this process (to a degree), leading to an overall improvement in quality of life and independence2. Along with maintenance of exercise, individuals who have led a relatively active life (compared to a sedentary individual), generally have a slower decline in muscle mass/function, overall mobility and strength. This is important to know, as much like investing in your superannuation is setting you up for comfortable retirement, so is going to the gym or going for a run or walk with your friend.

Figure 1. Graphical representation of muscle fibre strength preservation with exercise (from Maula et al. 2019)

Although we generally become less active as we age, there is still plenty of opportunity to exercise, however, this is not the case for a lot of the population. The 2016 Centre for Disease Control report found that in the preceding month, 27.5% of adults older than 50 and 35.3% of adults older than 75 reported no leisure physical activity time4. Such an extreme lack of physical activity leads to higher morbidity and mortality, and an overall poorer quality of life, which are exaggerated for the elderly as there are already several age-related changes occurring in their bodies (loss of balance, strength and endurance)4,5,6. With more than one-third of our elderly population (and over one quarter of our middle-aged population) doing ZERO activity in the last month, it is no surprise that our rate of chronic disease across the population continues to increase. As our population continues to age, it is important that we investigate why this is occurring, rather than just acknowledging the issue at hand. Exercise does not always have to be structured and specific, rather it can whatever gets somebody moving and sweating, and a few examples are listed below

· Walking groups with friends in the area – walking to get a coffee counts!

· Hiking whilst on away on a holiday

· Tai chi or pilates classes in the park or at a gym/physio

· Following a body weight strength program/video at home

· Trying to go for a swim when at the beach

· Walking the long way whilst going to an appointment

Maula et al., (2019) found that there were four main categories which influenced physical activity levels of individuals aged >65 (Table 1). These categories have both barriers and facilitators included in them and as such, are areas which both health professionals and close social supports can address in the goal of improving exercise levels.


There are numerous barriers which can be addressed to help promote physical activity in the elderly. These range from exercising with the individual to providing positive reinforcement and educating them on the benefits of physical activity. A large number of the elderly population disconnect from society as they age, and exercise offers the ability to reconnect through social outings and improved energy levels. With improved social integration, physical activity can address the mental and social wellbeing of the elderly, as well as the physical.


1. Frontera, W. R., Reid, K. F., Phillips, E. M., Krivickas, L. S., Hughes, V. A., Roubenoff, R., & Fielding, R. A. (2008). Muscle fiber size and function in elderly humans: a longitudinal study. Journal of applied physiology (Bethesda, Md. : 1985), 105(2), 637–642.

2. Lopez, P., Pinto, R. S., Radaelli, R., Rech, A., Grazioli, R., Izquierdo, M., & Cadore, E. L. (2018). Benefits of resistance training in physically frail elderly: a systematic review. Aging clinical and experimental research, 30(8), 889–899.

3. McLeod, M., Breen, L., Hamilton, D. L., & Philp, A. (2016). Live strong and prosper: the importance of skeletal muscle strength for healthy ageing. Biogerontology, 17(3), 497–510.

4. Watson, K. B., Carlson, S. A., Gunn, J. P., Galuska, D. A., O'Connor, A., Greenlund, K. J., & Fulton, J. E. (2016). Physical Inactivity Among Adults Aged 50 Years and Older - United States, 2014. MMWR. Morbidity and mortality weekly report, 65(36), 954–958.

5. Lee, I. M., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., Katzmarzyk, P. T., & Lancet Physical Activity Series Working Group (2012). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet (London, England), 380(9838), 219–229.

6. Carlson, S. A., Adams, E. K., Yang, Z., & Fulton, J. E. (2018). Percentage of Deaths Associated With Inadequate Physical Activity in the United States. Preventing chronic disease, 15, E38.

7. Maula, A., LaFond, N., Orton, E., Iliffe, S., Audsley, S., Vedhara, K., & Kendrick, D. (2019). Use it or lose it: a qualitative study of the maintenance of physical activity in older adults. BMC geriatrics, 19(1), 349.

Fri, 04 Nov 2022 23:45:55 -0700 Sportsman
Changes to Move to Improve Blog & Please Read Below We are incredibly excited to announce the launch of dorsaVi’s new blog focusing on the ViPerform Athletic Movement Index (AMI)! 


This is a continuation of Trent’s amazing blog content, except through this new platform, we will also be keeping you up to date with dorsaVi’s amazing AMI technology. With interesting research articles, compelling case studies, and engaging interviews and webinar clips; from interviewees, such as Dr Trent Nessler himself and 10-41 Strength and Physical Therapy, dorsaVi customers.


This blog is a quick, easy way to keep apprised of our AMI! A space where we hope to provide you with tailored content and well-researched posts. We hope you will check it out, here:, enjoy our content, and subscribe!

A Note From Trent Nessler, PT, MPT, DPT -  Founder ViPerform AMI and Co-Founder Combat Athlete Science Institute

Thank you all for the tremendous support since the inception of this blog in 2008.  This has truly been a labor of love of mine.  However, with growing demands and obligations, I have had to move this blog to the above DorsaVi blog site.  This blog will be focused on the ViPerform AMI, our current research with and all the amazing things we are learning from mass data capture.  I am also the Senior Sports Medicine Contributor on and will continue providing the latest in research on injury prevention and performance enhancement in athletics.  

For more information, please go to my website at and our new website at  

Fri, 04 Nov 2022 23:45:19 -0700 Sportsman
The Dreaded ACL Injury & Is There A Solution? _ Part V

Last week in our discussion, we talked about the squatting motion and how some of the deficits that we note in this motion could add to weakness and some of the pathological movements we see that put our athletes at risk for injury.  This despite the fact that these movement patterns may have existed for years and been reinforced as a part of their strength training program does not mean that it cannot be corrected or not a problem.  

Some authors will tell you to stop the athlete from doing squats until this motion can be corrected.  Frankly, I feel this is the worst thing you can do.  One reason is that athletes and coaches who feel squats are a fundamental part of their training are much less likely to do or be compliant with your recommendations if you start out with this.  Secondly, you don’t need to do that to correct it.  If you recall from the previous blog, I mentioned that these motions that we see in non-weighted conditions tend to get worse in weighted conditions.  That said, you can reduce the weight that the athlete does and get to a point where they can perform the squat without the abnormal movement.  This will be at a much lighter weight than they are use to using but, this is creating a foundation from which they will build on.  What we see is that athletes who correct this motion will increase their weight and many times PR above their previous PR.  This makes sense because now that they are actively engaging the opposite side to the same degree and you are able to progress further than previous. 

Believe it or not, there is a big controversy on whether or not fatigue increases your risk of ACL injury.  Personally, I think we just have not figured out yet to accurately assess this in the research.  There are studies that show that an increase in fatigue does add to an increase in frontal plane motion at the knee (Brazen et al Clic J Sport Med 2010) and that an increase in fatigue results in an increase in dynamic valgus at the knee and an increase in ground reaction forces at the knee (Nessler et al Cur Rev Musculoskelet Med 2017).  We also know that fatigue leads to a decrease in maximal volitional contraction of the gluteus medius which leads to an increase in frontal plane motion (Weist et al Am J Sport Med 2004).  These are all things that lead to an increased risk of injury.  However, you don’t need to be a scientist or researcher to know this.  As a coach, we see all the time.  When our athlete’s get tired on the field their movement becomes less efficient and performance faulters.   When a wrestler gets tired and they go to shoot in, this is less explosive and we see more dynamic valgus on their plant leg.  I firmly believe, we have not figured out how to assess fatigue accurately in the research.

If you look at the studies being done to assess fatigue state in an athlete, most are using different protocols.  There is no consistency in the protocols used to assess fatigue in an athlete.  However, there is ONE protocol that has been shown to impact lower limb biomechanics in athletes (Quamman et al J Athl Train 2012) and it is called the FAST-FP (Functional Agility Short Term Fatigue Protocol).  The FAST-FP is a great protocol that coaches can use to see the impact that fatigue and poor biomechanics will have on their athletes.  This 4 ½ minute protocol that takes the athlete through a multidirectional (varying directions) as a part of the protocol.  Considering, you will very accurately see where their flaws are in their movement and this can give us some further indication of some kinds of training we can do (which we will talk about next week).   

The FAST-FP protocol has 4 exercises that are performed.

Starts with a 31cm step up for 30 seconds to the beat of a metronome at 220 bts/min.  
5 yard L-drill (depicted here) 
5 vertical jumps at 80% max
5 yard agility latter (1st set and 3rd set done forward with high knees, 2nd and 4th set done sideways with high knees) 

This is repeated four times without any rest.  This is a great protocol for coaches who want to truly see how poor movement is impacting their athletes.  For our high-level athletes (DI soccer and MMA athletes) we will run them through this prior to our movement assessment.  In our higher end athletes, this will often lead to us identifying 30-40% more folks that we should include as a part of our program.  Folks who’s movement changes so much that there an increased risk of injury and which we also know will negatively impact their performance.  

For coaches, this is simple and quick protocol you can implement to see the direct impact on your athlete.  The key to this test is to make sure you are pushing them through.  Don’t let them do it with 50% effort.  I push all my athletes going through this to give me maximal effort the whole way through.  That said, you should exercise caution on the step up.  On the third and fourth time through, the athlete is extremely tired.  It is not uncommon for the athlete to trip attempting to do the step at this point.  I will typically slow them down a little on this part for safety reasons and push them hard through the remainder of the protocol.  

Having done this with a 1000+ athletes, we have learned a lot.  As such, it has been a main driver for implementation of the injury prevention program we used.  We will talk about this in detail next week.  For anyone interested in the FAST-FP protocol, follow me on Instagram at BJJPT_acl_guy and DM for the protocol. Happy to share.

Next week, we conclude this discussion by talking about fatigue state training.  What is it and how do we do.  I hope you found this information useful and looking forward to sharing more with you.

Dr. Nessler is a practicing physical therapist with over 25 years sports medicine clinical experience and a nationally recognized expert in the area of athletic movement assessment and ACL injury prevention.  He is the founder | developer of the ViPerform AMI,  ViPerform AMI RTPlay, the ACL Play It Safe Program, Run Safe Program and author of a college textbook on this subject.  Trent has performed >5000 athletic movement assessments in the US and abroad.  He serves as the President for Vitality at Rebound and movement consultant for numerous colleges and professional teams.  Trent also a Brazilian Jiu Jitsu purple belt and complete BJJ/MMA junkie. 

Fri, 04 Nov 2022 23:45:19 -0700 Sportsman
The Dreaded ACL Injury & Part IV Over the course of the last couple of weeks, we have talked about the dreaded ACL (anterior cruciate ligament) injury.  One of the keys in preventing these devastating injuries is education about how they occur and how we as clinicians, coaches, parents and athletes can identify what puts an athlete at risk.  Over the last 2 weeks, I talked about two ways we can identify those that are at risk.  One is having an athlete perform a single leg squat and what we should look for when they are performing that motion.  Secondly, we talked about core testing.  Not only what types of core testing to do but what things we should look for when the athlete is performing the core testing.  

Identifying these flaws in these movements not only help to identify those that are at risk but also give us a clear indication of what to do to prevent.  In a single leg squat for example, if the athlete’s knee is going in toward midline during the performance of the test, when we train them, don’t let them do that!  Is it really that simple?  Yes, it is.  If your athlete cannot do 10 reps of a single leg squat without letting the knee go in towards midline, have them do as many as they can with proper form.  When they can no longer control the motion and do with proper form, simply stop or better yet, regress the exercise.  

What do I mean by regression of the exercise?  Simply using the same exercise but just an easier form.  This allows building up of strength and endurance while pushing proper form.  In a single leg squat, instead of having the opposite leg up off the ground, have them rest the opposite foot on the ground in a split squat or reverse lunge position like depicted here.  This provides much more stability and is a much easier form of the exercise.  Have them do this until they can no longer prevent their knee from going in toward midline.  At that point stop.  The goal is always to have them do as many as they can in the single leg squat position (with opposite foot off the ground).  Using this technique however will not only train the proper movement pattern but also build their strength and endurance.  You can take this exact same approach with the core movements well.  Focus on technique and constantly progress to push strength and endurance with.  

The last movement we will discuss on evaluating is the squat.  Why the squat?  One of the number one reasons is that we know that athletes who improve their performance on the squatting motion will increase their vertical jump and sprint speed.  Squatting motion is an excellent movement to improve explosive power.  In most athletic situations, this is also a movement that most athletes will be doing as a part of their training throughout their athletic career. 

To evaluate the squat, I will demonstrate a proper squat for the athlete.  Verbal instruction in the motion will result in the athlete doing what you describe and NOT their natural motion.  I will demonstrate with my feet shoulder width apart and squat to a 90 degrees knee flexion.  My knees will be slightly over my toes and my chest in an upright position with my arms crossed in front.  I will ask the athlete to perform 20 reps in a slow and controlled fashion. 

Looking at the athlete from behind, visualize (or better yet have stand in front of) a plumb line that runs through the center of the skull, cervical spine all the way down the sacrum.  As the athlete performs the squatting motion, their hips should remain relatively equal distance from the plumb line.  If not, then the athlete is shifting his/her weight to one side.  

This shifting is a common motion that we first identified back in early 2000s and we call this a lateral shift.  In 2012, was the first research paper to describe this was published and the authors termed this a lateral displacement of the pelvis during a squatting motion.  As we initially suspected, this lateral shift results in several things:

Increase in weight distribution to the side you are shifting to

Increase in EMG (muscle activation) to the side you are shifting to

Increase in GRF on the side you are shifting to

There is a whole slew of additional things that occur with this shifting motion but the key is the loading is abnormal and you don’t load the way the system was designed to be loaded.  With increase force on one side versus the other, this adds to a wearing and tearing on that side which can add to injury.  Same time, if the muscles are more active on one side versus the other, then strength will never ever be symmetrical unless this is addressed.  In addition, what we see is that if you can see this under body weight conditions, when the athlete goes into the weight room and starts doing this under a weighted bar, this motion gets even worse.  This means when squatting #225, the load on the spine, hips and lower limb is greater on one side than it is on the other.  For optimal performance AND injury reduction, we must balance this out.  

Looking at the athlete from the side view, the other motion that we look for in the squatting motion is how much flexion does the athlete get during the motion.  Does their chest go down toward their knees or do they stop moving at the hips and flex forward in the spine.  This motion puts a tremendous amount of load on the lumbar spine and can lead to low back injuries but also can perpetuate weakness.  If an athlete has a lot of lumbar flexion during the course of the squatting motion, we know from force plate data that this brings your center of gravity forward.  This can result in an increase in quadriceps activation and decreased activation of the posterior chain.  What we are looking for is more of an equal distribution of the force through the foot which means there is more natural activation of anterior chain activation to posterior chain activation.  This is easily corrected with a good strength coach educating them in proper squatting technique or a sports medicine physical therapist.

Next week, we conclude this discussion by talking about fatigue state training.  What is it and how do we do.  I hope you found this information useful and looking forward to sharing more with you.

*Dr. Nessler is a practicing physical therapist with over 23 years sports medicine clinical experience.  He is a nationally recognized expert in the area of athletic movement assessment and injury prevention.  He is the founder | developer of the ViPerform AMI,  ViPerform AMI RTPlay, the ACL Play It Safe Program, Run Safe Program, author of a college textbook on this subject and published researcher.  Trent has performed >5000 athletic movement assessments in the US and abroad.  He is the President of Rebound Vitality providing injury prevention services for the tactical athlete and movement consultant for numerous colleges and professional teams.  Trent also a Brazilian Jiu Jitsu purple belt and complete BJJ/MMA junkie. Follow Dr. Nessler on Instagram @ BJJPT_ACL_GUY or Twitter @ ACL_prevention.*  

Fri, 04 Nov 2022 23:45:19 -0700 Sportsman
PRP Injections At 3D Sports Medicine, one of our specialties is A2M Therapy. This therapy can help ease joint pain, restore balance, and address various kinds of arthritis. It involves injecting alpha-2 macroglobulin – a naturally-occurring molecule – into the body to eliminate the proteins that cause joint pain. You can read more about A2M injections on our blog post about the topic.

But did you know that there’s a related therapy to A2M injections? We also offer PRP injections, a type of therapy that can restore worn-out cartilage and damaged tissue. Like A2M, PRP – or platelet-rich plasma – can be used to treat sports-related injuries and trauma. It’s a relatively experimental procedure, but has been endorsed by top athletes around the world. Healthline writes that Tiger Woods and Rafael Nadal both swear by this procedure to treat their sports-related injuries!

What Are PRP Injections?

Platelet-rich plasma (PRP) is a substance that can rebuild damaged cartilage if injected into the body. Unlike A2M, PRP does not occur by itself in the body. It’s created by concentrating plasma taken from the blood so it becomes – as the name suggests – rich in platelets. Platelets occur in the blood, and are involved in things like tissue healing and prevention of blood clots.

By separating out the platelets from the blood, PRP is more concentrated than the platelets or plasma found naturally in the body. This makes it a more powerful remedy for tissue damage than a typical recovery treatment. It also works faster than conventional recovery methods like physical therapy or medication. For this reason, it’s a popular choice among athletes of all ages.

Advantages of PRP Injections

Healthline writes that PRP injections treat anything from arthritis to sports injuries to hair loss. It’s most commonly used to remedy various forms of arthritis, tissue damage, and post-surgery healing. Studies have proven the effectiveness of this procedure in treating tennis elbow, rotator cuff tears, and chronic tendonitis.

The main advantage of PRP injections over other forms of recovery is its speed. It accelerates the healing process for a wide variety of injuries. If you’re an athlete who needs to return to the court or field as soon as possible, PRP can make a world of difference in your recovery. Another advantage of PRP injections is that they reduce the need for medication. As an alternative to conventional treatment methods, they limit the patient’s dependency on anti-inflammatories or pain relievers. Finally, as PRP is created using your own blood, there are little to no complications with this kind of treatment.

The Process

The process for PRP injections is much the same as A2M therapy. Dr. Dominguez can perform the whole procedure onsite at our office in as little as 30 minutes.

First, we’ll withdraw blood from your arm. Then we spin it in a centrifuge at high speed to separate out the platelets and the blood cells. Finally, we inject the platelet-rich portion back into the body at the point of injury, identified by an X-ray or ultrasound. It’s a simple but highly effective process.

For more information on PRP injections, or to schedule an appointment, contact 3D Sports Medicine today!

Further Reading

The post PRP Injections appeared first on 3D Sports Medicine and Orthopaedic Center.

Fri, 04 Nov 2022 23:45:09 -0700 Sportsman
Broken Collarbone: Basics, Symptoms, and Treatments Basics of a Broken Collarbone

The collarbone – also known by its formal name, the clavicle – is one of the largest bones in the shoulder. It connects the ribcage to the shoulder blade and helps your arms move. As with any bone, it is vulnerable to fractures through trauma. These can include a fall, a collision, or a sports-related injury. These types of injuries are not uncommon. The American Academy of Orthopedic Surgeons estimates that around 5% of all adult fractures are related to a broken collarbone. Read on to learn about the causes, risk factors, and treatment options for a broken collarbone, as well as what we do at 3D Sports Medicine to treat this type of injury. If you suffer a traumatic injury and think you have broken or injured your collarbone, call us at 3D Sports Medicine or, if it’s after hours, go to the emergency room immediately. It’s essential to start treating the injury as soon as possible.

Who’s At Risk?

Young people are at the highest risk for a broken collarbone, for a few reasons. First of all, the collarbone doesn’t finish fully developing until age 20. This means that children and teenagers have softer collarbones that are more susceptible for injury. Second, many collarbone injuries are caused by direct trauma, which in turn can often be caused by contact sports. This makes youth sports – particularly those with full contact like lacrosse and football – a particularly dangerous source of clavicle fractures.

Although children and teenagers under 20 years of age are at the most risk for collarbone injuries, older adults are susceptible as well. Just as the collarbone is under-developed in young people, it becomes brittle and easily broken in adults over age 70. In older people, collarbone injuries are most often caused by things like collisions or falls. Though these are the most common age groups for these types of injuries, anyone can suffer a collarbone fracture.

Symptoms of a Broken Collarbone

The American Academy of Orthopedic Surgeons writes that the most common symptoms of a broken collarbone include:

  • A bump or protrusion at the point of injury, that could look like a “tenting” of the skin
  • A bruise or swelling at the point of injury
  • Severe pain throughout the collarbone and arm, that prevents you from lifting your arm
  • Stiffness in the shoulder or arm area, preventing you from moving your shoulder
  • A grinding sound in your shoulder when you try to move it

To confirm a broken collarbone, 3D Sports Medicine will take an X-ray of your clavicle. If more information is necessary, Dr. Dominguez may order a CT scan. We’ll also perform a detailed physical examination to make sure there are no other injuries or complications related to the broken collarbone.

Treatment: Where 3D Sports Medicine Comes In

As with any injury, treatment for a broken collarbone depends on the severity of the trauma. The Mayo Clinic recommends that all treatments include restricting movement of the collarbone using a sling, medication, and physical therapy. Medications include pain relievers, anti-inflammatory agents, or in more severe cases, prescription narcotics. Physical therapy is essential in regaining strength and motion in your arm and collarbone, and should begin as soon as possible. The extent of the therapy varies based on the injury – Dr. Dominguez will decide what’s best. If the broken collarbone cannot be treated with these options, then a routine surgical procedure may be necessary. These procedures usually involve inserting a plate or screw to keep the broken collarbone in place.

At 3D Sports Medicine, we specialize in treating traumatic fractures. Dr. Dominguez worked as an orthopedic traumatologist in Melbourne prior to specializing in sports medicine. This work gave him invaluable experience working with traumatic injuries, including broken collarbones and other fractures. For conventional collarbone injuries, we have state-of-the-art casting and splinting treatments. For more complex fractures, Dr. Dominguez may perform a minimally invasive surgery. For more information, see our Orthopedic Services page.

If you believe you may have injured or broken your collarbone, call 3D Sports Medicine for an appointment right away. (321) 610-8939.

The post Broken Collarbone: Basics, Symptoms, and Treatments appeared first on 3D Sports Medicine and Orthopaedic Center.

Fri, 04 Nov 2022 23:45:08 -0700 Sportsman
The Faces of 3D Sports Medicine Meet the providers of 3D Sports Medicine, Dr. David Dominguez, Dr. Mark Davis, and PA Casey Runte.

3D Sports Medicine utilizes the most cutting edge rehabilitative and surgical procedures tailored to your specific needs to achieve your goal, whether that entails walking up a flight of stairs without pain, or playing a round of golf comfortably. Treatment for general Orthopaedic problems does not always include surgery. Find out what your options are.

The post The Faces of 3D Sports Medicine appeared first on 3D Sports Medicine and Orthopaedic Center.

Fri, 04 Nov 2022 23:45:07 -0700 Sportsman
Knee Replacement Surgery and Recovery Knee health issues are all too prevalent and can be quite debilitating to those suffering from them, significantly degrading their quality of life. Luckily, options for treatment are out there. With the help of a knee surgeon, you can get relief from pain and get back to your active self in no time. Read on for more information about how a knee surgeon can help you restore the quality of life you were used to before your knee issues began. Knee Replacement Surgery and Recovery Knee replacement surgery in Charleston, SC, is one potential solution available to those suffering from knee issues. When medication and other treatment options don’t solve the swelling, inflammation, and pain in your knees, knee replacement surgery is one possible option. By replacing the joint with a flexible, durable prosthetic, you can enjoy relief from pain while still enjoying the full range of motion and functionality your knee had before surgery.   Robotic knee surgery allows for even more precision and more significant results. Using the latest technology, experts performing this operation can benefit from a greater degree of stability provided by the robotic tools, leading to better results and less downtime spent recovering from the surgery. Mako robotic surgery represents the pinnacle of this technology, giving you optimal results from your procedure and helping you recover and get back to what you love sooner. Knee Repair in Charleston, SC If you’re looking for the best knee doctor in Charleston, SC, to help you get back to your healthiest self, our team of experts is standing by to help. Knee pain and lack of mobility can become foregone issues. Using the latest procedures and high-quality medical-grade prosthetics, we’ll restore your knee to its optimal condition. We’ll take the time to get to know you and your specific needs so that we can develop a personalized treatment plan for you. You’re not alone if you suffer constant knee pain in Charleston, SC. If you are ready to start your journey to better knee health, we’re standing by to give you the information you need before beginning treatment. Request an appointment now for a free consultation with one of our experts and see all the benefits we have to offer.

The post Knee Replacement Surgery and Recovery appeared first on South Carolina Sports Medicine.

Fri, 04 Nov 2022 08:54:42 -0700 Sportsman
Less gym time, same results: Why &apos;lowering&apos; weights is all you need to do Fri, 04 Nov 2022 08:53:25 -0700 Sportsman Periods and pregnancy still taboo in women&apos;s football, research finds Fri, 04 Nov 2022 08:53:25 -0700 Sportsman Periods and pregnancy still taboo in women&apos;s soccer Fri, 04 Nov 2022 01:45:35 -0700 Sportsman Can machine learning can predict knee injuries? Largest data set ever collected in the field Fri, 04 Nov 2022 01:45:34 -0700 Sportsman Some tennis players turn to VR as &apos;game changer&apos; when they&apos;re off court Fri, 04 Nov 2022 01:45:33 -0700 Sportsman What is Physical Therapy? Like most people, you may have a vague idea of what physical therapy is and why it is an important part of healthcare. You may not know that no matter what is going on in your life or with your health, physical therapy can most likely help! PT is a type of healthcare practice that focuses on improving the way you move and everything involved in safely getting around throughout your day.

Physical therapy treatment ranges from carefully prescribed exercises to hands-on techniques designed to target your mobility or functional impairment. It can also help with recovery from surgery, injury prevention, and fall prevention, among many other things! A very common preconception is that physical therapy is for athletes or those recovering from orthopedic surgery. While PT is appropriate in both of these scenarios, and Sports Medicine is a specialty that Foothills focuses on, it can also be useful in various other situations.

When physical therapists graduate from their doctorate program, they can treat patients in any setting – they may treat patients suffering from a head injury, or going through chemotherapy for cancer, or babies learning to walk! Visiting a physical therapist, or as we call it, PT FIRST, is a good place to start whenever someone is having trouble moving around.

Pelvic Floor Therapy.

Types of Physical Therapy

After a physical therapist receives their doctorate, they may specialize in a specific treatment area. No matter your problem, a highly experienced specialist can likely diagnose and treat it.

While most people equate physical therapy with exercise, the variety of treatments and interventions offered by physical therapists are much more diverse than that. Manual physical therapists may be able to relieve your pain with just a few quick motions, while in other cases, your PT may merely make recommendations that change your life for the better.

  • Orthopedic physical therapy focuses on bones, muscles, ligaments, and joints. If you have broken a bone, torn a muscle or ligament, or undergone a total joint replacement, orthopedic physical therapy is the right place for you.
  • Neurologic physical therapy addresses impairments caused by stroke, traumatic brain injury, multiple sclerosis, Parkinson’s disease, and anything else that affects the brain, spinal cord, and nerves.
  • Cardiopulmonary physical therapy is a great option for individuals experiencing congestive heart failure, heart attack, COPD, or any other condition that affects the heart, arteries, veins, or lungs.
  • Pelvic floor physical therapy can help with incontinence, prolapse, sexual dysfunction, and pain.
  • Pediatric physical therapy helps children with developmental and congenital conditions that affect their growth and acquisition of skills.

Treatment of shoulder pain.

Benefits of Physical Therapy

Now that you know the different types of physical therapy, you may still wonder what’s in it for you. There are countless benefits to participating in a physical therapy program. For example, maybe you have recently retired and are looking forward to spending time with your grandkids but are having trouble keeping up with them.

Maybe your back, hips, or knees are painful after long walks or sitting for a long time at little league baseball games. A physical therapist will carefully evaluate the issue, determine a diagnosis, and collaborate with you to set goals that are achievable and relevant to your life.

Your treatment plan will be as unique as you are and will focus on your priorities. Do you want to decrease pain? That’s what we will prioritize. Do you want to increase your endurance so you can walk the dog longer without getting tired? We can do that too!

Rapid recovery from surgery, decreased chance of re-injury, improved balance, strength, and flexibility, and increased participation in social activities are all things you can expect to gain from participating in physical therapy!

PT Ashley helping patient with balance exercises.

Common Conditions Physical Therapy Helps

Physical therapists are movement experts who can help decrease pain and improve motion in many conditions. It doesn’t matter if it is a muscle, joint, heart, lung, or brain problem that is limiting the way you move, we are trained to address limitations in movement across the spectrum.

Some of the most common conditions seen by physical therapists include joint replacements at the shoulder, hip, and knee, low back pain, balance, and walking problems, sports injuries like ACL rupture and repair, and shoulder injuries like rotator cuff tears. It is also common to go to a physical therapist after a car accident to address whiplash or any other injuries sustained in the crash. If you are experiencing a new onset of pain or even something that has been plaguing you for years, many people finally find relief through physical therapy.

If you are looking for a physical therapist that is focused on your full recovery, schedule a free assessment at any of our valley-wide locations. Our Full Recovery Focus™ will help you get your life back because a “good enough” recovery just isn’t good enough. Our clinics are conveniently located across Metro Phoenix with locations in Scottsdale, Tempe, Glendale, Gilbert, and Chandler, where we offer a vast variety of physical therapy treatments.

Give it a try today to discover how physical therapy can help you!

The post What is Physical Therapy? appeared first on Foothills Sports Medicine Physical Therapy.

Fri, 04 Nov 2022 01:14:30 -0700 Sportsman
309. Being unhappy could age you faster than smoking Being unhappy could age you faster than smoking. In a new study published in the journal Aging, researchers looked at the impact of mental health on our biological clocks. They found that psychological factors, such as feeling unhappy or lonely, added over 1.5 years to a person’s biological age. This aging effect of being unhappy or lonely exceeded that of gender, relationship status or even smoking. Maintaining optimal mental health might be just as important as ideal physical health when it comes to longevity.

The post 309. Being unhappy could age you faster than smoking appeared first on Dr. David Geier - Feel and Perform Better Than Ever.

Thu, 03 Nov 2022 12:25:52 -0700 Sportsman
Shoulder Arthroscopy: Big Benefits of A Small Incision Discover How Small Incisions Can Have Big Benefits for Your Shoulder Injury. Get Shoulder Arthroscopy in Florida.

Shoulder Arthroscopy Pembroke Pines FLYour shoulder is one of your most mobile joints. Millions of people seek medical attention every year for shoulder pain. While most patients have minor shoulder issues, some may need more than rest and physical therapy to heal their shoulder pain.

Orthopedic medicine has benefited significantly from arthroscopic surgery over the past century. By using it, surgeons can avoid an invasive, open procedure by making a relatively small incision, just large enough for a tiny camera.

It’s a revolutionary innovation that lets doctors diagnose and treat soft tissue damage in your joints, especially shoulder arthroscopy. Discover the benefits of shoulder arthroscopy, available in our different Florida locations.

Getting a shoulder arthroscopy means you’ll get back to your routine faster! Compared to open surgery, arthroscopy often results in less pain, stiffness, and fewer complications.

What is Shoulder Arthroscopy?

A shoulder arthroscopy allows the diagnosis and treatment of various shoulder joint injuries, such as frozen shoulder and rotator cuff tears. This technique differs from traditional, open approaches to surgery.

What Happens During a Shoulder Arthroscopy?

A small incision, usually about half an inch in width, is made to reach the injured tendon instead of making a large incision. To get anatomical visuals of the injury and surrounding tissue, the surgeon inserts a thin camera called an arthroscope into one of the incisions.

In a case of a torn rotator cuff injury, surgical tools are inserted into the other incisions to repair damaged tissues and remove scar tissue and bone spurs, which can contribute to its painful symptoms. To repair the torn tendon, our team of doctors in Florida will also use plastic screws and sutures.

Benefits of Shoulder Arthroscopy

The small incision size is one of many advantages of shoulder arthroscopy over traditional open shoulder surgery.

Having a shoulder arthroscopy also means:

  • Less tissue damage
    Unlike traditional open surgery, shoulder arthroscopy requires only tiny incisions targeting the affected area. It avoids cutting muscles or tendons to access the affected area, meaning there’s less tissue damage possible.
  • Reduced pain
    There’s reduced pain during and after shoulder arthroscopy. The minimally invasive procedure only uses several small incisions rather than a large, open one. This means patients experience less pain during recovery.
  • Lower chances of an infection
    Minimally invasive procedures like shoulder arthroscopy only need a few small stitches. This means there’s a lower infection risk than with traditional open surgery.
  • Less blood loss
    Arthroscopy provides a technical guarantee for minimally invasive treatment of any injury. Since there is minimized surgical trauma on the shoulder, less bleeding is involved during the incision.
  • Faster recovery time
    Arthroscopic shoulder surgery recovery is generally quicker than open surgery since it’s a minimally invasive procedure. However, the shoulder joint may not heal entirely for several weeks. People tend to return to their activities more quickly. For athletes, it means they can begin rehab right away and return to the game sooner.

What to Do After a Shoulder Arthroscopy

Here are ways to make sure that you are healing well after your shoulder arthroscopy:

  • Apply a cold compress.
    Relieve inflammation and pain by using a cold pack. You can use a bag of frozen peas wrapped in a light cloth or buy an ice pack. During the first three to five days after your treatment, place the cold compress on your shoulder for about 20 minutes every few hours. Once you’ve passed this phase, you can use a heat pack or other heat device to relieve discomfort.
  • Take pain meds if needed.
    If the pain is unbearable, your doctor will probably prescribe pain medication. Treating the pain with medicine can make you feel more comfortable, which will help your shoulder surgery recovery go more smoothly. Pain medicine can reduce swelling and control pain. It’s also available in different forms, such as local anesthetics, opioids, or nonsteroidal anti-inflammatory drugs. Aside from the pain, you may experience bruising, stiffness, and swelling of the hand or arm. As the shoulder heals, these symptoms are normal.
  • Avoid long hot showers after shoulder arthroscopy.
    The doctor may allow you to rinse the wound after removing your stitches, which usually occurs a week after surgery. You shouldn’t soak the incision site in water or take long showers. Make sure the wound is thoroughly dried after showering. Hot water can lead to inflammation.
  • Give your body the rest it needs.
    You may injure your shoulder when performing challenging exercises, activities, or sports that strain your shoulder. You may even damage your elbow or spine if you resume physical activity too soon, especially without your doctor’s advice. After six weeks, your doctor will decide if you can resume physical activities and return to work. Intensive movement or heavy strain could require extra physical therapy sessions.

Get Help With Your Shoulder Injury

Shoulder Arthroscopy Pembroke Pines FLIf you have any injury that requires a shoulder arthroscopy, it’s time to schedule an appointment at any of our locations here in Florida. Get the treatment you need with personalized treatment plans from our specialists in Florida.

All-Pro Orthopedics & Sports Medicine has various locations here in Florida. We don’t just treat athletes; we also treat patients with non-sports-related injuries. We specialize in orthopedic surgery, the treatment of musculoskeletal issues, and sports injuries.

Call us at (954) 399-5976 to learn more about our procedures and other services.

The post Shoulder Arthroscopy: Big Benefits of A Small Incision appeared first on All-Pro Orthopedics & Sports Medicine.

Thu, 03 Nov 2022 11:54:59 -0700 Sportsman
5 Things You May Not Know About Herniated Discs Our physical therapy clinic strongly believes that an educated patient is an empowered patient! That’s why we love to not only help relieve our patients’ pain but also continue educating our patients so that they can gain a better understanding of the health conditions they’re facing. A herniated disc is one of the most common

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Wed, 02 Nov 2022 17:03:54 -0700 Sportsman
Wondering How You Can Reduce Your Joint Pain and Improve Your Mobility? Try Physical Therapy It’s true that as we all age, our joints very plainly are not what they used to be. Joint pain can occur for several reasons, such as a previous injury that has limited your motion or the general “wear and tear” of osteoarthritis that typically comes with age. Whatever the case may be, physical therapy

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The post Wondering How You Can Reduce Your Joint Pain and Improve Your Mobility? Try Physical Therapy appeared first on Sports and Ortho Physical Therapy.

Wed, 02 Nov 2022 17:03:50 -0700 Sportsman
Start Feeling Better With These Head&to&Toe Health Tips Image: Pexels Though you have access to more time-saving devices than ever, finding time to balance caring for your health can feel nearly impossible. Often slight changes can make the most significant impact when done consistently. These wellness suggestions can help you improve your well-being rapidly without exhausting you. Turn Your Home Into a Haven

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The post Start Feeling Better With These Head-to-Toe Health Tips appeared first on Sports and Ortho Physical Therapy.

Wed, 02 Nov 2022 17:03:34 -0700 Sportsman
New insights into how exercise protects against neurodegenerative diseases Wed, 02 Nov 2022 16:49:30 -0700 Sportsman Shin Splints in Runners & Exercises, Causes and More What are shin splints?

Shin splits is a bit of a catch-all term, and refers to any pain associated with the shins - whether this is on the inside or outside of the leg. Pain from shin splits will occur in conjunction with exercise.

Symptoms of shin splints

There is one main symptom of shin splints: this is a sharp pain in the shin while exercising. With mild shin splints, this pain may subside once you stop exercising. However, if shin pain is left untreated, it may become an ongoing problem that you notice 24 hours a day.

As well as soreness and tenderness, shin splints might also manifest as a mild swelling in the lower leg.


Why do runners get shin splints?

Shin splints are a particularly common problem in runners. This is because runners place a lot of pressure on their lower legs over time. If the muscles and bones aren’t strong enough to cope, this force will accumulate, causing damage to both muscle and bone.

What to do if you have shin splints

If you suspect you have shin splints, it’s a good idea to speak to a medical professional, such as a doctor, osteopath or physiotherapist. This is because the symptoms of shin splints can often be confused with other, more serious concerns - such as a stress fracture or chronic compartment syndrome.

It’s important to seek help for shin splints as soon as you first notice the pain. Shin splints aren’t permanent, but treating shin pain early is the best way to reverse it. Left ignored, shin splints can progress into something more serious, like a stress fracture.

How to treat shin splints

One way to treat shin splints in runners instantly is to reduce the amount you’re running, or to stop altogether. This will give the bone and muscle time to rest and heal, without having any extra stress placed upon them. 

If you have recently increased your weekly running distance, make sure you’re doing this gradually - this will give your body time to get used to the increased pressure.

To treat shin splints and reduce the chances of them coming back, it’s a good idea to strengthen the muscles around your shin. These strengthened muscles will then absorb more of the impact of running, therefore taking stress off the bone.

Alternatively, you can strengthen your bones themselves, by increasing their bone density. There are a number of ways to do this, including strength training exercises such as squats.

Exercises to help pain from shin splints


Squats are likely to be a bread and butter exercise for any long-distance runner, and will help to strengthen the tibia, making stress injuries far less likely.

  1. Stand with your feet shoulder width apart.

  2. Slowly bend the knees and lower the body.

  3. Once you’ve reached the lowest point of your squat, drive upwards to reach your starting position.

  4. Repeat for three sets of eight repetitions.

You can do these squats just using your body weight, or you can add a suitable weight to really reap the benefits.

Isometric strengthening for the tibialis anterior muscle

This next exercise will stretch and strengthen the tibialis anterior muscle, which runs along the front of the shin. This is one of the muscles that will absorb a lot of the impact from the ground while running, taking the pressure off the tibia.

For this stretch, you will need someone to help you!

  1. Begin by lying on your back, flat on the floor.

  2. Ask your helper to place pressure on your toes so that they are pointing inwards (towards your other leg).

  3. Then press the toes down towards the floor. This will stretch the tibialis anterior muscle.

  4. Using your toes, push against your partner’s hand. This will help to activate the muscle.

  5. Hold for thirty seconds, and then repeat with the other leg. In total, repeat the stretch three times for each leg.

Osteopathy and physiotherapy for shin splints

Visiting an osteopath can be a great idea if you’re looking to banish that shin pain for good. VPS Medicine’s team of osteopaths and physiotherapists specialise in treating runners, making them a perfect choice for anyone struggling with shin splints. Book an appointment to get started on your journey back to fitness.

Wed, 02 Nov 2022 13:43:15 -0700 Sportsman
How to Treat Hip Pain in Runners (Trochanteric Bursitis) What causes hip pain in runners?

Hip pain is a common complaint from many athletes, particularly runners. It can be caused by a number of different factors - from muscle imbalances and strains to osteoarthritis and stress fractures.

One particularly common cause of hip pain while running is a condition known as Tronchanteric Bursitis. 

What is Trochanteric Bursitis?

Tronchanteric Bursitis is a classic injury among runners, which causes hip pain and discomfort. It is caused by inflammation of the small, fluid-filled sac at the outside of the hip joint, called the bursa.

Bursas are found at various points around the body, and act as lubricants between bone and soft tissue. Any inflammation of one of these sacs is known as bursitis, with Tronchanteric Bursitis being specific to the outer hip area. Here, the bursa near the greater trochanter - a small protuberance on the femur - has become inflamed.

Normally, the tronchanteric bursa prevents the tendons of the gluteus medius and the gluteus maximus from rubbing on the bone.


What causes Tronchanteric Bursitis?

Tronchanteric Bursitis, and the associated hip pain while running, primarily occur because the gluteus medius and gluteus maximus muscles have become weakened - this happens when we often spend all day sat down.

When we then start running, the glutes become inflamed and angry, and begin rubbing on the bursa - this causes the Tronchanteric Bursitis.

Exercises to treat hip pain in runners

Strengthening the glute muscles is a great way to treat runners’ hip pain, as this means they’re far less likely to become inflamed and therefore rub on the bursa.

So to reduce this hip pain and also the chances of developing Tronchanteric Bursitis, there are some simple exercises we can do to strengthen the gluteus medius and the gluteus maximus.

Gluteus medius exercise

  1. Begin by lying down on your side, with your elbow on the ground and your hand supporting your head. Your legs should be stacked on top of each other.

  2. Lift the top leg up and high as you comfortably can, while rotating your foot so that your toes point to the sky.

  3. Lower your leg back down to its starting position and repeat twelve times.

  4. Repeat with the other leg, while lying on your other side.

Tip: if you want to make this exercise more difficult, you can ask someone to place some slight pressure on your leg as you lift it up. This will force your gluteus medius to work even harder to lift the leg.

Gluteus maximus exercise

  1. Start this exercise on your hands and knees.

  2. Lift one leg in the air, going directly up behind you. Keep a slight bend in the knee. At the top of the rep, you should be able to feel the glute muscle engaging.

  3. Lower the leg back to the starting position, and repeat five times. 

  4. Repeat with the other leg.

Tip: Again, you can ask a partner to place some light pressure on the top of the thigh as you do the exercise. This will make it a little bit harder, forcing the gluteus maximus to work even harder.

Other ways to treat hip pain in runners and Tronchanteric Bursitis

If you’re suffering from hip pain when you run, and you think you might have Tronchanteric Bursitis, it’s a good idea to speak to a medical professional first. This will make sure you’re treating it in the correct way, and that you won’t injure yourself further. 

VPS Medicine’s team of osteopaths and physiotherapists can create a treatment plan that is specific to your body and your circumstances. We can treat you in our East London clinic, and also give you exercises to take home and work on.

Wed, 02 Nov 2022 13:43:15 -0700 Sportsman
How to Treat Runner&apos;s Knee & Exercises, Advice and More Today’s topic of conversation is runner’s knee, which is known in medical terms as ITB syndrome. So we're going to talk through why ITB syndrome occurs, how we diagnose it, as well as some exercises to help runner’s knee and make sure it doesn’t come back.

What is runner’s knee, or ITB syndrome?

ITB syndrome, also known as runner’s knee, stands for iliotibial band syndrome. The iliotibial band is a fibrous band that runs down the outside of the upper leg, attaching to the femoral condyle in the knee.

ITBS occurs when this band becomes inflamed, and presents as a burning sensation during activities that involve using the knee a lot - such as running or walking up and down steps.


Symptoms of runner’s knee

Iliotibial band syndrome can be diagnosed by seeing a trained medical professional, such as a doctor or osteopath. Having that confirmed diagnosis allows you to move forward with the right treatment plan for your specific injury - and also make sure you’re not going to do any more damage.

ITBS symptoms include:

  • Pain when running or doing other activities that use the lateral parts of the knee;

  • Knee tenderness to the touch;

  • A burning pain to the outer knee, that lingers for a while after finishing exercise;

  • A clicking sensation, as the iliotibial band rubs against the knee.

The doctor or osteopath will also rule out any other potential injuries, such as a stress fracture

Causes of runner’s knee

There are a few reasons why the iliotibial band might become inflamed. Firstly, if you’ve recently increased your running mileage, or done so particularly suddenly. I recommend sticking to the 10% rule - only increase your weekly mileage by 10% at a time, as a maximum.

The other main reason you might experience runner’s knee is if the muscles surrounding the knee aren’t quite strong enough to do the job. If the quads, hamstrings and glutes aren’t strong enough to cope with the stress of extensive running, it will put increased strain on the iliotibial band. This can be fixed with some simple strengthening exercises.

As this band inflames, it will begin to catch on the femoral condyle, the bony protuberance at the side of the knee. This then starts off a vicious cycle - the more it catches, the more inflamed it becomes, and so on.

How to treat runner’s knee

To treat runner’s knee, we want to try and loosen the iliotibial band, which will take off some of the pressure. This can be achieved through a combination of:

  • Massage;

  • Acupuncture;

  • Loosening off the source muscles - the glutes.

This will relieve some of the pain, and break that vicious cycle of the iliotibial band catching on the femoral condyle.

When we've done that, the important thing is to strengthen the muscles involved in running - so the quads, the hamstrings and the glutes.

Exercises to treat runner’s knee

Man doing single leg squat

I recommend working through these exercises as a circuit every other day, if you have ITBS. Double-check with a medical professional before starting any kind of rehabilitation routine, to make sure that these exercises are right for you and your specific injury.

1. Single leg squats

This exercise works the gluteus maximus. You can use a resistance band tied around a high bar, or any other pole or wall for balance, and to take away some of the difficulty. Standing on one leg, squat down to a 90-degree angle, before driving back up again - remembering to squeeze the glutes. Repeat with the other leg.

Man doing clam exercise with resistance band

2. Banded clams

Banded clams will work the gluteus medius muscle, which is to the side of the buttocks. Lying on your side, place a resistance band around both legs, just above the knees. Opening up the hips, separate your legs - keeping the bottom leg still. Hold at the top for a second, and then bring the top leg down again. 

During this exercise, keep the feet together, and really focus on abducting the thigh. You should feel this in your gluteus medius. Repeat this exercise twelve times, and swap sides so that you can repeat with the other leg

Man doing elevated heel split squats

3. Rear foot elevated split squats

These split squats will work your quads - the large muscles in your thigh. Place one foot on an exercise ball (or any other elevated surface, such as a bench, if you don’t have an exercise ball - but the exercise ball is best for stability). This exercise will also help to strengthen the ligaments in the outer knee.

Slowly bend the front knee, so that you come down into almost a lunge position. As you drive back up, you should feel the strain on your quads. Repeat this exercise six times on each leg.

Man doing elevated adductor side plank

4. Adductor side plank

As the name suggests, this exercise works the adductor muscles in the inner thigh - this will help to stabilise the knee, while also taking stress away from the ITB. 

To get into position for this exercise, lie in a modified side plank position. Your forearm, hip and bottom leg will all be in contact with the floor. The foot of your top leg should be placed on a higher surface, such as a bench. 

Use the adductor muscles to life the hips up off the floor, with the bottom leg meeting the top leg. Lower the body back to the floor, and then repeat six times for each leg.

Man doing elevated glute bridge with exercise ball

5. Elevated glute bridge

Our final exercise will work the hamstrings and the glutes, helping to stabilise the knee. Lie on your back, with one foot resting on an exercise ball and the other in the air.

Using the hamstrings and the glutes, thrust the hips into the air so that they are parallel to the knee. Lower your hips back to the floor, and repeat six times for each leg.

Wed, 02 Nov 2022 13:43:15 -0700 Sportsman
In Your Corner with CORA: Concussion Management

The post In Your Corner with CORA: Concussion Management first appeared on US Center for Sports Medicine. ]]>
Wed, 02 Nov 2022 13:42:48 -0700 Sportsman
In Your Corner with CORA: Distal Biceps Tendon Tears

Your Health, Objectively. Treating Everyone Right.

In Your Corner with CORA continues our series on common upper and lower extremity injuries for football players, as well as your everyday next door neighbor ‘Joe’ or ‘Jane’. The series kicked off with  Shoulder Injuries before tackling Pectoralis Major Tears. This week our guest panel talks Distal Biceps Tendon Tears with host Dr. Richard Lehman.

  • Dr. Richard Lehman, Director of U.S. Center for Sports Medicine + CEO LehmanHealth
  • Dr. Sri Pinnamaneni, MD – Orthopedic Surgeon, Signature Orthopedics (Missouri)
  • Adam Prather, DPT, CIDN – CORA Somerset (Kentucky)

Educate yourself on the basic anatomy of the distal biceps tendon along with some of the root causes of injury. As you’ll learn, tearing your biceps tendon can happen to anyone. Your biceps tendon can be compromised by jerky, harsh movements that impact anybody from your NFL superstar athlete to your gym rat weekend warrior, and even those who work on farms or cattle ranches.

Dr. Pinn, Orthopedic Surgeon at Signature Orthopedics in Missouri and Adam Prather, DPT in Somerset, KY explain the anatomy of the biceps tendon, and specifically the anatomy of the distal insertion of the distal biceps.

Scratching your head saying, “Huh?” We don’t blame you! Leave it to the experts to break it all down into simple terms so you can better understand your body and your recovery options. Listen for personal stories and shared experiences that will help it all make sense, including recommended prehab and rehab protocols, tips to prevent injury and answers to frequently asked questions.

  1. Are there certain risk factors for a distal biceps tendon tear (anabolic steroids, smoking, certain movements or repetitive actions)?
  2. How does the injury typically occur? Is there a certain profile type, age or demographic?
  3. What are the different ways to repair a biceps tendon … one incision vs. two incisions?
  4. In what ways do post-op protocols and rehab programs differ for each technique?
  5. Are there complications or nerve related issues present in distal biceps tendon repair?
  6. What are some common treatment options for this type of injury?
  7. What can the patient expect post-op? Is there an expected timeline for return-to-work? Return-to-sports? Recreational activities you enjoy?

Fact is … you can’t get this kind of expertise anywhere else! CORA is in your corner with experienced partners, larger networks, and the resources available to deliver exceptional care to you — and uniquely for you.

The post In Your Corner with CORA: Distal Biceps Tendon Tears first appeared on US Center for Sports Medicine. ]]>
Wed, 02 Nov 2022 13:42:45 -0700 Sportsman
In Your Corner with CORA: Supporting Kids and Parents During COVID&19

The post In Your Corner with CORA: Supporting Kids and Parents During COVID-19 first appeared on US Center for Sports Medicine. ]]>
Wed, 02 Nov 2022 13:42:45 -0700 Sportsman
7 Injury&Healing Effects of Ozone Therapy Ozone therapy is an alternative medicine that has recently gained popularity in treating various health conditions and ailments. It involves the administration of ozone, a gas made of three oxygen atoms, to help restore and improve critical functions in the body. One of the most well-known benefits of ozone therapy is its ability to boost the immune system. This is one of the primary reasons why people choose to undergo treatment.

This form of therapy is widely used to treat a wide range of conditions, including immune disorders, diabetes, breathing disorders, and more. Additionally, this natural therapy is non-invasive, painless, and has very few side effects.

How Does Ozone Therapy Work?

How Does Ozone Therapy Work?

Ozone therapy works by introducing ozone, a gas made up of three oxygen atoms, into the body. This can be done in a number of ways, including injections, insufflations, and topical application. Once the ozone enters the body, it begins to work its magic by stimulating the immune system and increasing the oxygenation of cells and tissues. Ozone has powerful anti-inflammatory and antimicrobial properties that can help to fight infection and promote healing.

The Benefits of Ozone Therapy for Injuries

One of the main benefits of ozone therapy is its ability to speed up the healing process. This is due to its anti-inflammatory benefits and the fact that ozone stimulates the production of white blood cells, which are essential for fighting infection and promoting healing. Ozone helps increase the oxygenation of cells and tissues, which also aids in healing. When used as part of a full recovery program, ozone therapy has been shown to be effective in treating a wide variety of injuries. Additionally, because inflammation is often linked to scar tissue formation, ozone therapy can also help reduce the appearance of scars.

Here is a more detailed look at some ways ozone therapy can be used to recover from injuries and promote better healing.

Reducing Inflammation

Ozone therapy can help to reduce the swelling and inflammation that often accompany injuries. This is one of the most important effects of ozone therapy. Inflammation is a key factor in the healing process, but it can also lead to scarring and other complications. Ozone therapy helps to reduce inflammation by increasing the oxygenation of cells and tissues. This oxygenation increase helps reduce the amount of time that inflammation is present, leading to reduced scarring and faster healing.

Stimulating White Blood Cell Production

Another way that ozone therapy promotes healing is by stimulating the production of white blood cells. White blood cells are important for fighting infection and promoting healing. Ozone helps to increase the oxygenation of cells and tissues, which also aids in the healing process.

Increasing Oxygenation

An increase in oxygenation is another way that ozone therapy promotes healing and recovery. When cells and tissues are better oxygenated,  they can function more effectively. Additionally, oxygen is essential for overall healing as it helps repair tissue damage.

Reducing Scarring

Because ozone therapy can help reduce inflammation, it can also help reduce scar tissue formation. This is particularly beneficial for those suffering from burns or other injuries resulting in scars. Not only can ozone therapy help reduce the appearance of formed scars, but it can also be effective at preventing the formation of new scars resulting from recent injuries.

Increasing Blood Flow

Ozone therapy can help to improve blood circulation by increasing the production of red blood cells. Promoting healthy blood flow is crucial to maintaining overall health, as it ensures that oxygen and other vital nutrients are properly circulated throughout the body. Poor circulation can lead to several problems, including fatigue, joint pain, and wound healing difficulties. By increasing blood flow, ozone therapy can help to deliver more oxygen and nutrients to the tissues and organs for faster healing. This increase in blood flow can also help to reduce inflammation throughout the body.

Increase NAD+ levels

NAD+ is a molecule that plays a vital role in many cellular processes, including energy production, DNA repair, and cell death. NAD+ levels naturally decline with age, leading to several age-related diseases. Ozone therapy has been shown to increase NAD+ levels, which can help to reduce the risk of recurring injuries by protecting cells, improving energy production, and slowing the aging process.

Stem Cell Mobilization

Another significant benefit that has made ozone therapy a popular treatment option is its ability to mobilize stem cells to the treated area. Stem cells are important because they have the ability to repair and regenerate damaged tissue. When ozone therapy is used, it can help release stem cells from the bone marrow into the bloodstream, which can then be used to repair damaged tissues throughout the body.

Is Ozone Therapy Right for You?

Ozone therapy can be used to treat a wide variety of conditions, and it has been shown to be safe and effective. If you are looking for an alternative treatment option that can provide you with relief from pain, inflammation, and other symptoms, then ozone therapy may be right for you. Of course, it is recommended that you consult with a qualified healthcare provider to ensure that it is the proper treatment for you.

At USA Sports Medicine, we offer ozone therapy as part of our integrative approach to healing. Our team of experienced, qualified doctors will work with you to create a custom treatment plan that meets your specific needs. Contact us today to learn more about how we can help you heal and feel your best.

Wed, 02 Nov 2022 13:42:23 -0700 Sportsman
How to Support Healthy Aging and Immune Function with NAD+ Therapy As we age, our bodies start to break down. We lose muscle mass, our skin starts to wrinkle, our energy levels dwindle, and our immune system requires extra support. But what if there was a way to fight back against these common effects related to aging?

NAD therapy is a treatment that can help support our immunity and energy, as well as other aspects of the aging process. NAD stands for nicotinamide adenine dinucleotide, a coenzyme that plays an important role in cellular metabolism. As we age, our levels of NAD decline, which can lead to several age-related health problems.

What Is NAD+ Therapy?

What Is NAD+ Therapy?

NAD therapy consists of infusions of NAD+ completed throughout several sessions. This therapy can help replenish NAD levels and improve cellular metabolism, leading to many benefits, including increased immune functions, energy levels, muscle mass, and even better brain function. NAD therapy can also help to enhance the quality of sleep and reduce the risk of age-related diseases.

Who Needs NAD Therapy?

NAD therapy is suitable for anyone who wants to improve their health and well-being. It is especially beneficial for those seeking to mitigate the risk of immune deficiency related to aging, as it can help slow the aging process. NAD therapy is also helpful for people struggling with sleep deprivation or fatigue.

What Are the Benefits of NAD+ Therapy?

With the help of medical professionals, NAD therapy treatments can be tailored to each individual patient, providing them with a range of benefits for their health and lifestyle. Here are some of the most common benefits that patients may experience from NAD therapy:

  • Immune support
  • Improved energy levels
  • Increased muscle mass
  • Better brain function
  • Improved sleep quality
  • Reduced risk of age-related diseases.

Immune Support

NAD therapy can help support a healthy immune system, keeping us feeling our best as we age. Our immune system begins to decline, making us more susceptible to infection and disease. Increasing NAD levels in the body can help fight off infection and disease and keep our immune system strong.

Improved Energy Levels

NAD is an important component of metabolism which means higher NAD levels will boost metabolism leading to increased energy levels and improved physical performance. 

Increased Muscle Mass

NAD therapy can help to build muscle mass by stimulating protein synthesis. This can help improve strength and stamina and reduce the risk of age-related muscle loss.

Better Brain Function

NAD therapy can help to improve brain function by increasing blood flow and oxygenation, improving concentration, memory, and learning.

Reduced Risk of Age-Related Diseases

NAD therapy can help reduce the risk of age-related diseases by increasing cell turnover and repair, which can help prevent the onset, and reverse the severity of conditions such as Alzheimer’s disease, Parkinson’s disease, and cancer.

The Effects of Aging on Immune Function and How NAD Can Help

As we age, our bodies start to break down. We lose cellular function, which leads to decreased tissue and organ function. Our organs don’t work as efficiently as they once did, and we are more susceptible to diseases.

The aging process can also cause immune system changes, making it less effective at fighting off diseases. With age, the body produces fewer immune cells, and the ones that are produced don’t work as well as they used to. For instance, certain types of immune cells, such as T and B cells, become less active with age. The number of helper T cells, which help the body fight infection, decreases. The number of cytotoxic T cells, which kill viruses and bacteria, also decreases. The number of natural killer cells that destroy cancer cells also declines.

Thymus, a gland that produces immune cells, shrinks with age. The aging process also causes changes in the way immune cells work.

NAD therapy can help slow the aging process by repairing damaged cells and boosting the production of new ones. As a result, NAD therapy has been shown to support a healthy immune system, improve muscle function, increase bone density, and reduce wrinkles. It can also help to improve cognitive function and memory.

What Else Can We Do to Help Our Immunity and the Aging Process?

We can’t stop the effects of the aging process on our immune system, but there are things we can do to help our bodies age more slowly and gracefully.

Eat a healthy diet: Eating a diet that is rich in fruits, vegetables, and whole grains can help to reduce the risk of diseases such as heart disease, cancer, and stroke. It can also help to keep our bones strong and our muscles healthy.

Exercise regularly: Exercise helps keep our bodies strong and fit, and it can also help improve our moods and reduce stress levels.

Get enough sleep: Getting enough sleep helps our bodies to repair and regenerate cells. 

Avoid smoking: Smoking is one of the leading causes of death worldwide, increasing the risk of diseases such as lung cancer, heart disease, and stroke.

Limit alcohol intake: Drinking alcohol can increase the risk of developing certain diseases such as cancer. It can also lead to weight gain and other health problems.

Reduce stress levels: Stress can have a negative impact on our health, and it can weaken our immune system, increase the risk of diseases, and make us more prone to accidents and injuries.

NAD therapy: As mentioned above, this therapy has been shown to be effective in supporting immune function and other conditions related to the aging process. To get started with NAD therapy, consult a medical professional first. At USA Sports Therapy, we offer the latest NAD therapy and personalized consulting to help you get started on your road to better health and aging.


NAD therapy can help you live a healthier and longer life by reducing the effects of aging. It can also help protect you from diseases and reduce stress levels.

If you’re looking for ways to fight the effects of aging, NAD therapy may be a good option. NAD+ is a coenzyme that plays a vital role in cellular metabolism, helping to repair cells and reduce the effects of aging. NAD therapy can help you live a healthier and longer life by reducing the immune effects of aging, protecting you from diseases, and reducing stress levels.

To learn how NAD can help your unique lifestyle and health needs, visit USA Sports Medicine today and book a consultation with one of our medical professionals.

Wed, 02 Nov 2022 13:42:23 -0700 Sportsman
Using V.E.M.I. Therapy to Help Reduce Stress and Anxiety Stress and anxiety are among the most common mental health issues people face today. While they are a normal part of everyday life, they can become debilitating when they are severe and interfere with daily activities. If left untreated, ongoing stress and anxiety can negatively impact your physical health, mood, and overall well-being.

Luckily, today the conversation surrounding mental health is slowly shifting, and people are beginning to understand that it is a real and serious issue. This increased awareness has led to the development of new and effective treatments, giving people suffering from constant stress and anxiety more options than ever before. One of the newest and most promising treatments is vibroacoustic, electromagnetic, and infrared therapy, also known as V.E.M.I. or VEMI therapy. This form of treatment is non-invasive, painless, and has been shown to be highly effective in reducing stress and anxiety.

If you are looking for a natural way to promote mental and physical balance, here’s all you need to know about VEMI therapy and how it can help.

What Is VEMI Therapy?

VEMI is a touchless, drug-free therapy that uses low-frequency sound waves, infrared light, and electrical stimulation to promote relaxation and healing. This unique combination of therapies has a powerful effect on the body, mind, and mood.

VEMI therapy consists of resting horizontally on a special machine that looks like a sleek therapist chair. While resting, the machine’s frequencies create a point of high physical, mental, and cellular balance to shift the body into an altered state of physical coherence and consciousness. VEMI treatments are perfect for those seeking immediate relief from built-up stress, feelings of tension, and pain. One VEMI session lasts 30 minutes, but its effects last for days.

How Does VEMI Work?

While V.E.M.I. therapy is relatively new, the concept behind it is not. The treatment uses three different types of proven modalities to stimulate the body and mind, providing a comprehensive and holistic approach to balance and relief. The therapy chair is equipped with advanced technology that safely stimulates the body’s ability to achieve cellular and electrical coherence, effectively restoring balanced wellness using sophisticated multi-layered acoustic waveforms. 

Vibroacoustic Effects

Vibroacoustic modalities have been shown to positively influence the autonomic nervous system, improving both mental and physical well-being. This helps the body become more responsive to positive input and less reactive to negative stressors. Additionally, it allows the mind and body to quiet the fight-or-flight response, enter a state of “rest and digest,” and begin to heal.

Electromagnetic Effects

Low-frequency electromagnetic waves have been shown to stimulate nerve and muscle cells, improve circulation, and promote healing. This electromagnetic component of VEMI Therapy is also beneficial, as it can help safely reduce inflammation and pain while promoting tissue regeneration.

Infrared Effects

Infrared waves penetrate deeply into the body, stimulating blood flow and increasing the oxygenation of cells. This process reduces inflammation, improves circulation, and promotes healing.

Does VEMI Produce EMF Radiation?

Does VEMI Produce EMF Radiation?

One of the main reasons VEMI has been so successful in reducing stress and anxiety is that it does not produce any EMF radiation. Also known as electrosmog, EMF is a type of radiation emitted from modern technology commonly present in our homes and offices. Research suggests that consistent exposure to EMF can disrupt cells and membranes long-term, potentially leading to various health problems.

While similar, outdated therapies can also be beneficial, they often come with the risk of EMF exposure. VEMI, on the other hand, is an entirely safe and effective alternative that does not produce any harmful EMF radiation. In fact, VEMI therapy can help remove EMF from our body, resetting individual cell health and allowing us to heal faster.

Is VEMI Right for You?

For those who do not respond to traditional therapies or for whom traditional therapies are not an option, VEMI therapy may be a great choice. If you’re looking for a natural way to relieve stress and anxiety, consider VEMI therapy from a trusted clinic. Consult your doctor first to ensure that VEMI therapy is right for your individual health needs.

We offer VEMI therapy as part of our comprehensive sports medicine program at USA Sports. Our team of certified and experienced therapists can help you determine if VEMI therapy is right for you and create a customized treatment plan to help you achieve your goals. Contact us today to learn more about VEMI therapy and how it can help you relieve stress and anxiety.

Wed, 02 Nov 2022 13:42:22 -0700 Sportsman
Are You An Athlete Living With Hip, Knee, and Leg Pain? Your hip, knee, and leg pain are tough because they have to be for your game! However, we’re all still human, and unfortunately, injuries do happen. The hips and knees are your largest joints, supporting your body’s weight. They work in close coordination, giving us the mobility we need. Conditions...

The post Are You An Athlete Living With Hip, Knee, and Leg Pain? appeared first on Tennessee Sports Medicine.

Wed, 02 Nov 2022 13:38:46 -0700 Sportsman
The Benefits of Pre&hab and Post&Op Therapy For Athletes Are you an athlete facing an upcoming surgical procedure? Are you looking for ways to maximize your outcome? Just like in sports, practice before your game is the difference between winning and losing. If you are looking for the edge in your recovery, preparing yourself the same way you do...

The post The Benefits of Pre-hab and Post-Op Therapy For Athletes appeared first on Tennessee Sports Medicine.

Wed, 02 Nov 2022 13:38:45 -0700 Sportsman
Physical Therapy Can Help With Gymnastic Injuries Have you struggled to get back on the beam after rolling your ankle? Do you notice your back still hurts after doing a back walkover? At Have you struggled to get back on the beam after rolling your ankle? Do you notice your back still hurts after doing a back...

The post Physical Therapy Can Help With Gymnastic Injuries appeared first on Tennessee Sports Medicine.

Wed, 02 Nov 2022 13:38:45 -0700 Sportsman
How to return to activity after COVID? Wed, 02 Nov 2022 13:37:51 -0700 Sportsman Golf warm&up and cool&down tips. Wed, 02 Nov 2022 13:37:49 -0700 Sportsman Dancer tips for returning to the studio. Wed, 02 Nov 2022 13:37:48 -0700 Sportsman The Link Between Back Pain &amp; Your Feet When your feet contact the ground, it begins a chain of movements throughout the body which plays a major role in how you handle forces.

Thus, small undesirable deviations within the feet can affect how the knees, hips, pelvis and back move. Over time these deviations can irritate and overwork muscles, causing imbalances throughout our body.

Two examples of this are overpronation and oversupination: Whilst walking, the foot uses pronation (where your foot naturally rolls inwards) for shock absorption when you land. This is followed by supination (where your foot rolls outwards), to allow you to push off and drive forward with power.

What is overpronation?

This is when we have excessive pronation, which causes the arch to flatten, turning the foot inwards. The leg and knee follow suit.

What is oversupination?

This is when there is excessive supination, which impacts our ability to absorb shock. This is usually a higher, rigid arched foot, where most the of forces are on the outside of the foot.

What about high heels?

Dr. Josh Osborne (Podiatrist)

This is commonly linked with back pain, as high heels increase our anterior pelvic tilt, resulting in lordosis (curvature) of the spine.

If you have chronic back pain that has not improved with localised treatment, a podiatry assessment would be worthwhile!

Our podiatrist Josh is available for consultations at our Boronia clinic Tuesday afternoons & Wednesday mornings.

Click here to make a booking

Wed, 02 Nov 2022 13:37:31 -0700 Sportsman
Posture – A Pivotal Role in Injury Prevention We’ve all heard it; “Stand up straight, stop slouching, and keep your chin up.”

The truth is that most of us have been on the receiving end of these kinds of comments. Whether it be from a friend or family member. We usually brush it off, but what if there was a link between poor posture and your risk of strains and pains?

We should avoid labelling posture as “good” or “bad” and consider postures as alignments that place more or less load on our bodies. There is no perfect posture, and the best posture is one that changes position frequently.

Still, we should aim to establish a posture that puts the least amount of unnecessary stress and strain on our body’s muscles and joints.

Characteristics of these types of postures include:

  1. Good muscle flexibility
  2. Good availability of motion in our joints
  3. Strong supportive postural muscles
  4. A reasonable balance of muscles on both sides of the spine (no one is ever perfectly balanced)
  5. Awareness of your posture, with the ability to consciously adjust it

Contrastingly, some postures can put unnecessary load on our joints and muscles. There a various “postures” that can increase these loads. For example, rounded shoulders, forward head positions and a slouched back.

These deviations can cause overload to our muscles, bones and ligaments. This excessive load can lead to a range of different strains on the body, resulting in pain in the neck, back, hips and shoulders, as well as potential sprains and strains when trying to perform different activities or movements, such as lifting objects.

Postures that overload our muscles and joints can be caused by many factors, including muscle weakness, emotional stress, fatigue, improper footwear, desk ergonomics, an unsupportive mattress and many others. By correcting these factors and thus our posture, we can lower the risk of these issues!

If you’re having any aches or pains and think it may be related to your posture, seek the help of the team here at Stay Tuned. Our Osteopaths and Physiotherapists will perform a full assessment to determine the cause of your symptoms and work with you to create a treatment plan addressing any areas of concern, including posture!

Click here to make a booking

Wed, 02 Nov 2022 13:37:29 -0700 Sportsman
Femoroacetabular Impingement (FAI) – A real pain in the groin FAI is a condition in many patients presenting with hip and groin pain but is often underdiagnosed. If this condition is missed and continues to cause pain for the patient, it can lead to earlier degeneration of the hip joint.

FAI is caused by a deformity of one or both structures that make up the hip joint. The hip is often described as a ‘ball and socket’ joint. The affected structures are the head and neck of the femur (ball) and the acetabulum of the pelvis (socket). These deformities prevent smooth movement of the hip due to the abnormal contact between the two structures, causing possible tears and breakdown of the cartilage lining the hip joint. Without treatment, there is a possibility that deformities can lead to early osteoarthritis of the hip.  

There are three types of deformities possible in FAI syndrome:

  1. A pincer deformity is when there is an abnormal bony growth on the acetabulum.
  2. A CAM deformity is an abnormal bony growth just below the head of the femur.
  3. A combined deformity occurs when both the pincer and CAM deformities are present.

FAI is thought to have several factors that cause deformity. The condition may begin at birth (congenital) or develop as a child grows (acquired). It has also been found that there is an increased risk of FAI development in patients that participated in significant athletic activity as a maturing child. Sports that include repetitive hip movements (such as football, soccer and running), are high-risk activities.

Symptoms of FAI:
– Hip or groin pain related to specific movements or positions
– Pain in the thigh, buttocks or back
– Hip stiffness
– Clicking, catching or feeling of locking and ‘giving way.’
– Pain that increases with activity or prolonged sitting

Treatment of FAI:
FAI can be treated conservatively before the need for surgery. Osteopaths and Physiotherapists are a great first-line approach to assist with combating the symptoms of FAI and get you back to the activities you love doing.

After a thorough examination, your practitioner will educate you on the condition and offer advice on lifestyle and activity modification that may benefit you. Hands-on treatments, such as manual therapy and dry needling techniques, may improve the hip range of motion and decrease pain. A rehabilitation program will also be given that aims to improve hip stability, strength, range of motion and movement patterns.

Wed, 02 Nov 2022 13:37:28 -0700 Sportsman
A PARTNERSHIP THAT IS REVOLUTIONARY &amp; INNOVATIVE Sports Medicine Associates of San Antonio has teamed up with Texas Physical Therapy Specialists and St. Mary’s Athletics to create one of the best sports medicine programs possible exclusive to St. Mary’s University students, athletes, faculty, and staff.


Dr. P. Saenz: I'm very pleased to announce something that I think is very revolutionary and innovative in the San Antonio community. And that's a partnership that Sports Medicine Associates of San Antonio, along with St. Mary's University and now Texas Physical Therapy Specialists has developed on the campus of St. Mary's University.

Dr. Roggia: Universities are dramatically changing in how they treat athletes and especially as they provide services for athletes, students, faculty. And St. Mary's is really at the forefront of developing a strong relationship with Sports Medicine.

Coleman: Paul brought me the concept of having physical therapy and an individual with our staff. And it really interests me quite a bit because we're constantly looking at ways to, you know, provide the best health care we can with our student athletes.

Dr. Roggia: Sports Medicine Associates of San Antonio has by far the most experienced and quality sports medicine surgeons and physicians. Texas Physical Therapy Specialists has the most board certified physical therapists in this area. When you put those groups together, St. Mary's University now has one of the best sports medicine programs possible.

Dr. P. Saenz: So we are now bringing individuals who have doctorates in physical therapy to join the medical team. The team of athletic trainers and strength conditioning coaches and coaches and team physicians at St. Mary's, and now bringing physical therapy on site.

Dr. Cioti: And it gives us that connection to the community, that connection to the people who work there, as well as it gives us that chance to work with the athletes, not in a clinic, but somewhere where they're used to. So these athletes are going to be able to practice at the facility that they're at and be able to see the doctors where they live.

Dr. Kidd: Where working at St. Mary's, we can not only watch them on the field in practice or a game and then immediately get them into the training room and the gym and the pool. But we also have the opportunity to bring them back into the clinic for if they need more treatment on top of it.

Coleman: So when our trainers are traveling, physical therapy would come to a halt. Right? And so now with with Texas PTS here, it allows us that physical therapy doesn't have to stop. And so those two or three days are crucial that we might be able to get an athlete back, you know, on the team that much faster.

Dr. P. Saenz: It's really really an exciting area of development in the area of sports medicine and so pleased that we could bring this to the university and so pleased that the three organizations are embarking on something very innovative.

schedule an appointment at the st. mary’s university clinic Learn more about Dr. P. Saenz Learn more about textpts ]]>
Wed, 02 Nov 2022 13:34:44 -0700 Sportsman
MOST COMMON INJURIES &amp; HOW TO PREVENT THEM & TEXAS HIGH SCHOOL FOOTBALL EDITION It’s no lie, Texans love football. Everybody has their favorite NFL team. There's nothing like college football for some fast-paced action. But neither compares to those Friday Night Lights! Texas High School Football is the real deal. There is an unbeatable unity there. As a sport, it is exciting, fast-paced, and highly competitive. The physical demands of the sport ensure that every player will suffer bumps and bruises throughout the season.

Just like with any sport, injuries are a major concern for all athletes. Every time a player steps out onto that field, they run the risk of getting injured. While not all injuries can be prevented, there are many that can.



Most Common Injuries During Football Season:

  • Knee.

  • Ankle.

  • Shoulder.

  • Spine.

It is nearly impossible to not see injuries in football due to its aggressive, high-contact nature. From concussions to broken bones, there are many injuries that can occur during football season.


Tips On How To Prevent Injuries:

. Warm Up

. Stretch

. Proper Weight Training

. Rest and Recovery

Despite the fact that none of these measures will truly prevent injuries, they will all help reduce the likelihood that one will occur. Remember that you are the best advocate for your body! Taking care of your body is the most important thing you can do as an athlete.

Dr. Timothy Palomera and Dr. stephen saenz are primary care sports medicine physicians who enjoy caring for athletes of all sports and backgrounds. get to know them or any of our sports medicine physicians by scheduling a consultation.

About Dr. Palomera
About Dr. S. Saenz Schedule appointment ]]>
Wed, 02 Nov 2022 13:34:44 -0700 Sportsman
THE RESPONSIBILITY IT TAKES TO BE A SAN ANTONIO SPURS TEAM DOCTOR Being a team doctor for a professional sports team takes a lot of time, effort, and dedication. “The bottom line is when you take care of a professional sports organization, you're on call 24 hours a day, 7 days a week, 365 days a year.” - Dr. Schmidt

Our very own Dr. Schmidt, Dr. Saenz, and Dr. Young are the team doctors for the San Antonio Spurs. They know first hand what it takes! Continue reading to learn more about the availability, flexibility, and responsibility that comes along with being the teams sports medicine physicians.


Being a physician for the San Antonio Spurs is more than just being available for game days. You have to be available at all times and be able to switch up your schedule just like that. These are professional athletes who require care on a timely basis so that they are always ready to perform to the best of their ability on game day. Injury and illness evaluations can’t be pushed back 2 or 3 days, they have to be taken care of as soon as possible. Sometimes this means that the day begins at 7 am and doesn’t end until 11 pm.


Our team covers every Spurs home game. There is always an orthopedic surgeon and a primary care sports medicine doctor there.

The doctors usually arrive about an hour and a half before the game begins and stay about an hour and half after the game ends.

They are responsible for checking both locker rooms to make sure none of the players have any healthcare needs. Any acute injury from a San Antonio Spurs player or a visiting team player or even a referee, is taken care of by the team doctors.

These can make for long days, but our docs absolutely love what they do and wouldn’t trade it for the world!

For More SMASA X Spurs Content Check Out Our YouTube Channel!

Youtube channel

Need To Schedule An Appointment? Contact One Of Our Docs!

Contact us ]]>
Wed, 02 Nov 2022 13:34:44 -0700 Sportsman
There’s a Hole in the Bottom of the Concussion Statements Welcome to Sports Med Res’ this week in review podcast where we highlight the news in sports medicine research from the week ending on October 28, 2022. This week’s podcast focused on female athletes' underrepresentation in the data used to inform concussion consensus and position papers.

Special Guest: Jane McDevitt @Jane032

* Concussion Position and Consensus Statements Fall Short

RSS Feed, Apple Podcasts, or Google Podcast
Evidence-Based CEU Courses from Sports Med Res and Human Kinetics (3-10 EBP CEUs/course)

The post There’s a Hole in the Bottom of the Concussion Statements appeared first on Sports Medicine Research.

Wed, 02 Nov 2022 13:34:41 -0700 Sportsman
“It’s Never Going to Happen to Me” Happens to Mess with Concussion Reporting Student-athletes with pessimistic views of concussion risks have higher intentions to report symptoms or a concussion.

The post “It’s Never Going to Happen to Me” Happens to Mess with Concussion Reporting appeared first on Sports Medicine Research.

Wed, 02 Nov 2022 13:34:41 -0700 Sportsman
Sex&Specific Predictors For Prolonged Concussion Recovery Middle school and high school athletes who reported more concussion symptoms and sleep issues, as well as post-traumatic amnesia, had a greater chance of a prolonged recovery than peers without these concerns. Furthermore, depressive symptoms may help identify males at risk for a prolonged recovery.

The post Sex-Specific Predictors For Prolonged Concussion Recovery appeared first on Sports Medicine Research.

Wed, 02 Nov 2022 13:34:40 -0700 Sportsman
Comparative Effectiveness of Multiple Exercise Interventions in the Treatment of Mental Health Disorders: A Systematic Review and Network Meta&Analysis Wed, 02 Nov 2022 13:34:12 -0700 Sportsman Metabolic Power in Team and Racquet Sports: A Systematic Review with Best&Evidence Synthesis Wed, 02 Nov 2022 13:34:12 -0700 Sportsman Clinical Outcome Following Concussion Among College Athletes with a History of Prior Concussion: A Systematic Review Wed, 02 Nov 2022 13:34:11 -0700 Sportsman Test Form

The post Test Form appeared first on Mayo Clinic Orthopedics & Sports Medicine.

Wed, 02 Nov 2022 13:34:03 -0700 Sportsman
Test Form Thank you Thank you!

The post Test Form Thank you appeared first on Mayo Clinic Orthopedics & Sports Medicine.

Wed, 02 Nov 2022 13:34:01 -0700 Sportsman
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Wed, 02 Nov 2022 13:33:59 -0700 Sportsman
I&apos;m out of pain can I stop treatment? Wed, 02 Nov 2022 13:33:50 -0700 Sportsman Tips for Fall Yard Work Wed, 02 Nov 2022 13:33:48 -0700 Sportsman Finding The Right Chiropractor For Your Auto Accident&Related Injuries Wed, 02 Nov 2022 13:33:45 -0700 Sportsman Contents Wed, 02 Nov 2022 13:33:28 -0700 Sportsman Discoid Meniscus Wed, 02 Nov 2022 13:33:26 -0700 Sportsman Meniscus Repair in Pediatric Athletes Wed, 02 Nov 2022 13:33:22 -0700 Sportsman Ankle popping: What does it mean? We give you the answers

Ankle popping or clicking is exceedingly common. Often, these symptoms can occur while walking or standing up. Sometimes, popping can occur with other symptoms, such as pain or joint swelling. Generally, popping or clicking is harmless and not a concern, but sometimes these symptoms can be secondary to a significant tendon or joint problem. So what causes your ankle to click or pop, and when do you need to worry?

What causes your ankle to pop or click?

The common causes of ankle popping or clicking include:

Gas release

The most common cause of popping is the release of nitrogen bubbles in the ankle joint’s fluid. Movement of the ankle disrupts the nitrogen bubbles causing a crack, pop, or click. Generally, popping from releasing nitrogen bubbles is not associated with other symptoms such as pain or swelling.

The popping from the gas release is entirely usual and does not indicate damage.

Tendon dislocation

Sometimes the tendons outside your ankle, called the peroneal tendons, can become damaged. These tendons wrap around the fibula and attach to the outside of the mid-foot.

Damage to the tendons can occur after a severe ankle sprain. Twisting of the ankle can tear the sheath, also known as the retinaculum, that keeps the tendons close to the fibula. If the sheath tears, then every time you move the ankle, the peroneal tendons can sublux or dislocate out of the groove in the bone, leading to a click or pop.

Occasionally, the peroneal tendons can move if the ligaments outside of the ankle are naturally loose.

Recurrent ankle sprains

Repeated twisting of your ankle loosens or tears the ligaments outside the ankle. A loose ankle joint means that the ankle moves during changes of direction, sideways, pivoting, and jumping. Movement of the ankle can produce a click or pop as it moves back into its correct place.

Cartilage injury in the ankle joint

cartilage injury ankle causing popping

Sometimes with repeated ankle sprains, damage occurs to one part of the ankle joint called the talus. The cartilage lining the talus can become loose, leading to OCD or osteochondral lesion. In addition, this loose body can contain cartilage and bone. Occasionally, this loose body can become lodged in. a narrow part of the joint, leading to locking, popping, or clicking.

Generally, a loose body is also accompanied by pain and swelling in the ankle.

If symptoms are frequent, keyhole surgery is needed to fix the loose body. If the loose body is too damaged to repair, it must be removed. However, putting the cartilage back in place may be possible if the loose body is in a good state.

When to seek medical help for ankle popping

If your ankle pops or clicks frequently, imaging can help define the problem. X-ray and MRI scans can detect a loose body or arthritis. Dynamic ultrasound can show peroneal tendon subluxation due to a retinaculum tear.

Nonetheless, no cause for ankle popping or clicking is found in most cases, meaning the symptoms are related to nitrogen gas bubbles.

You should see your doctor if you have frequent popping, clicking, or locking. Also, other symptoms, such as pain and swelling, increase the chances of a tendon or cartilage injury.

Final word from Sportdoctorlondon regarding ankle popping 

Ankle popping or clicking is a common complaint in active people. Generally, most cases are benign and not related to damage. You should see a sports doctor if your symptoms become more frequent or you also develop pain and swelling.

Related conditions:

The post Ankle popping: What does it mean? We give you the answers appeared first on Sport Doctor London.

Wed, 02 Nov 2022 13:28:22 -0700 Sportsman
Beware the insufficiency fracture of the knee

Generally, most people with knee arthritis or meniscal tears develop pain from a flare of arthritis. However, knee pain in people with arthritis is sometimes secondary to bone breakdown or insufficiency fracture. This condition is often termed a subchondral insufficiency fracture but used to be referred to as osteonecrosis or SONK. So, what is a subchondral insufficiency fracture of the knee, and why is it essential to diagnose this condition early?

What is a subchondral insufficiency fracture of the knee?

Excessive overloading of the bone under abnormal cartilage in the knee leads to softening or breakdown. Fluid then enters the softened bone leading to further breakdown and a subchondral fracture.


We often see a subchondral insufficiency fracture in people in their 50s and 60s. This disease is more common in females and those with low bone mineral density, knee osteoarthritis, or meniscal tears. Less common risk factors include regular cortisone use.

Symptoms of insufficiency fracture of knee

Generally, most people present with acute pain in one knee. Symptoms are often more severe than usual knee arthritis pain. The pain usually affects the inside of the knee and may be associated with limping. As the disease progresses, people find it more and more difficult to walk even shorter distances. Rest usually makes the pain better, but the pain returns once walking is resumed. Also, night pain is common.

When your doctor examines your knee, often there is tenderness at the inside of the knee or medial femoral condyle. In worse cases, we see swelling and joint movement restriction.

Insufficiency fracture knee MRI

MRI of knee revealing an insufficiency fracture

First, we start with a plain X-ray. In early cases, the X-ray may be normal. However, in advanced cases, we see a breakdown of the bone with flattening of the knee condyle.

If the X-ray is normal, MRI can detect early changes of swelling or marrow oedema on the inside of the knee. In more advanced cases, focal areas of bone death can sometimes be seen just under the cartilage. In addition, we might see knee arthritis, meniscal tears, and meniscal extrusions.

Once diagnosed, we often check bone density with a DEXA scan and blood tests to exclude low Calcium or Vit D.

Insufficiency fracture vs. spontaneous osteonecrosis othe f knee (SONK): are they the same?

We used to think that an insufficiency fracture was another word for osteonecrosis, also called SONK. However, we now believe they are different disease processes. One is a fracture, while the other is bone death or necrosis. Nevertheless, an untreated insufficiency fracture can lead to bone death and SONK.

Treatment of insufficiency fracture knee

If this condition is picked up early, pain-relieving medications (paracetamol or codeine) and rest from weight-bearing activity improve symptoms quickly. Generally, we suggest protected weight-bearing with crutches for about six weeks, followed by a further six weeks of weight-bearing rest. In the second phase, we recommend hamstring and quadriceps exercises, initially non-weight bearing on machines (knee extensions, knee curls, side-lying hip abduction), followed by weight-bearing weight training, including Yoga and pilates.

Usually, we repeat the MRI scan in 2-3 months to ensure the bone odema is settling.

Other treatments are a little more controversial. Hyaluronic acid or PRP injections have been tried to reduce pain and improve healing with mixed results. Intravenous and oral bisphosphonates show promising results in small studies, but we don’t know whether these medications are any better than rest. A recent review questioned the role of bisphosphonates in this condition. Also, bisphosphonates have side effects such as stomach ulcers and jaw necrosis and have not been recommended by the FDA for this condition.

Insufficiency fracture of knee and surgery

We only recommend surgery for the failure of symptom improvement or a late diagnosis when the bone collapses. Surgical options include keyhole surgery with core decompression or knee replacement.

Frequently asked questions 

I’ve heard that surgery such as arthroscopy can be a triggering factor. Is this true?

Yes, we know some people who have had keyhole surgery for a meniscal excision can precipitate an insufficiency fracture. Perhaps, this is a reason why you should avoid surgery for early cases.

Do you need to modify exercise during the healing of a subchondral insufficiency fracture?

Yes. Generally, we suggest stopping all weight-bearing activity for at least six weeks. You can maintain fitness with swimming and upper body weight. After six weeks, non-weight-bearing quadriceps, hamstring, and pelvic strengthening can begin. As symptoms settle, adding modified Yoga and Pilates should be fine. It would help if you did not push through the discomfort or pain.

Is an insufficiency fracture the same as avascular necrosis or AVN?

No. AVN is caused by a block to the blood supply of one part of the knee, not a fracture. But ultimately, both conditions can lead to bone death.

Final word from Sportdoctorlondon re subchondral insufficiency fracture of the knee

We need to consider this condition in a person over 50 who presents with sudden and increasing pain in the knee – especially with a background of arthritis or meniscal tears. Early treatment with rest and pain-relieving medications will allow healing, although complete resolution may take 3-6 months.

Related conditions:

The post Beware the insufficiency fracture of the knee appeared first on Sport Doctor London.

Wed, 02 Nov 2022 13:28:21 -0700 Sportsman
Tibialis anterior tendonitis: a cause of mid&foot pain

The tibialis anterior tendon is a large tendon that starts at the front of the shin and moves across the front of the ankle and inside the medial mid-foot. It attaches to the medial cuneiform and base of the first metatarsal bone. The primary function of the tendon is to lift the foot up and inwards. It is a pivotal tendon during walking to keep the ankle and foot upwards and stop us from tripping over. Sometimes, we develop overuse of this tendon, also known as tendonitis. How does tibialis anterior tendonitis present, and what do we do about it?


Several factors can cause swelling or tendonitis of the anterior tibialis tendon. First, tight shoe laces can compress the tendon leading to tendon swelling at the front of the ankle. Second, excessive training combined with biomechanical abnormalities such as a flat foot. This combination can lead to swelling and tendonitis from overuse. Other risk factors are obesity and middle-aged females.

Symptoms of tibialis anterior tendonitis 

tibilais anterior tendonitis picture

Generally, tibialis anterior tendonitis causes gradual pain at the inside of the mid-foot. Usually, pain starts at the beginning and the end of an activity, such as running. As the swelling increases, pain can occur during exercise and last for days after any workout, such as running. Other symptoms include swelling at the medial mid-foot, stiffness, and foot deformity.

Sometimes, prolonged standing tendonitis can cause arthritis in the ankle, subtalar joint, or mid-foot.

Other possible causes of medial mid-foot pain include mid-foot arthritis, stress fractures of the mid-foot or metatarsus, navicular stress fracture, Os naviculare, or ganglion in the foot.

If you suspect tibialis anterior tendonitis, we suggest either an ultrasound or MRI to confirm the diagnosis of tendon swelling close to the attachment at the medial cuneiform. Imaging also excludes a partial tear and other causes, such as a stress fracture or mid-foot arthritis.


Generally, we start with simple treatments such as modifying or eliminating the offending activity (walking or running). Also, anti-inflammatory therapies include regular ice, topical Voltarol cream, and oral ibuprofen.

Physical therapy to strengthen the calf and intrinsic foot muscles can help. Focussed rehab for the anterior tibialis tendon using therabands, starting with exercises sitting and progressing to standing help. Your therapist will also assist in mobilisation of the stiff ankle and subtalar joint.

Finally, seeing a podiatrist to help correct abnormal foot biomechanics can offload the tendon and allow it to heal.

Adjuncts for tibialis anterior tendonitis 

GTN patches

GTN patches are effective in reducing pain with chronic tendonitis. Patches are placed onto the skin on top of the tendon and left for 12 hours. They contain a substance called nitric oxide, which is an essential metabolite in tendon healing.

Shockwave therapy uses sound waves to remodel tendons and desensitise pain fibres. The procedure is performed every week for up to five sessions and has shown promise in lower limb tendons, including the Achilles tendon.

Injection therapy is generally discouraged for weight-bearing tendons. Cortisone should be avoided because of the risk of complete rupture of the tendon. PRP has shown little effectiveness for lower limb tendons and is not recommended.

Surgery for tibialis anterior tendonitis

Surgery is necessary for a complete avulsion of the tendon from the attachment to the medial mid-foot. In these cases, we use grafts such as the hamstring tendon to reconstruct the tendon and reattach it to the bone. Generally, surgery should only be reserved for cases that have failed all conservative management in tendonitis.

(Your author was unfortunate to develop tibialis anterior tendonitis. Against (his own) medical advice, he had a cortisone injection leading to a complete tendon rupture. As a result, he needed surgical reconstruction of the tendon using a hamstring graft. While he is now back running and playing sports, he would not wish the surgical experience on anyone!).

Final word from Sportdoctorlondon about tibialis anterior tendonitis

This condition is an uncommon cause of medial mid-foot pain caused by overuse combined with biomechanical abnormalities. In general, treatment should be conservative, including medication, physical therapy, and podiatry. GTN patches and shockwave therapy might help. Avoid surgery at all costs.

Related condition: 

The post Tibialis anterior tendonitis: a cause of mid-foot pain appeared first on Sport Doctor London.

Wed, 02 Nov 2022 13:28:21 -0700 Sportsman
Effects of concentric and eccentric exercises in the rehabilitation of flexible flat foot & A randomized trial Hariharasudhan Ravichandran, Kshama Susheel Shetty, Samatha Ashok Shetty

Saudi Journal of Sports Medicine 2022 22(2):74-81

Background: Flexible flat feet are one of the common presentations in the lower limb, which may be associated with postural stability, pathologies, and injuries. There are intrinsic and extrinsic causes for flat feet. Strengthening of muscles supporting the medial arch is the major goal in rehabilitating individuals with flat feet. Both concentric and eccentric strengthening programs are implemented in the rehabilitation of flat feet. Objectives: The objective of the study is to compare the effectiveness of concentric and eccentric exercise programs on improving navicular drop in adults with pronated feet. Materials and Methods: One hundred and four participants, between the age group of 18 and 25 years, were screened for pronated feet. Fifty-four participants fulfilling the inclusion and exclusion criteria were randomly assigned to either concentric (n = 27) or eccentric exercise group (n = 28). Both the groups performed their assigned exercise programs, either concentric or eccentric tibialis posterior strengthening exercises, respectively, for a duration of 6 weeks. Navicular drop test outcomes were assessed at baseline and postintervention. Results: The data were analyzed using IBM SPSS 20.0 version. Within-group analysis was performed using paired “t”-test, while between-group analysis performed using independent “t”-test. Postinterventional outcome was similar in both groups, and concentric group had significant outcomes (P = 0.006) in weight-bearing navicular drop test compared to eccentric group. There exists no statistical significance (P < 0.05) between the groups in improving medial longitudinal arch. Conclusion: Both concentric and eccentric exercises were equally effective in improving the medial longitudinal arch among participants with flexible flat foot. Future studies with long-term follow-up are recommended to validate the results of this study. ]]>
Wed, 02 Nov 2022 13:27:34 -0700 Sportsman
Post&COVID&19 death among athletes: Is interleukin&6 screening needed? Amr Ahmed, Neveen Refaey, Aml M Brakat

Saudi Journal of Sports Medicine 2022 22(2):87-88

Wed, 02 Nov 2022 13:27:33 -0700 Sportsman
A comparison of body composition and blood lipid indices among Kho&Kho players based on water intake pattern Kommi Kalpana, Gulshan Lal Khanna, Ala Nagajyothi

Saudi Journal of Sports Medicine 2022 22(2):82-86

Purpose: Water intake and its likely association with body composition are under exploration in recent years. However, studies done on athletes are scarce in this direction. The present study aimed to understand the difference between body composition and blood lipid indices of Kho-Kho players based on water intake pattern. Methods: Forty-five male Kho-Kho players aged between 18 and 30 years attending a national camp were recruited for the study. The players were cross-sectionally divided into two groups: (1) low water consumption (LWC; <1 ml/kcal) and (2) adequate water consumption (AWC; >1.0 ml/kcal) based on the water consumption recommendations (IOM, 2005) and evaluated the differences in anthropometric measurements, body composition, total water, energy and nutrient intakes, and blood lipid indices between groups using the t-test. Results: We found a significant difference between LWC and AWC for total water intake (P < 0.01), body mass (P < 0.01), body fat % (P < 0.01), endomorphic somatotype (P < 0.01), girths (P < 0.01), serum triglycerides (P < 0.01), and very low-density lipoprotein (P < 0.05). Conclusion: Lower water intake may increase body mass and fat, endomorphism, and blood lipid indices. Hence, AWC could be useful in the maintenance of ideal body composition, physique, and blood lipid indices in Kho-Kho players. ]]>
Wed, 02 Nov 2022 13:27:32 -0700 Sportsman
Shasta Ortho Employee Departures Notice Shasta Ortho is offering office visits and walk-ins for sports injuries on Saturdays this Fall, for High School and College athletes. The following services are available:

The post Shasta Ortho Employee Departures Notice  appeared first on Shasta Orthopaedics.

Wed, 02 Nov 2022 13:27:11 -0700 Sportsman
Shasta Ortho Welcomes Samantha Waters, PA&C! The post Shasta Ortho Welcomes Samantha Waters, PA-C! appeared first on Shasta Orthopaedics.

Wed, 02 Nov 2022 13:27:09 -0700 Sportsman
2022 Sport Injury Treatment Clinics for High School and College Athletes Shasta Ortho is offering office visits and walk-ins for sports injuries on Saturdays this Fall, for High School and College athletes. The following services are available:

The post 2022 Sport Injury Treatment Clinics for High School and College Athletes appeared first on Shasta Orthopaedics.

Wed, 02 Nov 2022 13:27:07 -0700 Sportsman
Torn Rotator Cuff Surgery in Charleston, SC Torn rotator cuffs are often associated with athletes. Certainly, years of recurring overhead motion can contribute to this injury, making it common among those who row, shoot hoops, or play tennis. But the reality is, anyone can suffer from a torn rotator cuff, often related to a single traumatic event, such as a dislocation or a fracture.   Find Out About Torn Rotator Cuff Surgery in Charleston, SC We have a lot of experience diagnosing, treating, and rehabilitating torn rotator cuffs in our office. No matter the underlying cause of your injury, you will find that our team provides friendly service, clinical precision, and an emphasis on your comfort and safety. We would love to tell you more about our minimally invasive surgical approach to torn rotator cuff surgery in Charleston, SC. To schedule a consultation appointment with one of our surgeons, contact South Carolina Sports Medicine & Orthopaedic Center at your convenience.  

The post Torn Rotator Cuff Surgery in Charleston, SC appeared first on South Carolina Sports Medicine.

Wed, 02 Nov 2022 13:26:44 -0700 Sportsman
Could Tech Neck be the Cause of your Neck Pain? The ever-evolving screen technology we’ve come to love and even rely on may be causing some people severe issues. Tech Neck is neck pain caused by repetitive strain and injury to the cervical spine’s muscles and other tissue structures. With the amount of time we are all on the devices, this issue is becoming more and more common.  Stress is also a component that can play a crucial part in Tech Neck issues. What are the symptoms of Tech Neck? Headaches Tension in the upper back Temporomandibular joint (TMJ) problems — pain or dysfunction in the jaw joints and muscles Tingling or numbness in the hands Weakness in the hands Rotator cuff tendonitis Seeing a specialist such as our very own Dr. Emily Darr, an Interventional Orthopaedist, as soon as signs and symptoms appear can be very beneficial. Dr. Darr’s primary goal is to restore function to her patients, and she believes in looking at the patient as a human rather than just treating pain.  There are many options for those suffering from Tech Neck, and Dr. Darr can guide you through the best plan of care for you.  If left untreated, tech neck could lead to permanent health concerns, like arthritis or disc injuries. If you think you are experiencing the symptoms of Tech Neck, call today to schedule an appointment.

The post Could Tech Neck be the Cause of your Neck Pain? appeared first on South Carolina Sports Medicine.

Wed, 02 Nov 2022 13:26:39 -0700 Sportsman
Surgery for a Swollen Ankle in Charleston, SC In some cases, swelling in the feet, legs, or ankles goes away on its own. For swelling that lasts longer than a couple of days, it is recommended that you seek clinical care from a sports medicine specialist. Our practice is pleased to offer treatment for your swollen ankle in Charleston, SC, including surgical intervention as a last resort. Our goal is to get you back on your feet as quickly as possible.   What Causes Swollen Ankles?   There are a number of factors that may contribute to your swollen ankle, including:     Oedema, a build-up of fluid caused by being overweight or by being too sedentary.   Injuries, including strains and sprains.   Blood clots.   Infections.   Insect bites or stings.   When is Surgery Needed? You may need to seek surgery for your swollen ankle if the problem persists or worsens despite a few days of home care; or if both ankles are continually swollen.   Schedule a Consultation Today If you are considering ankle surgery in Charleston, SC, we invite you to contact South Carolina Sports Medicine & Orthopaedic Center. Give us a call at (843) 572-2663 to learn more and take the first step toward pain relief from your swollen ankles.

The post Surgery for a Swollen Ankle in Charleston, SC appeared first on South Carolina Sports Medicine.

Wed, 02 Nov 2022 13:26:38 -0700 Sportsman
The deadlift: Form, benefits and workouts Wed, 02 Nov 2022 13:26:36 -0700 Sportsman Sport psychology: How can it benefit sub&elite athletes? Wed, 02 Nov 2022 13:26:35 -0700 Sportsman Culture development: A guide for coaches and administrators Wed, 02 Nov 2022 13:26:33 -0700 Sportsman Some screen time better than none during children&apos;s concussion recovery Wed, 02 Nov 2022 13:26:11 -0700 Sportsman New study shows better way to easily assess knee muscle function Wed, 02 Nov 2022 13:26:11 -0700 Sportsman Rising star footballers among young athletes to benefit from new screening tool Wed, 02 Nov 2022 13:26:10 -0700 Sportsman MRI for Back Pain https://sport-topics.c