Lucky number seven! Week 7 in the NFL did bring NFL players a bit of luck as this week featured the fewest injuries since we started this party! Week 7 by the numbers:
35 = Number of players who missed game time due to injury.
I was able to spend some quality time reading Becoming a Supple Leopard by physiotherapist Kelly Starrett while on vacation in Vancouver. One of my favourite things that Kelly discusses is posture! After all, great posture is the foundation to great movement!
The injury bug was at it again this week. Cleveland, Green Bay, Miami, New England, San Francisco, Washington, and both New York teams were hit the hardest as they saw three or more of their players fall to injury. Week 6 by the numbers:
With another NFL week gone, every team’s rehab personnel of physicians, physios, and athletic therapists have a few more injuries to diagnose and treat leading up to the next game. Week 5 by the numbers:
The new goal set by her surgeon was 115°. How close is Olivia today?
Flexion = 112°
After her biking and going through her exercise program, her post-activity range measured out to 117°. Bow-chicka-wow-wow! That goes to show that you really get things loosening up and blood circulating with some exercise. Now dubbed the lunge pro (aka “the LP”), Olivia is rocking out her squats, lunges, and monster walks to restore that gorgeous pre-injury beach bod!
We have officially hit the quarter mark in the NFL season! Another week has seen more players pick up some knocks which has probably spoiled a lot of people’s fantasy football teams. Week 4 by the numbers:
Oh yeah. You read that title right. Now, it’s not the first time something like this has happened. Let’s all take a moment to remember Bill Gramatica, a field goal kicker that is regrettably famous for injuring his knee after celebrating a successful field goal attempt. Sorry for bringing this up again, Bill!
The nerd inside of me thinks about all of the injuries and hours spent at rehab as I sit on my couch watching the Super Bowl rematch on this glorious Sunday (go Seahawks!). Even the commentators of this morning’s game between the Redskins and Eagles recognized that the medical staff for both teams will have their work cut out for them. Combined, he Redskins and Eagles had 10 players go down with injury, of which 4 returned. And that doesn’t include Eagles’ quarterback, Nick Foles (the guy who gets mashed below), who was clearly in distress after getting hit a few times.
Another week of hard work and physio later, Olivia’s knee now measures:
Flexion = 101°
Can I get a “what what” for this lady! Olivia is now just a little bit closer to that ultimate goal of full flexion. I have to give her credit for not complaining when we make an exercise a bit tougher. Bike, exercise, sweat, repeat!
Let’s get back to Brad!
Now that we have determined that Brad is dealing with patellofemoral pain syndrome (PFPS), we can start creating a treatment plan. It’s important for us, as physiotherapists, to explain what the different treatment approaches are and why they are effective. There are many tools in a physio’s toolbox that can be used to “fix” a problem. We don’t always use all our tools because certain methods have a greater impact than others depending on the type of injury we are dealing with.
Can I get a drum roll for Olivia’s most recent range of motion update?!
Flexion = 94°
Slow and steady wins the race! It’s pretty impressive to see these consistent improvements in Olivia’s range of motion. Her next visit with her orthopedic surgeon isn’t for another couple weeks but she’s already surpassed the goals that were set for her! Full range is 140° so we’ve “got a little bit longer” but this knee is going to be golden!
This is a great picture. I say that because I didn’t screw up this week and measure Olivia’s knee backwards, hah! As you can see, her latest measurement is…
Flexion = 85°
Boomshakalaka! As these numbers improve, so does Olivia’s strength and, more importantly, function! She no longer needs to use her crutch to help her walk. She’s able to tackle tougher exercises. Guys, she will be doing dunks and shattering backboards in no time!
Anyone a tennis fan? Well, I sure am. Whenever there’s a major on (like right now), I am addicted to the TV. Here’s one of the greatest players to ever exist in the sport, Roger Federer. He faced a tumultuous season in 2013 but has come back with a vengeance this year. Follow the link to see Federer’s post-game interview after his fourth round victory over 17th seed Roberto Bautista Agut.
Guys, I took a picture of Olivia’s knee today but just realized that I had the goniometer backwards. My bad, I thought it was “backwards-inside-out-reverse” day! Although I admit my fault, I will not be posting my terribly unprofessional photo because I’m a little type A haha. Apologies! But I can tell you that her knee is at…
Alright, where were we? Ah yes, I was chatting to handsome Brad about his knee injury and now it’s time to test it out! We are going into the objective assessment!
The tests that I use to determine a diagnosis were all created many years ago by physio legends. They are designed so that any physio can use them on a particular patient and come to the same conclusion. For example, if I perform the McMurray test (which assesses meniscus injuries) on Brad and it turns out positive, my coworker should get the same result using the same test. Folks, this is known as having high inter-rater reliability. And that’s a good thing! It should not matter who examined Brad – whether it is myself, my coworker, or another physio in another country – we should all come to the same diagnosis.
I spent my weekend doing some wild things like:
- Riding my mountain bike.
- Going grocery shopping.
- Watching Arsenal scrape out a draw against Everton.
- Eating ice cream.
- And most importantly, reading this awesome book!
Becoming a Supple Leopard by Dr. Kelly Starrett (on Twitter as @mobilitywod) is about human movement and ways to restore proper function to prevent injury. It’s a pity that I am an embarrassingly slow reader. So I apologize that it might take me a while to share all the golden nuggets that Kelly has to offer. But trust me, I am writing down everything of merit (in “Notes” on my iPhone, oh how technology has changed me) to share with you!