A torn mensicus is one of the most common problems we see in the office. Once you have a the diagnosis of a torn meniscus, what does that mean? The meniscus doesn't heal on its own but that doesn't mean that you have to have surgery. Sometimes meniscal tears can be managed without surgery. When they do need to be addressed surgically, most frequently this means removing the torn piece, much like clipping off a hangnail. In the ideal situation (young, healthy patient with the perfect tear) the meniscus can be repaired. This is only about 10-15% of the time. Follow this link from the American Orthopedic Society of Sports Medicine to see how arthroscopic meniscal surgery happens.
Sunday, February 21, 2016
Saturday, January 16, 2016
GIRD, Glenohumeral Internal Roation Defecit is one of the natural adaptations to throwing that occurs in the shoulder.
I once read that pitching is “... an injury in progress.” The mechanics and repetitive nature of pitching cause such unnatural forces through the arm that the body can’t help but attempt to adapt. One of the adaptations that occurs is that the muscles in the back of the shoulder get stronger and tighter. The Infraspinatus and Teres Minor muscles are important stabilizers in the shoulder and are engaged as a pitcher cocks their arm in preparation for the throw. As a season progresses, the posterior muscles become stronger and tighter than the anterior muscles. This uneven distrubution of strength causes the posterior muscles to act as a teather, forcing the shoulder joint to shift forward. It also prevent the shoulder from being able to approriately internally rotate. The forward shift of the ball in the socket causes wearing of the labrum and tendonitis of the biceps and the other rotator cuff tendon. Ultimately, this can lead to shoulder pain, decrease velocity or control, altered mechanics and elbow issues. This adaptation is very predictable but also very treatable. With a little guidance from a physical therapist, trainer or strength and conditioning coach, pitchers can incorporate the “Sleeper stretch” and rotator cuff exercises to achieve better balance in the shoulder.