ACL surgery continues to be a huge focus in the literature and in our outpatient rehabilitation settings. Numerous studies focus on return to play guidelines and retear rates. Social media is all over the place, most times. Let’s try to make things simple and set the stage early. Paralysis by Analysis- What ACL tests are […]
So, you’ve been diagnosed with a UCL tear in your elbow and your world has been turned upside down. Have no fear, many have been there before you and have done pretty well. But now, there’s a new option for elbow surgery and you’re not sure if it’s right for you. I hope this post […]
Infraspinatus atrophy due to a spinoglenoid notch cyst This was an incidental finding of mine in a collegiate baseball pitcher. He presented with a UCL sprain during his senior year and was struggling. He came in looking to salvage his senior year and attempt to pitch at some point. UCL surgery would’ve been warranted if […]
Research Review Not sure if you saw my recent post on social media about bone bruises after an ACL tear so I wanted to discuss it further here. In this study, the authors looked at the incidence of radiographic chondral changes (without correlation with clinical and functional outcomes) on MRI 5 years after the ACL […]
Low back pain can be very debilitating in an athlete, especially in an adolescent baseball player trying to make it through his season. More specifically, I have noticed an increase in lumbar spine stress fractures in baseball players and it is quite disturbing and frustrating! I wanted to dive deep into this rabbit hole, as […]
Recurrent instability after a Bankart repair surgery is unfortunately very common. This paper looks to highlight the most common risk factors associated with recurrent instability. I thnk it’s valuable to understand these various risk factors so you can better educate your patients. It may also help clinicians be mindful of the people that may need […]
I’m a bit interested, confused and looking to seek more on this open access paper that just came out in March of 2019 looking at the effects of season-long participation on ACL volume in female intercollegiate soccer athletes. The title of the paper is: “Effects of season-long participation on ACL volume in female intercollegiate soccer […]
Diagnosing a SLAP tear is not easy We hear a lot about trying to diagnose shoulder pain and to be as specific as possible. It’s often difficult to differentiate SLAP (superior labrum anterior to posterior) tears from other soft tissue injuries of the shoulder. For a review of the different types of SLAP tears, check […]
Physical therapy is vital after a rotator cuff repair and continues to be common in an outpatient setting. Unfortunately, there’s no true consensus on when to actually begin PT. Is early physical therapy safe after a rotator cuff repair or should we delay PT to protect the healing tendons? Let’s dive into this and see what the research […]
My thoughts on treating low back pain As many of you may know, I have been practicing physical therapy since 2003. Throughout that time, the clear majority of my patients have had injuries to their extremities. Yet, I somehow was able to ‘avoid’ treating patients with low back pain (LBP). As has been with most […]
My site, Lennymacrina.com is a place where rehab professionals can come to help simplify their approach to client care, just as I have since I started practicing PT in January 2003. There is lots of conflicting information out there. My goal is to summarize the literature and give my experiences to help you become a better clinician.