Transformer - Decepticon

Transformer - Decepticon

Monday, August 29, 2011

New Office Phone Number


Has a new office phone #


We are also operational to accept credit cards in the office as well!

visa  ~~  master card ~~  discover


This is an anterior view of the leg to include the femur, patella & tibia.

I have included one of my famous drawings as an illustration to understand where the actual injury site is. 

The tibial tuberosity is the location where the actual pain, discomfort and in some severe cases the dislocation of bone or calcification of bony spurs develop.

As the beginning of the new school year approaches and the athletic seasons begin I felt it was important to talk about athletic topics that address the needs of our adolescent athletes.  One such topic is Osgood Schlatter Disease.

I think it's important to educate the athletes themselves, their parents and extremely important for the coaches that interact with them.  The days of "it's just growing pains" is over.  I remember when my mom would say that.. I laugh now.. but it's not funny... the pain is really there and we need to listen to them when they come to us. 

Osgood - Schlatter Disease ( Tibial Tuberosity Apophysitis)


Osgood -Schlatter disease (OSD) is a condition involving the irritation and inflammation at the site of the quadriceps tendon inserting on the tibial tuberosity in adolescent immature bone.

This condition occurs when the quadriceps muscle group are vigorously used in combination with rapid growth of the leg bones.


OSD is a condition that is practically EXCLUSIVE to adolescent youngsters who participate in athletic activities.

It is very common among young athletes who participate in sports such as:

basket ball
figure skating
volley ball

To include running, jumping or making fast, tight turns.

This condition occurs both with girls & boys, however it is more common with boys. ( research indicates this ratio to be 3-1)

Onset can occur anywhere from the age of 11-18 years of age.

Cases range from mild to severe. In mild cases the tibial tuberosity is inflamed. In severe cases there is a complete separation of the tibial tuberosity from the tibia.

To put this in perspective: the tibial tuberosity is a “bump on a bone” - a location for tendon attachment. In this situation it would be the quadriceps tendon to the tibial tuberosity. The tension in the muscle is so significant it creates inflammation at the musculotendinous junction to the tibial tuberosity causing the separation of this structure.

There are two (2) causes of Osgood-Schlatter disease (OSD)

1. INDIRECT TRAUMA - pulling force produced by powerful contractions of the quadriceps muscle group.

2. OVER USE REPETITIVE STRAIN - a result of repeated stress such as: knee flexion & extension

As young athletes go through puberty and are significantly involved in athletic activities, they are more likely to develop this condition.  The bone growth is faster than muscle growth, creating the pain cycle ~~ and because the juvenile skeletal structure is not yet ossified (hardened) ~~ this is where the most significant bone spurs, calcification's & bone separation happens .. right at the the tibial tuberosity of the tibia.  There is such stress and tension placed at this location.

The common theme of "growing pains" is occurring , but lets be proactive for our athlete.

FIRST: listen to them!
SECOND: ask questions, ~~ questions like "where is the pain", "what is the intensity of the pain" ... have them describe what they are feeling.
THIRD:  get the issue checked out.. get a medical professionals diagnosis, that way we have a better understanding for treatment.
Fourth: set a plan in motion for rehab & recovery.. the common protocol is PT... but lets look outside the "box" and include SPORTS MASSAGE.

We can aid in the overall recovery and be part of the sports medical model to help get the athlete back on the playing field!!

Traditional PT is going to incorporate EXERCISE & some soft tissue mobilization.  On a larger scale, SPORTS MASSAGE will provide the following:

* ice massage
* soft tissue mobilization
* stretching
* decrease fascial restrictions
* decrease scar tissue build up
* increase range of motion (ROM)
* increase flexibility

we are not restricted in our approach as traditional PT

HOWEVER,  BOTH PT & SPORTS MASSAGE work best together for the benefit of the athlete!!

Things to also mention:
Rest the quad's, minimize or completely take time off from excessive activities that involve the flexion & extension of the knee.
Ice the quadriceps muscle group... not just at the knee.. all portions of the muscle.
Get a clear diagnosis of whats going on.

Please let me know if you have any questions... I'd be glad to answer them.


Sunday, August 21, 2011

Ice Bath Recipe



Start with a clean tub, run water (luke warm-tepid) until water reaches the mid thigh area. Your body becomes acclimated to this, it’s not a complete shock. Once the water is at this level ~~ turn water to ONLY COLD. Continue to fill tub with cold water until quads / thighs are completely covered. Turn water off & add the 1-3 bags of ice. Sit in the ice bath for 10-15 Minutes in duration… NO MORE…. 15 Minutes TOPS!!

The large towel is to dry off after the ice bath. Here at the office we provide everything you need to receive the full benefits of an ice bath (also referred to as a cold plunge).

Ice baths are great for post recovery of an athletic workout, muscle strains and post competitions such as Triathlons, MARATHONS, ½ Marathons, Bicycle events and so on. It’s also a great idea to incorporate into the overall training & recovery plan.

Please contact us here at USMT if you have any questions regarding the ice bath & it's importance to you as an athlete.

We can schedule an ice bath here at the office any time you may need or desire one!

Lori-Ann, Rainee, Kristen & Dwayne

Tuesday, August 16, 2011

Cold - VS - Heat

The Ice Machine, which makes tons of ice.. all day long!   Along with one of our open sports massage clinical area's.  We also have one of our athletes in an ice tub or cold plunge tub... really it's what ever you want to call it.  We used large frozen cups of ice before we acquired the ice machine.
The Gunny, after a sports massage session ~ getting ready for the MARINE CORPS MARATHON!

When to use or not to use one or the other.
As a sports massage therapist here at USMT I must hear " when should I ICE and when should I use HEAT"?  At least a few times a week.  It's pretty common to hear that actually.

So here is the low down on ICE vs HEAT.
Most athletes know to ice an acute injury, and we preach RICE to all of our clients as standard treatment for an acute injury

But, it gets a little tricky when it comes to describing when and if to apply.  It really depends on the type of injury.  There are two (2) types of injuries.


                                  Acute pain is rapid onset and short lived

Chronic pain develops slowly and is persistent and long lasting

Rainee ~ She is a USMT member and Crossfitter
Ann Marie & Caitlyn, they are our fabulous runners!
See we have a  whole host of athletes that love the ice bath... they either request it or when it is suggested for part of the over all sports massage recovery process..everyone is one board!
Gino is one of our Crossfit Coaches

Acute injuries are sudden, sharp and traumatic injuries that occur immediately or within hours and cause pain (possibly severe pain).  Most often acute injuries or impacts such as a sprain, fall or collision.. and it's pretty obvious what causes the injury.  Acute injuries almost always have common signs and symptoms such as pain, tenderness, redness, skin that is warm to the touch along with swelling & inflammation.  Chances are if you have swelling, you have an acute injury.

Chronic injuries can be subtle and slow developing overtime.  They can come & go, may cause dull aching pain or soreness and, sometimes are often the result of over use or repetitiveness.  Along with possible acute injuries that have been untreated or not properly treated and have healed over the injury or hasn't healed at all.

Cold therapy  with ice is best for immediate treatment for acute injuries and I mentioned previously R.I.C.E.
It reduces pain & inflammation.  Ice is a vaso-constrictor ( cause blood vessels to narrow) and limits internal bleeding at the injury site.  Cold therapy is also helpful in treating some overuse injuries or chronic pain in athletes.  Example: if you have chronic pain in an area it may increase post activity, so icing the area post activity will be beneficial in reducing and or preventing inflammation to that area.

At USMT we use offer these types of cold therapy:
* Ice massage for muscle specific injuries
* Ice packs
* Ice Towels
* Cold Plunge / Cold Tub
* Biofreeze / Sombra cold therapy

Icing an injury site should be done for 10-15 minutes at a time, always allow the skin to return to it's normal temperature before icing a second or third time.  You can ice an injury several times a day for up to 3 days before switching up the protocol.

Heat therapy is generally used for chronic injuries or injuries with out inflammation or swelling, stiff, sore, dull nagging muscle.  Joint pain is perfect for heat therapy.  Athletes with chronic pain or injuries may use heat therapy pre exercise or event to increase the blood flow, elasticity of the connective tissue of the joints.  Heat can also help relax tight muscles or muscle spasms.  Heat is NOT recommended post work out or event / competition.  Ice is better suited for this time frame.
Heat is a vaso-dilator, it increases skin temperature and circulation which is not good for acute injuries.  You can safely apply heat to an area 15-20 minutes at a time and use enough layers between your skin and the heating source as not to burn the skin.

MOIST HEAT IS THE BEST!!!  This is the protocol we use at USMT.  We use hot, wet towels wrapped in larger dry towels.  You can do the same at home or you can purchase special hot packs or moist heating pads if you use heat often.  Never leave on for more than 20 minutes or while sleeping... there is a potential for burning and if your not careful with this approach.. you can possibly burn your self severely.

Some injuries can be serious and out of our "scope of practice".  So be sure to see a doctor if your injury does not improve or it gets worse with in 48 hours.

YOUR safety is OUR # 1 priority.

Please let us know if you have any additional questions on this subject

 Kristen & Lori-Ann