By Dr. John R. Mishock, PT, DPT, DC An acute ankle sprain is the most common lower limb injury accounting for up to 40% of all sports-related injuries. The highest incidence of injury occurs in basketball (41.1%), American football (9.3%), and soccer (7.9%). (Vuurberg et al. Br j Sports Med, 2018, (McKay et al Br […]
By Dr. John R. Mishock, PT, DPT, DC Building powerful explosive lean muscle can be a game-changer in optimizing sports performance and injury prevention. To optimize muscle growth and development specific training relative to sport is needed, however, exercise alone is not enough. Nutrition and more specifically protein are needed to attain optimal results. Why […]
By Dr. John R. Mishock, PT, DPT, DC The economic burden of treating orthopedic injuries is estimated at $9 billion annually for those 17-44 years of age. (Harlan et al. Am J Public Health 2020) Nutritional interventions are not commonly used as the standard of care in recovery from injury or orthopedic surgery. However, it […]
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 our last article, (Knee ACL and Lower Extremity Injuries: Can we prevent them in our youth athletes? Part I) we determined that lower extremity injuries make up 66% of all sports injuries, with the knee being the most commonly injured joint.(Med Sci Sports Exerc. 2002) These […]
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 […]
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 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 […]
