Author Archives: Host of The SMB

Season Cut Short – 627

Amidst COVID 19 and all the shutdows everyone has had a season cut short.

Season Cut Short, Cari Wood, Redmond High School

Cari Wood has been monitoring mental health for a few years at Redmond High School. In a recent podcast, we discussed what this looked like for her.

Cari also has a high school senior who is living out all of the things we are discussing.

MentalImpact, Mental Impact, Mental Injury, Season Cut Short

Now with COVID 19 Robert Andrews has been releasing some articles on how we can help deal with this as parents, athletes, Athletic Trainers, and coaches.

Here are the Season Cut Short talking points:

1) Normalize the first week or two. Look at this as a holiday for the first week or so. Athletes suddenly find themselves at home with little to no schoolwork, no structured workouts, and no competitions. 

Let them sleep in for a while. I see so many athletes who are sleep deprived of their rigorous schedules. The grind of training, school, homework, and competitions has left many athletes with serious sleep deprivation. I see athletes that are 40 to 60 hours a month behind in their needed sleep! And we wonder why athletes seem to struggle so much with anxiety and get overwhelmed so easily. 

Give them time to get caught up. You will see they will be able to better handle the curveball they have been thrown. They will handle stress, downtime, the experience of being disconnected from their sport and lack of exercise much better with adequate sleep.

2) Have regular family meetings to discuss how everyone is doing, where are they doing well, where are they struggling and where they need help. 

Your kids will resist at first, but if you do a good job of modeling openness and vulnerability and lead a structured meeting, they will learn to value this time together. 

The family meetings are also good times to discuss expectations around chores, schoolwork, training and any other topic the family needs to focus their attention on.

3) Help your kids create a written planner for their schoolwork and training schedules. Our athletes are used to structure. They need structure and discipline in their lives. Especially now! In this planner have them lay out their training schedule. You might ask, “what training schedule?” Find out the most important strengths they need to conserve to be ready to get back in the gym or on the court or in the pool. 

Some might need flexibility, others strength and conditioning. It is time to get creative. 

I spoke to a gymnast the other day who committed to do an hour and fifteen minutes of stretching at 2:00 p.m. six days a week. Her mother ordered her a rug to use since they have hardwood floors. I have seen videos of kids doing conditioning work on the roofs of apartments in New York City. Go for walks, bike rides, play tennis.

4) Empower them to take responsibility. There are two key traits that determine what level of development we obtain in our lives. One is the capacity to experience empathy and the other is the ability to take personal responsibility for our lives. This is a great time for them to step up and learn personal responsibility and accountability. 

Another suggestion is to have your athlete find an “accountability partner”. This is someone that they can check in with every day to discuss how their workouts are going, if they did them or did not, and why, and if they need support or need to be challenged to stay committed to the agreement they made with themselves and others. 

I can guarantee you that the athletes that take responsibility for themselves mentally, emotionally, physically and spiritually will be the ones who make the best comebacks when their respective sport fires back up again.

5) Connect with others. Today more than ever, we have the ability to connect with each other. Have your kids step beyond texting and set up Join Me or Vimeo groups with their friends and teammates. This will go against their nature to communicate via text, but it is critical that they learn how to reach beyond that and make meaningful attempts to reach out in ways that they can see a smile or a laugh. 

They need to be able to see when a friend is upset. Connection is critical during this time. 

Text messaging is not enough. I have been using FaceTime, Skype or JoinMe with some of my friends on my Mac. 

The bigger the screen the better the connection. It is amazing how our faces light up when we see each other. 

It has made for a much richer conversation. I hang up filling emotionally full and connected to them. If they set up a team or group list, make sure and include EVERYONE! I have worked with far too many athletes who have been left out of group chats and text groups. They need this connection just as much as anyone else.

6) Try new things to stimulate your mind, body, and emotions as a family. Try a family game night, movie night, bike rides or walks, reading time, family cookouts, or karaoke. These might get your family out of your comfort zones. 

This is a time we must get out of the boxes we live in mentally and emotionally. Challenge your family to get uncomfortable with new experiences.

7) Some parents say that no matter what they do their kids won’t get off of their phones or video games. They just sleep and play games or are on their phones. There is a concept called “escalation of leverages”. It goes like this: If your kid won’t get off of their video games or phone, take something that they value away. Limit their data or take their phone away for a few hours a day. If that doesn’t work raise the leverage that you have on them. Take their TV out of their room for a few hours or day. Take their phone away. 

When they buy into the structure that they need to hold themselves to, then the reward is that they get the data, the phone, the video controller or the TV back. Sometimes we have to be the wall with our kids. They won’t like it, but as I said earlier, they need structure now more than they quite possibly ever have.

I hope these tips help. It will take time and you will struggle. Keep at it. If your kids aren’t frustrated or angry at you at times, then you aren’t holding them accountable enough. These are trying times for all of us. When kids get stressed, they look for something to push up against as a way of feeling safe. If they don’t find it, they keep pushing. Some will end up getting in trouble with their behaviors. You can be that something that they push up against. It will be good for all of you and it will help them stay on track in their schoolwork and in their respective sport.

Watch the Facebook live session

Season Cut Short

Robert Andrews has shared some tips on parenting and guiding athletes whose season has been abruptly cut short.Cari wood has been monitoring the mental health of her students for a few years. She has revamped her survey and tips to fit our current world pandemic.Todd Sabol just knows how to connect and serve others.Join the conversation or share your success and struggles.

Posted by Sports Medicine Broadcast on Thursday, April 2, 2020

Contact Us

Cari Wood

Robert Andrews

Todd Sabol

Jeremy Jackson

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PhysicalTherapy.com; 1freecourse; continued; Physical therapy

The Places You Will Go – 626

Searching for a career people consider The Places You Will Go as a determining factor.

That may be upward along the corporate ladder or it may be outward around the country or around the world.

the places you will go

Josh and Jamie share the places you will go with AT service

John Ciecko does a lot of traveling. Some of it is personal, some is business. Some trips are, of course, both.

He talks to Josh and Jamie Woodall about the places that AT service has taken them.

Here in this 30-minute podcast, we do not get to discuss all of the places they have gone but their favorites are:

Talledega for Josh

Superbowl in Atlanta for Jamie

Hit the Hill day in Washington DC

How can AT take you places?

Josh says it is simply through service and volunteering. Becoming part of the local, state or national governing bodies is a great way.

Jamie got roped into being the PR person becauseJohs needed help. She has now completed her full term as PR chair for the NATA as well as serving on other committees both locally and nationally

Caleb Lott is an AT in China and listens to the show regularly.

Where has Athletic Training taken you?

I would love to hear your stories of cool or unique adventures in Athletic Training.

The places you will go – John Ciecko, Josh and Jamie Woodall

The places you will go – John Ciecko, Josh and Jamie Woodall

Posted by Sports Medicine Broadcast on Wednesday, June 26, 2019

Contact us:

Josh Woodall

Jamie Woodall

Jeremy JacksonHost of The Sports Medicine Broadcast

John Ciecko – jciecko@bloomfield.org

Alisha M Penningtonalisha@theatvantage.com

Mike McKenney – m.mckenney@northeastern.edu

Mike Hopper – Mike.Hopper@bishoplynch.org

Clint Sanders – clint@dragonflyathletics.com

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

AT Poetry – 625

Celebrating National Athletic Training Month with AT Poetry

Athletic Training is a practice routed in science, but like any good practitioner there is art, or maybe AT Poetry, in the way it is performed.

Some people are kind, loving and get nicknamed “Mom” or “Dad”

Athletic Trainers can be are strict, rigid, and efficient.

My student aides call me “Uncle Jack, ” while most athletes call me “Jackson”

So to work on my AT art-form, i wrote a little poem

What is your style?

The personal style of patient-care truly is an art form that should get better over the years.

I am not much into arts and poetry so I figured I could use some help from other ATs in gaining some culture.

Alisha M Pennington, Chad and Kevan from Candid AT, Joel Ludeke of Athletic Trainer Chat, and Ryan Stevens of the cATalyzing Podcast all joined up to read some AT poetry submissions, talk #NATM2020, and catch a small break from the COVID19 pandemic

Ode to AT from Thomas Barkoski

Time to Advocate Far and Near
I'm An Athletic Trainer and This Is My Life
Buckle Up, Cause I Work All Day and All Night
We Start In The Concussion Clinic
And This Will Take A Minute
Tell Me What Happened?
When Did The Symptoms Start?
There's Voms, Sway, Impact, and Some Other Parts
Then Off To The School
Lots To Be Done
Tie Your Shoes, It's Time To Run
Basketball, Wrestling, Swimming, 
Baseball, Track, and softball
Give Me Some Coffee For The Long Haul
Evals, treatments, education
Injury Prevention and documentation
It's All Healthcare
It's What Athletic Trainers Do
Happy National Athletic Training Month
From Me to You

Sarah Baulch and Herd Sports Medicine

Fall in Texas is hot
Spring in Texas is quite cold
One thing that is constant, ATs are on the go
From the football field to the basketball court to running circles on the track
There’s one thing you can count on, ATs will have your back
We can splint your broken elbow, diagnose your concussion too, rehab that sprained ankle and get you back to play
It doesn’t matter what jersey you wear, or what sport you want to play, Athletic trainers truly care, and might just save the day

Megan Mormile

March is a great month for many reasons:
Spring sports, sunshine, it comes with the season.
But for Athletic Trainers it means one thing:
National AT Month is here, and it’s time to sing!
What is an AT, you ask? Don’t know? Let me tell you:
We’re allied health professionals, but I’m not through:
We cover, we watch, we listen, we care
We’re known for taping ankles, but it doesn’t stop there:
We help prevent injuries, in all sorts of ways.
Through preventative rehabs, and keeping up with the craze.
We’re trained in evaluation, assessment, and diagnosis
Of pretty much anything that comes with a prognosis. 
Injury on the field? No worries, don’t fear:
Athletic trainers can handle emergency situations with care.
Rehab? No problem. Modalities? No sweat.
Athletes get care, and are ready to jet. 
Last but not least, the professional part:
ATs handle admin and organization with heart. 
We’re here for your athletes, day in and day out:
Hopefully now, you know of our clout. 
So come check us out, and see what we do:
Ask us some questions, and maybe bring some coffee, too. 
HAPPY NATM!!!!!

AT Poetry from Megan Mormile

Putting her creativity to work Megan wrote a poem about Athletic Training to encourage you.Compex partnered with us to send out some free units to help ATs improve their practice.

Posted by Sports Medicine Broadcast on Monday, April 6, 2020

The Haiku by Ryan

Athletic Trainer
Fixes people. 
Rises to the occasion. 
And gets really tired.
And it doesn't show.

Watch the live version of AT Poetry on Facebook

AT Poetry

Athletic Training Poetry read by some of your favorite AT Podcasters.Thanks for the submissions Thomas and Sarah.Thanks for your support Compex.

Posted by Sports Medicine Broadcast on Tuesday, March 31, 2020

Help me keep the podcast coming

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Compex sent our prizes to the Authors of the AT Poetry submissions we included in the show.

Imaging and Sports Injuries – 624

What's the role of Imaging and Sports Injuries

Dr. Manickam “Nicks” Kumaravel, MD shares what the current and future role of imaging and sports injuries are at the Memorial Hermann Sports Medicine Update.

Dr. Mark Knoblauch shares the mic as we are live in Katy, Texas learning.

Imaging and Sports Injuries

What is a normal day like for radiologists?

Most are sitting in front of a computer looking at images, coming up with a diagnosis, and sending them back.

Dr. Nicks has a unique set up as he has a viewing room in the middle of the ortho floor. He regularly gets out of the office to interact with doctors and patients.

He, at times, even scrubs in with the surgeons to help and learn.

How much info are you usually given with the images to make a diagnosis?

Usually one or two lines at most. This is part of the reason he gets out of the office to see and interact with the doctors.

“Garbage in gets garbage out” plays true in imaging and sports injuries too.

Are there specialties in radiology as well?

Absolutely, If Dr. Kumaravel were to get a neuro MRI he would be sending it right along.

Where are we headed with Imaging and sports injuries?

Clinical Skills need to be an emphasis in radiology education. We are moving away from using clinical skills and he believes it is showing in the results.

Continued improvement and growth. we are now able to see bone marrow edema with CT scans

Ultrasound is the next big wave in the United States. It is becoming an extension of the physical exam.

The hardest part about an AT using the US machine is knowing what it means and interpreting the results.

Cinematic renderings are amazing to see as well.

Watch the presentation on Facebook

Imaging and Sports Injuries – Manickam "Nicks" Kumaravel, MD, FRCS (UK)

Imaging and Sports Injuries – Manickam "Nicks" Kumaravel, MD, FRCS (UK)

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Contact us:

Dr. Kumaravel

Jeremy Jackson

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

WFATT 101- 623

What is WFATT?

The World Federation of Athletic Training and Therapy or WFATT exists to ensure access to athletic healthcare is a global phenomenon.

WFATT; World federation Of Athletic Training and Therapy; Glenn Bergeron

The World Federation Mission Statement

The WFATT provides leadership to advance the international interests of its members for the common goal of optimal health care for physically active populations.

Vision Statement

Athletic Training & Therapy will be recognized as an essential part of multidisciplinary healthcare teams worldwide.

About Dr. Glen Bergeron

He started at the University of Manitoba in 1970 with a PE degree and went on to masters of exercise science with a focus on Athletic Training.

Dr. Bergeron was one of the first people to write the certification exam for Canada Athletic Trainers / Therapists

He worked at the University of Winnipeg and again at Manitoba. He later returned to the University of Winnipeg to become their program director.

During those years he has been constantly involved with many different aspects of the Canadian Athletic Therapist Association.

Being involved in WFATT

The World Federation is an “organization of organizations”

If you are a member of one fo the organizations that are currently members, then you can be a part of it too.

Anyone with skills or talents they think may benefit the organization should contact the organization and see how they can help.

WFATT; Glen Bergeron; Jordan IOC

What about the WFATT World Congress?

The World Congress exists to disseminate info and promote the world federation.

The 2019 congress had over 350 attendees in Tokyo Japan.

The focus is to help empower the community to see what effect and impact Athletic Training and Therapy can have on your community. How can it help move the profession forward?

WFATT 101 with Glen Bergeron

The World Federation of Athletic Training and Therapy seeks to improve the global Athletic Training and Therapy scene.Glenn introduces to WFATT us and shares where the needs are, how they are making an impact and how you can choose to be involved

Posted by Sports Medicine Broadcast on Thursday, March 5, 2020

Contact Us

WFATT –
Website:
Twitter
Facebook
LinkedIn 
Instagram
YouTube

Dr. Erin Hassler – sportzfactory.com

Jeremy JacksonEmail me

Sponsors of the Sports Medicine Broadcast

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Hoist logo; rapid hydration; WFATT

Minority Women Doctors – 622

Doctor Angie Curtis, MD, MPT fits into the Minority Women Doctors category but has a unique path.

Minority Female Doctors; Dr. Angie Curtis; black women; african american colleges

Her original plan was to be a doctor.

Obstacles arose and she chose Physical Therapy school.

Before she could get established as a PT she knew she needed to go after her dream of becoming a Sports Medicine Doctor.

Challenges facing Minority Women Doctors

Doctor Curtis did not present on becoming a doctor as an African American woman. But a previous conversation in the hallway sparked an interest in me to learn more and help grow to understand.

I know I have preset judgments and biases based on where and how I was raised.

I also know that I am responsible for my actions and choices. I can not blame anyone else for the way I view or treat others.

Have you judged Minority Women Doctors too soon?

Dr. Curtis has been overlooked and ignored because she is a black female, dressed like a doctor, carrying clipboard and stethoscope. The nurse in scrubs was a male so he was obviously more “doctorly”

She has not allowed this to make her bitter but continues to grow and improve patient care and open doors for the women behind her.

Dr. Curtis's presentation on Facebook

Overuse Injuries in the Young Athlete – Angie Curtis, MD, MPT

Overuse Injuries in the Young Athlete – Angie Curtis, MD, MPT

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Contact Us

Dr. Angie Curtis

Jeremy Jackson

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Minority Women Doctors

Biologics and Elbow Surgery – 621

Biologics may decrease the epidemic of Tommy John surgery

Dr. Eric Makhni discusses how biologics have shown up to 67% efficiency in repairing the UCL and preventing reconstruction or repair.

Dr. Eric Makhni; Biologics

Team physician for the Detroit Lions, Bloomfield Hills High School, and Oakland University as well as a consultant for the Angles, Dr. Makhni knows the body and injuries.

One of his best traits is his ability to talk to patients and help them understand the injury and healing process. Being a great physician is important, but communicating that to patients is equally valuable.

Biologics; Eric Makhni

What common injuries are we seeing in youth-related to sport specialization and overuse?

Tommy John surgery is the big one – a partial or full-thickness tear of the Ulnar Collateral Ligament (UCL).

Pitchers are the most frequent but catchers are right behind them in the frequency of UCL injuries.

Stress fractures are also common among middle-school-age (10-13) athletes

What do you think are some contributing factors?

  • YEAR-ROUND SPORTS (single sport) are by far the worst culprit for overuse injuries.
  • Kids are throwing harder at younger ages.
  • Poor mechanics.
  • CORE ACTIVATION
  • Weighted ball routines

Discuss the evaluation process

  • Look at the age of the athlete
  • Listen to their complaints
    • is it fatigue or pain
    • constant or only after pitching
  • Ask more questions
  • Determine the patient's goals
  • Perform any manual tests needed

What new surgical procedures are being used?

If possible the surgeon should try to repair the UCL with internal bracing. The recovery time is significantly decreased.

Biologics such as PRP and Amniotic stem cells can be used in partial tears.

The use of Biologics, for the most part, is not covered by insurance, so if you are going to travel that road make sure you discuss it with your doctor and find one who knows baseball and the demands.

Watch the Biologics and Surgical repair of the elbow Facebook live

Biologics and Elbow Surgery

Dr. Eric Makhni, Team physician for the Detroit lions and consultant for the Angels shares his knowledge and experience in working with elbow injuries for all level of throwing athletes.As one of the nations leading researchers on Tommy John surgery outcomes Dr. Makhni is searching for ways to recuce injury risk and improve surgical outcomes.

Posted by Sports Medicine Broadcast on Wednesday, March 4, 2020

Contact us:

Dr. Eric Makhni – www.EricMakhniMD.com

John Ciecko – @JohnCiecko

Jeremy Jackson – @MrJeremyJackson on twitter and Instagram

Sponsors

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

MioTech; Biologics

Previous episode discussing PRP and Biologics

Stem Cells and their Use – 610

Going Fully Digital with EMRs – 620

Hesitant about going Fully Digital with your EMR?

John Ciecko has been hesitant, mostly about what it looks like to go fully digital, so we set up a meeting of the minds.

Going Fully Digital with EMR; DragonFly Max; John Ciecko; Danny Barringer; Chris Dean

Have you been thinking about moving from paperwork to an EMR in your athletic training practice?

If you answered yes, you will want to listen to today’s show.  Both Danny Barringer and Christopher Dean recently switched to EMR’s and today on pod they will highlight the benefits and help you navigate the roadblocks.

Why should AT’s move to this fully digital model?

Ease, portability, security, and accessibility.  As AT’s we are often not seated at our desk during the day.  Moving to an EMR allows us to access information as well as enter information whenever and wherever we need to.

How did you decide which EMR to utilize?

It’s important to research the available EMR’s but before you even get to that point identify what is important to you and your stakeholders in the EMR’s capabilities.  

Danny researched and found that DragonFly Max offered everything he needed as an outreach director at a hospital with multiple schools and sports.

Chris was introduced to NextGen when the orthopedic practice merged with a hospital that already utilized an EMR.  While NextGen didn’t have a lot of what he felt AT’s needed, the IT department was able to customize NextGen to make it more useful for the athletic trainer.

How do you get buy-in or navigate roadblocks with implementing an EMR?

Communicate the why, talk about liability and the lack of protection paper offers and remind them that one HIPPA violation would cover the cost of an EMR. 

What is one thing you both love about the EMR’s you are using?

One thing both Danny and Chris agreed upon is the dictation feature that is found in both DragonFly Max and NextGen.  They both appreciate the ability to dictate a note or eval info no matter where they are.

Can EMR’s assist with the PPE collection?

Absolutely!  In DragonFly Max you can take a photo of the PPE and upload it into each student-athletes profile.  NextGen allows you to internally or externally upload a PDF of the PPE into a student athlete’s file.

What’s one recommendation for AT’s who are wanting to make the switch to EMR’s.

Research all the EMR’s available and find one that has everything you need.  Remember that Standard Of Care is EMR now. EMR’s can help AT’s prove relevance and value.

Watch on Facebook

Going fully digital with an EMR – Chris Dean, Danny Barringer, John Ciecko

Going fully digital with an EMR – Chris Dean, Danny Barringer, John Ciecko

Posted by Sports Medicine Broadcast on Wednesday, June 26, 2019

Considering an EMR?

DragonflyMax has so much to offer you at a price that you can not beat.

Contact Us

Danny Barringer – Danny.Barringer@surgerypartners.com

Chris Dean – cdean@sportsmedicinefairbanks.com

Jeremy JacksonHost of The Sports Medicine Broadcast

John Ciecko – jciecko@bloomfield.org

Alisha M Penningtonalisha@theatvantage.com

Mike McKenney – m.mckenney@northeastern.edu

Mike Hopper – Mike.Hopper@bishoplynch.org

Clint Sanders – clint@dragonflyathletics.com

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Dragonfly; Fully Digital; EMR; EHR; Danny barringer; John Ciecko; Chris Dean

Athletic Shoulder – Stephen Simonich – 619

What does the Athletic Sholder look like in 2019?

Dr. Stephen Simonich, MD joins us today to talk about the athletic shoulder from the Memorial Hermann Sports Medicine Update.

Dealing with Challenging Parents

Ever wondered how to explain the rotator cuff as a secondary stabilizer in the GH joint to either your athlete or their family?  Dr. Simonich has the perfect analogy.

He tells his patients that it is like if I were to take a big exercise ball in my right arm and pull it into my chest.  My chest would be the socket, the exercise ball my humeral head, my arm would be the rotator cuff and my hand the tendons of the cuff.  That demonstration can help show how difficult it is for the rotator cuff to stabilize the joint.

What are the two types of shoulder dislocations, where do you see them and how should we treat them?

TUBS (Traumatic Unilateral Bankart Surgical) and AMBRI (atraumatic multidirectional bilateral rehab rarely inferior capsular shift) are the two types of dislocations.

You will see TUBS is most often in contact or collision sports like football or rugby.  AMBRI is seen often in swimmers especially at the end of a long season.  

Post a TUBS dislocation and relocation Dr. Simonich likes to use the apprehension test as an indicator of further treatment.  He also uses athlete age (young athletes have a high rate of recurrence) individual goals, sport played and level of participation as indicators for surgery.  Surgery reduces the high rate of recurrence in young athletes.

What are the types of AC joint separation and how do you treat them?

AC joint separations are relatively easy to see and cause biplanar instability.  There are 5 types with Type I and II requiring conservative treatment, Type III going either way but trending non-operatively and Type IV V VI requiring reconstruction with a joint tie-down.

Clavicle fracture treatments have changed throughout the years due to research.  What does the current research say?

Prior to 06’-07’ most clavicle fractures were treated non operatively.  Research was introduced in two studies in those years that saw a better union rate with fixation in the clavicle post-fracture and surgeons began to surgically treat and fixate. 

In 2017 a new study showed that while the rate of union is still higher in clavicle fractures with fixation, fixation doesn’t improve shoulder function nor does it decrease limitations in the shoulder.  Dr. Simonich will put a plate to fixate the clavicle on an athlete with shortening, displacement, or comminution because they get faster healing rates, are more predictable and can get them back to their sports.

Watch the Athletic Shoulder 2019 presentation on Facebook

The Athletic Shoulder – Stephen Simonich, MD

The Athletic Shoulder – Stephen Simonich, MD

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Contact Us

Stephen Simonich(713) 486-9800

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

Sponsors

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy; Athletic SHoulder

Previous episodes discussing the Athletic Shoulder:

The Athletic Shoulder: What You Need To Know – 394

Shoulder Rehab Tips – 494

Shoulder Anatomy – 489

Compression Product Roundtable – 618

Today on the podcast Robbie Jenkins from Rapid Reboot talks all things compression therapy in our Compression Roundtable.

Compression Products Roundtable, compression roundtable, robbie Jenkins; mike mckenney

What is Rapid Reboot?

Rapid Reboot is a company that specializes in dynamic compression technology that gives you more value for your money.

Robbie and the team at Rapid Reboot felt like there was a unique opportunity to add more to the market of compression therapy.  They worked to offer more applications and educate on the many opportunities compression therapy has to benefit our athletes.

What benefits does compression therapy offer?

Most often people think of compression therapy in terms of recovery.  Robbie explains that there are many more uses for dynamic compression.  Compression can be beneficial to fluid replacement, lymphatic drainage, injury prevention, and pre-workout, pre-game.

How do you educate on the treatment of the lymphatic system since it is a delicate system that doesn’t require a great deal of pressure?

The lymphatic system is unlike other systems in the body in that it doesn’t pump.  Evidence doesn’t support using tight as possible to treat it. Robbie recommends that you use well below 100mmHG of pressure if there is a lymphatic issue.  However, for healthy individuals that don’t have lymphatic issues you can have 200-300mmHG of pressure combined with sped-up cycle times.  

Are there contraindications for the use of dynamic compression therapy?

Yes.  DVT, blood clots, as well as post-cancer patients, are contraindications to utilizing compression therapy.  DVT is a different scenario as compression therapy is contraindicated if a DVT is present, however, compression therapy has been shown to prevent DVT’s.  Surgeons often prescribe compression therapy immediately post-op to prevent the formation of them.  

Robbie reminds us that Rapid Reboot is FDA approved and regulated for over the counter use. 

What research is available or what is the best practice for the use of compression therapy?

Physicians that Rapid Reboot has spoken to highlight how dynamic compression can help with venous return and how important that is to the cyclical nature of our vascular system.

Robbie finds that with the fluid gathering that tends to happen in our lower extremities due to gravity that the Lower Extremity boots are most beneficial to the entire body, though he loves the hip attachment, as well as probably most beneficial to athletes as all utilize the lower body.

What is one thing Robbie wants AT’s to know regarding dynamic compression therapy?

Don’t put it into one box.  Dynamic compression therapy has many benefits, can be used multiple times per day and is safe to use for as long as you want.  Pre/post workout and games, prevention as well as post-injury, tight muscles or DOMS are many of the uses for this therapy.

Watch the live stream:

Recovery Device Roundtable – Compx

Recovery Device – Compex with Rick Stassi

Posted by Sports Medicine Broadcast on Thursday, June 27, 2019

Previous Compression Roundtable conversations

Recovery Pump with Brian Carberry

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Clint Sanders – clint@dragonflyathletics.com

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