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) […]
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, 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 of OA increases with age, especially in individuals over age 50 (40% having OA). […]
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 Major League Baseball (MLB), injuries cause an estimated half-billion dollars in lost revenues annually. (MLB injury stats, 2019) Arm injuries account for > 50% of all MLB injuries, equating to 460,432 days on the MLB disabled list, with the numbers continuing to rise. (Conte S. Am J Ortho 2018) At […]
By Dr. John R. Mishock, PT, DPT, DC Approximately, 40 million children and adolescence between the ages of 4 and 17 will soon begin participation in organized baseball throughout the world. Many of these young athletes develop elbow and/or shoulder injuries commonly seen in physical therapy clinics and orthopedic surgeon’s offices. Despite pitch count rules […]
By Dr. John R. Mishock, PT, DPT, DC In parts I through III of the “Brain Training, The Key to Developing Sports Skill” we learned how the brain and nervous system function with the musculoskeletal system to create proper movement patterns that can enhance sports performance. In this article I will outline key concepts that […]
By Dr. John R. Mishock, PT, DPT, DC In part I of the “Brain Training, the Key to Developing Skill in Sports: Part I” we learned how critical the brain and perfect practice is to developing proper movement. In this article I will review the mechanisms of how the brain and nervous system learn through […]
