Rausch PT Gets You There

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Justin: "Repping proper running mechanics and warmer weather all the way on the East Coast at the NYU Physical Therapy Annual 5k."
Justin: “Repping proper running mechanics and warmer weather all the way on the East Coast at the NYU Physical Therapy Annual 5k.”

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Kevin: "From the top at 11,053 ft to recovery from the surgery table... This team gets it DONE!"
Kevin: “From the top at 11,053 ft to recovery from the surgery table… This team gets it DONE!”

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As much as we love seeing our clients in the clinic, nothing brings us more joy than seeing them out and back to doing what they love. Whether your goal is returning to the golf course, racing your first 5k, or trying to qualify for Kona, we’re here to get you there!

Where has Rausch Physical Therapy & Sports Performance taken YOU? Share your Rausch PT #triumph photos on FacebookTwitter and Instagram, and you could be featured on our page!

Don’t forget to tag #RauschPT #getyouthere

Rausch PT Gets You There

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Justin: "Repping proper running mechanics and warmer weather all the way on the East Coast at the NYU Physical Therapy Annual 5k."
Justin: “Repping proper running mechanics and warmer weather all the way on the East Coast at the NYU Physical Therapy Annual 5k.”

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Kevin: "From the top at 11,053 ft to recovery from the surgery table... This team gets it DONE!"
Kevin: “From the top at 11,053 ft to recovery from the surgery table… This team gets it DONE!”

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As much as we love seeing our clients in the clinic, nothing brings us more joy than seeing them out and back to doing what they love. Whether your goal is returning to the golf course, racing your first 5k, or trying to qualify for Kona, we’re here to get you there!

Where has Rausch Physical Therapy & Sports Performance taken YOU? Share your Rausch PT #triumph photos on FacebookTwitter and Instagram, and you could be featured on our page!

Don’t forget to tag #RauschPT #getyouthere

October Workshop: Train & Recover Like an Olympian

 

Train & Recover Like an Olympian

Lessons from the 2016 Rio Olympic Games

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When

Wednesday, October 19
7 – 8:30 PM

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Where

RauschPT-Logo-2015

28202 Cabot Rd. Suite 150
Laguna Niguel, CA 92677

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Cost

$15 per person

[button link=”https://clients.mindbodyonline.com/classic/ws?studioid=18756&stype=-106&sView=day&date=10/19/16″ size=”small” color=”blue” align=”center” target=”_blank” ]SIGN UP NOW[/button]

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Every four years, people around the world tune in to the Summer Olympics to cheer on their country and marvel at jaw-dropping feats of athleticism. Between the interest in #RoadtoRio stories and the constant media coverage of those purple spots, it’s clear us mere mortals are obsessed with learning about Olympians and how they’re able to do what they do.

Click to enlargeAt the October Wellness Workshop, Kathy Flippin, owner of Dynamic Touch Massage and massage therapist to Team USA Swimming, will give participants a behind-the-scenes look at the Olympic Games and reveal what she learned while helping the likes of Michael Phelps, Katie Ledecky and the entire historic USA Swimming team recover in Rio.

Topics include:

  • A behind-the-scenes look at the Rio Olympics
  • Harnessing the mindset of an Olympic athlete
  • “The Peak, the Taper, and the Secret Sauce”: Cupping and other “weird” recovery methods that helped USA Swimming win 33 medals
  • How you can train and recover like an Olympian

So whether your goal is to PR at your next race or Tokyo 2020, here’s your chance to learn what it takes to take home the gold!

 [button link=”https://clients.mindbodyonline.com/classic/ws?studioid=18756&stype=-106&sView=day&date=10/19/16″ size=”small” color=”blue” align=”center” target=”_blank” ]SIGN UP NOW[/button]

 

How to Keep Injuries from Killing Your Big League Dreams

 

Injury prevention is a top concern for many young players whose goals of playing college or professional baseball rely on them staying healthy. “The Baseball PT” Jonathan Meltzer, DPT shares his four tips for proper arm and body care and maintenance to help youth overhead athletes achieve a long, healthy career.

JM-BLOG
BY JONATHAN MELTZER, DPT, RAUSCH PHYSICAL THERAPY

So, you want to play baseball at the next level? Whether that means making a college team or making it to the show, the opportunities to play at a higher level are there for the taking, but it requires significant diligence, dedication and talent. It also takes training and—most importantly—you have to stay healthy.

One of the biggest big league dream killers is injury. You see it time and again; a high school player ignores an injury he suffered playing club ball as a kid, and now when it’s time for scouts and coaches to evaluate his skill, he’s stuck in the dugout on the disabled list.

As a physical therapist, nothing makes me prouder than when I help a young ballplayer rehabilitate from a potentially career-ending injury, and he then goes on to achieve his goal of playing college baseball. By taking care of your body and implementing a specific strength training program, injuries are much less likely to occur, and you can greatly expand your career longevity.

Here are four tips for getting your arm and body in the most efficient shape possible so that injuries don’t keep you from playing ball at the next level.

#1 – Be Honest

First and foremost, you have to be honest about your symptoms. Ask yourself, “Do I feel pain, discomfort, or soreness anywhere in my body that doesn’t seem to go away?” Answering yourself honestly and being able to accept that something “just doesn’t feel right” is the first step in injury prevention.

If you do notice any minor aches, pains or soreness that doesn’t seem to go away, you need to get it checked out by your physical therapist or sports physician. For example, as “the Baseball PT,” I always perform a full biomechanical analysis and assessment of the entire “baseball body” when a player comes to see me about some “minor” pain. Trust me when I say something small will usually develop into a more serious injury because of the repetitive nature of baseball mechanics (i.e. pitching, throwing and hitting.)

FOR PARENTS/COACHES: If your player is trying to be honest with you about pain, LISTEN TO HIM. I cannot tell you how many times an overzealous parent or coach will push their kid to play through pain and soreness because a scout might be in the stands, only to cause permanent damage that ends their kid’s baseball career while he’s still a teenager.

 

#2 – Take Care of Your Tissues

Once recognizing some ache, pain or soreness, you need to start preventative care with consistent soft tissue work. For this, I recommend every one of my athletes to get a lacrosse ball or baseball. You can either lay or stand with the ball pressed against your back/shoulder and some hard surface. Any sore or tender spots you find means there are restrictions there that must be worked out before and after every practice and game. Another great soft-tissue mobilization tool–particularly for your upper back and lats–is a foam roller. Again, you should foam roll before and after every practice and game to keep the rotational component of your body loose.

#3 – Stretch the Proper Way

Take note because this is very important: we DO NOT want to static stretch prior to performance. When you static stretch (e.g. hold arm across body, pec stretch holding on to fence, hamstring stretch, etc.) all you’re doing is tricking your brain into thinking your tissues are lengthening (i.e. getting loose) when in reality, they’re not. Your brain has told your body it’s warmed up and ready to go, but actually the tissue is still stiff and not properly prepared for action, which is what can lead to injury. Static stretching also negatively effects your performance, as research shows that it leads to a nine percent decrease in strength for up to an hour afterwards (obviously not ideal before a game.)

Instead, before every practice and game you need to perform a dynamic warm up, which mimics the movements you’ll actually be doing while playing ball, such as active wrist movements, dynamic hugs, and throwing position rotation.

For a simple dynamic stretching program you can implement into your warm up routine today, watch my video Dynamic Baseball Warm Up (Part 1): Stretching:

 

#4 – Build Entire-Body Strength

Finally, the last piece to get us to the next level and help prevent injuries is a proper strength training program. However, in this case* I’m not just talking about strengthening the arm, but rather the entire body. I really can’t emphasize enough how important it is for baseball players to work on their shoulder stabilizers to improve their back, core and lower-half strength, as well as balance.

To view my four favorite stabilization and strength training exercises for preventing injuries, check out my blog “4 Strength Exercises All Baseball Players Should Add to Their Training Program.”

[framedbox]*PLEASE NOTE that my Dynamic Baseball Warm Up mentioned in #3 also includes an arm strength exercise program, to be performed prior to every practice and game to dynamically warm up the arm before use. Stay tuned for part two of the above video, “Dynamic Baseball Warm Up (Part 2): ARM STRENGTH & BANDS,” coming soon![/framedbox]

So, as you continue to put in the work to achieve your dream of playing baseball at the next level, just remember that consistency is key. Professional athletes are all known for their consistent drive and dedication, and with that dedication comes an intense focus on daily body health maintenance. The fact is that if you’re consistent with your daily recovery routine and if you start listening to your body, you will perform better, and ultimately your shot at playing baseball at the next level is as good as anyone’s.


StaffHeadshot-JonJonathan Meltzer graduated from the University of Redlands with a bachelor of arts in biology and a minor in physical education. Following graduation, Jonathan discovered his passion for physical therapy while working as a Physical Therapy Aide. After graduating top of his class from Loma Linda University in 2012 with a Doctorate in Physical Therapy, Jonathan began his career at Rausch Physical Therapy and Sports Performance. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.

Click to learn more about Jonathan and our other physical therapists »

 

Proper Pitcher’s Hip Rotation and How to Get It

 

Remember that game Twister? Every time that spinner landed on a new color, you were forced to reach your hand behind your back, underneath a leg, and across the board, all while trying not to fall. While incredibly entertaining, this silly game can also be a valuable lesson about positional torques, balance, rotation and flexibility—especially when it comes to baseball.

Looking at the specific qualities to win this game can be related to the critical components of the throwing motion in baseball. Often times when assessing a pitcher’s mechanics, there’s a miss in relating the lower half to the upper half of the body.  It is crucial for a pitcher—no matter the age—to begin to learn the importance of max hip rotation in order to achieve full torque of the trunk and obtain maximal velocity through the pitch.

The Sling Shot Effect

The rubber band of a sling shot is wound up with so much tension so that when it’s released, a massive amount of kinetic energy hurls the rock (or projectile of your choice) forward. The pitching motion in baseball is similar in that the lower half of the body, starting with proper foot placement and maximal hip rotation, will create a buildup of kinetic energy through the trunk, shoulder blades, shoulder and finally release through the fingers.

Proper Hip Rotation and How to Get It

Without proper hip rotation, a pitcher’s hips will fly open, which creates torque at the elbow. To avoid this, we want proper hip rotation, which occurs when:

  • The hips are fully rotated just before the lead foot strikes the ground
  • The shoulders are closed with arm extended out into the cocked phase of throwing.

Proper rotation allows for maximal hip-to-shoulder separation, which in turns creates the most amount of torque and velocity possible. There are two specific keys to obtaining this position and preventing further stress on the arm, the lead leg and posture.

The lead leg

The lead leg must be relaxed from the knee down and have proper landing position. Proper landing position includes:

  • Toes pointing slightly towards the right-handers box (if a right-handed pitcher.)
  • The hips will remain closed until just before lead foot strikes the ground.
  • At this time they will lead their front hip towards the plate and really turn open the front hip at the latest possible time.
  • If done properly, the pitcher shoulder feel tightness along their oblique muscles, NOT their back.

Posture

When a pitcher transitions from early-stance phase to the cocked position, their posture can completely affect their ability to rotate through their hips and finish off a throw. For example, if a pitcher is bent too far forward when their foot lands, they will not have the ability to achieve full pelvic rotation, thus not allowing this maximal hip/shoulder separation.

The key for good throwing posture is to focus on balancing and creating extension or back-bending through the middle part of the athlete’s back. It has been statistically proven and correlated that the optimal position of posture is the thoracic spine slightly extended, slight lean towards the back leg, and non-throwing hip flexed up. Therefore, it is important to not allow early rotation of the trunk or shift the center of gravity towards the throwing arm, as both will cause the trunk and shoulders to “open early.” before the hips, and create abnormal stresses on the shoulder and arm.

Maintaining proper foot landing position and rotation of the hips will create the maximal amount of separation leading to good pitching mechanics and increased velocity. Posture is also considerably important and must be taken into account when looking at the ability to create this hip to shoulder separation.

Suggested Training and Exercises

 


 

StaffHeadshot-JonJonathan Meltzer graduated from the University of Redlands with a bachelor of arts in biology and a minor in physical education. Following graduation, Jonathan discovered his passion for physical therapy while working as a Physical Therapy Aide. After graduating top of his class from Loma Linda University in 2012 with a Doctorate in Physical Therapy, Jonathan began his career at Rausch Physical Therapy and Sports Performance. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.

 

Client Spotlight: Ken Dewhirst

Rausch PT Client Spotlight - Ken Dewhirst
83-year-old Ken Dewhirst is at Rausch PT to strengthen his knee so he can dethrone the current U.S. Table Tennis Champion.
Rausch Physical Therapy & Sports Performance client Ken Dewhirst is gearing up for the comeback of his life. But to be the best, he needs to feel his best first.

“I need to be faster, stronger to be number one.” – Ken Dewhirst

Ken Dewhirst wants you to know that he can get around just fine, thank you very much. At 83 years old, Ken’s here at physical therapy for one reason only: so he can be number one.

Laguna Niguel-resident Ken is currently ranked in the Top 20 in the USA Table Tennis (USATT) Ratings for Men 80+. Ken was rated number four in the country but was sidelined by injury last year. However, Ken has recently made moves to start his climb back to the top, and his first stop? Rausch PT.

“I’m here because I want to up my level and get better so I can be the best in my age group,” Ken said. “I need to be faster, stronger to be number one.”

Ken grew up playing tennis, excelling in high school but eventually gave it up to focus on his college education. He and Rosemarie, his wife of 57 years, spent their days working, raising their children, and traveling the world. But when Ken retired at the age of 60, he knew he had to find something new to keep his mind and body active.

After doing a little research, Ken came across table tennis. He decided to give it a shot… and ranked in his very first tournament. Ever since then, Ken has been working with famous coaches and beating opponents half his age, all the while moving up the ranks.

WAYNE MAH, FOR THE REGISTER
Ken Dewhirst in 2009 moving at the speed of players half his age. (WAYNE MAH, FOR THE OC REGISTER.)

“His goal was to reach the middle of the rankings of all age groups,” biggest fan/critic Rosemarie said. “Well, he did that. So now we need a new goal.”

So what’s next on the list for this octogenarian? Dethrone the new kid on the block. At a spry 80 years old, George Braithwaite recently moved into the 80+ group, which has Ken chomping at the bit for a chance to prove himself. Ken says that while George plays at a higher level than him, he has to try.

“[George] is good. I’ll need to play a faster game against him.”

To get there, Ken knows he has to strengthen his knee to have any chance of beating the champ. He’s only visited Rausch Physical Therapy & Sports Performance a couple times so far, but he says he’s confident that his physical therapist Dustin is going to get him off the table so he can get back to the tables.

Visualizing Your Way to a Quicker Recovery

If you are an athlete, odds are you have at one time or another been sidelined by an injury. The frustration that comes with being unable to train and compete can lead to a loss in motivation and a longer recovery process. To combat this, athletes should learn to use visual relaxation and performance techniques and practice them diligently.

There are many forms of relaxation training that athletes can use to help accelerate rehabilitation after injury, including kinesthetic (progressive muscle relaxation), mindfulness (breathing techniques), auditory (listening to calming voices), hypno-relaxation (using hypnosis to induce relaxation, and visual methods (including imagery).

Visual relaxation methods to speed up recovery

  • Remembered imagery. Remember a pleasant and relaxing time in your life. Re-experience it. Become fully absorbed, focusing on what you see, smell, hear and feel against your skin as you visualize that calming scene.
  • Constructed imagery. Imagine a pleasant or relaxing scene in your mind. Step into the picture and experience the scene fully.
  • Hypnotherapy using imagery. Make up a recording or listen to one by a professional hypnotherapist, that includes visualizing healing red blood cells surrounding the injured muscle, tendon, bone, etc. with nutrients, directed at rapid reduction of inflammation and total healing.

Injured athletes should experiment with all available relaxation methods to find the ones that are most comfortable and beneficial. A combination of methods can be used; it’s up to athletes to decide which ones are best suited for them. Once the athlete has become comfortable with a specific technique, it then must be practiced for maximum results.

Three steps to visualize sport performance while injured

If you’re injured, you can still visualize championship-level performance and begin to lay hypnotic tracks in your subconscious mind that will carry over once you’re physically able to perform. Here are some easy steps for visual performance training while you’re still injured:

  1. Watch videos of yourself performing, especially ones highlighting best previous performances. If a personal highlight reel isn’t available, watch training videos of other great athletes in action.
  2. Close your eyes and imagine your ideal performance. Really get a good sense of what you look like and feel like when you perform.
  3. Practice this imagery using the actual time sequence of your average performance. For example, if you’re a track athlete, “run a race” on a stationary bike. If the race is for 400 meters, “race” on a bike for 50 seconds and at the same time visualize your performance.

You may feel a little silly at first, but trust me, this works.

Staying motivated during rehabilitation

After being injured, athletes can lose a sense of identity and become depressed from not being able to compete. That’s why constant feedback and support from coaches and teammates is so crucial to helping an injured athlete stay motivated. Coaches should encourage injured players to make appearances at practices, and athletes need to be proactive about remaining involved in the team and its progress. Coaches can assign certain duties at practice, involve them in strategy sessions, or let them assist in keeping stats. If an athlete has an upper body injury, they can jump on an exercise bike at practice sites to both maintain endurance and still be a part of the team.

If you stay motivated, practice your visual relaxation and performance techniques, and keep up with your physical therapy treatment, you will be ready to physically compete again before you know it.


dr-singer11Jack N. Singer, Ph.D. is a licensed and certified Clinical/Sport Psychologist and Performance Success Coach, based in Mission Viejo, CA.  For more information and a FREE 15 minute consultation for all Rausch PT clients and family, contact Jack at 949-481-5660. www.drjacksinger.com

How to Prevent Postural Pain in Cyclists

Remember the days when you could turn your neck to look behind you as you backed out of a parking space? Or when you could look down and actually see your feet without bending forward? Your inability to make simple movements now-a-days may be a symptom of “Pedal Pushers Postural Pain Syndrome.” It’s what happens when you ride a bike for eight hours per week while also working 55 hours in an office chair. You know the feeling—that lovely stiffness, neck pain, and burning between your shoulder blades that’s oh-so magical.[one_half]Let’s do some quick math to determine how much time the average cyclist spends sitting every day. As an example, let’s use Ted; Ted sells insurance by day and loves to ride his mountain bike in the evenings… and binge watch Real Housewives of Orange County. (No judgement, here.) So, Ted’s daily sitting time looks something like this:

  • Drive to work = 1 hour
  • Work = 8 hours
  • Drive home = 1 hour
  • Bike ride = 2 hours
  • TV time = 2 hours
  • Daily total = 14 hours! In just one day!

[/one_half][one_half_last][/one_half_last]If this sounds eerily familiar, (except maybe you prefer Keeping up with the Kardashians over Real Housewives) consider this: the human body was never designed to sit in a chair for extended periods of time. In fact, our bodies were designed to stand or squat, but not sit.

Sitting for a long time can lead to tight hip flexors, weak butt muscles, and a stiff spine. Ouch. However, I have great news! This stuff is easily fixable; you just have to be diligent and willing to make a few small changes that will significantly improve your quality of life.

Kevin’s Seven Tips for Phasing Out Pedal Pushers Postural Pain:

  1. Get UP! Walk, move, and stretch every 30 minutes throughout your work day.
  2. Take conference calls standing up. Get a wireless headset and pace your office while listening to your boss ramble. Just make sure to put it on mute and watch where you’re going!
  3. Do Yoga or Pilates during your lunch break. Many studios offer abbreviated lunch-time classes for just this reason. I cannot tell you how nice it is to walk on over to ABC Pilates at noon and stretch out my stress.
  4. Learn to love your foam roll. Stretch and foam roll every night. You can buy one for cheap and work out that tension while you’re on your fourth episode of the night.
  5. Get massages frequently. Tissue work helps to clean up the bogginess in your fascia (the connective tissue fibers that surround your muscles) and will have immediate pain relieving effects.
  6. Stretch your hip flexors and strengthen your butt.
  7. Get a great Bike Fit! A proper Bike Fit is a valuable service. These pros can make the necessary adjustments to your machine that will help with comfort, injuries and power output. You can google around for local bike shop that does Bike Fits, or if you’re in South Orange County check out Rausch PT’s tried and true favorites:

Yes, new bikes are pretty, but spend some time on the motor that pushes your bike along: YOU! The more dedicated you are to making these simple changes, the better you’ll feel and the faster, better and longer you’ll ride. To get you started, I’ve made a free cycling-specific exercise program to help with postural pain. Go to www.homeprograms.net, and the login information is:

Your Email Address: bikerider@bike.com

Your Clinic ID: 1006

So get on it and start taking care of your motor today. It totally deserves it.

All the best to your health,

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Kevin RauschAs the president and founder of Rausch Physical Therapy & Sports Performance, Kevin Rausch, PT, MPT takes great pride in the care of every single patient he treats. Kevin specializes in sacroiliac joint dysfunctions, running and cycling injuries, and return-to-sport planning for athletes. Since the first day he opened his clinic in 2006, Kevin has strived to provide the best in care, service and technology so as to strengthen his patients’ total body health and get them back to doing what they love.

Find Kevin on Google+

The Doctor Will See You Now

Professional triathlete “Doc” Amanda Stevens visits Rausch PT

Amanda Stevens—professional triathlete/medical doctor/multiple-time IRONMAN champion/all-the-time rockstar—traveled from Arizona to Laguna Niguel, Calif. for recovery treatment and performance services at Rausch PT on Friday. After spending some time on the table for a little TLC from our A.R.T. expert Lawrence Van Lingen, Amanda hopped on two wheels for a “Bike Right” Advanced Bike Analysis session. Thanks for visiting us, Doc! Good luck this upcoming season, and we’ll see you at your next checkup!

Amanda Stevens on the Bike Right system
Lawrence analyzing Amanda Stevens on the Bike Right system to check her form to avoid injuries and maximize performance.
Bike Right uses video and audio analysis to find cycling form flaws that lead to power leaks and injuries.
Bike Right uses video and audio analysis to find cycling form flaws that lead to power leaks and injuries.
Amanda Stevens
Lawrence analyzing Amanda Stevens’ shoes to determine if they’re a perfect fit to avoid injuries.

 

Amanda Stevens and Lawrence Van Lingen
Amanda Stevens with Lawrence, Rausch PT’s sports chiropractor and manual soft tissue therapist.