Sports Rehab Success Show

Angela is the physical therapist for the Washington Nationals, and in this interview talks about her 'go to' treatments and the influence of the SFMA, NAIOMPT, DNS, and other systems on her treatment approach. She also discusses some of the 'links' in the system that have made a big impact on the way she looks at movement dysfunction in baseball athletes, teaming up with the S&C staff for injury prevention, plus some recommendations for those looking to get more involved in collegiate or professional sports. Learn More From Sports Rehab Expert Step #1 - Sports Rehab "Fast Track" Course: Start The SRE "Fast Track" Course Step #2 - Become A Certified Sports Rehab Expert (SRE-C) Course 1: Assessment Mastery Course 2: Treatment Domination Step #3 - Connect With The Community Free Facebook Group | YouTube

The Ultimate Guide To Resolve Hip Impingement - https://www.sportsrehabexpert.com/public/The-Ultimate-Guide-to-Recovering-from-Hip-Impingement-Without-Surgery.cfm https://www.sportsrehabexpert.com/ Many people walk around feeling like their hips are out of alignment. However, changes in hip alignment is a NORMAL part of life. In fact, every step you take your hips will change alignment. Therefore there is no "perfect" hip alignment that is better than the rest. Instead you pelvis and hips should be very adaptable and be able to achieve a variety of different positions under control. Its only when we lack movement options or have too many that we cannot control does our body default to a movement tendency which can become problematic over an extended period of time. Many physical therapists and rehab specialists will constantly adjust the hips. Forcing you into weekly adjustments to help "keep you aligned" when in fact its either you need to ACTIVELY through exercise teach your body how to either achieve MORE positions or CONTROL the variety of positions/flexibility you already have. https://youtu.be/S02LM-QQixY

Recently was asked a couple questions from another student PT that I help mentor on occasion. We discussed PRI methodology strengths and weakness to their approach. Which led to a discussion on the obers test and what I get out of it as compared to what PRI gets from it (PRI terms it the adduction drop test). Finally we wrap up our discussion with talking about how to better critically think and establish a "Needs Analysis" for your patients as far as what qualities they are lacking and making treatment determinations on whether or not to focus on strength, variability, capacity, manual therapy, etc... If you would like to find out ways that Sports Rehab Expert can help you we have a couple options that you will find in the link below: 1) Sports Rehab Expert "Fast Track" course 2) Become a Certified Sports Rehab Expert (SRE-C) 3) Have online mentorship calls on a monthly basis Email me directly greg@sportsrehabexpert.com if you are interested in any of these options :) Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/

Full Article - https://www.sportsrehabexpert.com/public/Hamstring-Injuries-Proximal-Hamstring-Tendinopathy-Should-You-Stretch-The-Area.cfm Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ Physical Therapy in Ann Arbor, MI: https://www.annarbor.physio/ Instagram: https://www.instagram.com/sportsrehabexpert/ Sports Rehab Success Show - Hamstring Pain - Proximal Hamstring Tendinopathy {Stop Stretching It!!!} In this episode we discuss why stretching a proximal hamstring injury can be one of the worst things you can do for treatment. Especially early on in the recovery process! Compression and the insertion of the hamstring tendon being at the hip is the biggest reason why. Most of these clients will report a significant amount of pain in sitting due to the location of the pain. The increased discomfort comes from compression to the sensitive tendon attachment it gets while sitting. So when a tendon is currently sensitive that it limits a significant amount of activities, placing the tendon in a state of compression can lead to increased symptoms or at best no relief from the problem. It just so happens that greater degree of hip flexion or torso flexion will place the tendon in a compressed position. If you perform an activity that involves both trunk and hip flexion this will create the most compression (this would be the standard standing hamstring stretch). So instead of stretching, it would make more sense to place the muscle and tendon in positions where it feels semi comfortable to perform some type of resistance based contraction. That contraction can be an isometric, isotonic, or eccentric. All 3 types will have benefits for restoring capacity in the hamstring tendon. The biggest takeaway is that you want to restore strengthening of the tendon in ranges of motion that are comfortable and gradually work up to a flexed position as the injuries and symptoms allow for it. https://youtu.be/axyqwQlW8Wo

Your #1 Educational Platform to LEARN Sports Rehab, Orthopedic Rehab, and Sports Performance: https://www.sportsrehabexpert.com/ Knee Pain is one of the most common diagnosis in the world that results in millions of dollars spent on surgery, rehabilitation, and disability. It is wildly misunderstood and often times over complicated! As a result, many people suffer from poor outcomes to treatment and continued suffering from knee pain. While this post is by no means trying to solve everyone's problems. It is trying to show how treating the knee CAN be simple. It does not have to be complicated. And you can still being effective! Perhaps the biggest misconception in orthopedic rehabilitation circles is that every exercise HAS to be functional or it is a "bad" exercise as it does not relate to life... I would like to challenge that myth by saying that ANY exercise the helps develop greater tissue capacity, tissue resiliency, and overall movement confidence will be EXTREMELY helpful in removing someones pain and functional disabilities. Furthermore, a simple knee exercise such as the knee extensions shown in this video can be very useful to overcome knee pain and keep it away for good! So long as you know why, when, and how to use the exercise. It was once thought that knee extensions were a "bad" exercise because the were not functional and it put to much compression to the knee joint... Unfortunately this opinion was short sighted as obviously they did not consider that people with healthy knees are able to run, jump, change direction or simply go down stairs. All these activities will put compressive forces on the knee which the body NEEDS to be prepared to handle. We need to think more deeply before we call an exercise "bad". The knee extension (through full range of motion in the open chain) can be a useful way of building quad strength and capacity. As well as patellar tendon strength, capacity, and tissue resiliency. Again, running, jumping, change of direction, and simply going down the stairs will put as much if not more compressive force on the knee. So this exercise is perfectly fine to do from a safety perspective. That being said, when someone is dealing with pain our approach has to change slightly until they are out of pain. When in pain and dealing with patellar tendinitis or patellar tendinosis issues (also known as jumpers knee). The point of tendon highest sensitivity will be at bottom position where the tendon is on most stretch. So in some instances we may want to avoid this position until pain and sensitivity levels have decreased. In this instance an isometric at ~45 degree knee bend can be useful. Isometrics are also a great way to continue training the tendon and quad muscle safely while sporting or workout intensity/workload is high. If someone is dealing with a patellar or knee joint issue. Commonly referred to as patelofemoral pain syndrome. Then the entire movement can be irritating as opposed to just the starting position. Also in this case, the last 30 degrees of open knee extension tend to be the most painful. So again, we can still train the muscles around the knee in a NON-PAINFUL way by performing an isometric at 45 degrees. Essentially avoiding the repetitive movement and irritating range of motion. Until the pain and sensitivity levels have decreased and you can gradually return to a full range of motion with the exercise as tolerated.

Sports Rehab Success Show Episode #28 - Foot Pain After Running | Tarsal Tunnel Syndrome & Morton's Neuroma Treatment Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ Physical Therapy in Ann Arbor, MI: https://www.annarbor.physio/ Instagram: https://www.instagram.com/sportsrehabexpert/ Foot pain is very common in both the running population and general population for that matter. But runners tend to get frustrated when foot pain starts to reduce their mileage or stop them from hitting a new personal best. There are many different types of foot pain. The two types we are focusing on today are Tarsal Tunnel Syndrome and Morton's Neuroma. We are talking about these two diagnosis together because the pain is often similar, just in different locations. Tarsal Tunnel will experience pain on the medial side of the ankle that could radiate into the arch or foot. Morton's Neuroma is pain in the toes or forefoot that radiates. Both are nerve related pain symptoms. As such we know that nerves like 3 things: 1) Movement 2) Blood Flow 3) Space Many people are quick to go to a new shoe or orthotics. Which can certainly be helpful to control symptoms. But it's just an assist to the bigger problem. Which is lack of adaptability at the foot/ankle complex. Our foot should be able to achieve 2 shapes actively on their own as well as controlled dynamically when walking, running, jumping, etc. In order to do this the foot must know how to control itself against gravity! Limited pronation will decrease the bodies ability to attenuate forces. Likewise a pronated foot is a expanded foot where all the joints are gaping. This foot shape can be very relieving or irritating for Tarsal Tunnel and mostly relieving for Morton's Neuroma. A high arch sapped foot is a rigid foot and useful for propulsion. This foot shape can be relieving or irritating to both Tarsal Tunnel and tends to be irritating for Morton's Neuroma. Again, its the bodies ability to alternate between the two foot shapes effectively that will reduce pressure and force accumulation. Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ https://youtu.be/zLqNhKvc9uI

Sports Rehab Success Show Episode #27: Do You Get Back Pain While Running or Exercising?? Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ Physical Therapy in Ann Arbor, MI: https://www.annarbor.physio/ Instagram: https://www.instagram.com/sportsrehabexpert/ Why you get back pain when running or exercising ✅Really this concept holds true for the vast majority of back pain issues! Sure you can try to stretch or strengthen. Both are useful to many and could be helpful for you....But you are still leaving out a major consideration! How pressure will accumulate if a particular tendency is not managed.

Sports Rehab Success Show Episode #25: Common Running Injury - Fix IT Band Pain and Outside Knee Pain Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ Physical Therapy in Ann Arbor, MI: https://www.annarbor.physio/ Instagram: https://www.instagram.com/sportsrehabexpert/ One of the most common injuries in runners is IT band syndrome or lateral knee pain. Many people try endlessly stretching and foam rolling this area in hopes to get relief. Instead what they get is sometimes temporary relief. But always feel the need to stretch or foam roll the area because the problem keeps returning. Instead, find the source of the problem to fix it for good! Building medial (inside) strength of the hamstrings and quads to limit the over activity of the lateral musculature of vastus lateralis, bicep femoris, and the famous IT band pain syndrome. Balancing the workload of these muscles can be a game changer to change pain and improve your running pain free.

Sports Rehab Success Show Episode 24 - 7 Rehab & Workout Programming Considerations Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ My Clinic: https://www.annarbor.physio/ Instagram: https://www.instagram.com/sportsrehabexpert/ As a personal trainer, athletic trainer, physical therapist or chiropractor you should be very aware of the 7 Trainable Qualities you can impact as a clinician or coach! If you do not know what your intervention is doing to positively impact a patient, you cannot make educated recommendations for their problem. Knowing these 7 trainable qualities will allow you to take aim at the patients problem. Otherwise you are essentially shooting in the dark or with your eyes closed and hoping/praying that something works. Your ability to recognize which quality needs improvement and how to improve it, as well as the order in importance you address it becomes very influential in making a difference in someones pain and function. The 7 Main Trainable Qualities that you must consider for any rehab or workout program are: 1) Cardiovascular 2) Respiratory 3) Motor Learning 4) Tissue Capacity 5) Strength 6) Gait - Alternating activity 7) Sensory Bonus #8) Mindset

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ My Clinic: https://www.annarbor.physio/ Instagram: https://www.instagram.com/sportsrehabexpert/ With the "Last Dance" documentary recently airing, I thought it would be cool to take a look at some athletic movements that I have seen great athletes consistently be able to do throughout their career that I feel helps them express their full athletic potential as well as stay relatively injury free. When watching Jordan play, we all know his athleticism is off the charts compared to just about anyone! However, there are some key concepts to his first step quickness and change of direction that allows him to display his full athletic potential. #1) First step quickness - MJ was great at using a "plyo step". Some coaches unfortunately think this is a band thing and will call it a "miss step". But we must understand what this step allows him to do in order to be effective and why we see him use it all the time. The plyo step is a way of lowering your center of mass, creating a better shin angle, and utilizing the stretch shortening cycle of the tendon to accelerate faster. Without this step you will lose all 3 of those key components! Now with the plyo step, I will see some athletes perform this wrong...They will triple extend as they apply the impulse into the ground. Meaning, they will extend their knee at the same time DF their foot. Which would not be so bad if this was done on acceleration or moving forward. However, on the initial impulse and ground reaction forces it places a lot of stress on the achilles. Instead a bent knee should be utilized to apply that initial impulse so the gastroc is shortened on one end and allowed to lengthen on the opposite. Furthermore, this position will allow you to access you soleus more too. Which bringing more muscles to the party to help out is not a bad thing! #2) Knee Valgus - Jordan and many athletes know how to use knee valgus to their advantage to allow themselves to display athleticism while still resisting injury. In the video, I show how MJ (a lot of other great athletes do this as well) is able to use his off leg to unload and move into valgus so he can drop his center of mass. This creates an opportunity for him to get the plant foot re-positioned and rotate the body in the direction he wants to move. Creating better angles for changing direction. His unloaded leg goes into valgus so he can drop his center of mass. His plant leg and body rotate 90 degrees to create a lateral force (not valgus force) into the ground with his foot and mid line of pelvis facing the same direction. As well as his plant leg shin and torso moving in the same direction as well. Allowing him to effectively change direction and use knee valgus to position his body advantageously for the movement.

Episode #22 - The Most Overrated Exercise For Knee Pain Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ I feel the most overrated knee pain exercise that you will see in physical therapy clinics all over the globe is the TKE. Which stands for Terminal Knee Extension Exercise. The 4 reasons why I dislike this exercise is because: #1) It significantly under loads the quads. The quads are a LARGE muscle group that can stand a lot of stress. As a result under loading them will NOT build strength. #2) There is no eccentric quad strength developed or loaded. For patellar tendon and quad tendon health an eccentric exercise provides the most physical adaptation to occur on a histological level. As a result, the TKE exercise is best used in acute scenarios or post op cases at best. #3) It doesn't actually improve knee extension. Sure maybe in post surgical cases initially, but you will not actually improve knee extension significantly using this exercise. Furthermore joint mobilizations don't accomplish as much as you would hope to expect either (outside of post surgical cases). Instead taking an active approach and utilizing muscles to create joint play and control simultaneously is the best route to go. Encouraging anterior and posterior glides using quads and hamstring respectively. As well as encouraging pronation and supination via foot pressure to create rotation at the knee. #4) People claim that this exercise resembles gait. However, the knee does not extend when you walk. The heel does not go to the ground when you walk. Instead the foot plantarflexes at toe off. The knee never straightens and stays slightly bent, then moves FORWARD at toe off. Quad dominance creates triple extension and triple extension never actually occurs with any linear based movement such as walking, running, sprinting, jogging, or even jumping when you consider both a horizontal and a vertical force vector!

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ https://www.youtube.com/watch?v=0fi8QDXcmak Clinical Skills Necessary To Succeed In Telehealth The world of online personal training has become more and more popular over the last 5 years. Telehealth and the concept has increased in popularity but the number of people performing telehealth rehabilitation services is far lower than those who have successfully built an online training platform. With the recent pandemic of COVID 19 it has forced a lot of people to get comfortable doing telehealth whether they like it or not. There has been positives and negatives to this whole transition. But many clinicians continue to tell me that they still feel less effective treating clients or working with clients online as compared to in person. It takes time to really build any sustainable revenue source from online. The goal of this post is not to go into the business and logistical side of being online. We all know it could be another source of revenue. Right now its being introduced as a stop gap, but you could definitely transition to where it was a sustainable part of your business. I have been telling people for years now, that if you are a Physical Therapist you also need to be personal training people or keep people on a wellness program after this is done. Your clinic should be set up for this 100%. But you could also offer a remote training program design for people as well after they are discharged from therapy. Conversely, I feel personal trainers should take full advantage of learning rehabilitation. They deal with people who have aches and pains just as much as I do. Many educated and driven personal trainers are more qualified to get results with people who are in pain than a physical therapist. Be "To good, that they can't ignore you" is a 100% true statement. You can get away with a lot of poor marketing by being really good at what you do! Doesn't mean you shouldn't learn marketing and sales. But you first need to be good at your craft! So to get better at your craft online, I created a couple videos to help you consider some key factors to be successful with telehealth or any online/remote training programs! If you don't plan on doing any telehealth or online training with clients, I still feel like these videos pertain to you too! An with all the downtime that this pandemic has created it is a good time to self reflect on how you currently practice. What you do well, what could improve, and how you make use of time in the clinic.

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ https://www.youtube.com/watch?v=-44JpysKMA4 Clinical Skills Necessary To Succeed In Telehealth The world of online personal training has become more and more popular over the last 5 years. Telehealth and the concept has increased in popularity but the number of people performing telehealth rehabilitation services is far lower than those who have successfully built an online training platform. With the recent pandemic of COVID 19 it has forced a lot of people to get comfortable doing telehealth whether they like it or not. There has been positives and negatives to this whole transition. But many clinicians continue to tell me that they still feel less effective treating clients or working with clients online as compared to in person. It takes time to really build any sustainable revenue source from online. The goal of this post is not to go into the business and logistical side of being online. We all know it could be another source of revenue. Right now its being introduced as a stop gap, but you could definitely transition to where it was a sustainable part of your business. I have been telling people for years now, that if you are a Physical Therapist you also need to be personal training people or keep people on a wellness program after this is done. Your clinic should be set up for this 100%. But you could also offer a remote training program design for people as well after they are discharged from therapy. Conversely, I feel personal trainers should take full advantage of learning rehabilitation. They deal with people who have aches and pains just as much as I do. Many educated and driven personal trainers are more qualified to get results with people who are in pain than a physical therapist. Be "To good, that they can't ignore you" is a 100% true statement. You can get away with a lot of poor marketing by being really good at what you do! Doesn't mean you shouldn't learn marketing and sales. But you first need to be good at your craft! So to get better at your craft online, I created a couple videos to help you consider some key factors to be successful with telehealth or any online/remote training programs! If you don't plan on doing any telehealth or online training with clients, I still feel like these videos pertain to you too! An with all the downtime that this pandemic has created it is a good time to self reflect on how you currently practice. What you do well, what could improve, and how you make use of time in the clinic.

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ I see a lot of strength coaches and rehab clinicians use the nordic hamstring curl and the GHR hamstring curl interchangeably. It's important to recognize the difference between these 2 exercises so that you can apply them appropriately to your rehab and performance training scenarios. The main difference between the nordic hamstring curl and the GHR hamstring curl is where the knee is placed. During the nordic hamstring curl, the knee is directly on the ground. During the GHR hamstring curl the knee is placed before the pad. This changes the fulcrum of the movement as well as the length of the lever arm. Making the GHR hamstring curl significantly easier to perform. Now the nordic hamstring curls intent was to always be supramaximal load. Meaning you will fail at some point and you should not be able to perform the concentric portion of the lift. If our goal is to strengthen the hamstring as we lengthen, then we should just perform the eccentric portion of the lift. If our goal was more hypertrophy of the muscle then either option would work. Just eccentrics of both eccentric and concentric portion of the lift (or standard isotonic exercise). For these 2 purposes, the nordic hamstring exercise should never be performed with assist (because the intent is for it to be either just eccentric or a supramaximal eccentric). If you would like to perform the movement as an isotonic to get multiple reps and help drive hypertrophy, then a GHR is a better piece of equipment to utilize for that. If the GHR machine is not available, then performing the nordic hamstring curl with assist to be able to do the concentric action would be allowable. However, just remember the goal of a nordic is not to be able to do a concentric. That would mean you are training the exercise submaximally. Which in and of itself is not a bad thing...But you still need to introduce the supramaximal load from time to time as well! https://youtu.be/jfiKNVeq0R0

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ Here are the links to the previews videos to Achilles Tendon Injury Rehab: Why You Should Stop Stretching - Part 1: https://youtu.be/_Bc8ncc0uUg Easiest Achilles Self Treatment - Part 2: https://youtu.be/gLts8rV6aFk Flat Feet or Arched Feet Problems? - Part 3: https://www.youtube.com/watch?v=XfwrzLTE5Ys Today we are discussing Return to Sport Dynamic Exercises you should consider following an Achilles Tendon Injury. Now before we list the exercises and why we use them. I need you to consider pain levels before starting these activities. Again, there are only 3 responses to an injury - better, no change in pain, or worse while doing an exercise or after the exercise. When doing the dynamic exercises it should either feel better or no change at all in symptoms for you to safely perform these exercises. The exercises will be listed in order of easiest to hardest: 1) Single leg hops with band assist - Depending on the comfort level you can use more or less tension on the band. A thicker band will obviously help reduce the load as well. This exercise is designed to help create cocontraction of the achilles, hamstring, quad and glute. The position of your foot, knee, and hip mimic the position your joints will be in during top and sprinting and taking off for a 1 foot jump. 2) Double Contact Skip - Performed for the same purpose as the previous exercise above. Only difference is now there is no assist. You are also having to manage a horizontal force vector as well (which we know happens in sports). 3) Low Dribbling - This exercise allows you to perform running without actually running. The quick ground contacts and higher stride frequency reduces the load so that you can perform running or sprinting without actually sprinting at high velocities to again manage the amount of load through the achilles tendon to your comfort level. After all these are completely comfortable then we start considering more actual percentage based sprint training in an ideal return to play scenario.

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ Here are the links to the previews videos to Achilles Tendon Injury Rehab Why You Should Stop Stretching - Part 1: https://youtu.be/_Bc8ncc0uUg Easiest Achilles Self Treatment - Part 2: https://youtu.be/gLts8rV6aFk This video is on probably one of the biggest misconceptions that are out there on feet! Flat feet and Arched Feet are not bad. They are both necessary for everyday tasks! No different from the ability for your head to rotate right and left. Flat feet and arched feet are two extremes that the body should be capable of doing both. If you put someone in a shoe that gives the "arch support" or limits motion then you are just creating problems by reducing the spectrum of options the foot should be capable of choosing based off the needs of the task. During gait or walking our foot SHOULD experience supination, to pronation, to re-supination. That is normal and necessary mechanics of walking, gait, running, etc. Pronation is needed to absorb force (store potential energy) or absorb/attenuate forces. Supination is necessary to produce force by creating a rigid foot The body's ability to re-supinate the foot is accomplished through the windlass mechanism. Which is only created by getting great toe extension. The only way to get great toe extension during gait is by allowing the foot to pronate and weight bear over the great toe as your center of mass moves forward (horizontally) during gait, walking, running, etc. If you cannot pronate effectively, you will not create an effective windlass mechanism and thus not experience re-supination.

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ As we mentioned in part 1 of 4 to this Achilles Tendon rehab series, is that stretching is not the solution! A better solution would be to strength train the tendon, and progressively load the tendon! Here is a link to part 1 video if you have not watched: https://youtu.be/_Bc8ncc0uUg These two exercises demonstrated in this video target the Gastroc and the Soleus. Both muscles compose the majority of the Achilles Tendon. Strength, hypertrophy, and capacity are extremely important in these two tissues. As such both exercises are extremely beneficial. We perform the from a flat ground first to reduce the sensitivity to compression of tendon on the calcaneus which it would experience when dropping the heel off a ledge. Over time you can strengthen into more ankle DF range of motion as symptoms allow.

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ Everybody loves to stretch the Achilles Tendon, but is it the best thing for you? Please understand that more mobility in the Achilles is not often the solution. Especially for athletes who need stiffness in their tendon to produce force and create stability and co-contraction when the foot hits the ground and applies a force. Sure stretching might feel good while you do it....But often it leads to zero lasting relief and once you go back to the painful task again, it remains painful to do it. This is because the body has yet to either restore it's lost levels of capacity from being injured. Or... It simple never had either #1) enough strength to begin with to withstand the demands of the task. #2) never understood how to properly and at the correct moment in time create co-contraction and stiffness in the muscle (as well as the surrounding muscles not just the achilles) to apply and absorb force. Finally the stretch position of the achilles will apply the max amount of compression to where the tendon inserts. If this insertion point is painful or sensitive, then you may actually be irritating it more by stretching and compressing the tendon to bone at its insertion.

In this training, you will learn the 12 Rehab & Training Myths That Clinicians and Strength Coaches Make that limit their ability to impact more clients! Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/-Earn CEUs and take your skill level to another level with our courses! We call this training the "3 sides to every coin" because many of these myths have some merit to them. However, the opposite end of the spectrum is never considered. As a result many clinicians put blinders on and stay very extreme in their points of view. This greatly limits their ability to positively influence their clients based upon where there clients current needs are currently at. Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/

Webinar (Audio Recording) 12 Rehab and Strength Training Myths (Part 1 of 2) In this training, you will learn the 12 Rehab & Training Myths That Clinicians and Strength Coaches Make that limit their ability to impact more clients! Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/-Earn CEUs and take your skill level to another level with our courses! We call this training the "3 sides to every coin" because many of these myths have some merit to them. However, the opposite end of the spectrum is never considered. As a result many clinicians put blinders on and stay very extreme in their points of view. This greatly limits their ability to positively influence their clients based upon where there clients current needs are currently at. Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/

Simple Cervical Test For Upper Trap Involvement In Neck Pain Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ http://www.annarbor.physio - My Clinic https://www.instagram.com/sportsrehabexpert/ - Instagram This episode of the Sports Rehab Expert show we go over a simple way to determine if you are dealing with a muscular or a joint issue that limits someones mobility as it relates to cervical neck pain. All this test does is place the upper trap on slack or tension and then looks at how it impacts pain and ROM. Very simple, takes minimal time, and quickly directs treatment!

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ http://www.annarbor.physio - My Clinic https://www.instagram.com/sportsrehabexpert/ - Instagram Today's video we discuss the 5 biggest mistakes that people make during the ACL recovery process. Be sure to listen all the way through as #5 is perhaps the most important. Mistake #1 - Focusing too much on bending the knee and not enough on straightening the knee. The knee bend will come with time and strengthening of the hamstrings. However if knee extension (symmetrical to the other knee) is not made within first 2 weeks to straight and by 2 months to equal hyperextension, often gaining anymore range of motion in that direction will be a struggle. As opposed to knee bending which makes gradual progress month after month. Mistake #2 - Only strengthening with squats, lunges, and step ups. The knee extension machine and hamstring machine are both VERY valuable tools to build hypertrophy back into the quad and hamstring. If you don't have machines, you should be using bands. There is no excuse not to include these simple exercises. Mistake #3 - Failing to load the knee over the foot. Many clinicians and coaches will tell you not to let your knees over the toes. However, this isn't realistic as if you were to go down the stairs. Your knee HAS to go over the foot. So the knee should be fully capable of going over the foot and it is imperative that you load the knee to be able to tolerate the forces that it will encounter when accomplishing this. If you have any aspirations to play a sport or be fairly active after this surgery, then this is a MUST! Mistake #4 - Starting too soon with plyometrics or not spending enough time strengthening. You only have so much time during the day and during a therapy session. You should spend the majority of this on strength until FULL symmetry is restored. If you focus too much on plyometrics you will struggle down the road because you do not restore full strength and capacity. Mistake #5 - Not mentally preparing before the surgery. This surgery is a process. It is not comfortable! The knee will be swollen, weak, and irritable. For a couple months, even after that the process will be slow! Research has shown that 65% of people who undergo the surgery do not return to previous level of function. Don't fall victim to the couple pro athletes you see making a successful recovery. As they have unlimited resources and time during the week to work on improvement. Likely, that is not your scenario so you must take your time if you want to give yourself the best shot at a FULL recovery! If you would like a goal sheet which has all the milestones I use with my patients on a nice timeline for you, email greg@sportsrehabexpert.com

Episode 21 - Sports Rehab Success Show Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ http://www.annarbor.physio - My Clinic https://www.instagram.com/sportsrehab... - Instagram

The #1 Reason Why Injuries Happen and The Best Way To Recover or Avoid Injury This boils down to a simple equation you should always be considering when working with athletes and individuals dealing with injury or performance. www.sportsrehabexpert.com

Lessons To Learn From Zion Williamson's Knee Injury http://www.sportsrehabexpert.com

This episode we talk about the impact that delaying knee extension can have on sprint performance as well as HUGE implications for rehabilitation that many people do not consider.

Video can be found here: https://www.youtube.com/watch?v=mUSIY1vXpA8 Product we discussed can be found here: https://blackboard-training.com/en/home-en/ Blog Post about the topic can read here: https://www.sportsrehabexpert.com/public/How-To-Fix-Flat-Feet.cfm

Physical Therapy protocols can be a real pain to deal with at times. Some are useful, others are useless. I get asked all the time what I think about using protocols by other clinicians. Its often a very polarizing subject if you should use them or just toss them in the trash. As with many things, I believe there is always 2 sides to the coin. Physical therapy protocols are no different. Check out this episode of the Sports Rehab Success Show to get the full take on how I feel protocols should be utilized and not utilized in practice. Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/ My clinic: https://www.annarbor.physio/ Instagram: sportsrehabexpert https://youtu.be/RilWG2MHea4

In this episode we discuss acute to chronic workload monitoring during training and with teams/athletes. Teams spend thousands of dollars every year to monitor the amount of work an athlete performs both acutely and chronically over the course of a year or season. This has been a game changer for a lot of teams to reduce the likelihood of injury as well as help someone recover from an injury! However, in today's episode I discuss how a lot of times clinicians and coaches take this as a way to over simplify the recovery of an injury. Or over simplify the coaching aspect of training. Please do not forget that biomechanics and movement efficiency matter! I see to many clinicians and coaches brush this skill to the side in favor of just monitoring workload. Knowing how to improve someones movement efficiency and create movement variability will also help the athletes reduce workload and repetitive stress both in the acute and long term scenarios. So please continue to monitor workloads! Just don't forget about biomechanics, movement variability, and technique.

The importance of being able to get someone to the point of a single leg heel raise after Achilles Tendon rupture whether it was conservative treatment or Surgical Treatment. We cover major points of rehab progressing someone back to a single leg heel raise.

This is a case study of an athlete that was recently treated at my clinic who experienced neural tension symptoms for > 1 year that limited his mobility and ability to return to sport.

This episode we discuss a case study of a powerlifter who was experiencing pain at the bottom of a squat. The solution is something everyone can learn from even the general population, as it did not require heavy loads to make improvements. Listen to this episode to find out what I mean...

This episode covers hamstring injuries with soccer players and important concepts you will want to consider as it pertains to sprinting technique.

In this episode we talk about how you can write a book in a reasonable time frame and have it be a long standing asset for your company!

This is a case study of a client who was dealing with cervical Headaches after doing pushups or using a rowing machine.

This episode is a recording from a question we got from one of the members of our Facebook Group: "What are your favorite low back pain exercises?"

In this episode we answer a question that was asked to us from the listeners about how we go about treating anterior hip pain, mainly hip flexor injuries.

Anterior Knee Pain with Passive Hyperextension Case Study

In this episode I discuss a college baseball player who was dealing with elbow and shoulder pain chronically while pitching. Listen in to this episode to learn what we assessed and how we went about treating this issue.

This episodes talks about a mistake I made while treating sciatica. It pertains more toward the "soft skills" of rehab and communication with the client. Hopefully you will find use from it, as I think it applies to many other diagnosis as well.

Learn how the scapula and humerus plays an important role in how we coach setting up for a bench press to get our athletes stronger but also stay healthy.

Managing Large Anterior Pelvic Tilt in CrossFit Athlete

This week we have a brand new interview with Mario Novo of The Lifters Clinic. He is also an instructor for Smart Tools teaching courses on Blood Flow Restriction Training. During this in depth interview we talk about: -Working knowledge of what BFR is and isn't -Why people it should be individualized for the person -Current research and mechanisms behind why BFR works. -Benefits of different cuffs -How to utilize BFR in the clinic or performance setting

This is a recording of a one on one coaching call where we talked about alternative ways to improve shoulder and hip internal rotation besides stretching, soft tissue mobilization, modalities, or eccentric exercise.

This is a 12 minute snipt of a discussion we had on sportsrehabexpert.com "members area". Where we talked about back pain in football, foundational strength training, the bigger faster stronger program, and more.

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