Sports Medicine and Rehabilitation Bradenton FL & Parrish FL - Sports Medicine physician Florida USA

Bradenton FL 941.755.8819

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Frequently Asked Questions 2009

Frequently Ask-The-Doctor Questions Asked

Archives 2009 2008 2007  2006  2005 

Q & A

Q Have a three questions but all related.
1.) Is it possible to have cervical myelopathy without significant neck pain? (Have all the symptoms including bladder dysfunction.)  Had a fusion in 2001 of C5-6-7.  Two Orthopaedic Physicians think it is Stenosis with myelopathy is occurring behind fusion but heavy hardware block/shadow view.  Neurologist (only read MRI disc no physical exam) does not agree.
2) How important is a physical exam to get accurate diagnosis or is MRI enough?
3)  How often are MRI's read completely different between Ortho Surgeon and Neuro Surgeon? Or just in general?

I am not a surgeon and will defer those opinions to those experts.  However, myelopathy holds its own definition and does not necessarily include pain. 

The clinical exam evaluates the body's neurological systems function, the MRI confirms the lesion and location.  Interpretation is usually best to a specialized radiologist, but surgeons also have good reading skills. 

You may show your MRI films to other radiologists for a second radiological interpretation.  Hope this helps.


Posted August 3, 2009

Q How important is the left arm in a golf swing (I am right handed)

A The simple response is "as important as your other arm", but this would be ridiculous answer.  I will direct your question to an LPGA instructor who is an expert on biomechanics of the golf swing and may answer your real need.  Her name is Shannon and I hope you find a response to your question.

Posted August 2, 2009

Q I was wondering if you could give me some ideas on how to do a joint mobilization on an elbow.

A The elbow traditionally is viewed as a two dimensional hinge joint.  However, ever so slight mal-alignments can create increased tension across the elbow especially adding to forces of muscle insertion.  Both the ulnar and radial aspects of the joint can be optimized in positioning that allows the least amount of friction and secondary tendonitis. 

Chiropractors and osteopathic physicians are taught techniques of alignment.  Please refer to these books with illustrations.  We have perfected a technique that works for us, but is best learned by demonstration by myself or one of my clinical staff.  You are welcome to visit and learn from us.

Posted August 2, 2009

Q What are the major bones used in a golf swing also what are the major joints, and joint actions involved?

A The question is very broad and constitutes a book. I have been asked to write a couple books on this very subject.  Do you have any one specific question as it relates to biomechanics?  Will await your reply.

Posted August 1, 2009

Q I am about two hours away from your office I was wondering if I can give you enough info ,so that you might see if you can help me .I would be willing to travel up there if you feel you could assess and aid in my problem. 

I am 55 in great health, 6' 2'' and 247 . I have worked out with weights for about 30 years and recently found a new passion in golfing.  About 6 weeks ago I injured my right rib/serratus area under my right pectoral muscle and had pain a bit around towards the lat muscle .Lying down was very difficult until I got the area stretched -then the discomfort would mostly pass.  I used ice /heat and rest and about 2-3  weeks -later was pain free.......I went back to my work outs and golf . 

Now 3 weeks in and  I have the same "hurt" but this time much less severe .I decided (?) it may be a muscle and did some stretching and some serratus muscle specific exercises .

With my wife's urging I visited a orthopedic MD who took an X-ray and then said that an x-ray would not show a broken rib? He proceeded to push the area near the solar plexus to which I told him that is not where it hurt ....he prescribed anti-inflammatory drug and said come back in 2 weeks.

Hence ,I would ask in advance what you may think and what you would do if we do set an appointment .Please try to appreciate the frustration of that diagnosis and my concern as to just what I may have injured and how long before I might return to golf ,without fear. 

At any rate I think it is great that you have email contact and that alone encourages me to reach out to you for help .Thank you in advance!

Your injury is more common than most golfers realize. If fact, there have been reported fractures of the ribs that attach to the serratus anterior muscle.  As this muscle is one of a deeper layer muscles, we find stretching of limited permanent release.  We use a dry needling technique, with acupuncture-like needles into the trigger points of this muscle and have a very good response.  With the serratus muscle, the subscapularis and infraspinatus muscles could also be mildly affected.







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