Robert Senior, Sports Doc blog Editor
To provide you with the timely, credible, in-depth resource you need to keep competing in whatever your activity of choice, we have been growing our panel of bloggers to include sports medicine experts from around the Philadelphia region. Here is a quick look at our regular contributors, beginning with the editor. Stayed tuned for even more.
Rob Senior, Philly.com's sports medicine and fitness editor, has covered sports medicine, physical rehabilitation and various aspects of fitness for a variety of publications.
He also enjoys following college and professional sports, and coaches his children's youth teams. Rob resides in Limerick, Pa. with his wife Maria and their children.
Robin Bilazarian, L.C.S.W., D.C.S.W., D.C.E.P.
This has been a cold and snowy winter, the perfect landscape for the winter blues. For some, this occurs every year and they carry a diagnosis of Seasonal Affective Disorder (SAD). Missing sun light may be a factor. Even removing the bright decoration of the holidays may be a contributor to the winter doldrums.
By February, most of us have had enough of winter’s extremes. We are hyper-animated, annoyed and distressed by any more snow in the weather forecast. We crave sun light, warm breezes and colorful flowers. We dream of crocuses, daffodils and baseball.
Whether you suffer from SAD or are just sick of drab winter, it is worth the fight to reclaim some happiness this month. So take some action to pull out of your slump. Here are some suggestions.
Eugene Hong, MD, CAQSM, FAAFP, Team Physician - Drexel, Philadelphia University, Saint Joe’s, & U.S. National Women’s Lacrosse
Musculoskeletal complaints account for about 20-30 percent of all primary care office visits. Having pain or dysfunction in the front part of the knee is a very common presentation in the sports medicine office, and a common reason for a patient to see their healthcare provider with a knee issue.
There are a number of pathophysiological etiologies to anterior knee pain. This blog post will describe some of the common as well as some of the less common causes. It should be said first, however, that a good history and thorough physical exam are essential to an accurate diagnosis of the cause of the anterior knee symptoms. In turn, an accurate diagnosis is essential to optimal management and the best possible outcome.
Two of the most common causes of anterior knee pain in the active person, and what we see in the sports medicine office, are Patellofemoral Syndrome (or what I like to refer to as Patella Tracking Dysfunction) and articular cartilage conditions such as chondromalacia or osteoarthritis (from injury, damage, or wear and tear) involving the patellofemoral compartment.
Heather Moore, P.T., D.P.T., C.K.T.P.
With the snow and cold and workout boredom setting in, many people have already lapsed on the New Year’s resolutions set only a few weeks ago. They’ve fallen into not exercising and resuming old patterns of letting work, kids, social schedules get in the way of leading a healthier and happier lifestyle.
The good news is it is never too late to get back on the workout wagon and resume achieving those goals that you set a little over a month ago. There are a few things to consider as you begin to work on creating the new you that you wanted to do so just shortly ago.
1. Avoid workout boredom. Most people fall off the workout wagon because there are so many times in a row you can hop on a treadmill, the elliptical, the bike and just mindlessly go for a half hour or hour. Eventually it becomes old and when you lose sight of your goals you can justify replacing this time with so many other more pressing things.
Robert Senior, Sports Doc blog Editor
It’s been a frigid winter, and the area just got pounded yet again with over a foot of snow in some areas. Surely, no one has thought about going for a long bike ride or competing in a triathlon lately.
And that’s just the way Matt Reece wants it.
Reece is one of the managing members of the Endurance Sports Expo, presented by Competitor. The 5th annual Expo takes place this weekend, February 22-23, at the Greater Philadelphia Expo Center in Oaks.
Robert Senior, Sports Doc blog Editor
A day filled with excitement and drama at the Sochi Olympics was marred by news Saturday morning of Russian freestyle skier Maria Komissarova’s serious injury.
Komissarova sustained a broken back by dislocating her vertebra during a practice session on the freestyle course. She was taken immediately to emergency surgery, where doctors worked for 6.5 hours to stabilize her condition.
A spokesman for the Freestyle Federation of Russia confirmed through a translator that the injury was “a fracture dislocation” and that Russian President Vladimir Putin had been to see Ms. Komissarova.
Brian Cammarota, M.Ed., A.T.C., C.S.C.S., C.E.S. and Heather Dillon Anderson, P.T., D.P.T, N.C.S.
Reaction time, vision, quick deliberate movements—these are important in most sports, but as a hockey goalie these skills are vital!
Josh Harding, starting goaltender for the Minnesota Wild, is currently leading the NHL in Goals Against Average at 1.65 and is tied for 2nd in save percentage at .933. He nearly made this year’s Canadian Olympic Ice hockey team (a perennial medal favorite) and likely would have been an Olympian had he lived anywhere other than Canada.
Harding’s career took an interesting turn since the fall of 2012. He went from being a back-up goalie, averaging fewer than 30 games per season over the past five years, to Olympic hopeful and one of the best goalies in the NHL.
Desirea D. Caucci, PT, DPT, OCS, Co-owner of Conshohocken Physical Therapy, Board Certified Orthopedic Clinical Specialist
Pain and dysfunction of any body part has many possible causes. I would venture to say that every single one of us can identify with nagging muscle pain or muscle “knots.”
In medical terminology, this is a myofascial restriction of the actual muscle fibers and the connective tissue, fascia, that envelops them. In my opinion, full healing is not possible without addressing this common soft tissue problem.
There are several techniques available to address myofascial restrictions. I commonly utilize my hands for deep massage, myofascial release, acupressure and stretching. There also have been tools developed to accomplish muscle release when used by a skilled practitioner.
In my office, we use HawkGrips tools for instrument-assisted soft tissue mobilization. This allows the user to focus mechanical force along a small contact surface to treat the target tissue.
HawkGrips are a surgical-grade stainless steel instrument designed to detect and treat soft tissue restrictions. We glide the tools over the skin and feel for any soft tissue adhesions. The tools actually transmit vibrations from the muscle and connective tissue to the instrument which can be felt and heard. There are various different strokes applied for deep pressure to restricted tissue in order to break adhesions, soften tissue and promote oxygenation and circulation to the affected areas.
Performing tissue mobilization in this manner with my patients has resulted in reduced pain, improved range of motion, increased flexibility and overall enhanced performance. We have had great success in treating soft tissue restrictions of the neck, back, shoulders, knees and feet using HawkGrips in combination with therapeutic exercises, postural re-training and teaching optimal body mechanics.
In general, soft tissue treatment, whether completed with hands or tools, is a highly effective hands-on approach in managing many acute and chronic pain syndromes, sports injuries, aging disorders, and traumatic and surgical scarring. In my opinion, ignoring these soft tissue restrictions is the missing link in many people’s care.
- Alfred Atanda, Jr.
- Arm, Shoulder Injuries
- Back Injuries
- Brian Cammarota
- Broad Street Run
- Cassie Haynes
- Children, Teens
- David Berkson
- David Rubenstein
- Desirea D. Caucci
- Eugene Hong
- Head Injuries
- Heather Moore
- In The News
- Jim McCrossin
- Joel H. Fish
- John Quinn
- Julie Coté
- Justin Shaginaw
- Kelly O'Shea
- Kevin Miller
- Knee Injuries
- Michael G. Ciccotti
- Other Sports
- Performance Enhancement
- Peter F. DeLuca
- Philadelphia Marathon
- Philly Marathon
- Physical Therapy
- R. Robert Franks
- Robert Cabry
- Robert Senior
- Rock 'n' Roll Half Marathon
- We Tried It
- Working Out