ACL Injury And Female Athletes

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This article is courtesy of PRWeb, please share your comments below…..

girljogPhysical Therapist Robert Fay with Armonk Physical Therapy & Sports Training Provides Tips on Injury Prevention.

An audible “pop” often signals a torn anterior cruciate ligament in the knee, one of the most common – and dreaded – injuries for young athletes, particularly girls. Among the approximately 150,000 ACL injuries every year in the United States, various estimates put the number sustained by women at two to eight times those suffered by men. And female athletes between the ages of 15 and 19 account for the highest number of ACL injuries.

No other common orthopedic injury is as terrifying, as disabling or as damaging to a young athlete’s career. A torn ACL requires surgery and six to nine months of recovery and rehabilitation before a return to the playing field. And having torn an ACL once increases the risk of suffering a second injury to the ligament as well as the risk of early onset of osteoarthritis in the knee. “The short- and long-term consequences of a ruptured ACL have prompted the development of conditioning programs designed to prevent the injury,” says Robert Fay, clinical director at Armonk Physical Therapy & Sports Training. “Since the factors that affect the risk of ACL injury may be different for every girl, a comprehensive evaluation by a qualified physical therapist can help each athlete undertake training that will improve her odds of staying healthy.”

The anterior cruciate ligament is one of four primary ligaments that connect the bones that comprise the knee joint. The ACL, located in the middle of the knee, connects the shinbone (tibia) to the thighbone (femur). It acts to stabilize the knee and prevent the lower leg from sliding too far forward. While an ACL rupture can result from contact, as in a football tackle, the vast majority, especially in girls, are caused by stopping suddenly, changing direction rapidly, or landing a jump incorrectly. The high school sports that put girls most at risk are the ones that require those motions: soccer, basketball, volleyball, and gymnastics.

Why do girls suffer more ACL injuries?

Starting at puberty, a surge in testosterone in boys produces more muscle, making them stronger but less flexible. Girls at puberty tend to add fat rather than muscle and their ligaments are more lax, making them more flexible but with less supporting muscle mass and strength to keep joints stable. “Biomechanical studies have also shown differences in how girls and boys use their muscles,” says Mr. Fay. “For example, they land a jump differently and they run differently, with less neuromuscular control of the knee. Fortunately, these factors can be modified with proper conditioning and the risk of ACL damage reduced.”

Preventing ACL Injuries

A physical therapist or training professional can develop a sport-specific program designed to reduce the risk of ACL injuries. These programs focus on plyometrics, balance, and exercises that improve strength and stability.

* Plyometrics are repetitive jumping exercises that are comprised of rapid, powerful movements that first lengthen a muscle then shorten it, a contraction cycle that increases muscular power. The exercises progress in difficulty using elements like squat jumps, broad jumps, and hopping. Girls are trained to land softly with a bent leg and bent hip, rather than stiff-legged.

* Balance training uses various devices – boards, discs, stability balls – and a combination of exercises performed on one leg.

* Training to improve strength and stability covers a wide range that includes focusing on the core, the gluteal muscles, and using the hamstring when landing rather than relying on the quadriceps, which puts strain on the ACL.

Training is the primary component of a strategy to minimize the risk of injury for young athletes but it isn’t the only one. “Kids are often encouraged to concentrate early – sometimes as early as middle school – on a single sport,” Mr. Fay says. “That means they’re using the same muscles every day. And with the growth of club sports, traveling teams and specialized camps, they’re playing that sport more often, even all year round. Their muscles never get a chance to recover and they have many more opportunities to get hurt. Proper conditioning, taking breaks, and playing more than one sport in the adolescent years can build strength and endurance and help support a healthy athlete for years to come.”

Armonk Physical Therapy & Sports Training provides personalized, integrative, and skilled one-on-one physical therapy services.

– Robert Fay, PT, MHSc, OCS, STC, CSCS , clinical director and owner at Armonk Physical Therapy & Sports Training, has more than 15 years of clinical experience in orthopedics and sports medicine including working with college and professional athletes.

Teenage Baseball Pitchers At Risk For Permanent Shoulder Injury

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A very interesting story from PRWeb about over-pitching teens in baseball. What are your thoughts about this article? Please share in the comments section…..

newsYoung baseball pitchers who throw more than 100 pitches per week are at risk for a newly identified overuse injury that can impede normal shoulder development and lead to additional problems, including rotator cuff tears, according to a new study published online in the journal Radiology.

The injury, termed acromial apophysiolysis by the researchers, is characterized by incomplete fusion and tenderness at the acromion. The acromion, which forms the bone at the top or roof of the shoulder, typically develops from four individual bones into one bone during the teenage years.

“We kept seeing this injury over and over again in young athletes who come to the hospital at the end of the baseball season with shoulder pain and edema at the acromion on MRI, but no other imaging findings,” said Johannes B. Roedl, M.D., a radiologist in the musculoskeletal division at Thomas Jefferson University Hospital in Philadelphia.

To investigate the unexplained pain, Dr. Roedl and a team of researchers conducted a retrospective study of 2,372 consecutive patients between the ages of 15 and 25 who underwent magnetic resonance imaging (MRI) for shoulder pain between 1998 and 2012. The majority of the patients, which included both males and females, were baseball pitchers.

“Among high school athletes, pitching is the most common reason for shoulder pain,” Dr. Roedl said.

Sixty-one of the patients, (2.6 percent) had pain at the top of the shoulder and an incomplete fusion of the acromion but no other findings. The patients were then age and sex-matched to patients who did not have the condition to form a control group.

Pitching history was available for 106 of the 122 patients included in the study. Through statistical analysis, the researchers found that throwing more than 100 pitches per week was a substantial risk factor for developing acromial apophysiolysis. Among the patients with this overuse injury, 40 percent threw more than 100 pitches per week, compared to 8 percent in the control group.

“We believe that as a result of overuse, edema develops and the acromion bone does not fuse normally,” Dr. Roedl explained.

All 61 injured patients took a three-month rest from pitching. One patient underwent surgery while the remaining 60 patients were treated conservatively with non-steroidal pain medication.

Follow-up MRI or X-ray imaging studies conducted a minimum of two years later after the patients turned 25 were available for 29 of the 61 injured patients and for 23 of the 61 controls. Follow-up imaging revealed that 25 of the 29 patients (86 percent) with the overuse injury showed incomplete fusion of the acromion, compared to only 1 of the 23 (4 percent) controls.

“The occurrence of acromial apophysiolysis before the age of 25 was a significant risk factor for bone fusion failure at the acromion and rotator cuff tears after age 25,” Dr. Roedl said.

Twenty-one of the 29 patients with the overuse injury continued pitching after the rest period, and all 21 showed incomplete bone fusion at the acromion. Rotator cuff tears were also significantly more common among this group than in the control group (68 percent versus 29 percent, respectively). The severity of the rotator cuff tears was also significantly higher in the overuse injury group compared to the control group.

“This overuse injury can lead to potentially long-term, irreversible consequences including rotator cuff tears later in life,” Dr. Roedl said.

Dr. Roedl and his colleagues suggest teenage and young adult pitchers limit the number of pitches thrown in a week to 100. The American Sports Medicine Institute currently recommends that baseball pitchers between 15 and 18 years of age play no more than two games per week with 50 pitches per game.

“Pitching places incredible stress on the shoulder,” Dr. Roedl said. “It’s important to keep training in the moderate range and not to overdo it.”

Dr. Roedl pointed out that many successful professional baseball pitchers played various positions, and even other sports, as young athletes and thereby avoided overuse shoulder injuries.

“More and more kids are entering sports earlier in life and are overtraining,” he said. “Baseball players who pitch too much are at risk of developing a stress response and overuse injury to the acromion. It is important to limit stress to the growing bones to allow them to develop normally.”

“Acromial Apophysiolysis: Superior Shoulder Pain and Acromial Nonfusion in the Young Throwing Athlete.” Collaborating with Dr. Roedl were William B. Morrison, M.D., Michael G. Ciccotti, M.D., and Adam C. Zoga, M.D. Radiology is edited by Herbert Y. Kressel, M.D., Harvard Medical School, Boston, Mass., and owned and published by the Radiological Society of North America, Inc. ( RSNA is an association of more than 53,000 radiologists, radiation oncologists, medical physicists and related scientists promoting excellence in patient care and health care delivery through education, research and technologic innovation. The Society is based in Oak Brook, Ill. (

6 Signs And Symptoms That Could Signify A Sports Injury

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By Dr. Peter Ferraro

bandaidThe most common sports injuries are sprains or strains. When you stretch, twist or turn a ligament, it results in a sprain while strains are caused by muscle tissue or fibers getting stretched or torn. Rest and physiotherapy may help in most of the injuries while some need surgery, too.

1. Pain in the joints or back

If you feel pain in joints like elbow, wrist, ankle or knee, you should not overlook such a pain. Don’t mistake it for a muscular pain as these joints do not have any muscle around them. If the joint pain lasts for more than a couple of days, you might need to see a physician.
Shoulder pain is common in sports like tennis and badminton or cricket, which require repetitive movement of the arm. This happens because the tendons around the shoulder joint get inflamed or torn.
The risk of back pain comes with most sports, and can be considerably reduced by warming up properly before you exercise and play. Back pain may show up as stiffness or soreness of the lower back also. You might also feel pain in the shoulders, neck, lower limbs or buttocks.

2. Tenderness

If you feel pain at a certain point in a muscle, joint or bone when you press a finger into them, it could be because of an injury. Try pressing the same spot on the other side of your body. If it does not produce a similar pain, it definitely is an injury and you must see a physician to rule out the possibility of the same.

3. Swelling

Most sports injuries result in swelling. It may so happen that the swelling might not be very obvious but you may able to feel it, along with pain or redness or heat. A swollen joint will cause stiffness and pain and you might hear a clicking sound as the swelling pushes tendons into a new position and they snap over one another. A physician must examine the swelling to determine the extent of injury.
Swelling could also happen when you break a bone. Small bone injuries like a tiny crack in the bone or inflammation of the tissues like muscles, ligaments and tendons around the bone can be treated with ice packs and adequate rest. If the bone fracture is severe, there might be bleeding also. You may even faint or feel dizzy. This will require immediate attention of a surgeon.

4. Losing range of motion

seniorjoggerIf a joint is hurt but there is no obvious swelling, you will surely experience reduced range of motion in that joint – the limb associated with not move beyond a certain range. Comparing the corresponding part of the body on the other side will help you determine the difference in range of motion. If the difference is major, your injury might need attention.

5. Weakness on one side

Though it is difficult to compare one side of the body with the other for weakness, it can help assess if you have an injury. For arms, you can try lifting the same weight with your left arm and then the right arm. For legs, you can try placing your body weight on left foot and then the right foot. If you feel a difference while doing the same, it could be a sign of injury.

6. Tingling or numbness

The feeling of numbness or tingling can be associated with compression of nerves, and should not be ignored at all. It could actually be a serious injury and seeing a physician is the best idea.
It is natural to get injured while playing any sport, but all injuries might not be acute and obvious. Some injuries develop slowly and worsen over time, turning into chronic pains. These injuries do show some early warning signs, but they usually go ignored. Paying attention to these signs can not only help you heal quicker, but also avoid major problems in the future and save your body from severe damage. For most injuries, physical therapy may help get immediate and long-lasting relief if detected and treated early.

Dr. Peter Ferraro, DC, located in Saddle brook in Bergen County, is one of the New Jersey’s leading chiropractic experts. Dr. Ferraro, has over 12 years of experience in the chiropractic field.

La Peer Surgeons Comment On Mark Sanchez’s Potentially Season-Ending Shoulder Injury

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footballSurgeons at the Shoulder Surgery Center of Excellence in Beverly Hills explain New York Jets Quarterback Mark Sanchez’s shoulder injury and discuss his chances of recovery.

A recent article published on has stated that Mark Sanchez is seeking a second opinion on his pre-season shoulder injury. The questions right now are whether or not he has a torn labrum and whether or not he will need surgery to repair it.

“A labral tear can be a deeply troubling injury for any athlete, let alone an NFL quarterback,” said Dr. Eric Millstein, Medical Director at the Shoulder Surgery Center of Excellence. “Even a small tear in the shoulder cartilage can have a huge impact on mobility, strength, and overall performance of the shoulder.”

The labrum is a thick cuff of cartilage in the shoulder where the arm bone, or humerus, meets the body. This cartilage helps keep the ball of the arm secure in the socket. When the labrum is torn, the ball of the shoulder is liable to slide around and potentially become dislocated. This is an especially difficult injury for an NFL quarterback who not only puts very high strain on his arm to throw the ball but is also at risk for impact from the opposing team. This type of injury can be gradual or acute. If the injury is mild, it can often heal on its own with rest and physical therapy. However, in more severe cases, a labral tear may require surgery.

“The surgery for a torn labrum requires us to go into the shoulder and remove the irritated tissue before securing the torn cartilage to the rim of the shoulder socket,” says Dr. Millstein. “We do this as an outpatient procedure so patients can go home the same day.”

In addition to cartilage tears, the Shoulder Surgery Center of Excellence treats a broad range of shoulder injuries, including AC joint separation, degenerative joint disease, rotator cuff tears, shoulder decompression, and more. All of these procedures are performed arthroscopically.

“By performing these surgeries arthroscopically, we’re able to drastically reduce pain for the patient and speed up recovery time,” says Dr. Millstein.

In addition to acting as Medical Director of the Shoulder Surgery Center of Excellence, Dr. Millstein is a member of the Academy of Orthopaedic Surgeons, the American Orthopaedic Society for Sports Medicine, and the Arthroscopy Association of North America. He is also board certified by the American Board of Orthopaedic Surgery.

La Peer Health Systems is an outpatient surgery center in Beverly Hills, founded by doctors and focused on providing excellent patient care alongside the most cutting-edge medical treatments available. With 50 world-renowned physicians in 14 specialties, comprehensive medical treatment is offered that takes patients from consultation to diagnosis, treatment, surgery, and ultimately aftercare. The 14 medical departments include orthopedics & sports medicine, gastroenterology, head & neck surgery, colorectal & general surgery, podiatry, ophthalmology, pain management, plastics & reconstructive surgery, gynecology, spine surgery, interventional cardiology, bariatric surgery, thoracic surgery, and anesthesiology. Unlike large hospitals, La Peer’s unique structure offers extremely personal care in a safe and controlled environment.

To learn more about La Peer Health Systems, visit

– Courtesy of PRWeb

Impacts Of Medical Injury On Victim And His Family

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By Chelsey Lewis

doctorProfession of doctors and medical persons is highly sensitive, and mistakes made by them cannot be accepted. When a person consults some medical man, doctor surgeon or nurse, he expects quality and standard treatment by them. But unfortunately many cases of medical negligence have seen. Faults made by doctors during treatment of their patient turns into serious injuries sometimes leading to death. Due to the medical negligence very simple sickness turns into serious disease which is never even imagined by the patient. All such medical injuries can make life miserable for the victims and their families. Resulting factors of medical injury; pains, sufferings and financial losscan totally change the life of victim and his family.

Medical Injury Types

There are different types of medical negligence practices which result in different serious types of medical injuries. Misdiagnosis is one of the medical negligence, when doctor fails to identify exact extent and type of disease. Late diagnosis and delayed treatment is another medical malpractice. Wrong medication and prescriptions, unneeded surgeries, long term wrong treatment and negligent child birth care are some other types of medical negligence.
All these medical faults can harm patient with severe injury, sickness and even death. Different types of medical injuries resulting due to negligent medical treatment may include brain and spinal cord injury, heart or other organ failure injury, pregnancy related injuries, surgical injuries, beauty treatment injury, diseases gone out of control due to late diagnosis like cancer, hepatitis and tuberculosis and injury due to careless practices by medical staff.

Effects on Victim and his Family

Serious medical malpractices can lead to very distressing and disappointing effects on victim’s life and on life of his family.

* Pain and Suffering: first and major impact person receives is intense pain and extreme sufferings. This state is not only unbearable for the person himself but also for his family. It is possible that you would face major operation or surgery in result of medical negligence.

* Disability: life long disability or deformation can be the result of wrong treatment, injury resulting in amputation or disability of any other body part is devastating for person and his family. It is very depressing for a disabled personeither losing his leg, arm eye or other body part. Being dependent on others is something unendurable.

* Financial Loss: Unexpected serious diseases may totally destroy economy of an average person. Long term treatment processes, required operations, medication and prescriptionsand medical fees and all other costs can bring financial crisis to the person and his family. Moreover economical crisis in the form of loss of earnings and wages is also very serious.

* Fatality: In result of medical injury fatalities of victims have most tragic outcomes. Family of the person would face huge loss if they were totally dependent on victim. Other than loss of financial support, loss of moral support, loss of household help, loss of affection and love are much more significant in case of fatalities.

* Psychological Problems: Psychological problems last for long time and thus are more overwhelming and disturbing. Victim and his family are supposed to pass through most distressing mental trauma for long time.Unexpected anger, extreme frustration, deep depression, and long sleep are some common mental conditions faced by victim of medical negligence.

* Social Impacts: Victim of medical malpractice experiences difficulties in facing society; he lives isolated life, and presumes negative-image for himself and for all others. Medical malpractice brings long term changes in person’s life style, practices and thinking. Victim and his family face failure of all life plans and commitments.

– Chelsey is a dynamic member of personal injury law firm. She is a professional medical negligence Solicitor, also a legal adviser. Her strong Comments and forceful articles guide her readers about types of medical Injuries, their impacts and compensation claim methods.

** This web site is for advice and information purposes only. Opinions expressed by other individuals on this web site through guest posts or comments does not mean the creators of this website support or disagree with their opinions or products. For direct questions on this article, please contact the author (Chelsey Lewis) directly.

More Kids Injured Playing Football, Soccer

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boyssportsFrom Your Health Journal…..”A very interesting article from CNN that I wanted to promote here about sports and injuries. We have discussed here so many times how the obesity epidemic facing the youth of the world is on the increase, along with obesity related illnesses such as heart disease, cancer, or type 2 diabetes. One of the suggestions to combat obesity with children is to get them on recreation or travel teams, but for many parent, and understandably, they are worried about sports injuries. Recently, a new study as suggested that football injuries among children have increased 22% in the last decade. Overall, however, sports injuries among children have decreased. The research also concluded that recreational activities – such as bicycles, trampolines and roller sports – saw the biggest decrease at 24.9%. But injuries from ball sports showed a slight uptick of 5.5%, with football and soccer leading the way. Please visit the CNN web site (link provided below) to read the complete article. It was well written and informative.”

From the article…..

Football injuries among children have increased 22% in the last decade, according to a new study. Overall, however, sports injuries among children have decreased.

The findings surprised Dr. Shital Parikh, associate professor of orthopaedic surgery at Cincinnati Children’s Hospital and the study’s lead author. Parikh will present his research at the American Academy of Orthopaedic Surgeons’ annual meeting on Thursday.

When he started analyzing the numbers from the National Electronic Injury Surveillance System, Parikh expected to find a big increase in kids’ injuries based on what he and his colleagues have seen in their practice.

Instead he found that the overall number of activity injuries for kids aged 5 to 14 decreased 11.3%. The researchers looked at data from bicycle, basketball, football, roller sports, playground equipment, baseball/softball, soccer and trampoline injuries.

Recreational activities – such as bicycles, trampolines and roller sports – saw the biggest decrease at 24.9%. But injuries from ball sports showed a slight uptick of 5.5%, with football and soccer leading the way.

Parikh’s research did not address the “why” behind these trends, but he said there are probably several causes.

The overall decrease in injuries could be attributed to the overall decrease in kids’ physical activity and the increase in childhood obesity, he said. Sports may also be safer than they were 10 years ago, thanks to continuing education and preventive programs.

To read the complete article…..Click here