Category Archives: Physical Therapist

Total Joint Replacement: Physical Therapy “More Than Just 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 […]

Sports Injury Prevention: What risk factors can we control?

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, […]

Injury Prevention: Can Monitoring and Managing Training Load Reduce Injury?

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 […]

Sports performance: Is there a benefit to muscle damage during resistance exercise?

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 […]

Try Physical Therapy First! – 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) […]

Sports performance: Is there a benefit to muscle damaged during resistance exercise?

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? When exercising, there is micro-damage or small amounts of physiological tissue change […]

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