Single-limb exercises mean that the individual moves with one limb vs. two limbs—for example, a single-arm curl vs. a double-arm curl. There are many advantages to unilateral exercise training that I will highlight in this article. Benefits of unilateral exercise: 1. Increase motor unit recruitment: There is more significant muscle firing during the unilateral exercise. […]
By John R. Mishock, PT, DPT, DC Our body has over 360 joints. All joints (where two bones meet) have cartilage at the bone’s ends which helps to reduce friction and provide shock absorption. With aging, this cartilage wears out, leading to pain, swelling, joint deformity, weakness, and altered function. Nearly 70 million Americans have […]
By Dr. John R. Mishock, PT, DPT, DC Shoulder replacement surgeries have dramatically increased in number over the past few decades. There are nearly 53,000 shoulder replacement surgeries performed in the United States annually. Over the years there have been dramatic advances in this surgical procedure and rehabilitation allowing it to enjoy a success rate […]
By John R. Mishock, PT, DPT, DC Total knee arthroplasty (TKA) has become the third most common inpatient surgery in the United States, with 750,000 yearly procedures projected to double in the next decade. (Sloan et al. 2018) There has been a marked increase in the utilization of TKA, estimated to be 600% by 2030. […]
By Dr. John R. Mishock, PT, DPT, DC In the US, there is over 8.6 million sports-related adolescent (age 10-20 years) injuries annually; 42% happen in the lower extremity, 30% in the upper extremity, and 16% in the head and neck. (NHSR, 2016) Many of these are over-use injuries that occur due to excessive intensity, […]
By Dr. John R. Mishock In organized sports from youth to pro there are approximately 4-6 million injuries each year. The majority of these injuries occur as sprains and strains of the upper and lower extremity. (Hopkinsmedicine.org) Many of these injuries are preventable with proper exercise training and load management of training/competition volume, which ultimately […]
By Dr. John R. Mishock, PT, DPT, DC When watching professional athletes play their sport, we marvel at how they effortlessly hit a baseball over 400 feet, throw a baseball a 100 mph, jump over 40 inches to dunk a basketball, and run sub 4.2 sec on the football field. Advancements in strength and conditioning […]
By Dr. John R. Mishock, PT, DPT, DC Lower extremity injuries make up 66% of all sports injuries, the knee being the most commonly injured joint. (Med Sci. Sports Exerc. 2002) The anterior cruciate ligament (ACL) is one of four ligaments in the knee that holds the thigh and leg bones together. The ACL ligament […]
By Dr. John R. Mishock There is a belief that resistance exercises or weightlifting create muscle damage, leading to tightness and limiting function in sports such as baseball, basketball, golf, and others. Does resistance exercise damage muscle? Can the muscle damage be helpful? Resistance training exercise creates micro-damage to the muscle. This muscle damage is […]
By Dr. John R. Mishock, PT, DPT, DC Studies show that seeing a physical therapist first through direct access can: improve musculoskeletal pain faster; reduce or remove the need for some types of musculoskeletal surgery; reduce opioid use; improve patient satisfaction; reduce expensive medical testing; and help patients get needed treatment faster. (Physical Therapy, 2017) […]
