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  1. #61
    ASC Rehab Guru Mike Johnston, PT, CSCS's Avatar
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    Default Osteochondritis dissecans

    Quote Originally Posted by Mike.1283 View Post
    Hey Mike, I try to play basketball and do plyos when my ankles allow me to. I got an MRI last year after a sprain didn't get better and the lab report said it was "Osteochondritis Dissecans" (*sp?) and the Sports Med Dr at the time basically called it a "pot hole" in my ankle. Even when u do a google search of that term it doesn't give u a lot of useful info. Is there anything u can tell me about it, just any general info would be a great help. Thanks for the thread.
    The definition of Osteochondritis dissecans is when a piece of articular cartilage and a small layer of the underlying bone comes loose from the end of the bone. It happens most often in young men after an injury to the joint and while the knee is most often affected t can occur in the hip, shoulder, elbow and ankle. (I have have treated athletes that have had OD in the knee, elbow and ankle.)

    OD is caused by a reduction in blood flow to the end of the bone on as a result of trauma. It is thought that their may be a genetic component.

    The doc will probably try PT to reduce your symptoms. (At PT they will try to increase ROM, reduce swelling and strengthen the ankle.) The MD my also perform surgery to remove the loose bodies and perhaps even try to reattach the loose piece if it is large enough.

    Good luck,

    MJ

  2. #62
    ASC Rehab Guru Mike Johnston, PT, CSCS's Avatar
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    Default

    Quote Originally Posted by Mike.1283 View Post
    The other thing I guess I should mention while I'm here, is Anterior Pelvic Tilt - I got it pretty significantly, my assumption is tight/weak low back muscles, really right hip flexors, and really weak underactive glutes... I've been trying to work on those, with no real luck any thoughts? Thanks
    Mike 1283,

    The anterior tilt issue is easily solved....more so then the ankle that is......with some vigorous stretching and reverse hyper type strengthening. You will need to work on the hip flexors standing, in prone and supine positions. If you don't have access to a reverse hyper you can also do RDLs, pull-throughs, regular hypers with a pause. Once you balance the length-tension relationship the anterior tilt should be corrected.

    Best,

    MJ

  3. #63
    ASC Rehab Guru Mike Johnston, PT, CSCS's Avatar
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    Default Leave the gun, take the cannolis.

    Quote Originally Posted by TXFatback View Post
    I just got back from VA, training with Pat at the plant. I was wondering if you pre make your fucking cannoli?
    I believe in in Texas you call that a BO-ri-To! http://forums.rxmuscle.com/images/attach/jpeg.gif
    Attached Images Attached Images

  4. #64
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    Default Thanks

    Quote Originally Posted by Mike Johnston, PT, CSCS View Post
    The definition of Osteochondritis dissecans is when a piece of articular cartilage and a small layer of the underlying bone comes loose from the end of the bone. It happens most often in young men after an injury to the joint and while the knee is most often affected t can occur in the hip, shoulder, elbow and ankle. (I have have treated athletes that have had OD in the knee, elbow and ankle.)

    OD is caused by a reduction in blood flow to the end of the bone on as a result of trauma. It is thought that their may be a genetic component.

    The doc will probably try PT to reduce your symptoms. (At PT they will try to increase ROM, reduce swelling and strengthen the ankle.) The MD my also perform surgery to remove the loose bodies and perhaps even try to reattach the loose piece if it is large enough.

    Good luck,

    MJ
    QUOTE=Mike Johnston, PT, CSCS;1549716]Mike 1283,

    The anterior tilt issue is easily solved....more so then the ankle that is......with some vigorous stretching and reverse hyper type strengthening. You will need to work on the hip flexors standing, in prone and supine positions. If you don't have access to a reverse hyper you can also do RDLs, pull-throughs, regular hypers with a pause. Once you balance the length-tension relationship the anterior tilt should be corrected.

    Best,

    MJ[/QUOTE]

    Thanks for info.

  5. #65
    RX MEMBER smj091977's Avatar
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    Mike,
    I have a quick question about how to rehab my knee. I have "weakness" in the back of my knee. If i try to squat or even bend to get in a car, it feel like it can't hold my weight. It seems to affect my deadlift at higher weights and I can only do about 10 pounds on the leg extension. I only have pain on extensions. I have been trying doing these for rehab along with going light on deadlifts, not squatting and generally taking it easy. Any other suggestions?

  6. #66
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    Quote Originally Posted by Mike Johnston, PT, CSCS View Post
    The definition of Osteochondritis dissecans is when a piece of articular cartilage and a small layer of the underlying bone comes loose from the end of the bone. It happens most often in young men after an injury to the joint and while the knee is most often affected t can occur in the hip, shoulder, elbow and ankle. (I have have treated athletes that have had OD in the knee, elbow and ankle.)

    OD is caused by a reduction in blood flow to the end of the bone on as a result of trauma. It is thought that their may be a genetic component.

    The doc will probably try PT to reduce your symptoms. (At PT they will try to increase ROM, reduce swelling and strengthen the ankle.) The MD my also perform surgery to remove the loose bodies and perhaps even try to reattach the loose piece if it is large enough.

    Good luck,

    MJ
    1 other question I thought of, with your experience, is it possible/and or likely that a person can make a 100% full recovery with this "condition" anything I had read online sounds like my ankle may never be the same regardless of what treatment i have. Thanks again

  7. #67
    ASC Rehab Guru Mike Johnston, PT, CSCS's Avatar
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    Quote Originally Posted by smj091977 View Post
    Mike,
    I have a quick question about how to rehab my knee. I have "weakness" in the back of my knee. If i try to squat or even bend to get in a car, it feel like it can't hold my weight. It seems to affect my deadlift at higher weights and I can only do about 10 pounds on the leg extension. I only have pain on extensions. I have been trying doing these for rehab along with going light on deadlifts, not squatting and generally taking it easy. Any other suggestions?
    SMJ,

    I am a little confused. You say you have weakness in the "back of your knee". Do you mean in the hamstring? You also say you have pain with extensions. Do you mean leg extensions like on a Cybex?

    The terminal knee extension exercise is for rehabilitation of a knee that is severely weak. Or a knee that is lacking full extension after a surgery. I would not use this particular exercise on a healthy athlete or an athlete that is just weak.

    Let me know about your knee.

    MJ

  8. #68
    ASC Rehab Guru Mike Johnston, PT, CSCS's Avatar
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    Quote Originally Posted by Mike.1283 View Post
    1 other question I thought of, with your experience, is it possible/and or likely that a person can make a 100% full recovery with this "condition" anything I had read online sounds like my ankle may never be the same regardless of what treatment i have. Thanks again
    Mike1238,

    Honestly, this is a difficult injury to recover from. Rehabilitation seldom works especially if the lesion is in a weight-bearing area. I would however, exhaust every resource to include physical therapy and surgery if necessary.

    Best of luck,

    MJ

  9. #69
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    Thanks again for responses, appreciate the time, I met with a Physical Therapist today and she said where the "Defect" is located and how the missing body is floating around she said PT wouldn't do a whole lot, and she also mentioned that at this specific rate she wouldn't be surprised if that "chunk" of cartiladge went and got lodged into the joint and made surgery worse. So going to meet with a Specialist whenever I get time. Thanks again

  10. #70
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    I is any compitition jast for truck pulling ? i just start lerning pulling and wood like to go for comp

  11. #71
    STRONGMAN Bryan Hildebrand's Avatar
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    now that Mike is super accessible as the new Rx Power Hour Co-Host, if you guys have any surgical, rehab or therapy questions for Mike, post them here or email me and I will make sure he replies here and answers your questions on the air!

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