WTH Happened To My Quads?  Arthrogenic Muscle Inhibition Explained

Quad atrophy following ACL injury is mind blowing.  It wasn’t until I experienced this personally with my own ACL injury, that I really could grasp this strange and frustrating phenomenon.  My quad index at 5 days post injury was 58%!  I am now 17 days post ACL rupture.  My quad is deflating daily, like a... Continue Reading →

MY ACL Graft Selection: it’s not at all like choosing socks

On my 40th birthday, I distinctly remember thinking: “If I blew out my ACL now, I’d have to have an allograft.” Those are the random and irrational thoughts that go through a physio’s head.  I know I’m not alone… admit it, if you are a 40+ physio, you are nodding your head in agreement. So... Continue Reading →

The Growing Athlete: recognition and management of apophysitis

An estimated 30 to 35 million children aged 5 to 18 years participate in organized sports annually.1 Sports are the leading cause of injury among school-aged children and there has been an overall increase in both acute and overuse injuries in young athletes over the past three decades.2,5 The increase in injuries may be explained... Continue Reading →

ACL Injury in Alpine Skiers: Mechanism of Injury & Prevention

The snow has started to fall here in Bozeman, Montana and skiers are anxiously awaiting opening day at both Big Sky Resort and Bridger Bowl. Many people live here to take advantage of the outstanding skiing conditions accompanied by cloudless bluebird days. Skiing related anterior cruciate ligament (ACL) tears are unfortunately all too common, and... Continue Reading →

Nearly 300,000 ACL reconstructive surgeries are performed in the US annually.1 Up to 24% of people do not return to sport following ACL reconstruction due to fear of re-injury.2  Fear of re-injury is also known as “kinesiophobia” and is related to knee function after surgery.3 Psychological measures are not typically used in return to sport... Continue Reading →

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