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) […]
John R. Mishock, PT, DPT, DC With the baseball season is in full swing, the Major League Baseball injury rate is reaching an unprecedented level. The throwing injury rate is also increasing in college, high school, and youth level baseball players. Most coaches look at pitch count guidelines to help reduce throwing overuse injuries. Limiting […]
By Dr. John R. Mishock, PT, DPT, DC In my clinic, a 12-year-old boy and his parents present for a sports medicine consultation regarding his elbow pain. Following a 105 pitch outing, he felt significant sharp elbow pain. He stated the pain started about an inning before, but he was encouraged by his coach and […]
By Dr. John R. Mishock, PT, DPT, DC Osteoarthritis (OA) is a common disease of aging responsible for chronic disability among older adults with approximately 70 million (20% of the population) being affected currently in the United States alone. The prevalence of OA increases with age, especially in individuals over age 50 (40% having OA). […]
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 […]
by John R. Mishock, PT, DPT, DC 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 […]
By Dr. John R. Mishock, PT, DPT, DC The baseball pitcher is 36 times more likely to develop a shoulder or elbow injury if they throw while the arm or body is tired and fatigued. (Am Sports Med Inst, 2017). We know that limiting pitches thrown per game, per week, and per year can reduce […]
By Dr. John R. Mishock, PT, DPT, DC, Owner, Mishock Physical Therapy & Associates The Mishock Winter Workout Baseball and Softball Training Program is a home exercise program that prepares the athlete for pre-season baseball. It also can be used as a warm-up or training station in a winter work-out program or as an in-season […]
By Dr. John R. Mishock Major League Baseball (MLB), injuries cause an estimated half-billion dollars in lost revenues annually. (MLB injury stats, 2019) Arm injuries account for > 50% of all MLB injuries, equating to 460,432 days on the MLB disabled list, with the numbers continuing to rise. (Conte S. Am J Ortho 2018) At […]
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 […]
