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02 Feb 2018
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How To Identify and Address Tarsal Tunnel Syndrome

How To Identify and Address Tarsal Tunnel Syndrome

February 2, 2018 | 0 Comments | , , , , , , , , , , , , , , , , ,

Tarsal Tunnel Syndrome is described as numbness, tingling, and weakness on the medial ankle (inside part) and is similar in effect to what Carpal Tunnel Syndrome is in the wrist.  We have a piece of tissue, called a retinaculum, which is like a thin ligament, that holds certain structures and vessels in place. The retinaculum in the medial ankle is called the flexor retinaculum. When there is pressure or tension in the area and a particular nerve is compressed (in this case the tibial nerve), this creates the ‘syndrome.’  Regarding the wrist, the median nerve is compressed in the Carpal tunnel, causing tingling, numbness, and weakness.  In the medial side of the ankle, the tibial nerve is compressed in the Tarsal tunnel, causing tingling, numbness, and weakness in the medial foot/ankle and toes.

The Tarsal tunnel has more structures that course through the region and any/all of them can be affected by injury, repetitive use injury, or compression. Continue Reading →

02 Oct 2017
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Femoroacetabular Impingement and What Is Done About It

Femoroacetabular Impingement and What Is Done About It

October 2, 2017 | 0 Comments | , , , , , , , , , , , , , , , , , , , ,

Femoroacetabular Impingement (FAI), or hip impingement syndrome, is a painful hip condition that limit a person’s activities and can inhibit an athlete’s ability to perform.  Many times people can function just fine with an FAI, depending on their activity, but many times it’s necessary to get surgery to correct the problem.  After surgery though, proper rehabilitation is necessary so as to reduce scar tissue buildup in the hip joint region.  There are 3 types of FAI and each one can cause significant problems. Continue Reading →

13 Apr 2017
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Golf: Hip Rotation And Its Effect On Early Extension

Golf: Hip Rotation And Its Effect On Early Extension

April 13, 2017 | 0 Comments | , , , , , , , , , , , , , , , ,

As a certified Titleist Performance Institute (TPI) level 3 medical provider, I get the honor of treating a lot of golfers.  As golfers will tell you, the game is like a heroin addiction…but it’s actually more expensive!  A golfer will do just about whatever it takes to improve his/her game.  From shoes to gloves to clubs to lessons to whatever, nothing is too much if it will shed a few strokes off each round.  Whether the golfer is a 20 handicap or scratch or better golfer, improvements can always be made.  As is the case with any sports activity, proper stability and mobility are important and for a precision game like golf, they’re vital.

One major movement fault that many people and golfers alike have is a lack of internal hip rotation.  Proper hip mobility is not only vital for back health, but it is vital for proper swing mechanics.   I’d say, in my experience, that about 80% of golfers suffer from this issue.  It can be on the either side and depending which side it is on, the fault affects the backswing or the follow-through. Regardless of which one it is, it must be corrected to improve that score and lower the risk of musculoskeletal injuries…mostly, the force transmission into the low back.  This is one of the major reasons why so many golfers get low back pain. Continue Reading →