The Active Times Exercise

After sustaining a knee injury that required for surgical intervention while in high school, I struggled with recurring ailments throughout my intercollegiate career. It was not until my father, who is an Osteopathic physician, was performing manipulation on me did we begin to diagnose the potential causes. The issue was muscle imbalance and limited flexibility in certain areas of my body that was shifting majority of my weight onto my knees while performing certain movements. This went unnoticed by physicians because while performing examinations the scope was concentrated on the immediate areas around my knee. With the knowledge I obtained through manipulation I have been able to treat my knee ailments by strengthening and lengthening muscles throughout my body. Having this experience helped solidify that if I am to be the physician I aspire to be, it is imperative to be trained in this form of medicine.

Once again Dr. Armin Tehrany was asked to share his professional opinion, based on his decade’s long experience and profound orthopedic knowledge.

Knee injuries are more predominate in contact sports such as football. However, they occur in other sports as well. To understand this injury (definition and diagram)

First and foremost, your knee has four ligaments. The ligaments line up your bones and help control the way you move. It prevents the shins from moving too far forward. ACL injuries sometimes requires surgery.

As a shoulder expert, Dr. Armin Tehrany was asked by the NY Daily News to weigh in with his professional opinion about Wright’s shoulder impingement.

Imagine an athlete at the top of their game coming to a sudden halt because of a life-altering injury, tearing their Anterior Cruciate Ligament (ACL). This happens to athletes everywhere because of lack of awareness and lack of prevention. To a non-athlete, this injury might not sound life-altering, but when an athlete hears that they have torn their ACL, they know that there will be a hard journey in front of them. Until an athlete endures the hardships of recovering from this injury, they do not understand the intricacies and the pains that an athlete endures when facing this game-changing injury. Not all athletes can avoid an ACL injury by preventative strengthening exercises, so they must endure a long process of recovery in order

Impression includes chronic right knee pain status post anterior cruciate ligament repair and significant degenerative joint disease of the knee.

The main focus in the first stage of the rehabilitation problem will be to get 100% range of movement back into the athletes injured knee with no pain being suffered as he currently only has 70% range of movement and 2 months post-surgery the Fowler Kennedy Sport Medicine Clinic suggest that he should have full range of movement (ROM) in his knee (Werstin, 2009). It will hope to achieve this by introducing closed kinetic chain exercises (CKC) which are exercises that use a resistance such as squats and bicycling (Heijne et al, 2004) but also must remember that it is just as vital to maintain the highest level of strength and function possible in the unaffected knee as well, this is important as during the program we will use the unaffected leg as a comparison to assess the progress of the affected knee (Hiemstra et al, 2000). These have been chosen as according to Fleming et al 2003, CKC

Since my knee had not recovered within a few days, I was referred to a sports medicine doctor by the school’s trainer. By the end of my first appointment, he concluded that my knee was not sprained, but my lateral meniscus had been torn. While this was an uncomplicated, simple repair, he stated that I would still be unable to play sports for a few weeks. Disappointed, my mother and I scheduled my next appointment; the next visit held multiple x-rays, tests, and examinations of my injury. About two weeks later, the doctor discovered that there were more issues than just a torn meniscus; in addition, my anterior cruciate ligament, the main knee tendon, had ruptured into several pieces. Fighting back tears, I thought my life and athletic career

Christopher et al , 2008 stated that the knee is the largest joint in the body and is a relatively unstable and intricate joint with numerous tendinous, ligamentous, and meniscal attachments, which makes it particularly vulnerable to complex injuries after trauma. ( 85 )

The use of physical therapy has progressed throughout the medical field for a plethora of reasons. Whether you need physical therapy after a car accident or breaking your arm in a basketball game, physical therapy has been accustomed for a wide range of injuries. Many people cannot afford the physical therapy needed because numerous insurance companies do not support the practice. Nonetheless, studies have shown that physical therapy takes a great toll on your recovery process. More importantly as children become more involved in sports and start earlier in age to be more competitive, the injury rate of children has increased significantly. With that being said, the range of injuries on the knee specifically have varied and transformed the

In recent years, there is an increase number in the women’s participation in different sports led to a rise in non contact ACL injuries. Team sports such as soccer, basketball, volleyball are known for require lower extremity dynamic stability for patterns of movements like cutting, jumping, accelerating-decelerating[1].80,000-2,50,000 ACL injury occurs annually in the USA [20]. Anterior cruciate ligament injuries happen more commonly in knee joint injuries which are almost 50% of total. Along with it this injury affects even after 10 years to the chronic pain in knee and osteoarthritis [29].Female athletes who involved in different sports are 4-6 time higher than males for getting ACL injury [30, 1, 19, 20].

The knees are an important part of the body but can be damaged easily during sports. During baseball and softball running is a main part. Knees absorb 2-4 times the impact of the runner’s body for each strike of the foot when running or doing other physical activities. Knee health depends a lot on the weight of the body, the intensity of use along the natural setup. The human body is made to run 20-22 miles, after the runner reaches mile 21 the body starts to work off muscles and other alternative fuel sources. In addition, the kneecap floats on top if the joint and protects the knee from bows but does not provide strength or stability. The knees rely on ligaments and cartilage for support but ligaments heal very slowly and cartilage does not regenerate naturally. Imagine a ping-pong ball stuck to a wall held in place by rubber bands that is how the knee is set up.

The bones of the knees carry their weight around while they run and exercise for long hours. Varied amounts of weight is put on the bones during different sports activities and this affects the bones in the long run.

In 1979, Lawrence E. Cohen and Marcus Felson published “Social Change and Crime Rate Trends: A Routine Activities Approach”; this was the first paper introducing routine activities theory. Most criminological theories before routine activities theory focused more specifically on the socioeconomic factors affecting crime such as poverty, race, etc. Felson and Marcus believed instead that the routine activities of individuals and groups are the driving force behind crime.