Tri-athlete Swimmer – Shoulder Injury
Training for her first triathlon, 36-year-old Jody began noticing pain in her right shoulder while swimming. Although gradual, the pain eventually progressed to hinder her daily activities. A doctor’s visit revealed a muscular diagnosis of tendinopathy secondary to hypermobility, and she was referred to Accelerated Sports Therapy & Fitness.
Jody’s treatment took a comprehensive approach to correct her muscular imbalance. Treatment included the following:
- Manual therapy for soft tissue restriction
- Neuromuscular re-education
- Rotator cuff endurance training
- Proprioception Training
- Scapular control facilitation
- Core training
- Swim stroke modification
- And finally, a training plan for her return to swimming
The outcome left Jody not only without pain, but also allowed for a symptom-free return to her triathlon training. Furthermore, Jody continued with Accelerated by participating in pilates and fitness training, improving her times and decreasing her susceptibility to injury.
Baseball Player – Elbow Pain
14-year-old Alex spent the majority of his free time on the baseball diamond as a pitcher. At the start of his season, he began noticing pain in his right elbow. The pain made it impossible for Alex to pitch, so he moved to first base, hoping for better results. However, soon all throwing became painful and limited. After being referred to Accelerated Sports Therapy & Fitness by his doctor, his evaluation showed forearm weakness and mild looseness in his medial elbow joint.
The therapists at Accelerated designed a treatment plan to strengthen his forearm muscles, along with shoulder strengthening and core training. Alex’s treatment included the following:
- Functional activity training with baseball-related drills
- Video analysis of throwing mechanics, which showed throwing faults that were contributing to his elbow stress
- Throwing drills designed to correct faults
As an outcome to his treatment at Accelerated, Alex returned to pitching using his new found throwing mechanics and completed the baseball season with his team.
High School Basketball Player – Knee Pain
As a senior in high school, 18-year-old Sarah played center for both her high school and AAU basketball teams. Sarah had been experiencing bilateral knee pain on and off for three years and had been through two prior physical therapy treatment sessions without success. Her doctor hoped she could find better results at Accelerated Sports Therapy & Fitness. Sarah’s evaluation at Accelerated showed decreased strength and neuromuscular control in her core, hip and lower extremities. It also showed tenderness in her patellar tendon on the right knee as well as more generalized anterior pain in her left knee.
Sarah’s treatment was designed to focus on neuromuscular re-education, teaching Sarah how her core, hips and legs should work in the proper sequence to minimize stress to her knee joints. Once she showed improved control with these exercises, Sarah and her physical therapist took to Accelerated’s basketball court to work on functional training drills. As her symptoms improved, the intensity of her training increased, with the focus being on hop training to minimize knee stress, preventing further injury.
It turned out the third time was the charm, and Sarah returned to basketball with significant decrease in pain and improved jumping explosiveness. Sarah hopes to continue her basketball career in college next year.
Marathon Runner – Hip Injury (Non-Op)
Tom, a 44-year-old avid runner, competed in multiple full and half marathons each year. For three months, Tom had experienced worsening hip and groin pain on his left side while running. Eventually the pain progressed and Tom couldn’t climb stairs, walk, or even sit without pain. Tom’s evaluation at Accelerated Sports Therapy & Fitness showed tenderness of his hip and groin muscles, limited hip mobility, weakness in his glutes and hamstrings, as well as altered gait mechanics while running.
Tom’s therapist created a comprehensive return-to-run program, including:
- Myofascial release and soft tissue work to improve hip mobility
- Hip and core strength/stability work
- Balance and neuromuscular re-training
- Gait analysis and gait drills
Tom followed his treatment with maintenance therapies. Soon after, he was able to successfully train and complete a marathon.
Hockey Goalie – Hip Injury (Post-Op)
Ryan, a 16-year-old high school hockey goalie, had a history of hip pain while playing hockey. After learning from doctors that he suffered from hip impingement and a labral tear, Ryan underwent arthroscopic surgery. After the surgery Ryan was using crutches, and suffered pain, limited strength and poor range of motion. Ryan was referred to Accelerated Sports Therapy & Fitness for his post-operative rehabilitation.
At accelerated, Ryan completed the following treatments as part of his rehabilitation:
- Modalities for swelling and pain control
- Gentle stretching for improved range of motion
- Manual therapy for soft tissue restrictions
- Weight bearing and gait drills
- Progressive strengthening and neuromuscular control for hip/core musculature
- Hockey specific skating and goalie exercises
- On-ice progression of skating and goalie drills
Upon completion of his treatment, Ryan was able to fully return to hockey as the starting goalie. Ryan is currently competing pain-free, while he continues to perform his maintenance program for further injury prevention and performance enhancement.
Construction Worker – Shoulder Pain
As a sheetrock installer, 55-year-old Mark began experiencing shoulder pain with overhead activity and lifting. His pain eventually progressed to a constant shoulder ache that worsened with his work duties. After being referred to Accelerated Sports Therapy & Fitness, Mark’s evaluation revealed limited shoulder range of motion and flexibility, as well as rotator cuff weakness, poor scapular control, and posterior capsular tightness. Furthermore, his therapist found Mark’s overall upper body stiffness and muscular imbalance showed consistencies with shoulder impingement syndrome.
As part of his physical therapy and rehabilitation program, Mark completed the following treatments, resulting in a plan to return to normal work duties:
- Capsular stretching to restore joint accessory mobility
- Flexibility exercises
- Rotator cuff endurance training
- Neuromuscular re-education to restore proper shoulder mechanics
- CORE training
After completing treatment, Mark’s successfully returned to the normal activities of daily living without pain, and eventually returned to full work duties without pain or restrictions.
College Basketball Player – Ankle Injury
Amy, a 21-year-old college basketball player, “rolled” her ankle and had to be taken out of the game. After immediate swelling and pain, her team’s athletic trainer took her to urgent care for precautionary x-rays, revealing no fracture. The next morning, Amy’s ankle was still swollen, red and painful. Amy’s trainer called Accelerated Sports Therapy & Fitness and was able to get an appointment that afternoon to initiate treatment. Amy’s evaluation revealed bruising and swelling of the ankle and foot, limited motion and a poor gait pattern.
Amy’s physical therapist designed a treatment plan to heal her pain and get her back on the basketball court. Amy’s treatment included:
- Gentle range of motion activities
- Pilates reformer exercises
- Thera-band resistance movements
- Gentle isometrics with progression to isotonic strengthening
- Vasopneumatics with ice (Game Ready)
- Gait training with functional progression into running and then start/stop movements
After being seen daily as an in-season athlete, Amy’s rehabilitation program included additional cardiovascular training to maintain conditioning. All-in-all, Amy was able to return to play with ankle taping 9 days after her injury.
Golfer – Lower Back Sprain
Steve, a 62-year-old golfer, injured himself on the golf course when he experienced sharp pains in his lower back after a swing. After experiencing continued pain and limited mobility, Steve set up an appointment at Accelerated Sports Therapy and Fitness. Steve’s evaluation showed back spasms and his therapist diagnosed him with a back sprain.
Steve’s treatment plan was designed to increase mobility, decrease pain and conditioning for future injury prevention. His rehabilitation included the following treatments:
- Gentle positional traction
- Mobilization exercises
- Modalities (including electronic stimulation and ice, pelvic traction and ultra sound
- Gradual corrective home exercise program
- Swing evaluation and education in a stabilized golf swing
Within three weeks Steve was able to complete a full exercise program working on core strength, rotational mobility and cardiovascular conditioning, all pain free. Steve has returned to golf, and continues to come into Accelerated to utilize the fitness facilities for his ongoing conditioning.
Soccer Player – ACL Tear
Kacie, a 15-year-old soccer player, suffered an ACL tear while planting her leg in the process of kicking the ball. Kacie experienced immediate pain and swelling. An MRI revealed an ACL tear, with no meniscal or chondral injury. Kacie was referred to Accelerated Sports Therapy & Fitness for pre and post surgery treatment.
In preparation for her ACL reconstruction surgery, Kacie worked with the therapists at Accelerated to restore knee extension and joint mobility. Her treatment included range of motion exercises, Vasopneumatics with ice (Game Ready) to reduce swelling and quad strength and control exercises to return to a normal gait.
After her surgery, Kacie returned to Accelerated to continue her rehabilitation. Her post-op treatment included:
- Range of motion exercises
- Strengthening exercises for her quadriceps, gluteals, hamstrings and core
- Neuromuscular re-education to restore control of lower extremities
- On-court functional training (hopping and light plyometric activity)
- Lower extremity biomechanics emphasis with goal of preventing future ACL injury
Upon completion of her treatment program, Kacie was able to return to running and continued to improve her leg strength and power with a gradual return to soccer drills. In the end, Kacie successfully returned to soccer without any difficulties or restrictions.