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...
We have written previously about the high rates of subsequent knee injuries after an athlete returns to sport and activity after ACL surgery. Interestingly, the most common site of injury is on the opposite knee indicating athlete’s are using a compensatory balance and coordination strategy during play. Current research is working on developing physical therapy...
We written many blog posts on ACL injuries as they continue to be a risk to our youth and amateur athletes in Boulder County. Thankfully, evidence shows we are able to screen athletes at risk for future injury as well as reduce their risk through Physical Therapy strength, balance, and conditioning programs. Another group at...
Achilles tendon ruptures mainly occurs in middle aged adults, males > females, participating in sports with high levels of jumping or high force activity. The repair and recovery time of these tendon ruptures is lengthy due to the post operative immobilization, weight bearing, and exercise restrictions. Prior research has shown only 1 in 2 athletes...
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 life there are no guarantees” and this is certainly the case with return to sport after surgical procedures. Unfortunately, the commonly held belief is surgical repairs of muscles, tendons, ligaments, etc. guarantees a return to sport at prior levels of play and competition. The odds of returning to competitive levels of sport can be...
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...
In previous posts on ACL injuries we have discussed the rising incidence of knee injuries across multiple sports and events. As we enter ski and snow board season Mend will help manage an increased number of these injuries. The lower extremity is the most commonly affected body region for ski injuries with 1 in 3 injuries...
We have previously written on low back pain and the dramatic rise in surgeries with this patient population, despite evidence of superior outcomes over conservative treatment and Physical Therapy. Prior research has documented the dramatic rise in the number of lumbar MRI imaging for the low back and a corresponding increase in the number of...
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...