Sports Rehab Success Show

Greg Schaible
Sports Rehab Success Show

Physical Therapy, Athletic Trainers, Chiropractors, Personal Training We help Sports Clinicians and Strength Coaches around the globe learn the skills necessary to become the "go-to" expert in their area so they can have both a prosperous career and make meaningful impacts on their clients lives! Have a question you would like to ask??? Submit them at: www.sportsrehabexpert.com

  1. 22/07/2020

    Hamstring Pain - Proximal Hamstring Tendinopathy {Stop Stretching It!!!}

    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

    8min
  2. 08/06/2020

    The Easiest Knee Pain Exercise (That Can Also Be Used To Assess Knee Pain)

    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.

    11min
  3. 28/05/2020

    Foot Pain After Running | Tarsal Tunnel Syndrome & Morton's Neuroma Treatment

    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

    23min

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Physical Therapy, Athletic Trainers, Chiropractors, Personal Training We help Sports Clinicians and Strength Coaches around the globe learn the skills necessary to become the "go-to" expert in their area so they can have both a prosperous career and make meaningful impacts on their clients lives! Have a question you would like to ask??? Submit them at: www.sportsrehabexpert.com

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