ACL: What to do between diagnosis & surgery

View this post on Instagram

鉂楋笍Should I be doing anything before surgery鈦夛笍 I get this question from patients & parents all the time…YES馃挴 鉁达笍鉁达笍鉁达笍 In Part 1 of this simple 馃彙 program the focus is on maintaining ROM, decreasing swelling & keeping your muscles activated. 鉁达笍鉁达笍鉁达笍 All of these exercises can be progressed and loaded heavier but you might as well get on your feet (Part 2) unless you have other damaged structures that prevent you from full WB. 鉁达笍鉁达笍鉁达笍 In this video my athlete is 2 weeks post injury and a few days post MRI diagnosis. 鉁达笍鉁达笍鉁达笍 For full explanation and longer videos check out the blog post馃捇 "ACL: What to do between diagnosis and surgery" chrisbutlersportspt.com 馃敆link in bio for now 鉂わ笍 it? TAG someone who would be helped by this馃憤

A post shared by Chris Butler, MPT, CSCS (@cbutlersportspt) on

Tearing your ACL is聽typically a traumatic event, most of my ACL patients聽report knowing they did something serious to their knee.聽聽This will usually land you in the office聽of聽an orthopedic specialist within a week of the incident.聽 Once there is confirmation and diagnosis of an ACL tear it can often take up to 2 months to schedule a surgical date, it may聽be due to personal schedules, surgeon schedule, or聽researching graft choices.聽 Continue reading “ACL: What to do between diagnosis & surgery”

Little Leaguer’s Elbow

KW good quality

This is a guest post from Kevin Wentz, PT, CSCS.聽 Kevin is the Founder and Co-Owner of Catz Physical Therapy Institute and Sports Performance Center in Pasadena, CA.聽 He has been a leader in the sports medicine field since 1994 and has聽rehabbed the likes of Oscar De La Hoya, David Beckham,聽and Adrian Beltre.聽 I have had the good聽fortune of working with him at Catz since 2007.

Elbow Injuries in Young Baseball Pitchers

kevin head shot聽by Kevin Wentz Continue reading “Little Leaguer’s Elbow”

Strength Training for Runners and Endurance Athletes

run

Running is a big deal here in Pasadena, we have numerous running聽聽& 聽tri clubs nearby, and a niche running store that specializes in finding the right shoe for your foot, running style and terrain choice.聽 The Arroyo Seco provides some nature and uneven trail surfaces while聽the Rose Bowl gives you a nice 5K loop that is traveled daily by runners, walkers and聽cyclists.聽 Annually, Pasadena hosts its own Marathon and聽being聽only a few miles north of Downtown, the LA Marathon is a common training goal for many runners to work towards.聽 When working with an endurance athlete, it’s important to remember that it’s always good to work towards strength.聽 Strength helps everything.聽 However, the opposite is true with聽power athletes,聽you don’t want聽power-lifters,聽weight-lifters, platesprinters or in my opinion, baseball pitchers聽going on long endurance runs, but everybody benefits from getting stronger.聽 Often times it will take some convincing to get your endurance specialist to buy into getting stronger because many聽runners believe building strength will add bulk.聽 Here are just a few fairly recent聽studies to support strength for improved endurance performance.聽 I will add to this list as I come across聽pertinent studies and articles.聽

Scandinavian Journal of Medicine & Science in Sports 2013 Aug

Optimizing strength training for running and cycling endurance performance: A review.
B R R酶nnestad, I Mujika

Journal of Strength and Conditioning Research 2014 Mar

Mixed maximal and explosive strength training in recreational endurance runners.
Ritva S Taipale, Jussi Mikkola, Tiina Salo, Laura Hokka, Ville Vesterinen, William J Kraemer, Ari Nummela, Keijo H盲kkinen

Medicine and Science in Sports and Exercise 2008 Jun

Maximal strength training improves running economy in distance runners.
Oyvind St酶ren, Jan Helgerud, Eva Maria St酶a, Jan Hoff

Running Injury Management

running-silhouettes

This is a guest post from Kevin Wentz, PT, CSCS.聽 Kevin is the Founder and Co-Owner of Catz Physical Therapy Institute and Sports Performance Center in Pasadena, CA.聽 He has been a leader in the sports medicine field since 1994 and has聽rehabbed the likes of Oscar De La Hoya, David Beckham,聽and Adrian Beltre.聽 I have had the good聽fortune of working with him at Catz since 2007.

Physical Therapy Management of Running Injuries

kevin head shot聽by Kevin Wentz Continue reading “Running Injury Management”

Is Early Sport Specialization a Risk Factor for Anterior Knee Pain in Female Athletes?

Journal of Sport Rehabilitation

Youth sport specialization has become a hot topic in the sports medicine world recently.聽 Baseball seems to be getting much of the attention, with the record setting pace of Tommy John surgeries in the MLB and studies reporting pitching participation聽on consecutive days and in some cases multiple games聽per day.聽聽 Continue reading “Is Early Sport Specialization a Risk Factor for Anterior Knee Pain in Female Athletes?”

Lateral Cutting Faults in ACL Rehab and Prevention

usa soccerRecently聽some of my聽high level female soccer players have聽undergone biomechanical analysis in their 5th month post-op ACL reconstruction.聽 Despite聽demonstrating good聽control and聽depth聽on box drops, squats (double, split聽and聽single leg聽stances) step downs, deceleration, running gait and jumping mechanics (double, split and single leg), there聽was one common fault.聽 Continue reading “Lateral Cutting Faults in ACL Rehab and Prevention”

Choosing an ACL graft

acl photo

ACL reconstruction is one of the most common arthroscopic surgeries performed in the United States, and聽there are many聽factors to consider when it comes to graft choice.聽 Usually it starts with the surgeon you select, many surgeons have a specialty and聽may recommend that as the best option.聽 Currently there are several options for graft selection and all but the synthetic grafts have shown good results. Continue reading “Choosing an ACL graft”

Baseball: The effect of balance on elbow health, is there a relationship?

ll pitch3

Baseball Players Diagnosed with Ulnar Collateral Ligament Tears Demonstrate Decreased Balance Compared to Healthy Controls.聽Journal of Orthopaedic & Sports Physical Therapy聽10-2013.聽 J. Craig Garrison, Amanda Arnold, Michael J. Macko, John E. Conway

JOSPT

The ulnar collateral ligament (UCL) is commonly injured聽in many baseball players, and is the ligament repaired聽during Tommy John surgery.聽 Sadly, many of the ballplayers receiving the surgery are under the age of 20.聽 There are many myths regarding the effects of Tommy John surgery, Continue reading “Baseball: The effect of balance on elbow health, is there a relationship?”