Category Archives: Sports Injuries

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 […]

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 […]

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 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 […]

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