Muscle Medicine: The Revolutionary Approach to Maintaining, Strengthening, and Repairing Your Muscles and Joints (45 page)

Thanks to Phil and Jim Wharton for opening my eyes to the importance of the right stretch at the right time, and to Joe Brown and Vincent Guida for helping me to create the FAST Stick.

Thanks to my Active Release Techniques friends, colleagues, and instructors. There are too many to mention, but special thanks to Dr. Tony Criscuolo, Dr. Joe Pelino, Dr. Tammara Moore, Jan Wanklyn, LMT, Dr. Gerry Ramogida, Dr. Dale Buchberger, Dr. Lawrence Micheli, and all of my fellow instructors. Thank you for your support and friendship over the years.

Palmer College of Chiropractic—the Fountainhead. Thank you for a great profession and the opportunity to help others. Thanks to Palmer Rugby and Eric Seiler for allowing me to represent the Palmer Rugby Club.

To Kutztown University, New York Chiropractic College, and Phil Santiago for helping me in the field of Sports Chiropractic. Thanks to Ridgefield Park High
School for starting me on the journey by introducing me to basic science. Thank you to Bill Weber for getting me started. Thanks to Dr. John Piazza for your motivation and energy!

Thank you to the sport of triathlon, USA Triathlon, World Triathlon Corporation, North American Sports, Gram Fraser and family, and Shelley Bramblett and family. Thank you to Jim Brown, Joe Branda, Rich Byrne, Frank Guadagnino, and all my coaches throughout the years.

Thank you to all the athletes I’ve treated over the years from many different sports: Mike Kahn and the Olympic bobsled program; the Olympic skeleton and luge team; Cami Granato and the women’s U.S. hockey team; world championship skaters Adam Rippon, Miki Ando, and Anna Zadorozhniuk; NBA players and administration; and NHL players and administration. Thanks to SAG and all my friends in the entertainment industry. Special thanks to those who endorsed this book: John McEnroe, Cristie Kerr, Natalie Gulbis, Elisabeth Hasselbeck, and Liam Neeson.

Thank you, the reader, for choosing this book and trusting us to help you to help yourself.

DR. BRYAN KELLY

First and foremost, I would like to acknowledge my loving wife, Lois, and our beautiful children, Conor, Emma, and Jack. I would also like to acknowledge my father, mother, and brother. Without all of their love and support I would never have been able to accomplish what I have thus far in my career. Taking care of patients and athletes can have a huge impact on your family life. Injuries often occur at inconvenient times, and caring for these injuries may force time away from home. Without an understanding core group that supports one’s desire to treat these injuries, it would be an impossible and thankless job. With their endless support, one can truly experience the satisfaction of getting patients back to full function and mobility.

Second, I would like to acknowledge the two clinicians in the field of Orthopaedics and Sports Medicine that have had the greatest impact on my career and practice—Dr. Russell F. Warren and Ronnie P. Barnes. Dr. Warren and Mr. Barnes have worked together for more than twenty-five years as the head team physician and head athletic trainer for the New York Football Giants. They have shown me
the true importance and value of working collaboratively to provide better patient care as a team than can ever be provided as individuals. They embody the underlying spirit of this book—the immeasurable importance of integrating different approaches to provide a more comprehensive and successful treatment plan for the patients and athletes that we care for. Both have been an invaluable source of pure clinical knowledge and experience that will forever affect the way that I think about athletic injury and treatment. There is not a day that goes by in my practice that I do not try to imagine how these icons of Sports Medicine would think about a particular clinical problem.

Finally, I would like to acknowledge my patients, who have been a constant source of both satisfaction and frustration, but have always been the source of continued learning and experience. I was taught in my training that if you listen carefully to your patients, they will tell you the answer to their problems, and in many cases offer you the correct solution. It is amazing how intuitive patients are about their own injury, and the art of listening and reacting to the information that they provide is something that can never be overemphasized.

JOE HOOPER

My first and deepest thanks go to my mentors in “muscle medicine,” Rob DeStefano and Bryan Kelly, to massage therapist Sue Stanley, whose late-in-the-game editing and writing contributions made finishing this book possible, and to my wife, Kate Doyle Hooper, who kept me sane throughout. I also owe a debt of gratitude to an all-star team of friends and colleagues whose generously shared expertise allowed us to dare to cover so much ground: sports podiatrist Dan Geller; trainer (and fitness model) extraordinaire Mike Gostigian; triathlete and fitness authority Mike Llerondi; physical therapist Toni McGinley; nutritionist Heidi Skolnik; and physiatrist Jen Solomon. Valuable contributions were also made by physical therapist Deanie Barth, muscle therapist/chiropractor Keren Day, ergonomist Ellen Kolber, integrative physician Frank Lipman, neurosurgeon Ted Schwartz, and stretching “guru” Jim Wharton. How we have assimilated their ideas into this book is, of course, the sole responsibility of the authors.

INDEX

Page numbers in
italics
refer to illustrations.

abdominal muscles,
65

exercises for,
56
–60,
161
,
165
,
190

as irritated,
173
,
177
–78

as spinal stabilizer,
145

strain or tear of,
170
,
172

tension in,
174

tightness of,
147
–48,
177
–78

see also
core muscles

abductor muscles,
176
,
179

abductor pollicis longus,
124
,
127

acetabulum,
170

Achilles tendinitis,
22
,
129
,
216
,
218
–20

Achilles tendon,
65
,
216
,
218
–20,
221
,
227
,
229

ACL (anterior cruciate ligament),
3
,
4
,
17
,
18
,
197
,
198
,
204
–6,
234
,
238

acromioclavicular (AC) joint,
109
–10,
111

acromioclavicular (AC) ligament,
109

acromion process,
109

actin,
13

Active Release Techniques (ART),
24
–25,
71
,
236
,
240

acupressure therapy,
25
,
70
,
240

acupuncture therapy,
25
,
70
,
236
,
240
,
241

adductors,
170
,
172
,
173
,
174
,
177
–78,
185
,
194
,
197

adhesive capsulitis (frozen shoulder),
108
–9

adrenaline,
34

Advil (ibuprofen),
6
,
83
,
131

aerobic exercise,
49
–50,
61
–62,
63
,
66

aging:

bones and,
14
,
17
,
46

decline of body systems and,
20
,
66
,
143

exercising and,
49

joints and,
4
,
16
,
17
,
46
,
177
,
203

of muscles,
19
,
20

spine deterioration and,
85
,
151

tendons and,
107

Aleve,
146

Alexander Technique,
35

Alta Fitness,
74

Alzheimer’s disease,
41

American Academy of Orthopaedic Surgeons,
237

amino acids,
40
,
47

anesthesia,
109

angled pressure,
75
,
76
,
77
,
92
,
93
,
117

ankle,
213
–33

design of,
214

flexibility of,
215

function of,
214
–15

injuries to,
214
,
216
,
220
–21

sprains of,
216
,
220
–21

tendons of,
216

weights,
193

antalgic gait,
30
–31

anterior cruciate ligament (ACL),
3
,
4
,
17
,
18
,
197
,
198
,
204
–6,
234
,
238

anterior deltoids,
117
,
120
,
123

anterior quadratus lumborum,
154

anterior talofibular ligament (ATFL),
216
,
220

anterolateral lower leg,
228

antibiotics,
43

antidepressants,
32

anti-inflammatory medicine,
109
,
179
,
217
,
219
,
220

see also
corticosteroid injections

aqua exercises,
62
,
151

Arkansas, University of,
20

arms, hand-bikes and,
49
–50

ART,
see
Active Release Techniques

arthritis,
18
,
19
,
38
,
41
–42,
62
,
71
,
88
,
89
,
110
–11,
151
,
170

Arthritis and Rheumatism,
47

arthroscope,
205

articular cartilage,
15
,
18
,
20
,
170
,
203
,
208

atherosclerosis,
92

athletic pubalgia (sports hernia),
172
,
173
,
177
–78

back:

lower half of,
see
lower back

pain in,
19
,
31
,
32
,
58
–59,
144
,
145

repressed emotions and,
31
,
32
–33

spasms in,
30
,
31
,
145

thoracic spine and,
80
,
83

see also specific back muscles

balance,
49
,
54
,
58
–59,
106
,
162
–68,
192
–93,
195

ball bounce exercise,
166

ball toss-up exercise,
61

Barber, Tiki,
86
–87

Benson, Herbert,
34

biceps,
14
,
23
,
78
,
104
,
113
,
127
,
128

biceps femoris,
169

bicipital tendinitis,
104

biomechanics,
30
,
173
,
208
,
215

body, human:

core of,
see
core muscles

declining systems of,
20

evolution of,
16
,
79
–90

mind-, disciplines of,
35
–36

mind-, exercises of,
34
–37

mind vs.,
29
–37

scan technique,
35
–37

weight,
5
,
17
,
38
,
39
,
43
,
49

see also specific body parts and systems

body scan technique,
35
–37

body weight,
5
,
17
,
38
,
39
,
43
,
49
,
151
,
180
,
181
,
207
,
236