Tag Archives: Sports Medicine

concussion treatment

Concussion Treatment and What to Expect

concussion treatment

Concussion Treatment and What To Expect

Physical Therapy Appointment

  • Our goal is to alleviate all concussion-related symptoms so that you may return to a normal, symptom-free life.
  • Vestibular, oculomotor, cognitive, and cardiovascular exercises will be incorporated into your treatment. Some exercises will bring on symptoms, which is normal. By introducing symptoms in a controlled manner, we are retraining the brain to adapt to these demands.
  • To monitor your symptoms while you are here, imagine that when you come in you have a “gas tank” or work capacity of 100%. We would like to work until your brain is at 50%. The goal is to fatigue your brain to make it stronger, not to make it hurt.
  • In the first 24 hours after therapy, you may experience an increase in symptoms, fatigue, and emotional changes.
  • Routine activities such as work and school may bring on symptoms. you should work until symptoms appear, then rest until they are gone. Finding your limit and not going beyond it will contribute to your success.
  • Symptoms can be limited at home, school, and work by minimizing screen time, especially at night and learning when your body and brain need to rest.
  • Exercises will slowly increase in duration and intensity as your treatment progresses and your brain begins to heal.

This information about concussion treatment was written by Rehab Associates of Central Virginia, they are dedicated to working with one another as a team across their sub-specialty practices and their physician partners. For more information click here.

More PTandMe concussions articles can be found here:

 

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Physical Therapy Appointment

Types of injuries in sports: types of athletic injuries

3 Types of Athletic Injuries

Types of injuries in sports: types of athletic injuries

Did you know that most athletic injuries can be boiled down into three main categories?  Acute, Overuse, and Chronic.  Physical therapists that specialize in sports medicine, help athletes experiencing pain get back in their sport.  From the time of the injury through recovery and performance, the licensed physical therapists that partner with PTandMe have the know-how and experience to get rid of your pain.

Physical Therapy Appointment  physical therapy near me

1.) ACUTE: Usually a result of a single traumatic event within the last five days. Examples: fractures, sprains, dislocations, and muscle strains.

2.) OVERUSE: Subtle and occur over time, making them challenging to diagnose and treat. Examples: swimmer’s shoulder, runner/jumpers knee, Achilles tendonitis, shin splints.

3.) CHRONIC: Usually has lasted at least three months or more.

COMMON CAUSES OF INJURIES:

  • Improper training and technique
  • Incorrect equipment fitting and support
  • Anatomic or biomechanical issues of athlete
  • Catastrophic event on or off the field

football injury

OVERUSE INJURIES AND BURNOUT
Overuse/overtraining injuries and burnout are major problems for adolescent athletes. Both can occur when students participate in sports year-round with no “off-season”, or have insufficient recovery time between practices and games.

WATCH for typical burnout signs:

  • Pain during or after activity, or while at rest
  • Lack of enthusiasm for practices or games
  • Dip in grades

PREVENT overuse injuries and burnout with these simple tips:

  • Allow enough time for proper warm-up and cool-down routines
  • Rest 1-2 days per week or engage in another activity
  • Focus on strength, conditioning, or cross-training during the “off-season”

Did you know that 50% of all sports injuries to student-athletes are a result of overuse?

SPRAIN
Sprains result from overstretching or tearing of the joint capsule or ligament which attaches a bone to another bone.

STRAIN
Strains, also referred to as pulls, result from over-stretching or tearing a muscle or tendon, which attaches a muscle region to a bone.

CONTUSIONS
Contusions or bruises are an injury to tissue or bone in which the capillaries are broken and local bleeding occurs.

TEARS
Tears are a complete separation of the tissue fibers.

Physical therapy and athletics go hand in hand. In many cases, your PT may be a former athlete that experienced an injury in their youth, and as a result, found a passion for rehabilitating others. If you are experiencing pain, or have already had an injury, don’t wait to talk to your physical therapist. The faster you ask for help the faster you can get back into your sport.

For more information about physical therapy and sports medicine – try the links below:


       

This article about athletic injuries was provided by PTandMe physical therapy partner: The Center for Physical Rehabilitation. More information about the Center and its locations throughout Grand Rapids, MI can be found on its website at www.pt-cpr.com

Game Day Nutrition

What to Eat Before, During, & After a Game

Game Day Nutrition

What athletes eat can have effects on game-day performance. It’s important to eat foods that will fuel the body and provide enough energy during the game. Carb-loading, however, is not a beneficial strategy for everybody. Loading up on carbs has both its pros and its cons for different athletes. With this in mind, we have put together our game day nutrition general list of some foods to consider before, during, and after a game.

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Updated: 3/8/2023

Why you Should Eat Before a Game or Workout and What Foods are Best?

Many people who eat a nutrient-dense diet that meets their energy needs don’t need extra fuel to exercise at moderate intensity for 60 minutes or less. Because a game usually lasts longer than an hour of strenuous activity, it is recommended that you eat some type of snack or meal before your game.

Right Timing – Before the Game

Aim to have a snack or a small meal 1 to 3 hours before your game. This will give your body enough time to digest any foods before the game. You can have tummy troubles or GI discomfort if you chow down right before. That’s because more blood goes to your muscles during exercise, leaving less for digestion. These competing demands can become a challenge for optimal performance.

Carbohydrates provide the primary fuel for exercising muscles. Athletes should focus on eating carbs, which are broken down in the small intestine. A pre-workout snack that’s a mix of carbs, protein, and healthy fats can give you the energy you need to push yourself harder.

Recommendations for what to eat before a game or workout:

  • Oatmeal with berries
  • Balanced energy bar
  • A banana, an apple or other fresh fruit
  • Yogurt
  • A fruit smoothie
  • A whole-grain bagel or crackers
  • Granola bar
  • A peanut butter and apple sandwich

Avoid

  • High-fiber foods – broccoli, baked beans, bran cereal
  • High-fat foods – eggs, meat, cheese
  • Sugar, soda, candy
  • New foods

What to Eat During the Game

As mentioned before, having food during exercise may result in stomach cramps. Hydration is key during this time. Although there are certain foods that provide energy-boosting hydration as well. Hydrate based on the length and intensity of the activity. Replace fluids according to thirst and weather

Consume

  • Drink 16-32 oz. per hour for workouts longer than 1 hour
  • Sports drinks – for activity longer than 1 hour
  • Watermelon and orange slices are good for halftime

Avoid

  • High-sugar snacks and drinks – candy, soda, fruit juice
  • Energy drink, caffeine
  • Refined carbs – bread, pasta
  • Sugar and caffeine may upset the stomach leading to lower performance

What to Eat After a Game or Workout:

The most important meal on game day is what you eat after your game or workout. During heavy exercise, your body taps into your glycogen storage for energy,  which is the fuel stored in your muscles. After you’ve given it your all to win the game, your muscles have been depleted of their glycogen and broken down. The smartest thing to do after a game is to eat/drink something with protein and carbohydrates around 30 minutes after the game. This will ensure that your energy stores are refilled, your muscles that were broken down are given nourishment to rebuild and repair, and will keep your metabolism at a steady pace.

Research shows that the body’s ability to refill muscle stores decreases by 50 percent if you wait to eat just two hours after your workout. The sooner you refuel, the better! 

Here are a few great snack ideas and meal options for you to refuel after your game

Post-Game Recommended Foods

  • Turkey on whole-grain bread with vegetables
  • Protein shake made with half a banana, one scoop of protein powder, almond milk, and hemp seeds
  • Grilled salmon with a baked sweet potato
  • Omelet stuffed with sautéed vegetables and avocado
  • Grilled chicken with sautéed or steamed vegetables
  • Salad with roasted chickpeas light olive oil, and vinegar (Vegan)
  • Sautéed or steamed vegetables, with non-GMO tofu (Vegan)
  • Quinoa bowl with blackberries and pecans (Vegan)
  • Burrito with beans, brown rice, guacamole, and salsa (Vegan)

Post-Game or Workout Foods to Avoid

  • Concession candy
  • High-fat, fried foods
  • Energy drinks, soda
  • Large, low-protein meals

Don’t Forget About Electrolytes:

Electrolytes are essential minerals that your body needs to stay hydrated before, during, and after exercise. But they do more than that. Electrolytes also support our body’s vital functions, such as muscle contraction (including the heart), blood pressure, nerve signaling, and much more. They help your body retain fluid during heavy exercise when you’re sweating, so they can also keep joints lubricated and maintain your energy, avoiding dehydration-related fatigue. Adding an electrolyte supplement to your drink throughout the day will keep you in check. Adding lemon and a bit of sea salt to your drink will do the trick as well!

Injured? Need to find a sports nutritionist for designing your game day nutrition plan? Reach out to a physical therapy clinic near you to get a local recommendation and find the help you need!

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Read our article on carb loading:

Pros and Cons of Carb Loading

What Do Athletic Trainers Do?

What do Athletic Trainers Do?

With March being National Athletic Trainers Month, it is important to understand who they are and what athletic trainers do in our communities.

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What Do Athletic Trainers Do?

Athletic trainers are highly skilled professionals who offer services in preventing, examing, diagnosing, and treating sports-related medical conditions and injuries. They work in different sports environments such as high school, college, and professional sports settings. Generally, they are the first responders when injuries occur during sporting events.

Athletic trainers hold at least a four-year degree from a BOC (Board of Certification) accredited institution and are licensed, certified health professionals working with athletes on and off the field. However, as of 2022, the National Athletic Trainers’ Association reports that 70% of athletic trainers in the U.S. have obtained a master’s degree.

Athletic trainers work closely with coaches and parents and often refer athletes to other healthcare professionals such as physicians, physical therapists, and surgeons when needed. They also monitor the physical condition of the athletes throughout the year to ensure that they are in good health regardless of if the athlete is in or out of season. Their hours of work are determined by the schedule of the sports. They are often available after school and stay until sporting events have concluded.

In the training room, athletic trainers will:

  • Prepare athletes for competition by taking preventative measures such as equipment fitting, taping, and bracing.
  • Assess athletes with acute and chronic injuries to determine their participation status.
  • Perform sport-specific rehabilitation on injured athletes.
  • Provide opportunities for strengthening and conditioning.
  • Work with sports staff on proper warm-up, game day preparation, and on/off-season conditioning.
  • Educate athletes, coaches, and parents on sports medicine strategies, nutrition, and sports psychology.

Athletic trainers support athletes during sporting events and manage and treat any musculoskeletal issues such as:

  • Shoulder, hip, knee, elbow, hand, and ankle injuries
  • Facial injuries
  • Neck and back injuries, spinal cord injuries, and traumatic brain injuries like concussions
  • Triage and wound care
  • Heat-related illnesses
  • Fractures and dislocations
  • Catastrophic injuries

Athletic Trainers Don’t Just Work With Athletes

The duties of many essential workers require a good range of motion, strength, and stamina while carrying the potential risk of developing musculoskeletal injuries. Athletic trainers also work in a variety of professional settings including but not limited to:

  • The Performing Arts
  • Military Bases
  • Police Departments
  • Fire Departments
  • Sports Medicine Clinics
  • Physician Offices, Hospitals, and Hospital Emergency Departments

Athletic trainers are crucial to the everyday life of athletes, essential workers, and more. They work to not only rehabilitate injuries but to prevent injuries as well through safety procedures and equipment. By deeming March National Athletic Trainers Month, we recognize their efforts and everything that they do for not only our athletes but our communities as well. If you have already experienced an injury or have long-lasting pain, our physical therapy teams can help you recover and get back to your sport.

Physical Therapy Appointment

This information was written by The Center for Physical Rehabilitation, an outpatient physical therapy group with five locations in Western Michigan. The Center specializes in all-inclusive physical therapy services, such as Sports Medicine, Orthopedic Post-Surgical, and McKenzie Therapy. Our state-of-the-art facilities are conveniently located around Grand Rapids with extended hours. Independent and locally owned since 1994, we have the freedom to work with the most qualified healthcare professionals.

golf stretches

Dynamic Golf Stretches

DynamicGolf_FBsize

Golf requires strength, flexibility, endurance, and power to create pain-free movement and improve your game. The most common golf injury is low back pain followed by shoulder pain and knee pain. A physical therapist can assist you in improving your pain and correcting your body’s deficits.  These golf stretches will make your golf game less painful and reduce those extra strokes:

hamstring stretch

Hamstring Stretch
(move from upright into stretched position 10x)

back extension stretch

Back Extension Stretch
(hold club backwards overhead, repeat 10x)

hip back shoulder rotation

Hip/Back/Shoulder Rotation Stretch
(hold club behind back and rotate torso to each side 10x)

calf stretch

Calf Stretch
(move from upright into stretched position 10x)

lumbar rotation 1

lumbar rotation 2

Lumbar Spine Rotation
(hold club, plant feet as shown, rotate to each side 10x)

forearm rotation 1

forearm rotation 2

forearm rotation 3

Forearm Rotation
(hold club straight up, then rotate to each side 10x)

Physical Therapy Appointment

This information was written by Mishock Physical Therapy and Associates, a privately-owned, outpatient physical therapy practice operating in southeast Pennsylvania. They actively participate in the community by providing services to schools, retirement communities, and local businesses. Their mission is to provide the most efficacious, state-of-the-art physical therapy services to relieve pain, restore function and return you to the highest quality of life possible. For more information click here.

sports medicine physical therapy

The Role of Physical Therapy in Sports Medicine

Physical therapy in sports medicine; physical therapy for athletes and physical therapy for sports injuries. Physical therapist for athletes.

Sports medicine through physical therapy comes in many forms. Many clinics keep licensed athletic trainers on staff that will go on-site to schools and other sporting events to act as an initial caregiver at the time of an injury. If an injury occurs, you may be referred to physical therapy. From there, your physical therapist will have an array of different programs tailored to your specific type of injury, the severity of the injury, and your fitness level. However, you don’t have to wait until you have an injury to get help from a physical therapist. Sometimes the best medicine is prevention.

WHEN YOUR BODY EXPERIENCES PAIN:

  • It’s telling you that something is wrong
  • Your body can accommodate the pain, but eventually, a breakdown will happen
  • While you accommodate to your pain, weakness and stiffness begins
  • Once you have a breakdown, pain will happen and more than likely you will stop training

Some ways physical therapists help athletes from experiencing an injury:

Sports Injury Prevention Programs: Physical Therapists offer classes and/or programs geared to specific injuries. Commonly offered programs are geared towards ACL Injury prevention, Golf Strengthening (TPI), Running Injuries, and more.

Gait Analysis for runners: A three-dimensional video assessment of a runner’s biomechanics using a state-of-the-art motion analysis system. See yourself run at variable speeds from five different camera angles. An athlete can learn how to prevent injuries and improve performance through increased cadence and strengthening/stretching.

Functional Movement Screenings (FMS): One way to determine physical weaknesses is to perform the Functional Movement Screen. FMS is an innovative system used to evaluate movement pattern quality for clients and athletes. The functional movement screen is used to identify and correct weaknesses in the movement and strength of athletes.

ONCE AN ATHLETE DOES EXPERIENCE AN INJURY, PHYSICAL THERAPY MAY INCLUDE:

  • Education on faulty or improper posture or body mechanics with training
  • Education and help with technique on exercises that help your muscles stretch farther
  • Flexibility training helps prevent cramps, stiffness, and injuries, and can give you a wider range of motion
  • Correction of muscle imbalances through flexibility and strength training
  • Endurance training
  • Kinesiotaping
  • Alleviation of pain
  • Correction of improper movement patterns

If you are in need of sports medicine physical therapy, we have licensed professionals throughout the country.

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common basketball injuries

Common Basketball Injuries

Basketball_Injuries_FBsize

Whether you are a weekend warrior or involved in youth sports, athletes ages 5-75 can experience injuries from playing the games they love. Physical therapists are adept at working with patients suffering from common basketball injuries and can help in a variety of different ways.

One of the most common basketball injuries is an ankle sprain. An Ankle sprain is a partial or complete tear of the ligaments that support the ankle. Ankle sprains may be caused by falling or sudden twisting of the ankle, such as:
• Stepping on an uneven surface or in a hole
• Taking an awkward step when running, jumping, or stepping up or down
• Having your ankle roll over when playing sports or exercising called inversion of the foot

Physical therapy intervention is the standard for treatment of ankle sprains. Treatment for the acute ankle sprain is based primarily upon the RICE principles: Rest, Ice, Compression and Elevation. This is followed quickly by a program of exercises and functional training to reduce the likelihood of chronic ankle instability. Balance and “proprioceptive” training are critical components of the rehabilitation process. In the case of a severe sprain and subsequent chronic instability, surgical intervention may be indicated.

Stress fractures are also seen frequently. A stress fracture is a tiny crack in the bone from chronic overuse. It is typically caused by repeated stress or overuse.
Causes include:
• Increasing the amount or intensity of an activity too quickly
• Switching to a different playing or running surface
• Wearing improper or old shoes
• Stress fractures can worsen by continued physical stress. Smoking can also make

Rest is the first thing you can do for a stress fracture. This includes avoiding the activity that caused the fracture and any other activities that cause pain. Rest time required is at least 6-8 weeks. Once you are ready to restart activity your physician may prescribe physical therapy. They may begin with non weightbearing activities, such as swimming, cycling, use of an Alter-G treadmill. Next, weight-bearing, nonimpact exercise may be prescribed. Gradually, low-impact activity, starting with walking, will be added to your treatment. Once you can do fast-paced walking with no pain, your physical therapist will give higher impact activities, such as light jogging.

spinning basketball

HAND INJURIES are also commonly seen in basketball. If you experience a finger injury, a hand therapist will work to make sure your fingers heal correctly and reduce the risk of long term damage.

A Boutonniere injury is usually the result of a forceful blow to the bent finger and causes a disruption of the central slip of the extensor tendon insertion at the level of the middle phalanx. The middle joint (PIP) is unable to fully straighten. If left untreated, a PIP flexion contracture can result and chronic deformity ensue. Acute boutonniere injuries are treated with PIP extension splinting continuously 4-8 weeks. Chronic boutonniere injuries with PIP flexion contractures are treated with dynamic splinting to improve passive PIP extension and static splinting for at least 4 weeks once full PIP extension is achieved.

Mallet injuries are seen commonly with ball sports and result when the terminal extensor tendon is torn from the attachment on the bone. When this occurs, a small fragment of bone may be avulsed from the distal phalanx and the end of the finger droops down and cannot be straightened actively. X rays are necessary to determine the course of treatment. Bony mallet injuries may require surgical correction. Most of these injuries can be treated conservatively with continuous DIP extension splinting for 6-8 weeks.

National Athletic Training Month

March is National Athletic Training Month

March is National Athletic Training Month

March is Athletic Training Month!

ATHLETIC TRAINERS (ATCs) are highly qualified, multi-skilled health care professionals who collaborate with physicians to provide preventative services, emergency care, clinical diagnosis, therapeutic intervention, and rehabilitation of injuries and medical conditions. They can work in a variety of settings, including high schools, middle schools, universities, professional sports teams, hospitals, clinics, performing arts, club sports teams, and more. Athletics trainers decrease the liability on coaches, ensure a quicker and safer return to play, and reduce the risk of injuries for athletes of all ages.

Athletic Trainers Provide Game & Practice Coverage:

• Early injury detection and intervention
• Quick referral process to local specialists if required
• Concussion safety injury screenings:
• Evaluation of injury
• Recommendation on immediate care
• Quicker return to play

March is National Athletic Training Month

WHAT IS NATIONAL ATHLETIC TRAINING MONTH?
March is National Athletic Training Month, a time to celebrate the positive impact athletic trainers have on work, life, and sport. National Athletic Training Month is sponsored by the National Athletic Trainers’ Association (NATA), the professional members association for certified athletic trainers, and others who support the athletic training profession. NATA represents more than 45,000 members worldwide.

ATC SPORTS STATS
All statistics are taken from www.atyourownrisk.org

90% of student-athletes report some sort of sports-related injury in their athletic careers.
54% of student-athletes report they have played while injured.
12% report they have sustained concussions and head injuries from their time on the field.
163,670 middle or high school athletes were reported being seen in the emergency room for a concussion.
300 sports-related deaths of youth anything to prevent injuries.
37% of public high schools employ a full-time athletic trainer.
54% of athletes said they have played while injured.

Looking for help with an injury? Don’t go back on the field too soon. Our licensed physical therapists can get your athlete back in the game safely. 

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PT News

This Month in PT News. Featuring articles from PTandMe partnering clinics!

ski

1. Skiing and Thumb Injury
Written by the Therapy Team at the Jackson Clinics – Northern Virginia

Skiing falls can often cause injury to the inner ligament of your thumb, caused by the force of the pole against this area of the hand during a fall. This area, a band of fibrous tissue connecting the bones at the bottom of the thumb, is known as the ulnar collateral ligament. Read more

crash

2. Amazing People Make A Difference: Megan and Earl’s Story
Written by the Therapy Team, ARC Physical Therapy+ – Topeka, Kansas

Earl Bayless was riding in his work truck on December 21, 2016 when his driver fell asleep, causing a major accident. Their truck flipped several times in the air and skidded a block down the road before coming to a stop and leaving Earl to wonder what just happened. Read more

rowing

3. 6 Benefits of Rowing
Written by the Therapy Team at Momentum Physical Therapy – San Antonio, Texas

If you are looking for a low-impact workout that targets multiple areas of the body while getting your heart rate up, rowing might be the right exercise for you! Read more

PT News

This Month in PT News. Featuring articles from PTandMe partnering clinics!

2. Don’t Let Your Asthma Freeze You Out of Winter Workouts
Written by the Therapy Team at the Jackson Clinics – Northern Virginia

Avoiding asthma attacks while exercising in winter is best accomplished by preventing cold, dry air from getting into your bronchial airways. One way to do this is to exercise indoors when it is cold. Read more

3. Living Our Mission Statement: Being a Catalyst of Change In 2018
Written by Colleen Norris, Partner/Practice Administrator – Overland Park, KS

I have been in healthcare for almost 40 years and the changes that have occurred over that time have been tremendous. I’ve seen everything from patient care innovations, new payment methodologies, advancing technology, improved workflow processes, and my personal favorite… a focus on outcome data. Read more