Thank you for seeing me right away and for fixing my hamstrings. I haven’t had any more pain since you showed me how to stretch my muscles correctly.
- Clarissa Norman
Today's young athletes are more active than ever and at Meehan Sports Therapy & Pediatrics we're committed to providing the best care for young athletes of all shapes and sizes and all levels of competition. With extensive experience in pediatrics and sports therapy, we are uniquely qualified to ensure that all of our child athletes recover quickly and safely from injuries and return to play with the knowledge and tools to prevent future injuries. By working with parents, coaches, instructors and athletic trainers, we strive to provide individualized care to all of our athletes to make sure they stay active and most importantly stay safe.
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Abnormality of Gait
Abnormality of Gait is a diagnosis that is given when an individual, usually with no other underlying problem or disorder, is observed to walk or run with an unusual pattern. This diagnosis may be given when a child or adult walks with feet turned out often referred to as “duck walking”, or feet turned in “in toeing”, “pigeon toed”, or walks on their toes. Families may also notice that their child “shuffles” when running, does not use their arms to assist with running, appears uncoordinated, complains of ankle/leg pain intermittently, or is no longer able to keep up with peers. A physical therapist can evaluate the gait pattern and determine whether the cause is due to problems at the hip, knee, ankle or foot and make recommendations regarding posture, exercise or the need for orthotics to decrease pain and improve performance.
Balance is the ability to maintain your center of gravity over a base of support. Balance can be affected greatly by growth spurts and injuries. A Physical therapist can help to improve and develop balance strategies, and to restore balance after an injury. Physical therapy treatment focuses on core muscle strengthening, weight shift and proprioception.
Coordination is the ability to perform smooth and controlled movements. Individuals with low muscle tone and joint laxity frequently have difficulty coordinating arm and leg movements. They may appear slow or clumsy to their peers. A Pediatric Physical Therapist is able to evaluate movement and musculoskeletal properties, as well as compensations techniques that are contributing to lack of coordination and develop a treatment plan to improve bilateral coordination.
Dislocation occurs when there is abnormal separation of a joint. Subluxation is used to describe a partial dislocation. Individuals with low muscle tone (hypotonia) are at greatest risk of dislocation. The most common joints for dislocation are the elbow, shoulder, hip and knee. Physical therapy is recommended to help strengthen the muscles around the dislocating joint. Surgical correction may be necessary with frequent/severe dislocations and continuing pain. Physical therapy is recommended after surgery to restore normal range of motion, strength and function
Nerve Injuries occur when a nerve is stretched, pinched or cut, and can lead to temporary or permanent damage to the feeling or movement of the involved body part. Injuries can occur due to over use, trauma, or disease. Physical therapy is recommended to help maintain joint range of motion, and for re-education of the involved muscles.
Osgood Schlatters Disease
Osgood Schlatters is a condition characterized by pain and inflammation of the patellar tendon below the knee cap. Often, there is enlargement of the bone (tibial tuberosity) in the lower leg where the tendon attaches. It is an overuse injury typically seen in growing adolescents who participate in soccer, gymnastics, basketball and long distance running. Physical therapy is recommended to reduce pain and swelling and to provide education on proper warm up and stretching of the quadriceps muscles.
Pre/Post Surgical Rehab
Physical therapists play a key role in pre and post operative rehabilition.
Pre surgical rehab refers to physical therapy that is given to patients who want to avoid surgery or those that have surgery scheduled in the near future. Treatment usually involves strengthening exercises and gait training.
Post surgical rehab refers to physical therapy services that are provided after a surgical procedure. The goal of treatment is to achieve the fastest recovery without endangering the surgical repair.
Severʼs Disease is a common condition that occurs in growing children and adolescents that is very similar to Osgood Schlatters disease. It is characterized by heel pain in the area where the achilles tendon attaches to the heel bone (calcaneus). Pain is often present with running and jumping activities. Physical therapy is recommended to help reduce pain and inflammation and to provide information on proper warm up and stretching of the gastrocnemius and soleus muscles. Individuals with this condition tend to also present with ankle pronation and may benefit from orthotics.
Since I ran hurdles, relay, and other fast races, plus playing forward in soccer, I was afraid I would have to give something up. But Kelly worked with my coaches, and after modifying my practice, I was back in the game.
That was not the only time she had helped me. I strained my neck one year doing high jump, and that was new. I did not know what was wrong with it, only that it hurt really bad. Kelley knew what to do. She helped me with some stretches to do for my neck, taped it, and I was better in less than 2 weeks.
She has helped me through so much and I am sure she will be able to help you, too!
Thank you Kelley for getting my daughter back to playing soccer. We were surprised at how quickly she improved from a PCL tear to her knee once she started physical therapy with you! You pushed her just enough & motivated her to do her therapy with you and at home. Her recovery has been amazing; we are so happy to see her back playing ECNL soccer.
Sprains result from stretching or tearing of ligaments that attach bones to other bones. Ligaments are found throughout the body and function to stabilize and support joints.
Injuries occur when forces cause a ligament to stretch beyond its normal range. Commonly sprained ligaments include: ACL and PCL at the knee, anterior talo-fibular
ligament at the ankle, scapho-lunate ligament at the wrist. The severity and treatment of a sprain is determined by grades.
Grade 1 Sprain: slight stretching and some damage to the ligament
Grade 2 Sprain: partial tearing of the ligament with joint laxity noted
Grade 3 sprain: complete tear of the ligament resulting in significant joint instability
Rest, Ice, Compression and Elevation (RICE) is recommended for grade 1 sprains. Physical therapy is recommended for grade 2 and 3 sprains to reduce pain and swelling and prevent chronic ankle problems. Treatment focuses on restoring range of motion strengthening of muscles and gradual return to sports.
When I first started school competition, I was running and suddenly felt a different pain in my hip. Of course, I thought it was nothing so I kept 'running through the pain'.
I also played soccer. The next day when I was warming up, kicking the ball around, I felt that same pain, but I continued to play. By the end of the next two days, I had been over working it so much I could not take it anymore. Kelley had been helping with the team, and she knew that it was likely my hamstring. My parents had me take a couple of weeks off, and Kelley took great care of me. She wrapped and taped my leg, and I was able to start practicing again.
Strains are injuries to muscles or the tendons that attach muscles to bones. Muscle strains are very common sports injuries and can result in stretching or tearing of a muscle. A muscle strain can be caused by trauma, over stretching or excessive muscle contraction. Muscle tightness, muscle imbalance, poor conditioning, and muscle fatigue can all lead to muscle strain. Common muscle strains include: hamstrings, hip flexers, and achilles muscles. Physical therapy is recommended to manage pain and swelling, restore joint range of motion, improve flexibility and strength and provide education on proper stretching and warm up techniques.
Muscle Strain Testimonial
When I sprained my ankle last year I was so worried that I was not going to be able to continue with soccer. Mrs. Meehan worked with me to get rid of the swelling and make my ankle move better. She showed me exercises to strengthen my ankles and improve my balance and even saw me during lunch or before early weekend games to tape my ankle so that I could continue to play soccer while I healed.
Tendonitis is a term used to describe inflammation to a tendon. An individual will be able to point to a specific area that feels sore and may be swollen or hot to the touch. Tendons are fibrous bands that attach muscles to bones. Tendonitis is caused by repeated stress to a tendon and is frequently due to muscle imbalance or poor flexibility. It is one of the most common overuse injuries. Athletes who participate in basketball, swimming, tennis and golf are prone to tendonitis of the shoulder and arm. Soccer players, long distance runners and dancers tend to get inflammation of the tendons of the hip, knee, ankle and foot. A physical therapist is able to help identify the cause of the tendonitis and work with the athlete to reduce pain and swelling and provide an exercise program to improve muscle balance and flexibility. Splinting, Orthotics or Kinesio taping may be used to reduce stress to the injured tendon. If left untreated, tendonitis can lead to more serious complications including muscle tears and evulsion fractures requiring surgical intervention.
In my freshman year, I over ran and my shin started hurting. My coach and trainer could not figure out what was wrong, so my parents took me to my doctor and then to Kelley, who I had known for years.
Kelley was able to treat my tendonitis and put me on a program to fix some of the other problems I had developed or was working through. It was hard, but I was able to resume exercising, then some treadmill work, and finally get back to running.
I had been told it would be impossible for me to go to the regional competition, but with Kelley's help, I was able to return the week before, train with my team, and we won the regional competition, and then I was able to go to nationals.
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