due to a sports injury (after running 30 km) , i am having hard problems when i walk intensively or jog different pains and tensions appear (along the ciatic way- starting in the hip down to the foot) after a while, when i am in movement. (in static positions, doctors could not find an injury or tell me a diganostic)
it is mainly muscular tension and not sicatic inflamation.
therefore, i am trying to find a laboratory that can help me get a correct diagnosis and then indicate appropiate excercises..
can you let me know of a laboratory specialist in analyzing body movement ?? either in USA (preferable miami or new york area) or in south america (brasil, argentina, uruguay, chile)
i remain awaiting your prompt answer, and i appreciatte your help in advance.
Post by Glenn Fleisig, Ph.D. on Jul 18, 2005 10:52:36 GMT -6
My recommendation is that you should be seen by a physiatrist, not at a gait motion lab. A physiatrist is a physician who specializes in physical medicine and rehabilitation. A gait evaluation might help you quantify the symptoms, but a physiatrist can help identify the cause.
I do not know of physiatrists in Uruguay and the rest of South America. Two physiatrists in the U.S. I can highly recommend are:
New York City Area: Jeff Young, M.D. Phelps Memorial Hospital Website - www.phelpshospital.org Telephone - 914-366-3709
dear glenn tks for your prompt reply. i appreciatte if you can help me understand more your comment. you said >>A gait evaluation might help you quantify the symptoms, but a physiatrist can help identify >>the cause. i am currently working with a rehab. physiatrist doing stretching excercises daily basis, but the problem we are facing is that we donot have a concrete diagnostic. therefore we are working based on symptoms and my capacity of expressing them and the capacity of the physiatrist to understand and offer the correct excercise. i dont have diagnostic as in static positions (mri, etc) nobody found any dignostics and sympotms appear only after "demanding" movement.
that is why i thought that only a special gait lab can give me the diagnostic.... and the physiatrist will implement much better the correct rutines with a known specific diagnostic.
this was my thought .. and i appreciatte if you can explain more your suggestion.
Post by Glenn Fleisig, Ph.D. on Jul 19, 2005 9:47:00 GMT -6
My point was that you should first work with a physiatrist, and then secondarily get a gait analysis to provide diagnostic information. I see now that you have already taken the first step, so I agree that a gait analysis could be helpful.
I just distributed the following email to the international biomechanics community. Let's see if someone responds:
indeed i ahve been working with my physiatrist already a year. i am doing much much better. i came out of my ciatic pain by doing stretching, abd strengthening and muscle strenght recovery. all these on DAILY basis. i started these routines in feb 2004.
the problem i am facing is that it is hard to get rid of my current problem (muscular tension on left leg) 100% due to lack of diagnostic.
it is my hope that some of the people you sent email will answer asap.
Post by Glenn Fleisig, Ph.D. on Jul 22, 2005 11:43:50 GMT -6
For some reason, my posting on the biomechanics email list just went out today.
There were two immediate responses for you to consider:
Hi there Glenn;
Happy summer to you.
As you probably know, Barry University is in Miami Shores, FL - and might be a good spot for the gentleman you sent the inquiry about. We have the capabilities to do a 3D kinetic and kinematic gait analysis. We also conduct a Runner's Clinic one Saturday a month which is more qualitative in nature - but does include assessment of treadmill running technique, strength, flexibility, posture, shoes, etc. If you'd like to steer him our way, my contact information is below. I am currently out of the office until August though.
Monique Butcher Mokha PhD ATC/L Assoc. Professor, Athletic Training & Biomechanics Director, Biomechanics Laboratory Director, Runner's Clinic Barry University 11300 NE 2nd Ave. Miami Shores, FL 33161 305-899-3064 firstname.lastname@example.org
Dr. Alessandro G. Melanda Specialist in orthopedics and clinical gait analysis.
Post by sportsengineer on Jul 22, 2005 16:41:24 GMT -6
Marcelo, We may well be able to help you with your problem. We can videotape and analyze your running gait, but more importantly, we can release any microfiber (scar tissue) that have formed as a result of your injury. Releasing these microfibers will also reduce the tension in your muscles. You can see examples of our work on our website www.somaxsports.com by going to 'Clients and Testimonials' in the left frame, as well as 'Microfiber Reduction', 'Tension Reduction' and 'Stress Reduction'. If you want more information, we can send you a videotape of our work with a 52 year-old runner. Once you have reviewed the tape, we can also give you some telephone references to call. The is an email link and our telephone numbers at the bottom of every page on our website. Good luck.
Post by Glenn Fleisig, Ph.D. on Jul 23, 2005 13:25:58 GMT -6
Dear Dr. Fleisig:
Greetings from Cali, Colombia. I have met you at different ASB and ISBS Congress. I have a Master Degree in Biomechanics from SIU, ILL. and an advanced scientific training in Biomechanics from Penn State University. Also, I was working with a pitching project at Bio motion Foundation (Orthopaedics Research lab) with Dr. Banks and Associates in West Palm Beach FL..
Actually, I am working in Colombia and I have a Biomechanics Institute. We will be available to study the walking and running of the person living in Uruguay. We are relatively closed by and have the experience to study such cases. Our coordinates are:
Dr. José Acero Ms. Sc. & Sci. Instituto de Investigaciones y Soluciones Biomecánicas ( Research and Biomechanical Solutions Institute) Avenida 5 C Norte # 46N-01 Cali, Valle, COLOMBIA Telefax : (57) +2 6640049 Cel: 310-4645367 Email : email@example.com
We will be open to maintain in contact with you in order to do some projects in the future.
With high appreciation,
José Acero Ms. Sc. & Sci. Scientific Director Instituto de Investigaciones y Soluciones Biomecánicas
dear glenn once again, thank you very much for your support. i will analyze the different options posted (so far) and try for a solution i will definately post a comment once i -hopefully- try for a solution. i appreciatte if you continue posting more answers if you get them regards from Uruguay marcelo
Post by Glenn Fleisig, Ph.D. on Jul 24, 2005 7:42:39 GMT -6
Glenn: I don’t believe we have ever met. I think I can help with this. I do a lot of consulting in South America, Buenos Aires in particular, and am very closely connected with both the orthopedic surgeon and physical therapy community there.
Post by Glenn Fleisig, Ph.D. on Jul 25, 2005 9:11:50 GMT -6
You can try Lauren Rosen @ Tampa Children's Hospital. She is the lab director. Her # is 813-870-4242.
Raymond F. McKenna, PT, PhD Clinical Associate Professor Stony Brook University School of Health Technology and Management Department of Physical Therapy Level 2, Health Sciences Center Stony Brook, New York 11794-8201 Email: firstname.lastname@example.org Phone: 631-444-6169 Fax: 631-444-6305
Post by Glenn Fleisig, Ph.D. on Jul 29, 2005 8:56:54 GMT -6
Dear Glenn In Bogotá, Colombia, there are two gait analysis labs. One of them is CENTRO INTEGRAL DE REHABILITACIÓN DE COLOMBIA -CIREC Carrera 42 No 65-25, Bogotá, Colombia. Tel: (571)3113639-(571)31135717 Fax: (571)5443311 email: email@example.com Hope this helps Regards Máximo Roa Biomechanical Research Group NATIONAL UNIVERSITY OF COLOMBIA