Cover Story

Shoring up the rotation: The importance of hip mechanics in pitching

Over the course of a season, collegiate pitchers undergo changes in hip rotational range of motion and hip strength—changes that could increase injury risk or negatively affect performance.

By Giorgio Zeppieri Jr, MPT, SCS, CSCS

Editor Message

Out on a limb: Ingenuity targets activity

Diabetic foot specialists have a range of options for managing diabetic foot ulcers—from offloading devices to skin substitutes to surgical procedures. But sometimes the most effective treatment is the one that compels an active patient to simply slow down.

By Jordana Bieze Foster, Editor


Managing hallux limitus and rigidus in athletes

The terms “hallux limitus” and “hallux rigidus” refer to a degenerative process of the great toe joint that was first described by Davies-Colley1 in 1887 and termed hallux flexus. Cotterill later coined the term hallux rigidus.2 The two terms represent a progression in…

By Howard Kashefsky, DPM, FACFAS

Achilles experts ponder effects of heel elevation

After an Australian study raised questions about the conventional practice of elevating the heel to decrease Achilles tendon load, researchers and clinicians have been revisiting what is known about the many factors—including pain—that can affect tendon load and function.

by Cary Groner

Influence of estrogen on the plantar fascia

Reported effects of estrogen on knee ligaments and the Achilles tendon raise questions about how the plantar fascia might be altered during the menstrual cycle and how those changes might affect injury risk.

By Jerrold Petrofsky, PhD, JD; and Haneul Lee, PT, DSc 

The clinical implications of accelerated knee OA

Accelerated knee osteoarthritis (OA), defined by very rapid radiographic disease progression, is also associated with earlier and more severe symptoms than traditional OA. Identification of…

By Jeffrey B. Driban, PhD, ATC, CSCS

Emerging treatments for diabetic neuropathy

Strict glycemic control is the most reliable treatment for diabetic peripheral neuropathy, but expanding knowledge of central and peripheral nervous system processes may help identify therapeutic methods…

By Sarnarendra Miranpuri, DPM, MD; Kush Patel; Gurwattan Miranpuri, PhD; Abhishek Chopra; and Ravinderjit Singh