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.

Per medical report dated 2/16/16 by Dr. Bakhos, the patient has been in physical therapy and using brace with goof relief of his pain. However, he reports increasing pain in the anterior knee for the past 3 weeks. The pain is exacerbated with stairs and kneeling. It is decreased with a brace and Advil. The patient received steroid injection to the right knee.

The first patient I witnessed was a 25 year old female. Pertinent patient medical history is anxiety, depression, and sleep dysfunction. The referring diagnosis is Chondromalacia of the right patella, which is also known as runner’s knee, is a condition where the cartilage on the undersurface of the kneecap deteriorates and softens. The physician who referred the patient, Victor N. Egwu, MD, orders the PT to evaluate and treat three times per week for four weeks. Right knee ROM and strengthening exercises should be done to treat patient. The PT evaluation justification history includes 1-2 person factors examination is addressing three or more elements. The clinical presentation is stable. The clinical decision-making is low co-morbidities.

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

Based on the progress report dated 05/17/16, the patient presents for reevaluation of her right knee pain. It has been about the same though she states that when she gets acupuncture, it does decrease pain for a period of time and allow her to exercise more. She has been walking 45 to 50 minutes twice a day. She uses

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)

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.

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.

College student athletes should not be paid if they are injured. There are over 12,500 injuries per year. Many students would have to be paid, because of the high rate of injuries. If the athletes get paid for the days they cannot play, then the NCAA’s money would be spent rather quickly. There are twenty-five percent of injuries that are severe, which means the students may have to take ten days off, at least, to heal (Thomas). When students do not report their injuries, forty percent of them get diagnosed with Osteoarthritis, which is a type of arthritis found in flexible tissue at the end of worn down bones, that does not have a cure (Preidt). Dorothy Hamill, an Olympic gold medal figure skater in 1976, who is now fifty-nine-year-old, was diagnosed with Osteoarthritis. She still skates five times a week. Unfortunately, Hamill is now required to do long warm-ups, because of the aches (Bucciarelli). In order for the

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 )

There are also the Anterior Cruciate Ligament (ACL) and the Posterior Cruciate Ligament (PCL). These two ligaments coexist in the center of the knee and balance out the weakness of the other; the ACL “prevents the shin bone from sliding out in front of the thigh bone” while the PCL “prevents the shin bone from sliding backwards under the femur” (Vorvick). Despite how the ACL and the PCL work together, the ACL is one of the most well-known major injuries in sports.

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.

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 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.