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, […]
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 […]
By Dr. John R. Mishock, PT, DPT, DC When watching professional athletes play their sport, we marvel at how they effortlessly hit a baseball over 400 feet, throw a baseball a 100 mph, jump over 40 inches to dunk a basketball, and run sub 4.2 sec on the football field. Advancements in strength and conditioning […]
By Dr. John R. Mishock, PT, DPT, DC Lower extremity injuries make up 66% of all sports injuries, the knee being the most commonly injured joint. (Med Sci. Sports Exerc. 2002) The anterior cruciate ligament (ACL) is one of four ligaments in the knee that holds the thigh and leg bones together. The ACL ligament […]
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) […]
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 […]
By Dr. John R. Mishock Today’s elite-level basketball player needs high-level athleticism with elite-level skills in shooting, ball handling, and passing. When I was growing up, it was a common belief that lifting weights would make you too bulky and tight, negatively impacting your shooting form and accuracy. Some basketball coaches and trainers still hold […]
By. Dr. John R. Mishock, PT, DPT, DC Each year, two million Americans suffer from whiplash-associated disorders (WAD) secondary to motor vehicle accidents. Studies using high-speed cameras and sophisticated crash dummies have determined that rear-impact car accidents cause the lower cervical vertebrae (lower bones in the neck) to be forced into a position of hyperextension […]
By Dr. John R. 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, Posner et al. Am J Sorts Med, […]
By Dr. John R. Mishock, PT, DPT, DC In sports, most high-level athletes (70-90%) and elite sports coaches (94%) report using motor imagery (mental or kinesthetic imagery) to enhance sports performance. (Ridderinkhof et al. J Physiol, 2015) There have been over 122 studies demonstrating the effectiveness of motor imagery in basketball, baseball, soccer, volleyball, […]
