Football and Concussions: The Physical Therapist’s Role

By John R. Mishock, PT, DPT, DC Despite COVID-19 the NFL, college, high school, and youth football is being played. Beyond the concern for prevention of COVID-19, concussion prevention and management are at the forefront of health providers’ concerns. According to NFL injury data, 224 reported concussions were reported in 2019, up 4.7 % from […]

A New Training Method to Increasing Vertical Jump, Speed, and First-Step Quickness in Basketball Players and Other Explosive Athletes

In most sports, power and explosiveness are essential physical attributes to reach elite level status, especially in basketball. In training to achieve this elite level status, it is vital to challenge the body in sport-specific ways rooted in sports performance science. I will describe a new training technique that can enhance; vertical jump, speed, and […]

Baseball Throwing Injuries: Injuries to the Shoulder and Elbow increasing in Young Baseball Players

Most states have moved away from self-quarantine and are now resuming the “new normal” with COVID-19 in our midst. From March through June, youth and adolescent sports were canceled. Sports organizations are now trying to play catch up by squeezing spring and summer sports into July and August. With this ramp-up in games, we have […]

Stay at home orders over, now is the time to start physical therapy

By Dr. John R. Mishock, PT, DPT, DC As of June 5th, our area moved from red to yellow loosening stay-at-home orders. Now is the time to focus on your health and treat the pain that is limiting your function, leading to poor quality of life. This is the perfect time to start physical therapy. […]

Speed and Agility Training

By Dr. John R. Mishock, PT, DPT, DC Elite-level athletes (football, basketball, baseball, softball, soccer, lacrosse, field hockey, rugby) can quickly read and react to game situations significantly better than novice level players. From a sheer athletic perspective, speed, agility, quickness, and reaction time can separate a good athlete from a great athlete. In my […]

Physical Therapy better than Injections for Osteoarthritis of the Knee

By Dr. John R. Mishock, PT, DPT, DC Osteoarthritis (OA) is a common disease of aging frequently treated in physical therapy. OA of the knee joint occurs when the cartilage that separates the thigh and leg bone wears out or breaks down. Twenty-five percent of people over 55 years demonstrate persistent episode of knee pain […]

COVID-19 Scientific Update: Protecting the Most Vulnerable and Hand Washing

By Dr. John R. Mishock, PT, DPT, DC Seven weeks ago, we began this journey in shutting down our schools, businesses, and our familiar ways of life due to the impending doom of COVID-19. At the time, scientific knowledge was limited regarding this dreaded virus. There was a belief that our health system would be […]

COVID-19 Scientific Update: The Local Impact and Masks

By Dr. John R. Mishock, PT, DPT, DC In our local communities, it appears the COVID-19 “curve has flattened” with a 14% positive infection rate (individuals tested at the community-based testing sites Whitpain and Norristown) down from a high of 24%. The bottom line, 14% of individuals who have symptoms are positive for COVID-19 at […]

COVID-19: Scientific Update

By Dr. John R. Mishock, PT, DPT, DC I wanted to review some of the recent scientific research for the week regarding COVID-19. The objective is to educate the local community and our patients using science to guide our decisions and control or reduce panic while taking on controlled risk. When COVID-19 first started in […]

Coronavirus (COVID-19): Understanding the Science, Improving Immunity, and Preventing Disease Part I

By Dr. John R. Mishock COVID-19 has devastated the US population by; those being infected, the secondary impacts of social distancing/quarantine, school and business closures, and unprecedented unemployment. The economy is tumbling into recession with US job losses reaching 25 million, with the potential to reach over 50 million. (US Dept. Labor) COVID-19 has created […]

Coronavirus (COVID-19): Strategies to Optimizing the Body’s Immune System at Home

By Dr. John R. Mishock, PT, DPT, DC COVID-19 has challenged our world in many ways. One significant change is the strict social distancing and quarantine which has led to feelings of loneliness, hopelessness, and panic. This quarantine has also led to an inability to exercise and stay active lending to poor quality of life […]

Coronavirus (COVID-19) vs the Flu: Prevention and Understanding the Facts Based on Science

By Dr. John R. Mishock, PT, DPT, DC Coronaviruses is a large family of viruses that affects people and animals. Coronavirus (COVID-19) is a new strain that was first identified in Wuhan China in which it was transmitted from animal to human in December 2019. Since then, it has spread to a global pandemic (prevalent […]

Baseball Related Arm Injuries: The Sobering Statistics Based on the Recent Scientific Data

By Dr. John R. Mishock, PT, DPT, DC Approximately, 40 million children and adolescence between the ages of 4 and 17 will soon begin participation in organized baseball throughout the world. Many of these young athletes develop elbow and/or shoulder injuries commonly seen in physical therapy clinics and orthopedic surgeon’s offices. Despite pitch count rules […]

Brain Training: 12 training techniques to make you a better Coach or Trainer

By Dr. John R. Mishock, PT, DPT, DC In parts I through III of the “Brain Training, The Key to Developing Sports Skill” we learned how the brain and nervous system function with the musculoskeletal system to create proper movement patterns that can enhance sports performance. In this article I will outline key concepts that […]

Brain Training, the Key to Developing Sports Skill: Part III

By Dr. John R. Mishock, PT, DPT, DC In part I and II of the “Proper Training of the Brain is the Key to Developing Skill in Sports” we learned how the brain and nervous system learn and perfect movement. The underlying physiology of learning is a critical to how a coach or trainer should […]

Brain Training, the Key to Developing Sports Skill: Part II

By Dr. John R. Mishock, PT, DPT, DC In part I of the “Brain Training, the Key to Developing Skill in Sports: Part I” we learned how critical the brain and perfect practice is to developing proper movement. In this article I will review the mechanisms of how the brain and nervous system learn through […]

Brain Training, the Key to Developing Sports Skill: Part I

The saying goes, “practice makes perfect.” However, in the world of physical therapy and motor learning it is, “perfect practice makes perfect and permanent.” Perfect rehearsal, over time, allows the athlete to transfer the movement to competition at game speed. For example, in basketball, great shooters have mastered the movement pattern that allow them to […]

Active Release Technique: A fast and permanent fix for pain relief

by Dr. John Mishock, PT, DPT, DC Active Release Technique (ART) is a patented, soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia, and nerves. Many conditions (listed below) can be resolved quickly and permanently with ART. These conditions all have one important aspect in common: they are often a […]

Creatine Monohydrate (“Creatine”): A powerful supplement with clinical benefits beyond exercise training

By Dr. John R. Mishock, PT, DPT, DC Creatine Monohydrate (creatine) is one of the most popular nutritional aids in America with over 9 million pounds of creatine supplement consumed annually. Creatine first gained popularity in the 1990s with body builders and athletes. Many people take this supplement to improve training adaptation to enhance sports […]

Lymphedema Therapy – You Don’t Have to Live with Chronic Swelling

By: Megan Repko, MPT & Melissa Bennett, MS, ATC; Mishock Physical Therapy & Associates One cause of chronic swelling could be lymphedema.  This is a condition where swelling occurs in the extremities due to a compromised or damaged lymph system.  Lymph is the fluid that bathes the cells with needed nutrients, oxygen, and white blood […]

Manual therapy and exercise the best treatment option for Neck pain following whiplash

By. Dr. John R. Mishock, PT, DPT, DC; Mishock Physical Therapy & Associates Each year, two million Americans suffer from whiplash associated disorders (WAD) secondary to motor vehicle accidents. Studies using high-speed cameras and sophisticated crash dummies have determined that rear impact car accidents cause the lower cervical vertebrae (lower bones in the neck) to […]

Physical Therapy Helps Patients with Diabetes to Reduce Medication Use and Improve Quality of Life

By John R. Mishock, PT, DPT, DC Approximately 30.3 million Americans, or 9.4% of the population have diabetes mellitus. Twenty five percent of all Americans age 65 and older have diabetes. Even young people are affected by diabetes, with 193,000 Americans under the age of 20 having the disease. The cost to manage and treat […]

Aquatic Therapy: An Alternative to Pain Medication

By John R. Mishock, PT, DPT, DC; Owner of Mishock Physical Therapy & Associates Aquatic therapy is quickly becoming well known for its amazing effects on decreasing pain, speeding recovery and improving function. Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water. The water provides buoyancy and hydrostatic […]

Eccentric Exercise: An Integral Muscle Contraction Type Used in Physical Therapy

By Dr. John R. Mishock, PT, DPT, DC Physical therapists are doctorate level trained health care providers who are experts in exercise, function movement, and performance. In practice, physical therapists use three main muscle contraction types (concentric, eccentric, and isometric) to improve a patient’s quality of movement. In the last article I reviewed isometric muscle […]

Isometric Exercise: An Integral Muscle Contraction Type Used in Physical Therapy

By Dr. John R. Mishock, PT, DPT, DC Physical therapists are doctorate level trained health care providers who are experts in exercise, function movement, and performance. In practice, physical therapists use a three main muscle contraction types (concentric, eccentric, and isometric) to improve a patient’s quality of movement. Today, we will focus on the isometric […]

Tommy John Elbow Ligament Injuries in Football Quarterbacks: Why are there significantly fewer injuries than in baseball pitchers?

By John R. Mishock, PT, DPT, DC Recently Ben Roethlisberger, quarterback for the Pittsburgh Steelers, sustained an ulnar collateral ligament tear and subsequent surgery, ending his football season. Elbow injuries in football players are uncommon with 92% of the injuries being traumatic (contusions and dislocations), (Ortho J Sports Med 2019). Ulnar collateral ligament injuries in […]

Vibratory Therapy: A Manual Therapy Technique Used in Physical Therapy Treatment to Decrease Pain and Improve Function

by Dr. John R. Mishock, PT, DPT, DC Mishock Physical Therapy & Associates uses a wide variety of manual therapy techniques (myofascial release, joint mobilization/manipulation, Active Release Technique, trigger point therapy, acupressure, proprioceptive neuromuscular facilitation, cupping, Maitland, Mulligan, Cox Flexion Distraction, chiropractic, and others), to help relieve pain, enhance soft tissue healing and improve patient […]

Knee ACL and Lower Extremity Injuries: Can we prevent them in our young athletes? Part II

By Dr. John R. Mishock, PT, DPT, DC In my last article, (Knee ACL and Lower Extremity Injuries: Can we prevent them in our youth athletes? Part I) http://mishock.wpengine.com/knee-acl-and-lower-extremity-injurys-can-we-prevent-them-in-our-young-athletes-part-i/we determined that lower extremity injuries make up 66% of all sports injuries, with the knee being the most commonly injured joint.(Med Sci Sports Exerc. 2002) These […]

Knee ACL and Lower Extremity Injuries: Can we prevent them in our young athletes? Part I

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 […]

Hydration during Exercise and Competition: Improving Sports Performance and Reducing the Potential for Serious Illness or Death

By John R. Mishock, PT, DPT, DC, Owner, Mishock Physical Therapy & Associates Each year there are numerous deaths of youth and adolescent athletes connected to dehydration related illness, while playing sports, especially pre-season football camps. There was a time when drinking water during practices and games was seen by coaches as a weakness or […]

WHY EVERYONE SHOULD SEE A PHYSICAL THERAPIST

By Ann R. Miller PT, DPT, ATC, CKTP Clinical Director, Pottstown Contrary to what most people believe, physical therapy is not just for rehabilitation. Physical therapists are the experts at evaluating the human movement system and helping to maintain good health. As we go through life our bodies change and sometimes we develop aches, pains, […]

“Bio-banding” of Young Athletes: A way to keep kids playing sports and reduce injury

By Dr. John R. Mishock In the United States, it is estimated that 60 million children and adolescents (ages 5-14 years) play organized sports each year at a cost of over $7 billion dollars, and growing. (Minnesota Amateur Sports Commission). Unfortunately approximately 70% if these kids stop playing sports by age 13. (Journal of Physical […]

Seeing a Physical Therapist First through Direct Access Improves Outcomes and Saves Money

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) […]

PHYSICAL THERAPY CAN HELP HEADACHES

By Ann R. Miller, PT, DPT, ATC, CKTP Clinical Director, Stowe (Pottstown) Headache pain is the third most common pain complaint worldwide. Some people suffer from the occasional headache, but others suffer from daily, chronic headaches which can be disabling, interfere with one’s ability to work and result in decreased quality of life. Headaches are […]

Growth-Plate Injuries of the Shoulder and Elbow in Baseball Players

By Dr. John R. Mishock Growth-plate injuries of the shoulder and elbow are common injuries in youth and adolescent baseball players. The growth-plate (epiphyseal plate or physis) is an area of cartilage at the end of a bone that is responsible for the bones growth. The growth plates close at the completion of bone growth […]

Baseball pitcher throwing mechanics: Can this help to reduce the near “Epidemic” of Tommy John Elbow Injuries in Baseball Players?

By John R. Mishock, PT, DPT, DC The baseball pitcher is 36 times more likely to developing a shoulder or elbow injury if they throw while the arm or body is tired and fatigued. (American Sports Medicine Institute). We know that limiting pitches thrown per game, per week and per year can reduce the risk […]

Baseball Pitcher Fatigue: Learning to Recognize the Critical Signs!

John R. Mishock, PT, DPT, DC Most youth baseball leagues now have pitch count guidelines to help reduce shoulder and elbow overuse injuries. Limiting the amount of pitches thrown has reduced shoulder and elbow injuries in Little League Baseball by as much as 50% (Little League, 2011, 2013). However, pitch limits are not the whole […]

Baseball throwing injuries: Are We Putting Our Kids at Risk?

By Dr. John R. Mishock, PT, DPT, DC Approximately, 2.2 million children between the ages of 4 and 16 will begin participating in organized baseball this season throughout the country. Many of these young athletes who participate in baseball may develop a painful condition of the elbow and/or shoulder. Youth baseball throwing injuries continue to […]

Baseball Interval Throwing Program: Start your Pre-Season throwing Program to Prevent Shoulder and Elbow Injuries.

By John R. Mishock, PT, DPT, DC Approximately, 3-4 million children and adolescence between the ages of 4 and 17 participate in organized baseball throughout the country. Unfortunately, many of these young athletes will develop elbow and or shoulder pain and be seen in physical therapy clinics and orthopedic surgeon’s offices this year. Little leaguers […]

Guidelines to Prevent Shoulder and Elbow Injuries in Youth and Adolescent Baseball Players

Approximately, 3-4 million children and adolescence between the ages of 4 and 17 participate in organized baseball throughout the country. Many of these young athletes develop elbow and/or shoulder pain commonly seen in physical therapy clinics and orthopedic surgeon’s offices throughout the country. Major League Baseball and USA Baseball have teamed up to educate and […]

What is Cupping?

By Monica Hallman, PTA, Clinical Director of Barto, and Lisa Fogelman, DPT, Clinical Director of Skippack Cupping is based on traditional, century-old, Asian medicine that allows one to grip and elevate skin and fascia with use of suction cups, a type of instrument assisted soft tissue mobilization. This allows for the release of scar tissue/fascial […]

Physical Therapy for the Treatment of Osteoporosis

By Ann R. Miller, PT, DPT, ATC, CKTP Clinical Director, Stowe Osteoporosis is the leading cause of fractures in the elderly. It is a disease which causes diminished bone mass and leads to a decrease in bone quality which results in increased risk for bone fractures. Fractures can lead to functional disability, chronic pain, and […]

Recognizing a Concussion: Signs and Symptoms

By Dr. John R. Mishock, PT, DPT, DC There are more than 4 million concussions during competitive sports with up to 50% going unreported or undiagnosed. A concussion is a traumatic brain injury caused by bump, blow, or jolt to the head. It also can be caused by quick movements of the head back and […]

8 Signs That You May Need Physical Therapy now!

By: Dr. John R. Mishock, PT, DPT, DC Do you need physical therapy? There’s no reason to guess when you have musculoskeletal pain, limited mobility, and altered function that is leading to poor quality of life. Physical therapy may be right for you. Keep in mind that physical therapists are highly trained with doctorate level […]

MANUAL THERAPY AND EXERCISE: The Best Treatment Option for Neck Pain Following Whiplash

By. Dr. John R. Mishock, PT, DPT, DC; Mishock Physical Therapy & Associates Each year, two million Americans suffer from whiplash associated disorders (WAD) secondary to motor vehicle accidents. Studies using high-speed cameras and sophisticated crash dummies have determined that rear impact car accidents cause the lower cervical vertebrae (lower bones in the neck) to […]

Snow Shoveling Injuries: Now is the Time to Think Prevention

By John R. Mishock, PT, DPT, DC Owner, Mishock Physical Therapy & Associates For many of us, we can only hope for a mild winter without snow. Invariably the snow will fall and the responsibility of snow removal will occur. With snow removal many individuals will sustain injury. On average, 11,500 people are treated at […]

Physical Therapy Helps Diabetic Patients Reduce Medication, and Improve Quality of Life

By John R. Mishock, PT, DPT, DC Approximately 30.3 million Americans, or 9.4% of the population have diabetes mellitus. Twenty five percent of all Americans age 65 and older have diabetes. Even young people are affected by diabetes, with 193,000 Americans under the age of 20 having the disease. The cost to manage and treat […]

Seeing a Physical Therapist First, through Direct Access* Improves Outcomes and Saves Money.

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 help patients get needed treatment faster. (Physical Therapy, 2017) With […]

Aquatic Therapy: An Alternative to Pain Medication

By John R. Mishock, PT, DPT, DC; Owner of Mishock Physical Therapy & Associates Aquatic therapy is quickly becoming well known for its amazing effects on decreasing pain, speeding recovery and improving function. Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water. The water provides buoyancy and hydrostatic […]

Text Neck Syndrome: “A real pain in the neck!”

By: Dr. John R. Mishock Mishock Physical Therapy & Associates The advent of smartphones and other similar devices led to a new musculoskeletal repetitive stress injury called text neck syndrome. The syndrome occurs with excessive watching or texting on handheld devices over a sustained period of time. Recent research has shown that approximately 87% of […]

Plantar Fasciitis: Will Physical Therapy Help My Foot Pain?

By John R. Mishock, PT, DPT, DC Approximately 10% of the US population lives with foot pain. Plantar fasciitis is the most common cause of foot and heel pain. The plantar fascia is a flat band of tissue (ligament) that connects the heel bone to the toes providing support to the arch of the foot. […]

Understanding Bell’s Palsy

By Monica Hallman, PTA, CKTP, LSVT BIG certified Clinical Director, Barto Bell’s palsy is a condition that affects the nerves and muscles of the face causing the affected side to sag or droop. This is similar to the weakness of the facial muscles of a CVA or stroke. Most Bell’s palsy patients initially believe that […]

Is Stretching Important for Exercise and Sports?

By Dr. John R. Mishock Stretching has been performed as a warm up and recovery modality in exercise and sports for many decades, if not centuries. The current body of research demonstrates that stretching can have several beneficial effects if used appropriately. What is Stretching? Stretching has been defined as: “the application of force to musculotendinous […]

Recognizing a Concussion: Signs and Symptoms

By John R. Mishock, PT, DPT, DC There are more than 4 million concussions during competitive sports with up to 50% going unreported or undiagnosed. A concussion is a traumatic brain injury caused by bump, blow, or jolt to the head. It also can be caused by quick movements of the head back and forth. In […]

Early Referral to Physical Therapy for Low Back Pain Reduces Cost, and Improves Outcomes

By John R. Mishock, PT, DPT, DC Low back pain (LBP) is a common and costly medical condition associated with significant physical pain, impaired function, and loss of productivity. LBP is the leading cause of disability in the US exceeding $100 billion per year in treatment, reduced productivity and lost wages. Approximately, 70 million adults […]

The Importance of Physical Therapy for Seniors

By Ann R. Miller, PT, DPT, ATC, CSCS – Clinical Director of Mishock Physical Therapy in Stowe One in four Americans who are currently over the age of 65 will live to be at least 90 years of age. Throughout the aging process our bodies change. Loss of flexibility, strength, endurance and balance as well […]

2018 Guidelines for Medicare Physical Therapy Patients

By Dr. John R. Mishock What is the Medicare Physical Therapy Cap? In 1997, as part of the Balanced Budget Act, a $1,500.00 cap ($2010.00 for 2018) on outpatient physical therapy and occupational therapy services was imposed. Meaning the maximum paid by Medicare for therapy services would be $1,500.00. Each year after this, congress would […]

“Bio-banding” of Young Athletes: A way to keep kids playing sports and reduce injury

By Dr. John R. Mishock In the United States, it is estimated that 60 million children and adolescents (ages 5-14 years) play organized sports each year at a cost of over $7 billion dollars, and growing. (Minnesota Amateur Sports Commission). Unfortunately approximately 70% if these kids stop playing sports by age 13. (Journal of Physical […]

Experiencing Low Back Pain? You Don’t Need a Prescription for Physical Therapy to Experience Relief!

By: Ann R. Miller, PT, DPT, ATC, CSCS, Clinical Director of Stowe Clinic Almost everyone has had an episode of low back pain at some point in their lifetime, whether it was brought on by lifting a heavy item, gardening all afternoon, shoveling snow, sitting for long periods of time without proper back support, or […]

Low back pain does not mean giving up Golf.

By Sally A. Caldwell, DPT, Clinical Director of Phoenixville clinic Golf has become a very popular sport for people of all ages, but with any sport, injuries can occur, especially to the back, causing low back pain. And for those who have chronic, long standing back pain, this can hinder and limit their ability to […]

Baseball pitcher throwing mechanics: Can this help to reduce the near “Epidemic” of Tommy John Elbow Injuries in Baseball Players?

By John R. Mishock, PT, DPT, DC The baseball pitcher is 36 times more likely to developing a shoulder or elbow injury if they throw while the arm or body is tired and fatigued. (American Sports Medicine Institute). We know that limiting pitches thrown per game, per week and per year can reduce the risk […]

Baseball Pitcher Fatigue: Learning to Recognize the Critical Signs!

John R. Mishock, PT, DPT, DC Most youth baseball leagues now have pitch count guidelines to help reduce shoulder and elbow overuse injuries. Limiting the amount of pitches thrown has reduced shoulder and elbow injuries in Little League Baseball by as much as 50% (Little League, 2011, 2013). However, pitch limits are not the whole […]

Baseball throwing injuries: Are We Putting Our Kids at Risk?

By Dr. John R. Mishock, PT, DPT, DC Approximately, 2.2 million children between the ages of 4 and 16 will begin participating in organized baseball this season throughout the country. Many of these young athletes who participate in baseball may develop a painful condition of the elbow and/or shoulder. Youth baseball throwing injuries continue to […]

Concussion and Brain Injury: Are we putting our youth football players at risk?

By John R. Mishock, PT, DPT, DC   Approximately 3,500,000 young athletes (7-18 years-of-age) play organized tackle football in the United States. Recently there has been much scrutiny placed on youth tackle football due to the recent research on the potential long term effects of repeated head contacts leading to the development of Chronic Traumatic Encephalopathy […]

Frozen Shoulder: What You Need to Know

By Sally A. Caldwell, DPT Clinical Director of Mishock Physical Therapy, Phoenixville Frozen shoulder, medically referred to as adhesive capsulitis, is a common disorder in which the connective tissue surrounding the shoulder joint becomes inflamed and stiff, greatly restricting motion and causing chronic pain. The condition is much more common in women than in men. […]

Snow Shoveling Injuries: Now is the Time to Think Prevention

By John R. Mishock, PT, DPT, DC Mishock Physical Therapy & Associates For many of us, we can only hope for a mild winter without snow. Invariably the snow will fall and the responsibility of snow removal will occur. With snow removal many individuals will sustain injury. On average, 11,500 people are treated at the […]

Benefits of Kinesio Taping

Monica Hallman, PTA, CKTP, Clinical Director, Barto   Article by Lisa Fogelman, DPT, CKTP, & Missy Bennett, Athletic Trainer Kinesio Taping came to notoriety shortly after the 2008 Olympics where numerous athletes were photographed wearing the colored tapes. The Kinesio Taping concept was developed by Dr. Kenzo Kase, DC, in 1973 in Japan and was […]

Plantar Fasciitis: Will Physical Therapy Help My Foot Pain?

By John R. Mishock, PT, DPT, DC Approximately 10% of the US population lives with foot pain. Plantar fasciitis is the most common cause of foot and heel pain. The plantar fascia is a flat band of tissue (ligament) that connects the heel bone to the toes providing support to the arch of the foot. […]

Graston Technique: A Physical Therapy Treatment Technique to Decrease Pain and Improve Function

Dr. John R. Mishock, PT, DPT, DC Graston Technique or Instrument assisted soft tissue mobilization (IASTM) a technique provided by Mishock Physical Therapy & Associates to help relieve pain, enhance soft tissue healing and improve patient function. Following over-use or traumatic injury of soft tissues (muscle, tendon, and ligament) our body attempts to repair the […]

Physical Therapy and the Shoulder Joint Replacement: Returning to the highest level of function

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 the surgical procedure and rehabilitation allowing it to enjoy a success rate […]

There is Hope for patients who suffer with Parkinson’s Disease, Stroke, Brain Injury, and Other Movement Disorders

Mishock Physical Therapy & Associates now offers LSVT BIG, a research based program for those patients who suffer with Parkinson’s disease, stroke, brain injury, and other movement disorders. LSVT BIG is a standardized exercise program which has documented improved ratings on tests of motor functioning in people with Parkinson’s disease, are available in our clinics […]

Common Running Injuries treated in Physical Therapy

By Dr. John R. Mishock, PT, DPT, DC Running is one of the most popular and accessible sport activities worldwide. In the US, more than 40,000,000 people run. (Sports med, 2015) Running provides excellent health benefits, however, injuries due to running can arise with even a few miles per week can. Running injuries occur in […]

Physical Therapy and Exercise, a Treatment for Knee Osteoarthritis

By John R. Mishock, PT, DPT, DC; Owner of Mishock Physical Therapy & Associates Osteoarthritis (OA) is a common disease of aging frequently treated in physical therapy. Osteoarthritis of the knee joint occurs when the cartilage that separates the thigh and leg bone wears out or breaks down. Twenty five percent of people over 55 […]

Knee Osteoarthritis: Does weight loss help?

By John R. Mishock, PT, DPT, DC; Owner of Mishock Physical Therapy & Associates Osteoarthritis (OA) is a common disease of aging frequently treated in physical therapy. Osteoarthritis of the knee joint occurs when the cartilage that separates the thigh and leg bone wears out or breaks down. Twenty five percent of people over 55 […]

Aquatic Therapy: An Alternative to Pain Medication

By John R. Mishock, PT, DPT, DC; Owner of Mishock Physical Therapy & Associates Aquatic therapy is quickly becoming well known for its amazing effects on decreasing pain, speeding recovery and improving function. Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water. The water provides buoyancy and hydrostatic […]

Recognizing a Concussion: Signs and Symptoms

By John R. Mishock, PT, DPT, DC There are more than 4 million concussions during competitive with up to 50% going unreported or undiagnosed. A concussion is a traumatic brain injury caused by bump, blow, or jolt to the head. It also can be caused by quick movements of the head back and forth. In […]

Are current pitching guidelines in Little League Baseball helping to reduce shoulder and elbow injury?

By John R. Mishock, PT, DPT, DC Injury to the arms of youth baseball players is reaching near epidemic proportions. In a survey of youth baseball players, 74% reported having arm pain while throwing during a typical season. (Am. J. Sports Med. 2015). One study showed that pitchers with injuries to the shoulder and elbow […]

Concussion Myths for the Youth Athlete

Approximately 4 million concussions occur in the USA per year during competitive sports and recreational activities. Unfortunately, up to 50% of the concussions may go unreported or undiagnosed. A concussion is defined as a traumatically induced transient disturbance of brain function due to head contact or rapid head acceleration and deceleration. Concussion is a subset […]

Time for Summer Athletes to be Mindful of Their Knees

As the summer heat starts up more people are lacing up their sneakers, grabbing their I-pods, and hitting the road. Running and power walking outside are very popular forms of exercise and while they both have excellent health benefits, physical problems can still arise. Even running less than five miles a week can cause a […]

Why Does Low Back Pain Recur? New Research Findings and Treatment Considerations

Evidence suggests approximately 34 percent of people who experience acute low back pain will suffer recurrent episodes (Journal Pain, 2009). One theory is that patients with an episode of acute low back pain lose motor control (ability to orderly and quickly contract muscles) of the deep muscle fibers of the lumbar spine. A recent research […]

“Pre-habilitation”: Preparing for the Total Hip or Total Knee Replacement

Total knee and total hip replacements (or arthroplasties) are becoming a more common treatment for advanced knee and hip osteoarthritis as the front end of the baby boomer population reaches age 65 this year. This year alone there will be over 676,000 total knee replacements and 327, 000 total hip replacements. “Pre-habilitation” refers to physical […]

Neck Pain: What is the Right Combination for Pain Relief?

Physical Therapy Question I developed neck pain about three months ago. There was no trauma or accident. The pain developed over time and now I have difficulty moving my neck without pain. I noticed that I am getting more frequent headaches. I have tried muscle relaxers; however, it is not helping. What else can be […]

Frozen Shoulder: What Women Need to Know

Frozen shoulder, medically referred to as adhesive capsulitis, is a common disorder in which the connective tissue surrounding the shoulder joint becomes inflamed and stiff, greatly restricting motion and causing chronic pain. The condition is much more common in women than in men. In fact according to the National Institute of Arthritis and Musculoskeletal and […]

Shoulder Pain Treatment Video

Dr. John Mishock demonstrates Active Release & Fascial Manipulation to treat Shoulder Pain

Neck Pain Treatment Video

Dr. John Mishock demonstrates Active Release & Fascial Manipulation on patient with Neck Pain.

Plantar Fasciitis and Tendonitis Treatment Video

Dr. John Mishock Demonstrates Fascial Manipulation on Patient with Plantar Fasciitis & Tendonitis.

Sacroiliac Joint Pain

Dr. John Mishock demonstrates treatment for sacroiliac joint manipulation

Low Back Pain and Golf

Chances are you’ve experienced it before… a dull ache, a sharp pain, or a burning sensation in your lower back. In some cases this pain will radiate down the back of the thigh into the calf. If you haven’t yet experienced this you likely will at some point in your life. According to a number […]

Low Back Pain Stretching Tips Video

Dr. John Mishock demonstrates how to stretch properly for low back pain using a foam roller. Low Back Pain Stretching Tips

Low Back Pain: What’s the Cause?

Approximately 75 to 85 percent of adults will be affected by low back pain (LBP) during their lifetime. Americans spend at least $50 billion each year on low back pain, the most common cause of job-related disability and a leading contributor to missed work. Because of this LBP epidemic, it is important to know the […]

Low Back Pain: What Exercises Truly Work

Evidence suggests approximately 35 percent of people who experience acute low back pain will suffer a recurrent episode within one year (Journal Pain 2009). One theory is that the acute low back pain episode causes a loss of motor control (ability to orderly and quickly contract muscles) of the deep muscles fibers of the lumbar […]

Low Back Pain: Spinal Manipulation a Treatment Option

Spinal manipulation is a hands on treatment performed by health care providers (chiropractors, osteopathic physicians, naturopathic physicians, physical therapists, and some medical doctors) in which a specific controlled force is applied to body tissues with therapeutic intent. The purpose of manipulation is to restore joint mobility by manually applying a controlled force to spinal joints […]

Beginner Stabilization Exercises

Try these beginner lumbar spine stabilization exercises to increase strength of your core musculature and help decrease lower back pain. This is not a substitute for seeing your physical therapist. A comprehensive exam may be necessary to determine the cause and appropriate treatment for your low back pain.

Physical Therapy as an Alternative for Opioid Use

An estimated 25-40 million adults experience pain daily (NIH, 2015). Pain is an unpleasant sensation that can range from mild, localized discomfort to agony caused by disease, injury, or something that hurts the body. (Merrian-Webster, 2016) In order to combat pain many Americans resort to opioids to manage their symptoms. Opioids, such as oxycodones (OxyContin […]

Physical Therapy a Treatment for Knee Osteoarthritis

Osteoarthritis (OA) is a common disease of aging frequently treated in physical therapy. Osteoarthritis of the knee joint occurs when the cartilage that separates the thigh and leg bone wears out or breaks down. Twenty five percent of people over 55 years demonstrate persistent episode of knee pain related to OA. In the United States, […]

Can ACL Knee Injuries be Prevented in Female Athletes

Anterior Cruciate Ligament (ACL) knee injuries occur 4-6 times more frequent in female athletes than in male athletes playing the same sports. It is believed that the difference in neuromuscular control, or the way our muscles contract and react, is one of four primary factors contributing to why women are more susceptible to knee injuries […]

Anterior Cruciate Ligament (ACL) and Lower Extremity Injury Prevention Routine

Warming up and cooling down are a critical parts of training for enhanced performance and injury prevention. The proper warm-up; enhances circulation, increases heart rate and ramps up the nervous system in preparation for physical activity. Beyond the preparation for activity, the proper warm-up may even prevent knee ACL ligament and other lower extremity injuries. […]

Do You Need Orthotics to Reduce Your Pain?

Foot care is one of the fastest growing, yet most neglected, areas of healthcare today. Abnormal foot function can lead to ankle, leg, knee, hip and even lower back problems. Orthotic therapy (custom inserts worn in shoes) is in the midst of major technological advancement. Metascan™, a computerized gait and pressure analysis system from Footmaxx […]

Preventing Falls through Physical Therapy Care

The numbers aren’t good. According to the CDC,1 in every 3 adults 65 and older fall each year in the United States. Not only does the individual’s eyesight go, but balance along with it. As your vision declines it is common place to have increased likelihood or balance problems that can lead to falls. Fear […]

Concussion Myths for the Youth Athletes

Approximately 4 million concussions occur in the USA per year during competitive sports and recreational activities. Unfortunately, up to 50% of the concussions may go unreported or undiagnosed. A concussion is defined as a traumatically induced transient disturbance of brain function due to head contact or rapid head acceleration and deceleration. Concussion is a subset […]

Physical Therapists Role in Concussion Care

The Centers for Disease Control and Prevention estimates that as many as 3.8 million sports- and recreation-related concussions occur each year. However, people who have physically demanding jobs or who engage in organized activity are at risk for concussion as well. Concussion is a brain injury that occurs when the brain is shaken inside the […]

Long Term Athletic Development: Is There a Better Way to Approach Youth Athletic Development? Part 3

Long Term Athletic Development (LTAD) is a model created by Dr. Istvan Balyi to guide the athletic development process from pre-puberty through retirement. The LATD model helps to teach proper physical literacy and improvement of athleticism through proper skill movements learned in a sequential and progressive program design. These components will help an athlete become […]

Long Term Athletic Development: Is There a Problem with Early Specialization in Sports? Part 2

Research by numerous national governing bodies including, the United States Olympic Committee, and many others has proven that early specialization in sports actually prevents an athlete from reaching their full potential. The lack of development of physical literacy (ability to move with competence and confidence in a wide variety of physical activities) and proper athletic […]

Long Term Athletic Development: Are We Coaching our Kids Correctly? Part 1

Long Term Athletic Development (LTAD) is a model created by Dr. Istvan Balyi to guide the athletic development process from pre-puberty through retirement. The LTAD approach emphasizes age-appropriate skill acquisition based on one’s development physiologically, cognitively and socially to maximize the athlete’s potential. This model focuses on building an athlete first and then moving to […]

Reduce Overuse Injury and Minimize Burn Out in Youth and Adolescent Athletes: Part 2

Overuse injury occurs due to submaximal repetitive loading of the body (muscle-tendon unit, ligaments, joints, bone, bursa, growth plate) when rest is not adequate to allow for those structures to adapt and recover. This incomplete recovery leads to poor athletic performance, reduced physical development, overuse injuries and burn out. Thus, competition and training errors are […]

Reduce Overuse Injury and Minimize Burn Out in Youth and Adolescent Athletes: Part 1

It is estimated that 60 million children and adolescence aged 6 to 18 years participate in team sports, with 44 million participating in more than 1 sport (The National Council of Youth Sports). Of those 60 million athletes approximately 45% to 54% will develop some type of overuse injury (Clin J Sport Med, 2014). An […]

Common Running Injuries Treated in Physical Therapy

As the weather starts to heat up more people are lacing up their sneakers, grabbing their I-pods, and hitting the road. Running and power walking outside are very popular forms of exercise and while they both have excellent health benefits, physical problems can still arise. Even running or walking a few miles per week can […]

Plantar Fasciitis: Will Physical Therapy Help My Foot Pain?

Approximately 10% of the US population lives with foot pain. Plantar fasciitis is the most common cause of foot and heel pain. The plantar fascia is a flat band of tissue (ligament) that connects the heel bone to the toes providing support to the arch of the foot. Plantar fasciitis presents with a deep ache […]

Manual Therapy and Exercise the Best Treatment Option for Neck Pain following Whiplash

Each year, two million Americans suffer from whiplash associated disorders (WAD) secondary to motor vehicle accidents. Studies using high-speed cameras and sophisticated crash dummies have determined that rear impact car accidents cause the lower cervical vertebrae (lower bones in the neck) to be forced into a position of hyperextension (movement of the vertebrae backward) while […]

When does the risk for ACL injury occur in young female athletes?

Anterior Cruciate Ligament (ACL) knee injuries, in twisting and cutting sports, has become well recognized and documented in the medical literature and in physical clinics throughout the country. ACL injuries are 4-6 times more frequent in female athletes than in male athletes playing the same sports. The ACL ligament is one of four ligaments that […]

Ankle Sprains: Improved Outcomes through Physical Therapy and Bracing

Ankle injuries are common in running and jumping sports, with ankle sprains being the most common orthopedic injury in basketball players. In a study of NCAA Division 1 athletes, it was determined that 27% of all musculoskeletal injuries occur in the ankle. Many of these ankle injuries result in considerable missed time from sports and […]

Aquatic Therapy: Faster Recovery for Total Knee Replacements

Aquatic therapy is quickly becoming well known for its amazing effects on decreasing pain, speeding recovery and improving function. Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water. New research shows that starting aquatic therapy sooner makes a difference for total knee replacements. A recent German study, involved […]

Aquatic Therapy: Faster Recovery for Total Hip Replacements

There are 120,000 hip replacement surgeries done each year in the United States (NIH). The fastest way to recover from hip replacement surgery is to begin the rehabilitation process as soon as possible. Often, pain levels and healing time impact the ability to start physical therapy. However, aquatic therapy can be the first integral step […]

Aquatic Therapy: An Alternative to Pain Medication

Aquatic therapy is quickly becoming well known for its amazing effects on decreasing pain, speeding recovery and improving function. Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water. The water provides buoyancy and hydrostatic pressure. The buoyancy of the water decreases weight bearing by up to 90% when […]

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