A Lisfranc injury occurs from a sudden trauma such as a fall, hard contact, or twisting of the foot that damages the bones or overstresses the ligaments of the Lisfranc joint. The Lisfranc joint is a complex joint in the midfoot where the metatarsal bones connect to the rest of your foot, joined by ligaments that stabilize the arch of the foot and transfer loads from the lower leg to the foot. Physical therapy after a Lisfranc injury can help manage pain and swelling, improve lower extremity mobility and strength, restore normal walking ability, and ensure a safe return to activity and sports competition.

A concussion is a mild traumatic brain injury that occurs when a sudden force causes the brain to crash into the skull, typically from a direct hit to the head or from a whiplash-type motion that can cause cognitive, sensory, and physical symptoms. Concussions are particularly high in the sport of football, resulting from helmet-to-helmet contact or whiplash-type motion from tackling. Physical therapists play a critical role in concussion management, utilizing an evidence-based, personalized, and gradual therapeutic exercise program to help athletes recover safely without exacerbating concussive symptoms.

Little league shoulder is an overuse injury seen in young baseball players that results from repetitive stress placed on the shoulder and humeral growth plates from overhead throwing. Over time, without sufficient rest time for healing of the tissues, the repetitive stress of throwing can cause the growth plate to become injured, inflamed, and even fracture in severe cases. Physical therapists play a key role in helping young athletes with little league shoulder recover, addressing muscle weaknesses, range of motion restrictions, and throwing mechanics with a targeted sport-specific therapeutic exercise program.

Osgood-Schlatter disease is an inflammatory condition of the knee caused by repetitive trauma to the patellar tendon during growth spurts that is common among active adolescents. Osgood-Schlatter disease is a common cause of knee pain in growing and active pre-teens and teens, affecting 1 in 10 adolescents. Osgood-Schlatter disease can be managed conservatively and effectively with physical therapy. Physical therapy can help teens with OS ease pain, increase muscle strength, and restore function for a safe return to sport.

Mangiarelli Rehabilitation physical therapist Bobby demonstrates 3 exercises you can do to prevent stiffness and regain mobility after an AC joint sprain. An AC joint sprain typically occurs due to a sudden fall on the shoulder that can push the shoulder blade away from the collarbone, straining or tearing the ligaments of the AC joint. Physical therapy is the first line of treatment for AC joint sprains and is highly effective in restoring shoulder mobility, strength, and function following an AC injury.

Fall sports conditioning serves as a foundation upon which the sports season’s success is built and can help to reduce the number of in-season injuries. Fall sports conditioning involves a program of weight training and aerobic sport-specific conditioning that allows the athlete to slowly acclimate to the demands of the sport by gradually increasing the intensity and volume of their training over time. Check out our 8 tips for safe fall sports conditioning!

Patellofemoral pain syndrome (PFPS) is the most common type of knee pain, causing pain around and under the kneecap. PFPS is prevalent among runners, cyclists, and young athletes as repetitive movements like running, jumping, or squatting can lead to chronic overuse of the knee and the development of PFPS. Physical therapy is highly effective in treating patellofemoral pain syndrome, using targeted exercise, stretching, and manual therapy to improve knee function and mobility and reduce pain.

Physical therapy plays a critical role in recovery from a rotator cuff tear, helping individuals regain strength, mobility, range of motion, and coordination in the shoulder. Rotator cuff tears involve a partial or complete tearing of a rotator cuff tendon or muscle due to an acute trauma to, chronic overuse of, or age-related degeneration of the shoulder joint. Exercise rehabilitation is the cornerstone of physical therapy treatment for rotator cuff injuries.

Agility training is a critical component of a comprehensive sports training program. Agility training involves a set of progressive exercises to improve an athlete’s agility, which is the ability to accelerate, decelerate, change direction, and react swiftly in multiple directions in response to unpredictable situations on the competitive sports field. Agility training is extremely beneficial for athletes of all sports, requiring strength, flexibility, and stamina to improve the body’s adaptability and reaction time to a stimulus or movement.

An ankle sprain is a common injury that occurs when the foot twists or turns beyond its normal range of movement, causing the ankle’s ligaments to overstretch or tear. Ankle sprains account for up to 40% of lower extremity sports injuries and 15% of all sports injuries in the United States. Physical therapy is the first line of treatment for ankle sprains, effectively restoring mobility, strength, and function in the injured ankle, preventing re-injury, and ensuring a safe return to sport through a targeted exercise and manual therapy rehabilitation program.

Swimmer’s knee is caused by repetitive strain on the knee ligaments, particularly the MCL, when performing the breaststroke. Pain in the MCL develops due to the repetitive flexion-extension, adduction, and external rotation of the knee against the water when completing the breaststroke. When doing the breaststroke, 70% of the propulsion of the stroke comes from the legs and knees, placing significant stress on the knees. Physical therapy can alleviate swimmer’s knee pain and restore movement and function in the knee safely through a targeted therapeutic exercise and manual therapy rehabilitation program.

A sports hernia is an injury that happens when there is a weakening or tear in the muscles, tendons, or ligaments of the lower abdominal and groin area, causing acute pain and limited movement. A sports hernia typically occurs in sports that require repetitive twisting, turning, or abrupt changes in direction. Physical therapy can help athletes manage and recover from a sports hernia safely, addressing underlying muscular imbalances that contributed to injury through targeted exercise, core strengthening, and manual therapy.

Mangiarelli Rehabilitation physical therapist Bobby demonstrates the variety of ways we utilize the Golf Forever Swing Training Tool in our clinic to improve your golf swing. The golf swing is one of the most dynamic motions in sports, requiring coordinated loading and the generation of power and force throughout the kinetic chain. Physical therapy can help golfers improve their golf swing by enhancing agility and power for longer drives, improving mobility and flexibility in the hips and shoulders and dynamic balance, and enhancing core strength and neuromuscular control for a powerful, controlled, and accurate golf swing.

Pickleball is one of the fastest growing sports in the United States, played on a tennis-like court using a softball-sized, hard-plastic ball and a wooden racket to serve and volley the ball back and forth. While fairly easy to pick up, pickleball requires fast movements of the upper and lower body, sudden pivots and cuts, and side-to-side shuffling, which can contribute to injury. Physical therapy can help pickleball players not only recover from an on-court injury, but also prepare for a successful pickleball season through targeted strength and conditioning.

Mangiarelli Rehabilitation physical therapist Sarah demonstrates three exercises you can do to address shin splint pain. Shin splints are a common athletic injury that develops due to repetitive stress placed on the tibia, causing the surrounding muscles to strain and develop microtears where they connect to the shin bone. Physical therapists can help athletes with shin splints recover pain-free movement, return to sport safely, and prevent future reinjury through a targeted exercise rehabilitation program.

Softball is a dynamic modified form of baseball that is played on a smaller field with a larger, softer ball with underarm windmill pitching. The windmill pitch is an underhand throw that places significant stress on the shoulder and elbow of the athlete, which can lead to overuse injuries like shoulder and wrist tendinitis, rotator cuff tears, and elbow injuries. Physical therapists can help softball players prepare for the season with a targeted strength and conditioning program as well as treat in-season softball injuries with manual therapy, targeted strengthening and therapeutic exercise, and functional sport-specific training.

Lacrosse is a high-energy, full-body sport that combines quick sprints, agility, and coordination of the upper and lower extremities. Lacrosse injuries are more common in the lower extremities, particularly ankle sprains, ACL tears, shin splints, or hamstring or quadriceps muscle strains. Physical therapy can help lacrosse players not only address and recover from injuries during the lacrosse season, but also help prevent injury through a customized strength and conditioning program.

Throwing injuries to the shoulder among baseball players are very common, often due to overuse and repetitive high stress of overhead throwing. Rehabilitation after a shoulder injury involves a gradual restoration of range of motion, strength, muscular endurance, dynamic stabilization, and neuromuscular control via targeted therapeutic exercise, manual therapy, rebounder therapy, and aquatic therapy. When preparing for a return to throwing, using the rebounder can be a highly effective way to prepare the shoulder gradually and safely for the dynamic act of throwing. Mangiarelli Rehabilitation physical therapist Bobby demonstrates a return to throwing progression using the rebounder to rehabilitate after a shoulder injury.

A concussion is a mild traumatic brain injury that can result in disrupted neurological function and cause a wide range of physical, cognitive, and behavioral symptoms. The sport of soccer poses a significant risk for concussions and head injuries. During soccer, the head is at risk of contact with the ground, with soccer goalposts, with the ball, and with other players’ heads, elbows, knees, or feet. Physical therapists can effectively manage concussion injuries through evidence-based treatment and a careful, personalized rehabilitation program.

Plantar fasciitis is a common foot condition that develops when repeated activities strain the plantar fascia of the foot, which is a thick band of tissue that runs along the bottom of the foot and supports the arch of the foot. When individuals perform repetitive weight-bearing and impact-loading activities over days, months, and years, this can lead to microtears and chronic inflammation of the plantar fascia. Physical therapy is highly effective in treating plantar fasciitis, helping reduce pain, restore function and strength in the foot, improve foot mechanics, and address the root cause of the condition.