By Dr. John Mishock, PT, DPT, DC Approximately 30.3 million Americans, or 9.4% of the population, have Diabetes. Globally, diabetes prevalence has climbed from 108 million in 1980 to 425 million in 2017, with 640 million expected by 2040. (Uusitupa et al. Nutrients, 2019) From 1990-2019, the incidence of type 2 diabetes among people from […]
By Dr. John R. Mishock, PT, DPT, DC Golf is a popular sport in the US, with over 32 million participants annually (National Golf Foundation, 2020). The most critical determinant of golf performance is the resulting combination of ball accuracy and driving distance. A significant amount of skill and deliberate practice is needed to hit […]
By Dr. John R. Mishock, PT, DPT, DC The elite NBA shooter can make 90% of free throws, 50% from the field, and 40% of their three-point shots. Nine players in NBA history have accomplished this sharp shooting feat of efficiency and consistency in a season. Steve Nash (Phoenix Suns) has done this four times, […]
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 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) […]
