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Why Do Injuries Occur In Gymnasts?

Gymnastics is a very demanding physical sport requiring mobility, strength, endurance, and coordination.  Athletes often train at high volumes each week involving multiple days per week, long daily training sessions, and competitions.  Gymnastics is also one of the fastest growing sports for youth and adolescents over the last few years.  The combination of high participation...

Shoulder pain remains one of the most frequent reasons patients seek care from a Physical Therapist.  Although many diagnoses create symptoms in the shoulder region, rotator cuff tendon pain is one of the most common.  Descriptions of tendon pain such as tendinitis are being disproven by the research due to a lack of inflammatory process...

Patellar tendonitis (tendinopathy) is common among jumping athletes requiring repetitive jumping, landing, and squatting movements.  This overuse injury was thought to have a inflammatory component (ex. tendonitis) but more current research supports the term tendinopathy.  This term indicates a disruption in tendon fiber characteristics and alignment leading to a loss of its’ tensile strength.  Resting...

Rotator cuff tears are a common injury in middle to older aged adults. Tears can be gradual or degenerative in nature associated prior injury (tendinopathy) or acute and traumatic from a fall or sudden trauma to the shoulder. The severity of the injury including tear depth and size, as well as, the number of tears...

Basketball has one of the highest injury rates in sports with articles reporting up to 7-10 injuries per 1000 athlete exposures (Dick et al. J Athl Train. 2007).   As expected, the majority of these injuries occur in the lower extremity, in particular within the knee and ankle.  Authors report both overuse (tendinopathy) and traumatic (sprain,...

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...

Lateral Elbow Pain and Lateral Epicondylalgia Lateral epicondylalgia, also known as tennis elbow, is an overuse injury involving the common origin tendon of the wrist and finger extensors. Patients with this condition often report pain in the lateral elbow exacerbated by gripping, lifting, or manipu- lating objects with their hands. Previously thought to be a...

One of things I enjoy about the profession of Physical Therapy is its’ constantly changing nature of the medical evidence behind what we do.  Often I come across a new article or research report, which challenges my previous line of thought about an injury or treatment and requires me to change.  Achilles Tendinopathy is commonly and...

Customized foot orthotics based off a clinical examination, plaster or foam cast have been utilized for decades in order to treat overuse injuries of the foot, ankle, knee, hip and even spine.  These orthotics are usually not covered by insurance and usually run into the hundreds of dollars compared to an off the shelf model....