The Joint by Joint Approach: Managing Lower Extremity Injuries in Athletes

Discover how to effectively spot common biomechanical issues with athletes and how to manage, and correct, common running technique mistakes. Learn how to make smart, evidence-based training recommendations to your patients and immediately reduce their injury rate. How to use the “Joint-by-Joint” approach to assess and treat your patients more effectively. Learn a variety of “hands on” manual medicine techniques to manage common lower extremity injuries in your patients. I will walk you through all of the common injuries in the lower extremity and pelvis, and show you exactly how to treat them. Myofascial techniques, Graston, Kinesiotaping, mobility drills, and stability/strengthening exercises for all of those conditions. Low-tech, simple techniques you can start using immediately on your patients.

Topics covered:

• Managing injuries in athletes
• Common Technique & Biomechanical Issues with runners
• Overview of the most common types of technique errors you will see when evaluating runners in your office.
• How to properly use video-analysis software and a treadmill analysis in your clinic to diagnose your clients.
• Case studies (through video) of some classic presentations
• What is the “Joint-By-Joint” theory?
• Review the 3 arches in the foot
• Discuss the role that orthotics can play in providing support & stability for the foot
• Common mistakes made in Evaluating and Treating patients
• Myofascial Techniques
• Strength Testing
• Self-Massage techniques (balls, foam rollers, etc..)
• Graston / Instrument Assisted Soft Tissue Mobilization (IASTM)
• Kinesiotaping Techniques
• Manipulations
• Mulligan’s Technique – aka “Mobilizations with Movement” (MWM)
• Mobility Drills
• Strengthening and “activation” exercises for inhibited and/or weak muscles
• Hallux Limitus, Plantar Fasciitis, Heel Pad Bursitis, Achilles Tendonitis (osis), Peroneal Tendonitis Medial & Lateral Shin
• Splints, Plantaris Rupture, Patellar Tendonitis(osis) – aka “runner’s or jumper’s knee”), IT Band Syndrome,
• Pes Anserinitis,
• Piriformis Syndrome, Sacroiliac Joint Sprains/Dysfunction, Oblique Weakness, Psoas Tightness / Groin Pain, Iliac Apophysitis

Dr. Jonathan Mulholland earned his Bachelor of Science degree in Exercise Science from Ithaca College in 1996, and his Doctor of Chiropractic degree from Northwestern Health Sciences University in 2000. In addition to running his own private chiropractic practices, Dr. Mulholland has also acted as the Chiropractic Consultant for the United States Olympic Training Center in Lake Placid, NY, successfully treating dozens of Olympic athletes. He has traveled extensively as one of the team chiropractors for the US Bobsled & Skeleton Teams and as the Sports Medicine & Performance Enhancement consultant for the New Zealand Cycling Teams. He has worked multiple World Championship events in a variety of sports, and has treated athletes from dozens of different countries. He also worked the 2012 Summer Olympic Games in London, where he helped the New Zealand cyclists obtain two Olympic Medals. Additionally, he has a post-graduate certification as a Certified Chiropractic Sports Practitioner (CCSP) and is also a Certified Strength & Conditioning Specialist (CSCS). Currently living in Plattsburgh, NY with his wife and two children, he is a sports chiropractor and strength coach who has helped athletes of all levels with injury recovery and performance enhancement.