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Sports Performance

MMA Training Tradition Comes Under Scrutiny With Injured Champ

Old School Vs. New Class

A fit man kicks high during an Mixed Martial Arts training.In a press conference this morning, the often outspoken UFC President Dana White scrutinized training techniques that he asserts led to a champ’s career-threatening MCL tear. White charges that American Kickboxing Academy (AKA)— training facility of current UFC Heavy Weight Champion Cain Velasquez—is “still in the stone ages” when it comes to their fight prep regimen.

Cain Velasquez has a string of injuries that have kept him out of title bouts with eager challengers. He last fought in 2013, when he dethroned former heavy weight champ Junior dos Santos at UFC 166, but has since been sidelined by training-induced shoulder and knee injuries.

White has become so frustrated by injuries sustained in training (and the events that don’t happen because of them) he announced that UFC’s new headquarters in Las Vegas will include a “huge facility for rehab and therapy” that will focus on “educating the fighters on training better.”

It’s important to note that Velasquez, whose professional record is 14 and 1 (his latest win in the form of a championship belt), is obviously doing something right. In fact, AKA is home to number of top MMA contenders. And, while other fighters, trainers, and sideline commentators will surely contest White’s words, he does bring to light the importance of aligning injury prevention and fight preparation.

The details of UFC’s new HQ have yet to be divulged and the initial announcement leaves much to the imagination. But, it will be interesting to see if White’s vision for a bigger, better training compound will reduce injuries and still produce champions. In the meantime, we hope Cain Velasquez recovers well and look forward to seeing him back in action again soon.

If you’d like to include injury prevention in your training program, or need therapy from an injury that’s already happened, we’re here to help. Some of our own patients are making a living in the octagon, so we have an intimate understanding of what kinds of injuries occur and how to help them heal.

Waves of Consequence

Large Australian Swells Testing Competitive Limits

Girl surfing in a beautiful blue tube

SIx Times World Surfing Champion, Stephanie Gilmore, in a better place. Photo courtesy of Stephanie Gilmore’s Facebook page.

On a recent free surf in Australia, six-time world champ Stephanie Gilmore wiped out with bone-breaking intensity. “I fractured my fibula… I just ejected out of the lip, tried to pin drop feet-first and went straight-legged into the sand,” said Gilmore in an interview during the 2015 Drug Aware Margaret River Pro. It not only kept her from competing in the contest, it also highlights the range of injuries that can be sustained while surfing.

We see a lot of strains, sprains, and tears in our patients at Action Physical Therapy— especially the ones that surf—but fractures are less common. Which is actually a little surprising, considering a cubic meter of water (about the size of your oven) weighs a ton. The eight- to twelve-foot waves breaking at the 2015 Margaret River Pro were unleashing hundreds of tons of water at the competitors riding them. The athleticism and flexibility of even the most prepared, intensely trained surfers are tested when they met the wrong side of those breaking waves. (Ninth best surfer in the world, Jordy Smith, had to pull out of the competition because of injuries sustained to his foot and knee during a between-round surf at spot near Margaret River.)

And, while it may sound more serious, a fracture can be more preferable to something like a ligament tear. A hairline fracture like the one Stephanie Gilmore sustained, often does not require surgery, but will need rest and physical therapy to ensure it heals correctly and completely.

If you’re experiencing pain while surfing, or any other activity for that matter, it could be an undiagnosed, yet easily treatable issue. We encourage you to talk to your doctor, or call us for a consult. We can create a specialized PT program for surfing injuries, and the many other conditions that go with living an active life.

We wish Stephanie Gilmore the best in her recovery, and look forward to watching her rip in the upcoming Oi Rio Women’s Pro in Brazil. And congrats to John John Florence on his runner up win at the Margie’s Men’s Pro! He walked away with second place, but he’s a first-rate competitor and ambassador for Hawaii. #GoJohnJohnGo!

Running Shoe Myths

Gimmicks aside, we can help our patients run faster and prevent injury, there’s just not a magical cure-all shoe to help do it. We would recommend plyometrics drills like box jumps, and spending more time in the weight room to become a stronger and more injury-free runner.

Myth #1: Running Shoes Prevent Injury

Myth #2: You Need to Shop for Your Foot Type

Myth #3: Energy Return Makes You Faster


Myth #1: Running Shoes Prevent Injury

Never has any research been able to indicate that a shoe can prevent injury. Shoe companies will throw their tech jargon at you about their shoes “aiding this” or “preventing that.” Sorry, simply not true.

Myth #2: You Need to Shop for Your Foot Type

You have been marketed at to believe overpronators need motion control, people with high arches need more cushion, and neutral runners should be in a more neutral shoe. Again, just marketing from people selling you their shoes. Actually the whole arch support idea has been disproven.

Myth #3: Energy Return Makes You Faster

I think the original article has it stated best, “No shoe, unless it has an engine in it, will ever return energy to the runner.” No material in this world at this time returns any energy back to your stride.

Read more at: http://www.medbridgeeducation.com/h/clinical-pearl-jay-dicharry-top-3-myths-in-running-shoes-fb

For Meniscus Tear, Exercise Therapy Outperforms Surgery

For Patients With Meniscus Tear, Exercise Therapy Outperforms Surgery in Key Muscle Strength Measure

Meniscus-Injury, young girlIn a study that turned the tables on common research that uses exercise therapy evaluate the effectiveness of arthroscopic surgery, used a surgery group as a control to measure improvements in quadriceps strength and neuromuscular function. They write that such improvements, “can provide functional improvements, pain relief, and possibly also a delay in the onset of osteoarthritis (OA)” in individuals with the tears.

Exercise therapy can improve certain functions to a degree not possible through arthroscopic surgery for middle-aged patients with degenerative meniscus tears, according to a new study from Denmark. Researchers believe the improvement in function through exercise—more than 16% greater than improvement experienced by the surgery group—may lead to better long-term outcomes.

To read more on this subject, click here.


How Arm Fatigue Affects Legs (and Vice Versa)

Can there be “nonlocal” effects of fatigue. Does arm exercise make your legs tired? And does leg exercise make your arms tired? The overall answer, under the right circumstances, seems to be yes. It’s still exactly clear how or why.

Arm & Leg fatigue study

This is a big topic of research these days, because if we can understand how nonlocal fatigue works, we’ll be a lot closer to understanding how plain old local fatigue works too. There has been studies and the basic result was this: Whether you fatigue an arm or a leg, the opposite leg will be tired in a subsequent bout of exercise. Conversely, whether you fatigue an arm or leg, the opposite arm will not be tired in a subsequent bout of exercise.

Now that is weird. Really weird. Read More:

Stay Healthy by Playing Less? Dr. Andrews thinks so. You should listen.

Dr. James Andrews is the undisputed rock star of orthopedic surgeons. His personal statistics regarding number of surgeries are mind-numbing. The list of who’s who in professional and collegiate sports he has repaired is unparalleled. The contracts his patients have signed post surgery exceeds a billion dollars. To put it succinctly, Dr. Andrews is the authority on sport injuries.  Now he wants you to stop playing sports so much. Read on.


The crux of Dr. Andrews new book, Any Given Monday: Sports Injuries and How to Prevent Them, for Athletes, Parents and Coaches — Based on My Life in Sports Medicine, and personal goal is to stop treating child athletes like they are adults. “I hate to see the kids that we used to not see get hurt. … Now they’re coming in with adult, mature-type sports injuries. It’s a real mess. Maybe this book will help make a dent,” states Dr. Andrews.

His advice is simple. First, kids need a rest between seasons. He advises against specialization where a child plays a sport year round exposing them to more traumatic and repetitive injuries. And second, a child shouldn’t be worked out as if they are a adult. Training for children should be geared towards the child’s age.

For more in depth information on Dr. Andrews and sports medicine click here:
Or watch the video here:


Scapulothoraticic Bursitis, or as most people call it, “My shoulder hurts.”

The shoulder is a complicated and often over-used joint prone to various pain-causing issues. Between swelling of the bursa, bony abnormalities and insufficient musculature, the shoulder can become a painful and noisy joint. Sound familiar? The first step to healing and returning to pain-free movement is see your P.T.

Ther are many types of shoulder injuries and pain. In Kauai go to Action PT

Motion in the shoulder depends on adequate coordination of the concave scapula on the convex thoracic wall by the periscapular musculature. Incongruence, which has several possible causes, such as bony abnormalities, insufficient muscular control and the thickening and scarring of connective tissue may result in a painful grating sound or sensation produced by friction between bone and cartilage during movement.

If you are interested in learning more read here or contact Action PT today.

Soreness from Your Workout Doesn’t Mean You’re Getting Stronger.

Muscle soreness caused from working out doesn’t make you stronger. Soreness just makes you hurt. Lifting heavier weights makes you stronger, because that is what stronger means–the ability to produce more force.

Man and woman with hand weights.

In the article, “Why Being Sore Doesn’t Mean You’re Getting Stronger,” posted on PJMedia.com, we learn that soreness doesn’t mean progress. There are three modes of muscle contraction: Concentric, Eccentric, and Isometric, but it is only eccentric muscular contractions that will create muscular soreness. This article breaks down the three types of muscular contractions and explains what is happening to your muscles to make you feel sore. This soreness is a normal part of training, but chronic systemic inflammation is a very bad thing for your health.

Click here to read this interesting article on PJMedia.com

PJMedia is a blog that sheds light on issues important to Americans through insightful reporting, commentary and analysis.

Are you doing the perfect pull-up?

Using proper technique for all exercises will help you prevent injury and get more out of the movement. Here’s a few tips from coreperformance.com about how to perform a perfect pull-up.

The Perfect Pull Up

Have you ever wondered if you are doing a pull-up properly? The pull-up is one of the best upper body exercises and provides you with the greatest benefits to your back and upper body. It’s functional, versatile, and easy to throw into a circuit. That’s not to say it’s easy to do right. Pull ups are one of the hardest exercises you can do, well if you do it right.

Here are a few key points to perfecting the pull-up.

• Hang loose.

• Get a grip.

• Stay still.

• Focus.

• Stay tight.

• Keep control.

 Click here to read the full article, “Q&A: The Perfect Pull-Up”


Let’s Explore: Barefoot Running

Barefoot running, also known as minimalism running, is simply running without shoes or running in thin-soled shoes. The most common justifications for barefoot running are that it is the “natural” way of running, prevents injury, makes you run faster, and it strengthens the muscles of your feet.

Man running on beach

Are these claims supported by evidence? A new article featured on moveforwardpt.com explores each of these ideas: natural running, preventing injury, running faster, and muscle strength.

Conclusion: Barefoot/minimalist running is a popular topic of discussion that is, in reality, not very prevalent among runners. There is little data to support its use as a training tool or treatment for injury and continued studies on the potential risks and benefits of this technique will be proven over time.

Click here to read the full article Barefoot and Minimalist Running: What Do We Know?