Recovery Physical Therapy

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RPT Patient Profiles

What is the significance of a hyperextended knee?

Kevin Durant reportedly suffered a hyperextended knee less than a minute into last night’s contest against the Wizards in D.C. and exited the court shortly thereafter. An MRI is scheduled. The injury occurred when Washington Center, Marcin Gortat made contact with Golden State’s Zaza Pachulia who then stumbled, landing on Durant’s left leg.

Though the MRI may not reveal any significant injury beyond a mild sprain, there is a range of diagnoses possible in this situation.

What is the significance of a hyperextended knee?

Ligaments – which attach bone to bone – provide stability by restraining excessive movement in our joints. When a joint goes beyond its normal range of motion, the integrity of certain ligaments becomes compromised, resulting in a sprain. In the case of the knee, forceful or traumatic hyperextension into a bowed position stresses the anterior cruciate ligament (ACL) – which is the primary stabilizer of the joint – and may also impact other secondary stabilizers. Worst-case scenario for Durant would have been a Grade 3 sprain, otherwise known as an ACL tear. A Grade 3 sprain is actually a complete rupture. Best case would be a Grade 1 sprain, with only mild tweaking of the ligament.

When the knee hyperextends, the tibia (the larger bone in the lower leg) glides forward excessively on the femur (the thigh bone) at the knee joint. This abnormal movement, whether caused by trauma or a non-contact situation, can also result in a bone bruise, or contusion. As with a sprain, the extent of the contusion would be proportional to the degree of hyperextension that occurred and whether trauma played a role. Another factor is the athlete’s baseline – or normal – range of motion.

A prior history of ligament sprain that results in persistent joint laxity predisposes an athlete to excessive joint mobility. This may set the stage for a non-contact injury. Many people – particularly ballet dancers and gymnasts – have hypermobile knees, enabling extension beyond a level plane and into a hyperextended position. This expanded range of motion is their “normal”. For a hyperextension injury to occur in these populations, the tibia would have to glide that much further forward, still stressing its restraints.

It is important for an athlete or dancer to have exceptional muscle strength, particularly in those muscles surrounding a less than stable joint. It is also vital that strength is optimized at the end-ranges of motion. The hamstrings become particularly vital in the case of the knee, for in their role as knee flexors. In addition to bending the knee, the hamstrings also act to extend the hip. However, as knee flexors they provide a degree of dynamic restraint to limit hyperextension of the joint.

Kinesio Taping for NYC Marathon Runners at our Upper East Side office, Sat Nov 5th

TAPING FOR NYC MARATHON RUNNERS

When: Saturday, November 5th, 2016

Where: Recovery Physical Therapy Upper East Side Location

157 East 86th street 2nd floor, New York, NY 10028

(Entrance next to Steve Madden Shoe store)

What: 30-minute kinesio taping by a licensed Physical Therapist to enhance performance and decrease pain for those running the NYC marathon.

Who: If you have neck, shoulder, back, hip, knee, foot, or ankle pain, there are taping techniques that can help with pain and enhance performance.

Cost: The cost includes a 30-minute session where the therapist will evaluate taping needs and administer the tape (tape will be provided by Recovery Physical Therapy.)  $50 self-pay fee.

There will be no massage, stretching, joint mobilizations or manipulations, or any other modalities/treatments.   If you feel you do need any of these services before or after the marathon, please contact us at (212) 831-3315 to schedule an appointment.

Contact: Please feel free to contact us at (212)831-3315 or come in to make an appointment!

Concussion Management Program at Recovery Physical Therapy

Concussion diagnosis and treatment has been an important topic of discussion recently as new research points to the potential long term effects of concussion. Concussion and Post-Concussion syndrome prevention have been all over the news; and schools, athletic organizations, as well as professional leagues are all creating new rules and guidelines to help prevent and treat concussion.

At Recovery Physical Therapy’s Upper West Side location we are proud to announce our new Concussion Management Program.

concussionrehabilitationprogram

A concussion is defined by the Centers for Disease Control as “a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth. This sudden movement can cause the brain to bounce around or twist in the skull, stretching and damaging the brain cells and creating chemical changes in the brain.”

Any type of head trauma can cause concussion; from falls, to motor vehicle accidents, bicycle accidents or sports collisions to name a few.

While the majority of people who sustain a concussion have relief of symptoms in about two weeks, for some the symptoms can persist for weeks or even months post-concussion.

As Physical Therapists we can assist in relieving the symptoms of concussion including headache, loss of balance, dizziness, visual problems, vestibular problems, and exercise intolerance.

Physical therapists can provide a vital service to promote healing, a return to work or school and a safe return to physical activity and athletics as soon as possible.

Once a referral to our specially trained physical therapists has been made by the doctor or health care practitioner, patients will receive a detailed initial evaluation.  An individualized treatment plan will be created based on the patient’s symptoms, impairments and specific goals.

We will work together so that you, or your patient, can return to everyday activities, school, work, and safely return to athletics after a concussion.

If you would like to learn more about our concussion program, or to make a referral or appointment please call, 212-874-1550 or email us at

Congratulations Marathon Runners!

A big congratulations to the following patients who completed the NYC marathon yesterday!  You make us proud!

Chris LaCroix, Sandra Del Guercio, John Larocca and Judy Sweeney

Congratulations to Rachel Wright, PT at our Wall Street location.

Great job runners!

It’s Masters Weekend. Need help with your Short Game?

 

Short Game: Keep That Putt In Line! Here’s a great tip to help keep the face of your putter aligned…Check out today’s drill to help you improve your swing, courtesy of our friends at the Titleist Performance Institute.

http://www.mytpi.com/exercises#humpty_dumpty

Do you have any of these swing faults?  Come find out with a TPI Golf Fitness test and Swing Analysis at RPT’s Golf Improvement Program on the Upper West Side!  For more information contact Brett Weiss, PT, DPT, TPI at or 212-874-1550

#RPT #Recoveryphysicaltherapy #MyTPI #golffitness #upperwestside #golf

 

Read the Green like a Pro and Improve your Golf Game

Short Game: Read The Green Like the Pros…Here’s a great tip to get a good read on that long putt…Check out today’s drill to help you improve your swing, courtesy of our friends at the Titleist Performance Institute.

Link: http://www.mytpi.com/exercises#green_reading_process_-_two_coins

Do you have any of these swing faults?  Come find out with a TPI Golf Fitness test and Swing Analysis at RPT’s Golf Improvement Program on the Upper West Side! Contact Brett Weiss, PT, DPT, TPI for more information at or 212-874-1550.

#RPT #Recoveryphysicaltherapy #MyTPI #golffitness #upperwestside #golf

TPI Golf Tips with Dr. Weiss, PT, DPT, TPI – The Slice, Part 4

Cut The Slice:  Are you out of Sync? Check out today’s drill to help you cut out that slice, courtesy of our friends at the Titleist Performance Institute.

Link: http://www.mytpi.com/exercises#step_change

Do you have any of these swing faults?  Come find out with a TPI Golf Fitness Test and Swing Analysis at RPT’s Golf Improvement Program on the Upper West Side.  For more information, please contact Brett Weiss,')); // ]]>or 212-874-1550.

#RPT #Recoveryphysicaltherapy #My TPI #golffitness #upperwestside #golf

TPI Golf Tips with Dr. Weiss, PT, DPT, TPI – The Slice, Part 3

Cut The Slice:  When trying to Cut Out That Slice…Timing is Everything!  Check out today’s drill to help you cut out that slice, courtesy of our friends at the Titleist Performance Institute

Link: http://www.mytpi.com/exercises#pump_drill

Do you have any of these swing faults?  Come find out with a TPI Golf Fitness Test and Swing Analysis at RPT’s Golf Improvement Program on the Upper West Side.  For more information, please contact Brett Weiss, or 212-874-1550.

#RPT #Recoveryphysicaltherapy #My TPI #golffitness #upperwestside #golf

 

RPT Patient Post: An Appeal for Donations

Here it is in a nutshell: I’m raising money for a camp for children with chronic and life-threatening illnesses. I’m doing this fundraiser while I train for a 100-mile endurance run in the mountains of Vermont this July.Â

These camps are amazing places where children who’ve been dealt a rough hand in life can go for one week out of the year and really enjoy themselves–a place to go and just be a kid.

Please check out the following links — the first link is the Association of Hole in the Wall camps. The second link is the particular Hole in the Wall camp for which I’m raising money, The Double H Ranch in upstate NY’s Lake Luzerne. I have good friends that have been involved with Double H for many years (both in part-time and full-time capacities), and it’s simply a wonderful outlet for these kids.

http://www.teamholeinthewall.org/Page.aspx?pid=333

http://www.doublehranch.org/

And for a little more info on the 100 miles of insanity I’ve decided to take on, please check out:

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http://www.vermont100.com/

Some of you may remember that I completed an Ironman triathlon (2.4 mile swim, 112 mile bike, 26.2 mile run) a couple of years ago. That experience really opened my eyes to what the body is capable of doing once the mind jumps in to lend a hand! Not everyone understands why some people like to push themselves to extreme limits (actually, most don’t…), and that’s OK. I’m just glad I can choose to do something like an Ironman, or run 100 miles….some people don’t have the luxury of choosing some things.

Please join me in

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helping these kids experience a wonderful week of fun. I’ve set a goal of $10,000 – please help me reach it!

You can contribute online directly from: http://www.teamholeinthewall.org//wally

Thanks very much for any and all donations!!

Sincerely,

Wally

RPT Patient Profile: Wally Goller

Patient Profile – From time to time we will feature patients who have done something extraordinary after physical therapy.  After speaking with Wally today, I had to share his story.  He’s also going to be a guest blogger on our website and share his experience with us as he trains for the Vermont 100 Endurance Race (a 100-mile run in the mountains of Vermont) this July. 

In early 2006, Wally Goller couldn’t even run a mile. He then signed up for and completed a sprint distance triathlon in August, raising a few thousand dollars in honor of his mother, a three-time cancer survivor. A few months went by and crazy thoughts started to happen. He started to think what it would take to get himself in shape to do an Ironman triathlon the following November (2.4 mile swim, 112 mile bike, 26.2 mile run.)  

All of his friends thought he was completely crazy, and after many rejections from coach’s/trainer’s (they just didn’t think one year of preparation was enough time..), he finally found a trainer and dedicated one solid year of mostly 6-days per week training. And after many 5k’s, 10k’s, and half-marathons, multiple sprint distance tri’s, a couple of Olympic distance tri’s, and a half-Ironman, he became an Ironman by completing the Florida Ironman triathlon on November 3, 2007.

Wally is now investigating the world of ultrarunning and is gearing up for the Vermont 100 mile Endurance race to raise money for the Hole in the Wall camps, specifically The Double H Ranch, which are camps to help kids with chronic and life-threatening illnesses.

Say’s Wally, “ These camps are amazing places where children who’ve been dealt a rough hand in life can go for one week out of the year and really enjoy themselves–a place to go and just be a kid.”

If you would like to donate to this cause, please contact Wally at 917.373.3310 or

We’re going to follow Wally on his journey as trains for his race in July. He’ll also be checking in with posts to this very blog.

 Please join me in cheering Wally along!