Sports Medicine Blog

Keys to Managing Your Shoulder Pain

Shoulder pain is a game changer. A painful shoulder can quickly limit the activity level for athletes and non-athletes alike. The shoulder joint is the…

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The Myths and Truths Inside a Painful Shoulder

Because it is one of the most mobile joints, the shoulder joint is also one of the most injured joints in the human body. This…

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How Sleep Impacts Injuries

How Sleep Impacts Injuries

  By Sarah Westgreen at Tuck Sleep When you don't sleep enough, you're not at the top of your game. Sleep deprivation can make you…

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Pain Management Made Easy

For most, the term "pain management" creates haunting visions of pain medicine, drastic lifestyle changes and expensive doctor bills. In the sports medicine world, that…

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Lifestyle Matters: What I Learned from my Physical Therapy Patients This Week

Lifestyle Matters: What I Learned from my Physical Therapy Patients This Week

"Educate your physical therapy patients" was the message my fellow classmates and I heard as we polished our healthcare skills in the outstanding physical therapy…

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Checklist for Surgery: Rehabbing Like a Pro Athlete

Checklist for Surgery: Rehabbing Like a Pro Athlete

I'm often asked: "How do pro athletes heal so fast following a major surgery?" My answer is two-fold: "They lock into a positive attitude before…

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Cold Truth About Ice Therapy

Cold Truth About Ice Therapy

To convince my patients, fellow #SpartanRace athletes and friend that ice therapy works, I simply tell them: "Ice is your best friend"! Ice is cheap,…

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Spartan Race Recovery Made Easy

Spartan Race Recovery Made Easy

I competed in the Asheville (NC) Super Spartan Race with my buddies last weekend. From the 7 hour ride north with my friends, to the jokes at…

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Avoid Sports Injuries With 1 Simple Question

Avoid Sports Injuries With 1 Simple Question

I flipped a giant tire today during my Spartan workout.  Flipped, as in singular.  One.  Uno.  Eins.  Once was enough. I'm allergic to sports injuries.…

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Simplify Your Health and Wellness

Simplify Your Health and Wellness

How many of us overthink our wellness, fitness exercises and health maintenance plans? "Guilty as charged!" Wake-up Call I'm writing this blog post from the…

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Calf Strain: A Running & Jumping Athlete's Nightmare He sits on the bench with an ice bag on the back of his lower leg.  A…

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Eliminating Your Pain: Finding Your CONTROL - ALT - DELETE When your computer locks up, what do you do?  The CONTROL - ALT - DELETE…

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Self-Care Tips for Athletes with Joint Swelling I saw a physical therapy patient this week with a chronic knee injury.  His knee was swollen and…

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Will Cross Training Make Me Stronger…or Injured? I get lots of questions from non-professional athletes looking for ways to avoid injuries. Any injury, large or…

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Time For Change

Football's in the air.  It has a way of making sports seem legitimate again.  The buzz of training camp and how "my team" will do…

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Gratitude, Change & a Trusted Vision

Gratitude, Change & a Trusted Vision

April 25, 1988 was the day my childhood NFL dream came true. Ronnie Barnes, the Head Athletic Trainer for the New York Giants and one…

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How to Shorten Your Shoulder Scope Recovery Time!

How to Shorten Your Shoulder Scope Recovery Time!

Today is a true day of "role reversal" for me.  Instead of being the physical therapist, I'll be the patient rolling into the operating room…

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A Runner’s Case Study in Courage

A Runner’s Case Study in Courage

A Runner's Case Study in Courage As told by Colleen Clarson - At first glance, it was only a daunting fitness challenge.  At second glance,…

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Measuring Your Fitness Program With Gratitude

Measuring Your Fitness Program With Gratitude

Measuring Your Fitness Program With Gratitude How does an athlete measure his/her success? High profile athletes have coaches, fans and ESPN to judge their performance.…

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Taking the Brakes Off For Great Health I'm in Atlanta preparing for our last preseason game against the Falcons. We're just ending our press-season training…

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Running With a Swollen Ankle As a runner I can get away with saying this:  Runners aren't normal.  Admit it because we all know it's…

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My Favorite Four Letter Word

My Favorite Four Letter Word

[caption id="attachment_2241" align="alignleft" width="135"] Two Boys Playing[/caption] I had a wonderful Christmas last week. It was a memorable holiday that allowed me to spend time…

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Upcoming Sports Medicine Tips!

Upcoming Sports Medicine Tips!

I stopped by Home Depot on the way home from work last night.  This time of the year in the NFL, I have to do…

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A Runner Safety Wake Up Call

A Runner Safety Wake Up Call

[caption id="attachment_2871" align="alignleft" width="256"] Source: Pixabay[/caption] The truth hit me with the sting of a punch in the gut.  The words "Another runner was hit…

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Runner’s Guide to Managing Calf Pain

Runner’s Guide to Managing Calf Pain

[caption id="attachment_2847" align="alignleft" width="289"] Source: Pixabay[/caption] It wasn't a good workout but it was a great run.  I just finished a 5:30 AM run in…

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From Picking Up Cups to Living the NFL Dream

From Picking Up Cups to Living the NFL Dream

This Sunday's Jaguars game against the Chicago Bears will be special for me for many reasons.  For starters, it's my 500th NFL game.  At 49 years…

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Torn Meniscus: To Scope or Not to Scope?

Torn Meniscus: To Scope or Not to Scope?

[caption id="attachment_2850" align="alignleft" width="245"] Source: Pixabay[/caption] I received a call from a dear friend of mine regarding his knee injury.  I get lots of these.…

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Gameday For An NFL Athletic Trainer

Gameday For An NFL Athletic Trainer

Gameday in the NFL.  It's easily the best day of the week for players, coaches, athletic trainers and, of course, the fans. I'm often asked:…

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#1 Tip to Heal a Hamstring Strain

#1 Tip to Heal a Hamstring Strain

With the 2012 NFL pre-season in full swing, there is one things you can count on:  Hamstring injuries.  Anytime you combine highly competitive and dehydrated…

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Paying the Price for Fitness

Paying the Price for Fitness

When someone has the opportunity to spend time in an NFL athletic training room, they usually come away saying the same thing: "I never realized how…

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Key to Olympics & NFL Training Camp Success: Rapid Recovery

Key to Olympics & NFL Training Camp Success: Rapid Recovery

I received great questions on MikeRyanSportsMedicine.com from Carl in Texas and Maria' in France related to how world-class athletes recovery so effectively.  Recovery is one of my favorite…

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Achilles Tendonitis vs Achilles Bursitis

Achilles Tendonitis vs Achilles Bursitis

This past weekend while vacationing with my family, I was introduced to Terry while we worked out at CrunchGym in Danville, CA.  He is a close…

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Runners Guide to Running in the Heat

Runners Guide to Running in the Heat

With record high temperatures blanketing the country so early this summer, I’ve received dozens of emails and texts regarding heat and hydration questions from runners. …

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Seeking the Perfect Workout: “Just Whack It”

Seeking the Perfect Workout: “Just Whack It”

Everyone of us is looking for the "perfect workout".  It's the workout that gets us in awesome shape while burning pounds of fat and makes our…

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(Lame) Reasons People Commonly Give for Not Exercising [fitness.com]

(Lame) Reasons People Commonly Give for Not Exercising [fitness.com]

This is a fun and interesting article on the 10 most common reasons why people don't exercise. It not only describes the lame excuses many…

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Avoid Running Injuries By Running on the Right Surface

Avoid Running Injuries By Running on the Right Surface

We spend thousands of dollars a year on our running shoes to maximize our comfort and cushioning to protect our feet, knees, hips and low…

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The Return of Osgood Schlatter Knee Pain

The Return of Osgood Schlatter Knee Pain

I recently recieved a great question on Osgood Schlatters disease of the knee, a common topic for questions on MikeRyanFitness, that I wanted to share. The…

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Insider Medical Questions with the NFL Draft

Insider Medical Questions with the NFL Draft

NFL Draft Day is here and I think it’s safe to say that most football fans are tired of the Mock Draft-mania.  We’ve heard plenty…

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Burning Body Fat the Smart Way

Burning Body Fat the Smart Way

I received an email from a follower with a simple and important question:  "How to I determine how hard to exercise when I want to…

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How Fitness Embraces Failure

How Fitness Embraces Failure

"Why Fitness Rocks" by Paul Phillips - MudRunManiac.com              900 As of today, 900 is the total number of burpees…

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5 1/2 Tips to Win a Mud Run

5 1/2 Tips to Win a Mud Run

[caption id="attachment_1853" align="alignleft" width="223" caption="Mike Ryan, Mud Run Winner"][/caption] This past weekend's big local mud run is the talk of the town.  With thousands of…

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Inside the Mud Run

Inside the Mud Run

This weekend's mud run race is a big deal in Jacksonville.  Organized and run by the Northeast Florida Chapter of the National MS Society, the…

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Running Injuries: My Pain Management Plan

Running Injuries: My Pain Management Plan

Running Injuries: My Pain Management Plan It's 6:55 AM.  I'm wrapped in ice while scarfing down a healthy bowl of cereal and writing this post.…

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High Ankle Sprain Management

High Ankle Sprain Management

High Ankle Sprain Management Managing a high ankle sprain is not easy, and rehab requires a significant amount of experience.  It reflects a balance of…

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Running Foot Pain or Stress Fracture?

Running Foot Pain or Stress Fracture?

Running Foot Pain or Stress Fracture? Pain is often a runner's most loyal training partner, free from the busy social calendars or alarm clock failures…

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Injury Prevention Made Practical

Injury Prevention Made Practical

Injury Prevention Made Practical I have 33 days to get ready for a 1/2 marathon race that covers 13.1 miles.  I'll spare you the details…

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The Benefits of Running in Cold Weather [mademen.com]

  I can hear you now: "What's a guy from Florida know about running in cold weather?!" The answer:  Too much. Growing up in the…

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5 Tips to Improve Your Swollen Knee

5 Tips to Improve Your Swollen Knee

Knee swelling is a major concern for athletes young and old.  Understanding their swollen knee is an important step to decreasing their pain and regaining…

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Medial Meniscus Tears Made Easy

Assisting the efficient joint relationship in the knee, two cartilaginous menisci rest on the flat surface of the larger lower leg bone (tibia). The inner…

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Kneecap Pain and Running

Understanding Kneecap Pain for Runners Patellofemoral pain syndrome (PFPS) typically presents with a dull pain just beneath the kneecap and lower front part of the…

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Answering Your Questions about Heat vs. Ice Therapy

Answering Your Questions about Heat vs. Ice Therapy

As you can imagine, I get asked a lot of questions about sports related injuries, “how do I treat” this and that injury and proper…

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Managing a Foot Stress Fracture the Right Way

Managing a Foot Stress Fracture the Right Way

Managing a Foot Stress Fracture the Right Way A stress fracture in the foot is usually associated with an overuse injury to weight-bearing bones. Most…

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When an ACL Surgery & Rehab Goes Bad

When an ACL Surgery & Rehab Goes Bad

Anterior cruciate ligament tears have become too common.  Most non-professional athletes just assumes that an ACL surgery is a simple procedure with little chance that…

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Foot Orthotics – Are They Worth the $?

Foot Orthotics – Are They Worth the $?

I'm often asked about orthotics and the questions usually involve two basic issues:      1.  Do orthotics really work?      2. Why are orthotics so expensive?…

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Why Mud Runs are the Best Way to Build Fitness

Why Mud Runs are the Best Way to Build Fitness

Let's admit the obvious: Fitness takes time and it's not always fun. It's ironic when you think about it.   In today's fast pace lifestyle if there' one…

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Mastering NFL Injury Reports for Fantasy Football Owners

Mastering NFL Injury Reports for Fantasy Football Owners

I have to admit, I'm very impressed with the popularity of fantasy football and how many football fans are involved in fantasy leagues around the…

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How Bad Can a Groin Strain Be?

How Bad Can a Groin Strain Be?

I have to laugh when friends ask me, "what's the big deal about a simple groin strain?!"  My reply is always the same and their…

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A Speedster’s Nightmare: The Hamstring Strain

A Speedster’s Nightmare: The Hamstring Strain

Watching ESPN this past weekend while in Charlotte getting ready for our big game against the Cam Newton Panthers, I heard an amazing statistic:  Five…

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How to Maintain the Greatest Machine in the World [IntoSport.com]

How to Maintain the Greatest Machine in the World [IntoSport.com]

[caption id="attachment_1332" align="alignleft" width="300" caption="Marathon Runners {Photo: dmytrok)"][/caption] The Human Body is one of the greatest machines in the world. It can be put through…

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Eliminating 80% of Your Hip Pain in Less Than 5 Minutes

Eliminating 80% of Your Hip Pain in Less Than 5 Minutes

Kind of a bold title, wouldn't you agree? A painful hip is a common complaint with athletes of any age.  I've demonstrated the proof of…

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Where Are You Getting Your Sports Medicine Advice?

Where Are You Getting Your Sports Medicine Advice?

I read a great article this weekend in the Health section of the Wall Street Journal titled: “As Sports Medicine Surges, Hope and Hype Outpace…

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What the Hell is a Shoulder Labral Tear?

What the Hell is a Shoulder Labral Tear? Understanding A Shoulder Labral Tear Shoulder glenoid labrum injuries are common in sports that require repetitive overhead…

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Tame Heel Pain Flareups From Plantar Fasciitis

Tame Heel Pain Flareups From Plantar Fasciitis

Tame Heel Pain Flareups From Plantar Fasciitis Understanding Plantar Fascia Strains Plantar fasciitis causes localized pain in the backside portion of the arch that attaches…

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Outsmarting Heat Illness

Outsmarting Heat Illness

With the recent heat wave that has gripped the country, many of us are struggling to tolerate the brutal heat and humidity.  It's one thing…

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Understanding Referred Shoulder Pain Referred pain is common in the human body due to the many nerves that originate in the spinal cord and branch…

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Tackling a Lateral Meniscus Tear of the Knee

Understanding a Lateral Meniscus Tear “I tore my cartilage” is the term most athletes use to describe the possible source of their knee joint line…

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Back Pain Relief from Ankylosing Spondylitis

Understanding Ankylosing Spondylitis Ankylosing spondylitis (AS) is a chronic inflammatory disorder of the sacroiliac (SI) joints and the axial skeleton often having a strong genetic…

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Finding a Relief Pitcher for Rotator Cuff Tendonitis – Supraspinatus Tendonitis

Finding a Relief Pitcher for Rotator Cuff Tendonitis - Supraspinatus Tendonitis Understanding Supraspinatus Tendonitis The supraspinatus is a muscle located on the top of the…

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How to Kick Into High Gear Against Runner’s Knee Pain

Understanding Running Knee Pain Pain associated with running can contribute to some forms of overuse injuries. Constantly subjecting the structures holding the joint to mechanical…

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What to Do When Suffering from “Damn Back” aka Spondylolysis

Understanding Spondylolysis Spondylolysis is a condition created when a localized fracture of the bony arch, referred to as the pars interarticularis. This injury is most…

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Solving the Stop and Go Issue of Sinus Tarsi Syndrome

Understanding Sinus Tarsi Syndrome Sinus Tarsi Syndrome is a rather common foot injury for stop-and-go type sports, which can leads to pain in the sinus…

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How to Thaw a Frozen Shoulder

How to Thaw a Frozen Shoulder Understanding Frozen Shoulder/Adhesive Capsulitis Frozen shoulder is a condition that affects the shoulder joint capsule: a fibrous covering of…

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What is a Long Head Bicep Rupture?

What is a Long Head Bicep Rupture? Understanding a Long Head of Biceps Brachii Tendon Rupture Proximal biceps brachii tendon ruptures (bicep ruptures) are more…

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The Slipping Back Problem of Spondylolisthesis

Understanding Spondylolisthesis Spondylolisthesis is a condition that causes an alteration of the normal alignment of the spine. The term was coined from its Greek root…

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“I’ll Never Take My Good Health For Granted Again”

“I’ll Never Take My Good Health For Granted Again”

He's back and no one is more excited than he is today. Not long ago this amazing cyclist had to dig deep to simple ride…

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How to Get a Massage with a Happy Ending Every Time!

How to Get a Massage with a Happy Ending Every Time!

Come on, who doesn’t love a great massage with a happy ending?! I can see you smiling now just thinking of that satisfied feeling at…

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Finding Confidence After Injury

Finding Confidence After Injury

Injury can present a huge psychological challenge for athletes. Pain, on its own, provides a significant mental and emotional challenge. Being in pain is tiring…

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Going Round and Round with Cycling Knee Pain

Understanding Knee Pain From Cycling Cycling is a wonderful sport for athletes at any age.  Whether you’re biking the flat roads here in Florida or…

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Triathlons – Stretching the Limits of The Human Body

Triathlons – Stretching the Limits of The Human Body

In the athletic world, there are all sorts of events and competitions that take place on a yearly basis. From the Super Bowl to the…

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Train like an Athlete for Back Surgery

Train like an Athlete for Back Surgery

If you know long enough in advance that you’re going to have major back surgery, look at that time as an opportunity. You don’t have…

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Pondering Questions After a Biceps Tear

Pondering Questions After a Biceps Tear

I received a message from a Jags' season ticker holder with a simple medical question related to a not so simple shoulder injury.  This loyal…

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Biceps Femoris Tendonitis: The Forgotten Hamstring

The truth is….athletes “pull” muscles. That is something everyone is at risk for with an active lifestyle. Biceps femoris tendonitis is typically an injury resulting…

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Taming an MCL Sprain

The Medial Collateral Ligament (MCL) is a thickening of the medial or inner knee joint capsule.  The MCL is the stabilizing ligament between the medial…

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Playing it Smart with Pes Anserine Bursitis of the Knee

What is pes anserine bursitis? This ailment, while not extremely common, can be quite painful. It is the result of inflammation of the pes anserine…

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The Door: Inside the NFL Draft

The Door: Inside the NFL Draft

Oz had the famed Curtain. Babylon had the mighty Walls. The NFL has The Door. Only "Authorized Personnel" are allowed through the NFL Draft Room…

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The Mysterious NFL Combine

The Mysterious NFL Combine

“I didn’t know there was a 2nd Combine!” I hear it all the time and somehow the secrecy of this 2nd NFL Combine continues.  No…

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3 Simple Steps Guaranteed to Reduce Low Back Pain

I feel so strongly about my low back rehab plan that I'm going to guarantee it will reduce your low back pain! Low back pain…

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Subacromial Bursitis Made Easy

Subacromial Bursitis Made Easy Understanding Shoulder Bursitis The subacromial bursa is a thin, sac-like structure located just under the acromioclavicular, or AC, shoulder joint. It…

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Flexibility Tips: Warrior Poses for the Warrior Athlete

Flexibility Tips: Warrior Poses for the Warrior Athlete

[caption id="attachment_204" align="alignleft" width="194" caption="FLEXIBILITY IS FOR ALL ATHLETES & ALL SPORTS"][/caption] 80% of us will have back pain at some point in our lives.…

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Sports Medicine Tips for Fun in the Mud Run

Sports Medicine Tips for Fun in the Mud Run

This weekend may prove to be the dirtiest, most fatiguing, most fun and most rewarding time that you’ve had since your were a kid at…

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Why Fat Pad Impingement Hurts so Damn Much

Understanding Fat Pad Impingement The infrapatellar fat pad is a sensitive mass of tissue that lies behind the patella tendon and on the front side…

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Tips for Fast & Healthy Running

The big race is this Saturday…the Gate River Run 15 km USA Championship Race.  This race goes well beyond a local “bragging rights” race by…

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Why You Are Having Leg Numbness

“I’m having numbness down my leg and no one seems to know why!” she barked out frustratingly over the phone.  I hear similar complains from…

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Invest in Yourself: Focus on Your Carrot

Invest in Yourself: Focus on Your Carrot

[caption id="attachment_639" align="alignleft" width="276" caption="Mike Ryan Biking in Colorado July 2010"][/caption] March 1st is here and we can officially stop blaming our health and fitness…

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Shoulder Impingement Syndrome

Shoulder Impingement Syndrome

I just posted an article on Shoulder Impingement Syndrome or Tennis Shoulder in my Shoulder Injuries section of MikeRyanFitness.com. A friend of Nate's came to…

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Impingement Syndrome of the Shoulder: Tennis Shoulder

Impingement Syndrome of the Shoulder: Tennis Shoulder Years back, a friend of a former colleague came to see me with left shoulder pain. I had…

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Recovery: Avoiding Running Injuries

Recovery: Avoiding Running Injuries

[caption id="attachment_673" align="alignleft" width="195" caption="RUNNING WITH A SMILE"][/caption] Today is an exciting day in Jacksonville, FL.  Today is the 4th annual 26.2 With Donna Breast…

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Metatarsalgia: Foot Pain’s Evil Brother

Metatarsalgia: Foot Pain’s Evil Brother

Metatarsalgia: Foot Pain’s Evil Brother Metatarsalgia is a general term relating to forefoot pain, secondary to inflammation in the distal foot and toe area.  Joints…

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How to Survive a Rotator Cuff Tear

How to Survive a Rotator Cuff Tear While thinking up the title for this article, I actually laughed out loud. Given the diversity of sources…

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Shoulder Therapy Made Easy

Shoulder Therapy Made Easy If you are experiencing general shoulder pain and want to work out the kinks and reduce your shoulder soreness, this article…

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Avoiding Long-Term Problems with a Dislocated Shoulder

Avoiding Long-Term Problems with a Dislocated Shoulder Shoulder dislocation is an all-too-common injury for many athletes.  Although possible in any direction, approximately 90% of these…

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AC Joint Separation Management

AC Joint Separation Management Acromioclavicular (AC) joints are easily injured and susceptible to secondary issues such as arthritis, laxity, and shoulder pain.  Often referred to…

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The Inside Scoop on ACL Tears

The evolution of sports has proved to be a fascinating and often amusing combination of creativity, science and hype.  From the lightest of high-tech equipment…

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Sprained Ankle Management

Sprained Ankle Management

Sprained Ankle Management Year over year, ankle sprains are the most common lower extremity injury in all of sports.  From a minor “tweak” to a…

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Jaguars Trainer to Tackle Corporate Wellness [JaxDailyRecord]

Jaguars Trainer to Tackle Corporate Wellness [JaxDailyRecord]

[caption id="attachment_375" align="alignleft" width="248" caption="Mike Ryan - Corporate Wellness"][/caption] I was really excited to be featured in the Jacksonville Daily Record this week. The article…

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Tips For Getting Relief From Sacroiliac Joint Pain

If you experience pain when twisting at the waist or bending over, you may be suffering from Sacroiliac joint pain. The two sacroiliac joints are…

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Turf Toe Management

Turf Toe Management

[caption id="attachment_274" align="alignleft" width="200"] Turf Toe Caused By Hyperextension[/caption] Turf toe is an injury with a short name but a long history of pain in…

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Ab Exercises: The Truth about the “Six Pack”

Core workouts should be a key part of everyone’s workout plan.  If you’re like most people, you want a flatter stomach and stronger abdominal (Abs)…

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Knee Therapy:  Sports’ Best Kept Secret

Knee Therapy: Sports’ Best Kept Secret

One of the most common questions that I’m asked is:  “With a sports-related injury, when do I use ice and when should I apply heat?”…

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Quad Strengthening to Prevent Knee Injuries

If you want to keep your knees happy, make your quadriceps (quads) a top priority.  The good news is this…the goal of having healthier and…

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How To Eliminate Heel Pain

How To Eliminate Heel Pain

How To Eliminate Heel Pain In order to eliminate heel pain, it is important to understand its underlying cause(s). Although the term "heel pain" is…

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Chondromalacia of the Patella Tendon

Chondromalacia, known as "Runner's Knee", is one of the most common sources of knee pain for athletes over 20 years old.  The patella injury involves…

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How Professional Athletes Successfully Treat Knee ITB Syndrome

Iliotibial band syndrome (ITBS), or Illiotibial band tendonitis, is a frustrating and troubling injury.  Because of it’s common mechanism of injury involves repetitive knee flexion…

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How To Recognize And Treat Achilles Tendon Ruptures

How To Recognize And Treat Achilles Tendon Ruptures

How To Recognize And Treat Achilles Tendon Ruptures Your Achilles tendon is remarkably strong. It connects the calf muscles (comprised of the gastrocnemius and soleus)…

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Osgood Schlatters: Managing Youth Patella Pain

“He has this huge bump below his knee, his doctor says he’ll grow out of it but it hurts him all the time.  What should…

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Bulging Disc of the Low Back

Understanding a Lumbar Spine Bulging Disc It seems that most non-medical people understand more about their computers and smart phones than they know about their…

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Achilles Tendonitis

Achilles Tendonitis

Achilles Tendonitis Understanding Achilles Tendonitis Achilles tendonitis is a common injury associated with the presence of inflammation and scar tissue in the largest tendon in…

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