In prior posts we described risk factors for an initial episode of achilles tendinopathy including muscle imbalances, calf weakness (concentric and eccentric), and loss of mobility within the foot and ankle. Once the tendinopathy is established, patients demonstrate significant deficits in range of motion, strength, balance, endurance, and jumping ability (Silbernagel et al. 2006). These...
In our experience, a sub group of patients who have successfully returned to sports after an ACL injury continue to be at risk for future injury. Physical Therapy interventions can significantly reduce the risk of future injury to either an athlete’s involved or uninvolved leg. Athletes who complete their prescribed Physical Therapy visits have both...
Athletes often return to sports around 6-9 months after ACL reconstruction and Physical Therapy. In a previous ACL post we described how important these Physical Therapy sessions are to an athlete’s recovery. Each session after surgery is designed to move the athlete closer to the all important return to play. New research is showing how...
In our previous posts we have detailed the risk factors for ACL injury and the effectiveness of Physical Therapy to reduce this risk especially among adolescents. A percentage of athletes who return to sport will re injure their ACL leading to further surgeries and Physical Therapy. A delayed return to sport allows the athlete more...
ACL injuries are on the rise with over 250,000 tears occurring each year. Thankfully many of these non contact injuries to the knee can be prevented through proper pre and in season Physical Therapy programs. Despite our best preventative efforts many athletes will sustain an ACL tear of their knee requiring surgery and post operative Physical...
Muscle injuries (strains) are a common injury among both inactive and active people. These injuries can become recurrent and lead to significant losses in function and sport participation. Research has previously shown injections such as PRP (platelet rich plasma) are costly and ineffective to treat these muscular injuries. Conversely, these injuries require Physical Therapy and...
One of the milestones of return to sport or recreational activities after injury is the restoration of strength often measured as a percentage of the involved extremity. Measurements should be at least 90% of the uninvolved limb before returning to sport. Those who have returned from injury know the last 10% can be the hardest...
One of the most common questions we receive in our Boulder Physical Therapy practice involves how much pain should be felt with exercise. This is a complicated answer dependent on many factors including but not limited to the nature of the injury. In general, the field of sports medicine is moving away from a purely...
Authors estimate over 100,000 ACL reconstructions are performed in our country each year. With equal incidence of early arthritis in both conservatively treated and surgically repaired ACLs the main reason for these surgeries would be to improve an athlete’s ability to return to their prior levels of sport. In prior decades, professional athletes who benefited...
A recent article in the Journal of Orthopaedic and Sports Physical Therapy (Deering et al, June 2020) discusses the research currently available to guide a return to exercise (including competitive sport) after pregnancy and childbirth. The short answer is, there’s not much. The article proposes a 3 phase approach to postpartum recovery in athletes. Phases...
