Before the MRI, Injection, or Surgery: What Physical Therapy Can Do? By Dr. John Mishock, PT, DPT, DC When pain shows up, many people immediately wonder if they need an MRI, an injection, medication, or even surgery. That reaction is understandable. Pain can be frustrating, scary, and disruptive. It can affect how you sleep, […]
By Dr. John R. Mishock, PT, DPT, DC Shoulder replacement surgeries have dramatically increased in number over the past few decades. There are nearly 53,000 shoulder replacement surgeries performed in the United States annually. Over the years there have been dramatic advances in this surgical procedure and rehabilitation allowing it to enjoy a success rate […]
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 Shoulder replacement surgeries have dramatically increased in number over the past few decades. There are nearly 53,000 shoulder replacement surgeries performed in the United States annually. Over the years there have been dramatic advances in surgical procedure and rehabilitation, allowing a success rate as high as 92% […]
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 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 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 […]
