Sports

 

How can I prevent repeat ankle sprains?

Brian Yee PT, MPhty, OCS, FAAOMPT It is important to improve ankle dorsiflexion after an ankle sprain. Research indicates a loss of ankle mobility with chronic ankle sufferers – primarily in ankle dorsiflexion – which is the motion you need to walk correctly. Reserach also indicates a change in muscle control patterns not only in the ankle but also up the kinetic chain, such as a loss of hip control. Therefore: 1. Improve ankle dorsiflexion: calf stretching, seeing a Physical Therapist to mobilize your ankle and decrease swelling. 2. Ankle stability: ankle circles, resistance bands to strengthen lateral/medial ankle musculature/tendons. 3. Ankle proprioception: standing balance exercises as indicated 4. Hip stability: primarily with gluteus maximus and medius exercises. It is…

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Is stretching supposed to be painful?

Brian Yee PT, MPhty, OCS, FAAOMPT Stretching should at most be moderately uncomfortable. Many people think that stretching only targets the muscles, but consider that there the joints, ligaments, nerves, and fascia are also stretched. If you have a joint hypermobility or an irritated nerve, such as sciatica, over-stretching can actually injure the tissue and cause more problems than good.   _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is not intended to replace or modify the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. Please remember that the information and content, in…

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What exercises can help relieve hip pain?

Brian Yee PT, MPhty, OCS, FAAOMPT Typically hip pain patients have restricted hip motion. We usually find the gluteal muscles are restricted with trigger points and fascial tightness. 1. Use of foam rolls or trigger point balls along the back and side of the hip can release the muscles around the hip. 2. Lunge stretches to the anterior hip can also help – but please consult with a Physical Therapist to see if this is indicated. 3. Long axis traction: have a friend hold your ankle and pull the leg – length wise – to distract the hip. This can give relief to the hip especially in acute sitatuion. 4. Nerve: something to consider is that the pain in your…

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Does stretching decrease the chance of getting injured?

Brian Yee PT, MPhty, OCS, FAAOMPT Most people present with imbalances in muscle forces. This may include anterior – posterior muscles and specific muscles affect joint mechanics. It is recommended that you have a qualified health practitioner assess your body mechanics to make recommendations what muscles should be elongated, and then other that should be stabilized to improve the efficiency of you body. Also consider tight muscles may be due to an underlying irritated nerve. Many people with old sciatic nerve injuries feel tightness in their hamstring, however attempting to over-stretching the hamstring can aggravate the nerve again. _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is…

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Besides squats, are there other hip exercises to help my knee pain?

Brian Yee PT, MPhty, OCS, FAAOMPT If you’re experiencing knee pain, especially with weightbearing exercises, its best to train the hip in non-weightbearing. This would include bridges to strengthen the gluteus maximus, and side leg raises/clam shells to stabilize the gluteus medius. Focus on improving the gluteus medius without overcompensating with the lateral quadriceps or tensor fascia latae muscles. Once pain decreases in the knee, weightbearing exercises to improve hip stability can then be applied. _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is not intended to replace or modify the medical advice of your doctor or health care provider. Please consult your health care provider for…

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How do foot related sports injuries affect the body?

Brian Yee PT, MPhty, OCS, FAAOMPT I pay particular attention to foot injuries and how it relates to the rest of the mechanics of the body. How the foot hits the ground affects how other joints in the body absorb shock as well as how the muscles around those joints work in sports performance. The most classic example that we see are patients that have a one sided knee, hip or back injury – say the right side. When we take our medical history the patient tells us they sprained their ankle on the same right side ‘way back in high school…but that got better’. But what the patient does not realize is that after the ankle was swollen from…

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What conditions can lead to a ‘groin’ pull?

Brian Yee PT, MPhty, OCS, FAAOMPT ‘Groin pulls’ typically are due to over-compensation and poor mechanics in the legs and core stability. Groin pulls comprise mostly of the adductor muscles of the inner thigh. These injuries usually occur with sports that requie cutting, pivoting and side to side movement  such as soccer, lacrosse, and football. It can also occur in runners and cyclists when the hip is required to be used in situations like uphill terrain. Strength deficits with these injuries are not necessarily in the adductor muscles, but instead from the posterior hip muscles – gluteus maximus and medius. The gluteus maximus and medius are the key stabilizing muscles for the hip to be able to plant and pivot…

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What do the callouses on my feet say about my sports injury?

Brian Yee PT, MPhty, OCS, FAAOMPT Even by looking at someone’s callouses on their feet we can begin to make an assessment why and where the patient is injured somewhere higher in the body. For example, runners that have an excess of callousing along the entire ball of the foot tells us that they are putting an excessive amount of force their. Like pressing on a gas pedal, we can deduct that the athlete is using alot of their calf muscles to generate movement and power. It is possible to make assumptions that calf cramps, achilles tendinitis and shin splints occur due to the increased stresses at the ball of the foot. Another example are bunions along the first toe….

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Can stretching my hamstrings get rid of my low back pain?

  Brian Yee PT, MPhty, OCS, FAAOMPT There are cases when stretching your hamstrings can be good for your back and other cases when it can make it worse. It can be good to stretch your hamstrings when they are tight due to poor mechanics and posture. Many times people use their hamstrings too much to move and stand. Your hips and butt muscles, as well as your ankle/foot joints and muscles should be the primary areas that provide stability and movement. If they don’t work correctly or fatigue easily, then your hamstrings will, by default, have to be used to get you through the day. Your hamstrings attach to the bottom of your pelvis that connects with your back….

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What is Tennis Elbow?

Brian Yee PT, MPhty, OCS, FAAOMPT Tennis elbow is pain that occurs on the outside aspect of your elbow is traditionally due to repetitive overuse of the forearm musculature. Tennis elbow is common with people performing repetitive tasks with their hand and arms. This can include manual labor jobs, repetitive typing, or sporting activities. Tennis elbow pain can also be caused by elbow joint degeneration, a bursitis or nerve compression from the neck that causes referred pain to the elbow. Trigger points of muscles around the elbow can also cause referred pain in the elbow.     _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is not…

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