Friday, April 18, 2014
Inquirer Daily News

POSTED: Thursday, April 17, 2014, 5:30 AM
Filed Under: Ashley Greenblatt | Men | Women | Working Out
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Does your current exercise routine have you running in circles? When it comes to keeping pace with exercise adherence and motivation, employing a Personal Trainer can help reach one’s stride. However, determining which Personal Trainer to choose can be a challenging task, and it is important to be aware of which credentials to look for and what differentiates one trainer from the next.

This is your body we are talking about. Would you go to just any doctor your insurance covers without reading up on the physician? Probably not. So why entrust the wellness of your body to any Joey Jockstrap your gym throws your way? I am here to help navigate you through what credentials and certifications to look for in a Personal Trainer. Let’s get to work.

Disqualify the Uncertified. As a rule of thumb, always verify that your Personal Trainer is certified.

POSTED: Wednesday, April 16, 2014, 5:30 AM
Filed Under: Knee Injuries
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We all hear how ACL injuries are season-ending for professional athletes. But what if an athlete could return to sports without ACL surgery? 

There have been many articles showing that patients can return to activity, including sports, without ACL reconstruction. A recent study by Hetsroni et al in the August 2013 journal of Knee Surgery, Sports Traumatology, Arthroscopy showed that a quarter of recreational skiers with ACL injuries can be treated non-operatively. However, most people go on to have continued episodes of instability causing additional injury if they return to sporting activities without surgery. So what are the risks of playing without an ACL and how do we know who can and can’t play without surgery?

The ACL is the main stabilizing ligament in the knee.  It prevents excessive rotation of the knee joint that can occur with cutting and pivoting motions such as those in football, soccer, basketball and other similar sports. When the ACL doesn’t work, these rotational forces are transmitted to the other knee structures resulting in tearing of the meniscus and damage to the joint surface cartilage. Cartilage is the Holy Grail of orthopaedics and sports medicine.  We do a very good job a reconstructing the ACL but our results with cartilage repair are adequate at best. 

POSTED: Tuesday, April 15, 2014, 5:30 AM
Filed Under: Broad Street Run | Running
Runners enter the Navy Yard in South Philadelphia finishing the Broad Street Run on Sunday, May 5, 2013. (Yong Kim / Staff Photographer)

Einstein Orthopedic Surgeon Dr. Minn Saing is the Medical Director for the Blue Cross Broad Street Run. He offers these tips to keep you in top form:

Recognize Risk. Runners are most vulnerable to injury at certain times during their running careers.

  • Upon Initial Running – First 4-6 months
  • When returning to running after injury
  • When running longer distances
  • When running faster

Fixable Problems. Most running injuries are caused by recurrent issues that are often identifiable and preventable by the runner making some small changes.

POSTED: Monday, April 14, 2014, 10:02 AM
Filed Under: Broad Street Run | Running
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The return of warm weather means the opportunity to run outdoors while training for the Blue Cross Broad Street Run. Unfortunately, sun exposure can lead to progressive skin damage that leads to cancer. 

To help keep you protected during your running and training, Einstein Healthcare Network dermatologist Dr. Jonathon Wolfe at Einstein Medical Center Montgomery has provided the following tips and recommendations:

You need to wear sunscreen if you are going to spend a lot of time running outdoors. Sunscreen protects your skin by absorbing or reflecting the sun's rays. 

POSTED: Friday, April 11, 2014, 10:48 AM
Filed Under: In The News | Running

The annual Stroehmann 5K Walk+Run Against Hunger takes place tomorrow morning at 8 a.m. sharp, starting from the steps of the Philadelphia Art Museum.

Last year’s event attracted over 4,000 participants and raised almost $250,000 for area organizations including the Coalition Against Hunger, SHARE, The Food Trust and Philabundance. The event has been a spring tradition in Philadelphia since 1996.

After the start of the run, the opening ceremonies commence at 8:30 a.m.—when many runners should be crossing the finish line. Speakers will include executive from Stroehmann bakeries and Acme Markets, as well as an active Philadelphia Eagles player (the player’s name was not available as of today.)

POSTED: Thursday, April 10, 2014, 10:20 AM
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My clinic sees a lot of athletes, and one question I ask every patient on their initial evaluation is, “What have you been doing at home?” The most common answer is, “Nothing.” 

Many people tell me that when they felt pain, weeks and even months ago, they just ran or exercised through it until it got bad enough that they could not do their sport anymore. So they rested for two weeks, four weeks, two months, then they went back to their sport and the pain came back. Sometimes, the pain comes back worse. No matter how long they rested, the pain returned and sometimes worse and in more spots then it was before they took time off.

Why doesn’t the pain stay away after a period of rest?

POSTED: Wednesday, April 9, 2014, 5:30 AM
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I wanted to open a discussion regarding association of wrist pain and exercise that requires increased weight bearing on upper extremities. In my practice, I see patients from mixed demographics with complaints of wrist pain. In fact, wrist pain happens to be one of the most searchable conditions on the Internet.

A large number of patients associate wrist pain with increase or change in exercise activity—sometimes, a newly developed love for yoga or Pilates.

With multiple benefits comes the unfortunate side effect: pain in the least expected locations such as wrist, elbow and shoulder joints. While this phenomenon is more common in women, we are beginning to see an increasing occurrence in men. How can physical activity that has been praised for thousands of years for bringing emotional and physical well being cause its followers pain and injury?

POSTED: Tuesday, April 8, 2014, 5:30 AM
Filed Under: Broad Street Run | Running | Women
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It has been a long, cold winter. Walking on ice has proven difficult and running outdoors nearly impossible. For those without gym access, this winter has challenged our ability to maintain our fitness goals—except those goals directly related to shoveling snow. With events like the Broad Street Run quickly approaching, we may find that we are trying to catch up for lost time.

With warmer weather in sight, it is important that we gradually resume our training regimens to ensure that injury doesn’t take us out of the race. So, if you’re starting to get nervous about that event you agreed to run with your co-workers as your New Year’s resolution, here are five suggestions for returning to running after a prolonged break:

1)      Have a plan. Plan your runs and figure out in advance your weekly mileage/cross-training goals. This will help prevent a sudden training increase immediately before the event. Unlike studying for a test or putting together that last-minute presentation for work, it is not possible to cram mileage. If you plan on returning to running with a workout partner, make sure you both know each other’s goals, so that you can stick with your plan. Most importantly, set realistic goals to ensure that you are met with success.

About this blog

Whether you are a weekend warrior, an aging baby boomer, a student athlete or just someone who wants to stay active, this blog is for you. Read about our growing list of expert contributors here.

Robert Senior Sports Doc blog Editor
Alfred Atanda, Jr., M.D. Nemours/Alfred I. duPont Hospital for Children.
Robert Cabry, M.D. Drexel Sports Medicine, Team physician - U.S. Figure Skating, Assoc. Team Physician - Drexel
Brian Cammarota, MEd, ATC, CSCS, CES Symetrix Sports Performance, athletic trainer at OAA Orthopaedics
Desirea D. Caucci, PT, DPT, OCS Co-owner of Conshohocken Physical Therapy, Board Certified Orthopedic Clinical Specialist
Michael G. Ciccotti, M.D. Rothman Institute, Head Team Physician for the Phillies & St. Joe's
Julie Coté, PT, MPT, OCS, COMT Magee Rehabilitation Hospital
Peter F. DeLuca, M.D. Rothman Institute, Head Team Physician - Eagles, Head Orthopedic Surgeon - Flyers
Joel H. Fish, Ph.D. Director - The Center For Sport Psychology, Sports Psychology Consultant - 76ers & Flyers
R. Robert Franks, D.O. Rothman Institute, Team Physician - USA Wrestling, Consultant - Philadelphia Phillies
Ashley B. Greenblatt, ACE-CPT Certified Personal Trainer at The Sporting Club at The Bellevue
Cassie Haynes, JD, MPH Co-Founder, Trap Door Athletics, CrossFit LI Certified
Eugene Hong, MD, CAQSM, FAAFP Team Physician - Drexel, Philadelphia University, Saint Joe’s, & U.S. National Women’s Lacrosse
Jim McCrossin, ATC Flyers and Phantoms
Kevin Miller Fitness Coach, Philadelphia Union
Heather Moore, PT, DPT, CKTP Owner of Total Performance Physical Therapy, North Wales, Pa.
David Rubenstein, M.D. Main Line Health Lankenau Medical Center, Team Orthopedist - Philadelphia 76ers
Justin Shaginaw, MPT, ATC Aria 3B Orthopaedic Institute, Athletic Trainer - US Soccer Federation
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