Category "Physical Therapy Advice"

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Balance For The Ages

0Inadequate standing balance, – particularly as we age – can be due in part to a loss of muscle strength and endurance, increased visual impairment or even as a side effect of the interactions of multiple medications. Though hazard-proofing the home minimizes risk, the best defense is to also incorporate balance training into your daily routine – no matter your age. Even those who avoid exercise can find time to practice.

Below is a menu of balance exercises that begins with simple activities and progresses from there. In all cases, be attentive to your posture, avoid looking at your feet and keep the weight-bearing knee(s) unlocked.

APTA Releases List of Questionable Procedures

Apta_logoIn order to better inform health care consumers about the medical choices they confront, a number of specific recommendations have been highlighted in the media of late. A particular focus has been on the efficacy – or lack thereof – of routine screening for various conditions.

Today the APTA announced its own list of commonly employed but questionable procedures.

Dr. James Andrews Explains The Tommny John Epidemic

Flickr-8006476237Dr. James Andrews, the renowned orthopaedic surgeon who founded Birmingham, Alabama’s American Sports Medicine Institute (ASMI), is one of the go-to guys for baseball players throughout the country when they suffer from shoulder or elbow issues. Last week Dr. Andrews published a position statement to explain the current “epidemic” of pitchers’ ulnar collateral ligament (UCL) injures and the resultant Tommy John surgeries.

The Tommy John procedure entails the reconstruction of the elbow’s UCL – which is the ligament that stabilizes the inner aspect of the joint.

Andrews details the risk factors that predispose adolescent pitchers to UCL wear and tear. The primary concern is…

An Epidemic of Tommy John Procedures in MLB

elbow-anatomy1Many have taken note of the epidemic of Tommy John surgeries in baseball of late, and the reason for it is both straightforward and enigmatic. Straightforward because an elbow wasn’t designed to pitch, especially repetitively and with such velocity. Many are destined to break down. A bit of a mystery still because it does seem like more athletes face this surgery than in the past. Why is that?

Ike Davis: Calf Strains, Walking Boots & Achilles Ruptures

imgresIt doesn’t take a medical degree to know that the walking boot currently sported by Ike Davis foreshadows a troubled early season for the Mets oft injured first baseman.

Davis and the Mets staff stated that the walking boot is a precaution to minimize the stress to his vulnerable calf and accelerate the healing process. Though true, it should be noted that it isn’t likely he’ll be sprinting around bases and pushing his limits on the field as soon as is predicted. Though undoubtedly receiving daily treatment, if the demands of routine activity – such as walking – pose a deterrent to his recovery, then Davis will first have to ramp up that stress and see how the calf performs before adding a running program to the mix. Even then, it’s a process. Muscle strains can be nagging. If not fully healed upon return to full activity, they often recur. Of course the degree of the initial insult is a significant factor, and Davis may only have a mild strain.

Will Mark Teixeira's Wrist Surgery Impact His Return to The Plate?

imagesYankees first baseman Mark Teixeira is reportedly feeling healthy and said he plans to play through the season, though he intentionally started off spring training at a deliberate pace. Recently Teixeira began ramping up the demands on him at the plate in preparation to begin Grapefruit League play in early March.

Teixeira had surgery on July 1st to repair a torn ECU (extensor carpi ulnaris) tendon sheath in his right wrist. He had initially attempted to manage the injury conservatively after sustaining the tear at the outset of the 2013 World Baseball Classic. Though projected to return to the lineup for opening day, Teixeira is on the record as acknowledging that his surgeon, Dr. Keith Raskin, said the wrist should continue to improve throughout the 2014 season – status quo for soft tissue healing, which takes about a year for the tensile strength of the tissue to be fully restored.