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 Golf is a popular sport in the US, with over 32 million participants annually (National Golf Foundation, 2020). The most critical determinant of golf performance is the resulting combination of ball accuracy and driving distance. A significant amount of skill and deliberate practice is needed to hit […]
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 […]
by Dr. John R. Mishock, PT, DPT, DC Mishock Physical Therapy & Associates uses a wide variety of manual therapy techniques (myofascial release, joint mobilization/manipulation, Active Release Technique, trigger point therapy, acupressure, proprioceptive neuromuscular facilitation, cupping, Maitland, Mulligan, Cox Flexion Distraction, chiropractic, and others), to help relieve pain, enhance soft tissue healing and improve patient […]
By John R. Mishock, PT, DPT, DC Approximately, 3-4 million children and adolescence between the ages of 4 and 17 participate in organized baseball throughout the country. Unfortunately, many of these young athletes will develop elbow and or shoulder pain and be seen in physical therapy clinics and orthopedic surgeon’s offices this year. Little leaguers […]
