Mangiarelli Rehabilitation Physical Therapy Blog
Addressing Skiing-Related MCL Injuries with Physical Therapy
MCL sprains or tears are the most common ski-related knee injury, accounting for up to 20% of all ski injuries and 60% of all ski-related knee injuries. An MCL injury can occur while skiing when pressure or hard contact from a collision or fall impacts the outside of the knee, straining or tearing the ligament. Physical therapy is the preferred treatment for the majority of MCL injuries, restoring function, mobility, stability, and strength to the MCL and knee joint through a targeted therapeutic exercise program.
Physical Therapy for Hockey Injuries
Hockey is a high-intensity collision sport that requires athletes to skate a narrow contact surface (blade of the skate) on a low friction surface (ice) while moving in all planes of motion. The intensity of the sport can lead to a variety of injuries, such as concussions, shoulder separations, wrist fractures, MCL sprains, high ankle sprains, or FAI or hip adductor muscle strains. Physical therapy can help hockey players recover after injury and help hockey players prepare for the hockey season and reduce the risk of injury through a personalize strength and conditioning program.
Preventing Injury in Competitive Swimming
Swimming is a dynamic sport that requires full body movement and coordination and a significant amount of power and endurance, placing significant stress on the shoulder joint. The intensity of competitive swimming training can increase the risk of common overuse injuries like swimmer’s shoulder, knee injury, or low back pain. Physical therapy can help swimmers prevent and address injuries through sport-specific training and a comprehensive rehabilitation program to improve strength, endurance, mobility, and shoulder stability. Check out our 5 tips to prevent injury in competitive swimming!
Physical Therapy for Osgood-Schlatter Disease
Osgood-Schlatter disease is an inflammatory condition of the knee caused by repetitive trauma to the patellar tendon during growth spurts that is common among active adolescents. Osgood-Schlatter disease is a common cause of knee pain in growing and active pre-teens and teens, affecting 1 in 10 adolescents. Osgood-Schlatter disease can be managed conservatively and effectively with physical therapy. Physical therapy can help teens with OS ease pain, increase muscle strength, and restore function for a safe return to sport.
Physical Therapy for Patellofemoral Pain Syndrome
Patellofemoral pain syndrome (PFPS) is the most common type of knee pain, causing pain around and under the kneecap. PFPS is prevalent among runners, cyclists, and young athletes as repetitive movements like running, jumping, or squatting can lead to chronic overuse of the knee and the development of PFPS. Physical therapy is highly effective in treating patellofemoral pain syndrome, using targeted exercise, stretching, and manual therapy to improve knee function and mobility and reduce pain.
Physical Therapy for Swimmer’s Knee
Swimmer’s knee is caused by repetitive strain on the knee ligaments, particularly the MCL, when performing the breaststroke. Pain in the MCL develops due to the repetitive flexion-extension, adduction, and external rotation of the knee against the water when completing the breaststroke. When doing the breaststroke, 70% of the propulsion of the stroke comes from the legs and knees, placing significant stress on the knees. Physical therapy can alleviate swimmer’s knee pain and restore movement and function in the knee safely through a targeted therapeutic exercise and manual therapy rehabilitation program.
April 2023 Newsletter
Check out our April 2023 Newsletter, highlighting the importance of prehabilitation before surgery, return to throwing using the rebounder, the role of nutrition after joint replacement surgery, and preventing knee pain during spring gardening.
Preventing Knee Pain during Spring Gardening
As we step into spring, many of us are planning and starting our gardens, weeding, raking, and preparing for planting. Gardening has numerous health benefits: building strength, promoting sleep, boosting mood, and getting quality sunshine and Vitamin D. However, gardening does place stress and strain on joints and muscles when digging, planting, weeding, mulching, and raking, particularly the knee. Gardener’s knee is a common gardening-related injury that involves inflammation, swelling, and pain in the bursa at the front of the kneecap. To prevent knee pain when gardening, check out our gardening injury prevention tips!
Chronic Knee Pain Causes and Treatment
Chronic knee pain, which affects one in four Americans, can be debilitating and limit your function and mobility. Chronic knee pain involves ongoing pain, swelling, and sensitivity in the knee that lasts more than 4-6 months and can result from a traumatic injury that healed incorrectly or from medical conditions like osteoarthritis. Physical therapy can help you manage chronic knee pain long-term without the need for surgery to reduce pain and improve your mobility and function.
Preventing Common Snowboarding Injuries with Physical Therapy
Snowboarding is an intense winter sport requiring excellent balance, coordination, and agility while descending packed snow-covered slopes at high speed. Due to the high speeds and momentum gained when snowboarding, injuries due to falling are common and most often involve injury to the upper body, such as wrist fractures, separated shoulders, ligament and tendon tears in the shoulder, and concussions. A physical therapist can help a snowboarder not only recover from injury and safely return to the slopes but also prepare for the snowboarding season through a targeted strength and conditioning program.
Recovering from a Meniscus Tear with Physical Therapy
Meniscus tears are one of the most common sports injuries and most frequent knee injuries. The meniscus can tear during any movement that puts excessive pressure on the knee or pushes the meniscus past its normal rotational range of motion, such as when twisting, squatting, or making quick positional changes. Physical therapy can help those experiencing meniscus tears facilitate optimal healing, restore full functionality, and achieve complete recovery through targeted strengthening and extensive rehabilitation should surgery be necessary, for a safe return to sport and activity.
Physical Therapy for Knee Bursitis
Knee bursitis involves inflammation of one or more bursae of the knee joint, causing pain, swelling, and limited mobility in the knee. Bursae are fluid-filled sacs that serve as cushions to reduce friction between bone and skin or bone and tendon. Knee bursitis can develop from a direct blow to the knee or from repetitive stress movements or pressure on the knee over time. Physical therapy for knee bursitis can help reduce pain, swelling, and stiffness in the knee and restore mobility in the knee through targeted therapeutic exercise and manual therapy.
Physical Therapy for Medial Patellofemoral Ligament Injury
Medial patellofemoral ligament (MPFL) injury involves a strain or tearing of the MPFL, typically due to a traumatic kneecap dislocation. The MPFL is a ligament located on the inside of the knee joint, connecting the kneecap and thighbone and providing stability to the kneecap. Physical therapy helps those with MPFL injuries restore knee strength and function and provides post-surgery rehabilitation if surgery is necessary.
Physical Therapy for PCL Injury
The posterior cruciate ligament (PCL) works together with the ACL to stabilize the knee during movement. The PCL is located near the back of the knee joint and attaches to the back of the femur and tibia behind the ACL. PCL injuries are less common than ACL injuries but can occur due to blunt trauma during a sport or car accident or extreme hyperextension of the knee. Physical therapists can help those with PCL injuries and those healing after PCL surgery manage pain and stiffness, address instability, and restore function and strength to the knee through a progressive rehabilitation program.
Physical Therapy for Patellar Tendinitis Infographic
Patellar tendinitis is a chronic overuse injury involving inflammation of the patellar tendon that is common in basketball, volleyball, and soccer players. Patellar tendinitis can develop due to repetitive running and jumping, sudden and frequent deceleration and acceleration, and training on hard surfaces. Physical therapy can help athletes with patellar tendinitis regain strength, function, and mobility in the knee. Check out our infographic to learn more!
Physical Therapy for Patellar Tendintis
The patellar tendon connects the kneecap to the top of the shinbone and plays a key role in extending your knee. Patellar tendinitis involves inflammation or injury to the patellar tendon often due to repetitive stress and chronic overuse among athletes. It is particularly common among athletes who engage in repetitive jumping, squatting, and running, such as basketball, soccer, and volleyball players, dancers, and weightlifters. Physical therapy can help athletes address patellar tendinitis and regain strength, function, and mobility in the knee through a gradual targeted strengthening exercise program.
What To Expect After a Total Knee Replacement
Are you unsure what to expect after total knee replacement surgery? Check out our blog to learn what to expect throughout the rehabilitation process post-knee replacement! Total knee replacement surgery is a major surgery that requires careful preparation and an effective post-surgical rehabilitation program to ensure pain-free function and mobility of the joint. Physical therapists play a critical role in pre-surgery preparation and post-knee replacement rehabilitation, helping you improve mobility, decrease stiffness, manage pain, and gradually and safely restore function and range of motion in your new knee.
Physical Therapy for Knee Osteoarthritis
On World Arthritis Day, we are explaining physical therapy treatment for knee osteoarthritis. Knee osteoarthritis is a degenerative joint disease characterized by knee pain, stiffness, and decreased strength. Physical therapists can help to reduce knee osteoarthritis symptoms, slow the progression of the disease, and create a customized, comprehensive program of exercise and manual therapy to help knee osteoarthritis patients move safely and improve function, strength, and range of motion in the knee joint.
10 Most Common Myths About Knee Pain
Is it Fact or Fiction? Our latest blog debunks the 10 most common myths about knee pain. Knee pain is one of the most common orthopedic conditions that lead patients to seek physical therapy. Physical therapy provides a safe, non-invasive, and effective way to reduce knee pain, improve mobility and strength, and restore function to the knee.
Tips to Minimize Your Risk of ACL Injury
Check out our tips to minimize your risk of ACL injury! Preventing ACL injury saves an athlete from physical trauma, an interrupted sports season, and intensive rehabilitation. ACL injuries are most common in sports that involve pivoting, landing, and sudden changes in direction. Sports medicine physical therapists can design ACL injury prevention programs for athletes that include strengthening exercises, balance and agility drills, and jumping and landing technique training