WebExercises Sports Medicine Minute with Dr. Tony Mikla
Why should exercise be one of the cornerstones of a successful care plan or rehab strategy? How do other providers approach this topic? What can we learn from each other to help our patients succeed? This week we are excited to feature Dr. Tony Mikla, PT to learn more about anterior knee pain.
WebExercises: What is the typical patient you see?
Dr. Tony Mikla: I work with patients from ages 12-80 with a goal to improve their function. We are fortunately to have extremely motivated clients in our practice. Many of them are athletes and many are just wanting to improve themselves and their everyday function.
WebExercises: What are the main reasons for anterior knee pain in runners?
Dr. Tony Mikla: as always there are several, but a main cause is fatigue and biomechanics. We certainly know that as fatigue sets in, mechanics become worse. Then essentially you have a problem of force tolerance. Can the patella tendon tolerate the forces of running, how much force does the IT band have to withstand, how much impact force must the joint surface withstand?
WebExercises: Why do you believe exercise is a critical component of your care?
Dr. Tony Mikla: exercise is the what we have to improve force tolerance. The body responds to appropriate stress with appropriate adaption. If the stress is too great, then pain is the warning sign and often tissue becomes over used and breaks down. If stress is too minimal, then no change. The art of this business is how much exercise is needed to cause positive adaptation and improve force tolerance.
WebExercises: What are your 3 go-to exercises to prevent anterior knee pain?
Dr. Tony Mikla:
1. Step ups
2. Eccentric walk backwards
3. Hip Hinge (RDL)
WebExercises: Do you prescribe exercises patients can do at home? How important is that to achieve your desired outcomes?
Dr. Tony Mikla: we have to have patients exercise 3-4 days per week to cause adaption and increased force tolerance of the tissue. With today’s rehab restrictions from insurance and budget, they must exercise at home or at the gym to achieve the desired outcome.
Interested in learning more? Watch Tony’s course “A Complete Guide to Patella Tendonitis in Running Athletes.”
The WebExercises Story:
WebExercises was created by clinicians who wanted to find a better way to help patients succeed with their exercise rehabilitation programs. As clinicians we are limited with time therefore WebExercises was developed to efficiently design home exercise programs. We offer an engaging patient experiencethat can be monitored virtually by the clinician keeping your patients motivated outside of your office. Since 2005 we have delivered over 20 million exercises saving clinicians time and improving patient adherence. To find out more how WebExercises can improve your practice call us 866-411-4825 or visit webexercises.com/join