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 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 To run fast or jump high, you must have explosive push off of the “triple extenders” of the ankle (plantar flexion), knee (extension), and hip (extension). The muscles that make up the “triple extenders” are the; gluteus maximus at the hip, the hamstrings (biceps femoris, semimembranosus, semitendinosus, […]
By Dr. John R. Mishock Physical therapists use various treatment techniques to help their patients improve pain, enhance function, and optimize the individual’s quality of life. Physical therapists are highly trained in helping their clients acquire and optimize functional movement skills. Whether it is to learn to walk or perform the highest level sports performance […]
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 […]
By Dr. John R. Mishock, PT, DPT, DC In part I and II of the “Proper Training of the Brain is the Key to Developing Skill in Sports” we learned how the brain and nervous system learn and perfect movement. The underlying physiology of learning is a critical to how a coach or trainer should […]
The saying goes, “practice makes perfect.” However, in the world of physical therapy and motor learning it is, “perfect practice makes perfect and permanent.” Perfect rehearsal, over time, allows the athlete to transfer the movement to competition at game speed. For example, in basketball, great shooters have mastered the movement pattern that allow them to […]
