Early Referral to Physical Therapy for Low Back Pain Reduces Cost, and Improves Outcomes By Dr. John 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 [...]
Physical Therapy: Exercise Therapy and Manual Therapy the Treatment of Choice for Osteoarthritis 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 [...]
Baseball Pitching: What Causes a Baseball Pitcher to Throw Hard? By Dr. John Mishock, PT, DPT, DC In baseball, it is often said that the pitcher has a strong arm. However, this phrase is a misnomer. Research clearly shows that the arm musculature (hand, forearm, and arm) contributes only about 20-25% of throwing velocity. (Gretchen […]
Knee ACL injuries: Can we prevent them in our athletes? Part 1 By Dr. John Mishock, PT, DPT, DC Knee injuries account for up to 40% of all sports injuries, commonly occurring in soccer, basketball, lacrosse, skiing, football, and gymnastics (Nessier et al. 2017). Knee injuries are the most common cause of surgery in [...]
Baseball and Softball Arm Injuries: How do I return to throwing? By Dr. John Mishock, PT, DPT, DC The success of the baseball pitcher requires not only high-level ability but also durability and prevention of injury. The baseball throwing motion has been described as one of the most violent and stressful motions in all [...]
Throwing Program Guideline: Return from Injury By Dr. John Mishock, PT, DPT, DC 1. Proper warm-up is essential. Perform the dynamic warm-up prior to throwing. 2. Perform 5 throws and holds prior to each set of throws. 3. After each set of throws, rest 3- 5 min. Perform shoulder stretches [...]
Early Referral to Physical Therapy for Low Back Pain Reduces Cost, and Improves Outcomes By Dr. John 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 [...]
Baseball Arm Throwing Injuries: A possible solution? By Dr. John Mishock, PT, DPT, DC Overuse injuries in the shoulder and elbow are the most common problems in baseball players. Injuries of the shoulder account for 14-21%, whereas the elbow account for 16%-22% of all baseball-related injuries. (Agresta et al. Orthop J Sports Med, 2019, [...]
Throwing Program Guideline: Return from injury By Dr. John Mishock, PT, DPT, DC Dynamic warm-up: Perform the dynamic warm-up prior to throwing. Throw and holds: Hold the baseball and go through the throwing motion without releasing the ball (10 times). Rest-recovery: After each set of throws, rest 60-90 sec. (Perform [...]
Baseball Sports Performance and Injury Prevention: Interval Throwing Programing Following Arm Injury By Dr. John Mishock, PT, DPT, DC The baseball throwing motion has been described as one of the most violent and stressful motions in all sports. The arm experiences velocities greater than 9000 deg/s and distraction forces (arm bone pulling away from [...]