Pulling for Tiger to Win the 2012 British Open

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Tiger Woods at Bay Hill
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Tiger Woods, the greatest golfer of all time, has battled injuries and pain his entire career.  “Most people don’t know this Zig but Tiger’s back hurts every day,” Charles Barkley once said to me about Tiger in 2005 on a call as he invited me to meet him and Tiger for drinks at a Scottsdale nightclub.

Because Tiger failed to treat the root cause of his issues, less than 3 years later his career was in jeopardy after undergoing his third knee surgery. Tiger tore the anterior cruciate ligament in 2008 while winning the US Open at Torrey Pines.  Tiger showedd signs that his body was breaking down from compensating for the root cause of his injuries.  Tiger experienced  pain and suffered injuries to his Achilles tendon, left knee, right knee, lower back, and upper back.

As a result of Tiger’s injuries, his swing suffered.  Tiger’s “expert” swing coaches constantly tweaked his swing to fix his golf issues as he struggled on the course from 2009 to early in this year’s 2012 season. In my opinion, those coaches needed to focus on suggesting Tiger fix his slumping fitness level and fully recover from chronic injuries.

Unfortunately, the latter was not likely to happen because none of the experts surrounding Tiger seemed to be aware of the need to aggressively focus on the physical limitations and compensation affecting his swing. Sure, like many other world class athletes, Tiger is perceived to have the best swing coach and one of the top medical teams (fitness, physical and massage therapists, chiropractors, etc.) who all may want to say they helped Tiger become number 1 or get back on top of his game.   In reality, Tiger makes his coaches look good not the other way around.  Working with Tiger or other high profile athletes does not make them the best.

Tiger is the one on the course and doing the exercises.  And it is his work ethic that allowed or allows him, from the start of his career, to overcome chronic compensations for his pain and injuries. In addition, Tiger has been so much better than everyone else during his career “talent-wise”, that a 50% healthy Tiger  was typically better than 75% of his competition.   As I write this Tiger is preparing to tee off in his third major of the year, the 2012 British Open.

Based upon his efforts to date, Tiger’s body (not his swing) seems to be rounding into shape just in time to win a major.  This could be his weekend to win his first major golf tournament since the 2008 US Open.  But take nothing for granted, Tiger has worked hard to get here.  No one discusses what he’s doing off the course, but if Tiger wins, his swing coach will get credit for bringing him back.  At the end of the day, it’s Tiger Woods return to fitness that will give him the edge he once enjoyed. Oh, Tiger still has more work to do on his body, but he is much closer to getting healthier and fully recovering from the knee injuries and physical limitations.

Team Tiger should get some credit if he wins, but the bulk of the victory is Tiger’s to celebrate. And by the grace of God, from whom he draws his strength, I believe Tiger will demonstrate his return to glory and win one of the two remaining majors this year and the Master in 2013.

If Tiger wins, let’s not crown his swing coach as “the greatest”, but give Tiger his due for working so hard to get back on top.  Tiger is a gift from God and we have all been blessed to have been able to enjoy his golfing career.  The bottom line is that we give too much credit to experts who list names of famous people as their clients.  They may be the best at promoting and building their business but that does not make them the best in their field.  If that were true, Hank Haney would have finally fixed Charles Barkley’s dreadful golf swing.  Sorry Charlie…had to say that.  It’s Charles’ injury history that affects his swing.  There is no amount of instruction alone that will help Charles.

I may not the best at choosing business partners, promoting or building a business, or filing paperwork.  However, I pride myself on conducting thorough evaluations and asking questions to determine the root cause of an injury.  But that alone doesn’t even make me the best Sports Kinesiologist on the planet (yet).   My philosophy is to strive to help lead my clients to solutions for them individually, regardless of the ability level they’ve achieved. I am thankful God has given me the opportunity to work to provide the best services I can to so many of the world’s greatest athletes and anyone who just wants to get back in the game.

No “expert” has any idea how to treat the root cause of your injury until we ask your body some questions. This is done by objectively evaluating your current movement patterns AND injury history.  But regardless, unless we measure, we are guessing.   And while I have written or offered my opinion after evaluating video footage in some cases, I don’t like to guess.  My goal for you as a reader is simple. Ask questions not for references.  The way your questions are answered will let you know more than the feedback you get from hand picked references.

Only time will tell if Tiger is addressing his true deficiencies.  But as a fan, I certainly hope he wins the 2012 British Open.  And I’ll be up early on Thursday morning watching.

Go get’em, Tiger! May God Bless You.

Follow Zig Ziegler, The Sports Kinesiologist on Twitter @zigsports

Greg Oden to play in 2012-13 NBA season? It is possible! Heres how…

What a crazy last 12  months in the NBA.  Brandon Roy is coming back! When I wrote about Brandon Roy coming back from retirement in April,  some readers responded in disbelief.  “He’s got bone on bone,” they said.  “I must have been on drugs”, one commenter said.  “No credibility”, and so on.   Well this is not an I told you so follow up, but more about how Greg Oden can get there too.  (Blog coming soon about Brandon Roy’s chances of staying healthy: stay tuned).

After a whirlwind last 6 months or so, Greg Oden was released and gave a lengthy interview discussing his career and life with Mark Titus of Grantland.  According to published reports, Greg also began a rigorous rehab and conditioning program to help get his body right.  In addition, Greg also reportedly underwent a surgical procedure to help reduce pain in his knee.

The reason you’re here is to find out if and how it might be possible for Greg Oden to make a return as well.  I am a fan of Greg as a person and want to see him on the court and achieve his basketball dreams.

My biggest motivation for writing about Greg Oden and other athletes issues is to bring light to the fact that proper treatment of the ‘root cause of any injury is an  essential component to helping prevent athletes and anyone from suffering from an injury long term’.   What traditionally has been referred to as proper treatment has had only short term benefits to the patient.  Traditionally, professionals in the industry treat the symptom.  If you treat the symptom (pain or injury), yes you can get back in the game quickly.  But the long term affects can be devastating and cut short any athlete’s career.

Recently, someone asked what I thought would have happened had Michael Jordan been drafted in Portland instead of Sam Bowie (whose career was hampered by chronic foot injuries)?  The answer is who knows and who really cares.

The bigger question is what would we be saying about Michael Jordan if he had not recovered from injuries suffered to his feet early in his career.  Three games into the 1985-86 season, Jordan went down with a broken bone in his left foot and was sidelined for 64 games before returning in mid-March.

The answer is that Air Jordan might have been reduced to a fraction of what he is today.  According to his teammates and those who played against him, Michael Jordan (whom I first met in 1994) worked harder than any other player in the game on and off the court.  In many ways, his work ethic overshadowed any treatments or training programs prescribed for him  As a result, any trainer who worked with Jordan would have become a name in the industry because he was Michael Jordan. Had that same trainer worked with Sam Bowie, we have no idea how Bowie ‘s body would have responded.  It is impossible to treat the two players with similar injuries with the same treatment because their body types and injury/training histories are different.

Oh by the way, many people forget or don’t know that Sam Bowie played in the NBA until 1995, he just didn’t play the way he was expected to based upon being drafted Number 1 overall ahead of the greatest player of all time.

Now back to Greg Oden so I can tie this all together.  A proven surgical procedure undergone by hardworking Kobe Bryant (who works as hard as Jordan on his fitness level) to eliminate pain only fixes part of the problem: the pain goes away. That is a good thing because the pain prevented Greg from being able to workout efficiently.   Additional benefits to the procedure Greg underwent earlier this year include reduced inflammation and possibly accelerated healing in the areas of his body affected by all of his surgical procedures.  Based upon the sheer number of surgeries Greg has undergone, his body has probably built up a considerable amount of scar tissue and some nerve damage may have occurred as well.  The procedure could potentially help with both.  This is very positive for Greg’s comeback.  But it is still not enough.

I hope Greg’s rehab and training program has focused on his weaknesses.  As I’ve stated previously, Greg moves inefficiently because of weaknesses in his body that have caused injuries.  Here are a few areas that were weak on Greg in 2008 and as evidenced by the repeated procedures in 2009, 2010, 2011, and 2012, possibly still affecting him today: glutes, hamstrings, quads, hip flexors, hip extensors, hip rotators (internal and external), peroneals, gastrocs, soleus, abs,anterior and posterior tibialis, and more–mostly on the right side.  The left side indicated signs of significant fatigue and overuse.  So Greg’s left side needed then and probably still does need a break, relaxation.

The Number One area Greg Oden needs to improve….his feet!!!

Greg Oden laces up the shoes on his size 18 shoes into a rigid botttom, Nike shoe. Oden’s shoes also contain at least a heel lift, which also places stress on the front of his right knee. The lift could contribute significantly to meniscus injuries. immobile feet and a heel lift. No wonder Oden has meniscus and patella issues.

In particular, Greg needs to improve  his right “foot flexion” strength.  Can Greg grip things with his feet?  As crazy as it may sound to the novice reader, it is a necessary part of efficient biomechanics and Kinesiology.  As you’re reading this, take off your shoe and you’ll see what I mean.  Place a towel flat on the floor and grip or pick it up with your foot (one foot at a time for 50 reps- hold each rep for 2 seconds).  Try it and see how your foot feels.  Some of you won’t make it to 25 before your foot cramps.  If you’re right handed do the exercise with your right foot. Lefty’s just the opposite.

The feet are the single most neglected part of any training program.  Less than one percent (1%) of all trainers or physical therapist include true foot exercises in the daily or even weekly training programs for their athletes.  Now big manly types will say working out your feet is not important. Give them big strong massive biceps and they’ll take that guy. But let’s get real, we are seeing more injuries to knees, achilles, and other parts of the body related to weak feet.

We assume that because we are on our feet that they are functioning correctly, but that is not true. And no all of you you barefoot running enthusiasts, that is not enough either. Barefoot running only affects where the impact occurs not function of the feet. That’s a whole blog series I have set for October.

Here’s an indicator of whether or not you need to train your foot flexion or gripping:  Do you wear flip flops? If so, you are overworking the top of your foot and ankle (dorsiflexion and toe extension). In my research for this post, I watched a youtube video promoting toe extension exercises for dancers. It is honestly the worst and most unnecessary exercise ever, unless you’ve suffered an injury that keeps you from wearing flip flops.  Don’t get me wrong, some people will need it but 9 out of 10 would be negatively impacted by it.

Greg Oden and just about every other basketball player in the world needs the opposite.   These athletes need to work on gripping things with their feet. Why do I say this? It’s because the shoes worn by basketball players prevents their foot and ankle from functioning properly.  The solid rigid surface, the ankle taping…this prevents the ankle and foot from doing what it does naturally.  So yes, Greg Oden has a weak right foot.  In addition, he has a weak right lower leg complex: gastrocs/soleus.

This weak right foot contributes to his weak right lower leg, which contributes to his weaker right hamstrings, glutes, quadriceps, and other areas of his right leg.  These weaknesses cause Greg to over use his left side which is what contributed to Greg Oden’s left patella injury in 2009.  So if Greg Oden wants to come back in 2012-13, he’ll need to work hard, but he’ll also need to work on the right areas of his body.   Most importantly, Greg should absolutely under no conditions perform the same number of sets and reps or stretches on his right side in comparison to his left.  Greg’s injury history alone is an indicator that one side was damaged more than the other, so why do the same things on both? And yes, all of this was a part of the “controversial report” given to the Portland Trailblazers in 2008 and again in 2009 when contacted for a copy by Tom Penn.  Emotionally, another major injury would probably end his career. I would hate to see this because I had a chance to have an impact on his career longevity.

I guess we can say that two chronically, injured players for one team might be playing in the NBA for other teams after being let go due to those alleged career ending injuries.   And isn’t it amazing that one of them could win a championship (if he ends up in Miami and they win again). Shocking!  I’m just saying… somebody other than me thinks these two guys are still worth it and can be fixed.

The bottom line is just because you read it on the internet or someone makes a statement about it does not mean that it’s true.  Apparently one shoe has already dropped as Brandon Roy has signed with a new NBA team.  Another shoe will drop when Greg Oden is signed before the start of the season and returns to the NBA.  I’m pretty sure someone will sign Greg  next season.  And at worst, Greg can hang on for another 5 years or so going from team to team and make millions.  I hope he works hard on the root cause of his injuries and not just the injury itself.  Ask the question of your therapists, Greg.  And make sure you get a real answer not just one to pacify you.

The only other question left for me to answer here is, “What’s my motivation?”

Well, it is truly to see Greg Oden and many other injured athletes back on the court or in the game.  If Greg’s serious about a return, he should have a copy of his old report if he does not already have one.  But also, he should get a new one. Oh and if he does call to request one, no one will never hear about it from me until long after he returned to the court.   After all, you didn’t know about his previous tests as I kept that confidential not because I had to but because I wanted to keep it quiet.  At anytime, I could have promoted my relationship with the Blazers or any athlete or team as many others in the field do.  Having a famous clientele doesn’t make you an expert.   Actually having a positive impact on them or sharing valuable information for their benefit is what makes me and others in the profession feel great about waking up every day to go to work.

Until Greg was let go, I was a background guy.  That means when an athlete or team came to me, I stayed in the background. This is not about attention for me, it’s about bringing light to a dark situation. I want Greg Oden’s flame to shine.  Let the candle burn Greg.   Next week, I’ll detail Greg’s number 2-5  most important exercises to guarantee his long term health. Oh by the way, NBA teams, a guy with a tight back (back problems) can be fixed and is still worth a top draft pick. hint hint.

Zig Ziegler, The Sports Kinesiologist can be followed on Twitter @zigsports.

Core Training Myths: The truth about core training in fitness and sports

Around the turn of the century, a new buzzword began to circulate among experts in the fitness and sports industry–“Core” was the buzzword and a new revolution was born in sports and fitness training.  Article after article appeared in journals and magazines touting the core as the area we need to focus on the most to lead healthier, “pain-free” lives.  The media picked up on the buzzword.  With so much exposure, just about every issue or injury from low back pain to poor sports performance, which we had previously attributed to other issues, were now believed to be miraculously cured by targeting the core.

In the 1990’s, the industry claimed low back pain was primarily affected by the hamstrings. Today, the industry and the media blame back pain and everything else on a weak core.  This was and is 100% incorrect.  Back pain can be caused by any one of hundreds functional issues.  Experts in sports training, fitness, and even physical medicine (yes this includes highly respected doctors) also blamed many injuries and poor sports performances on poor core strength.  With so much exposure and demand for improvement,  every “fitness and medical expert” began creating exercises and programs targeting the core.  The physical ailments and sports performances people seek to improve are also affected by many factors including learned behaviors or techniques which create imbalances (but that’s another post all to itself).

It is my belief that because the hundreds of thousands of professionals who work with people on their sports, fitness, and health goals placed too much emphasis on this one particular area of the body, we are now seeing the results of the failure of the industry to properly educate consumers on how to truly balance their bodies and lead a healthy lifestyle.

Many experts, and as a result, fitness seekers and athletes all around the world have over done it with “core training”.  It was believed by some “so-called experts” that almost every problem in the body stemmed from weak core muscles.  And according to those experts, if you could just strengthen your core all your problems would be solved and fitness goals attained.

Well… I call BS!.  And over the next 1,000 words or so, I intend to explain why.

The body is divided into three planes. Sagittal, Coronal, and Transverse.

The “core muscles” and what it takes to train them has begun to cause an epidemic that needs to be undone.  Why is it that while the industry has focused on the “core”, the number of people suffering from back pain around the world has increased. In addition, we have seen a rise in other “core related” injuries?

The “core muscles” have been incorrectly identified by the average person.   In fact, I’ve searched the web, and most experts define the core as the abdominal and lower back muscles.  Most people believe the core can be trained by performance exercises on a stability ball; adding resistance to abdominal exercises; and by performing numerous other activities we now call functional training.  In truth, the core muscles are made up of all the muscles which meet in the center of the body’s planes.

In reality, the best way to define the “core muscles is “all muscles which affect the position of the pelvis”. This includes muscles originating and inserting at the pelvis and all of those muscles which affect pelvis position.  This also includes some muscles of the lower body which are neglected when “training the core”.  The pelvis moves in multiple directions and is essentially the first indicator of true stability (which is what we are trying to accomplish with “core training”).  Now keep in mind, pelvis movements can be and are affected by movements of all the segments and muscles around it. This means, the core is affected by both feet, both legs, the spine, and the arms (because the arms are attached to the spine via the trunk).

The ideal pelvis forward tilt is 7 and 10 degrees in men and women. some experts would say that a desirable forward pelvic tilt is 0-5 degrees in men and 7-10 degrees in women.  Those are desired averages, but we are not striving for average, we should be working towards ideal.  Based upon my research of thousands of people from all walks of life, the actual average is greater than 17-20 degrees of forward pelvic tilt. This is more than twice the ideal.  And the majority of participants in my research are athletes who supposedly have the best fitness levels and training.

While I do want to make it clear that training the core is important, I want to clarify that “core muscles” previously targeted through isolation and functional training are no less important than any other muscle in our body. In fact, what has happened as a result of the over emphasis on the core muscles is the following:

1) Any muscle when focused on as the muscle group to target can be OVER-trained and as a result, OVER developed.

2) Any muscle group when targeted can be exercised improperly, negating any real benefits that would have been gained had the exercises been

performed properly.

3) Compensation injuries can occur as a result of over-training or over emphasizing any muscle group.

In truth the core is the center of the body where forces cross the mid-point of the body splitting the into multiple planes.

For simplicity, the body is split into halves from upper body to lower body (Transverse plane); Front side to back side (Coronal Plane); and left side to right side (Sagittal plane).  In order for the body to become balanced, exercises must target all areas of the planes in some cases through multi-planar exercises (Functional and rotational movements in all directions).

The X-Plane divides the body diagonally from left hand to right foot and from right hand to left foot.

One aspect of multi-planar training that is rarely taken into consideration is the fact that in an effort to seek balance, those planes are affected by work that is done diagonally from left to right and right to left, from upper body to lower body.  What does that mean?  The body is divided into the three (but really four) planes. However, the left arm does its job in conjunction with the right leg.  The right arm, works with the left leg.  So the new, “X-Plane” has to be trained as well.

A muscle is over trained and over developed when it is targeted more than its opposing muscle group (in all planes).  If I only work on my right bicep and not my left, its obvious that my right arm would be stronger, more dense, and heavier than my left when doing activities that require both arms.  If we spend time isolating the low back and abdominal (which the average person defines as the core), we end up with abs/low back that are significantly stronger than our feet, lower leg muscles, glutes, hamstrings, possibly even quads.

As a result, instead of strengthening the body’s ability to transfer energy and have support from the  “core” to perform functional movements, we are actually weakening, the core and its ability to perform true functional movements.  What is an indicator that the core has been over-trained or improperly trained?  That’s the easy part.  We will see people suffer more injuries to hamstrings, the groin, chronic low back pain, and a the presence of a severely forward tilted pelvis (anterior pelvic tilt).

This negative pelvis posture can lead to an increase in ACL/meniscus knee injuries, plantar fascia injuries, patella tendonitis, groin pulls, hamstring strains, shoulder injuries, low back/spine injuries and pain, abdominal strains, neck pain/discomfort leading to surgeries of the cervical spine, and hundreds of other physical issues.

So let’s stop isolating the core and begin to work on developing balance in the body, in all planes, not just at the “core”.  Fitness should be achieved by working to develop the entire body…From the Ground Up! 

In future writings, I will address some key exercises, which if done properly will provide more true benefit to the “core” than the road the industry is currently taking to a healthy core.

Follow Zig Ziegler, the Sports Kinesiologist on Twitter @zigsports. Zig is the author of he soon to be released book, Absolute Kinetix: Fitness From the Ground Up.

Derrick Rose Update: Career in Jeopardy…Why Rose will never be the same!

To keep up with the latest from Zig Ziegler, follow Zig on twitter @zig_ziegler.

While Derrick Rose was tearing his ACL, I spent the morning conducting a 3D-Biomechanics Assessment on future projected Top Five NBA draft pick Shabazz Muhammad.  While there are no guarantees the UCLA bound senior at Las Vegas’s Bishop Gorman High School will escape future knee injuries, the move will provide Muhammad with exercises targeting any weaknesses or imbalances in his body. The results are in the hands of Muhammad along with his current and future trainers at UCLA.

I appreciate the your coming out to do the tests on me,” said Shabazz.  “I will do what I can to improve.”  In addition, to the biomechanics assessment to identify his risk of injury, Shabazz, also was able to benefit from a fine tuning of his pelvis position during shooting free throws. Already with a free throw shooting percentage around 85%, after the adjustment to his pelvis, Shabazz stated, “I already feel myself shooting straighter.”

The subtle techniques changes will become permanent as Shabazz follows the strength and conditioning exercises and stretches recommended specifically for his body.  But most importantly, Shabazz and other young players can significantly reduce the risk of overuse and compensatory injuries related to muscle imbalances.

For Derrick Rose, it’s not too late to help improve his ability to recover from his recent ACL tear.  His recent injuries (prior to the ACL tear) were warning signs that something was about to go dreadfully wrong.  It’s like ignoring the check engine or oil light in the car.  Sure we can keep driving; check the oil and probably notice that we are low on oil (adding more), but eventually the symptom turns into a major problem.  The light was an indicator that maybe we had an oil leak?  I’m just guessing here but I’ve seen enough simple symptoms turn into major problems.

As for Rose, Oden, and others, to help us all understand the risks of rehab and recovery, let’s first gain a better understanding of the injury itself.

A tear to the anterior cruciate ligament (ACL) in the knee usually occurs in one of two ways: 1) hyperextension of the knee 2) rotation of the knee.  Both causes contribute to ACL tears while bearing more weight on the knee than supporting muscles can bear. If either motion is too great, an ACL tear or meniscus tear (at a minimum) can occur. This type of non-contact injury usually occurs while the athlete is attempting to change directions.  (There are other ways for injuries to occur but these are the two most common methods for non-contact related ACL/Meniscus tears).

Rose suffered a torn ACL while landing and attempting to RE-accelerate or change directions during his trademark “jump stop” power move.  In my opinion, the injury occurred during the transition phase of the move where Rose was in between stopping and starting (changing directions). At the point in the game when the injury occurred, Rose’s body (which had spent the past two months compensating for injuries below the knee) was experiencing in-game fatigue.  His ACL tear could have happened in the first minute or the last minute, however, because of his history.

Rose is and has always been a player who relies on his explosive leaping ability, quickness, and all around athletic ability. He has been labeled a fearless player who plays with reckless abandon.  That all changed with a little over one minute to play in game one of the 2012 playoffs against the Philadelphia 76ers.

How will this affect Rose going forward?

In the future, when Rose moves to his right, he will be able to play aggressively. However, stopping or changing directions while moving to the right will be extremely challenging.  As Rose attempts to change directions while moving to the right, the inside of the left knee must assist in deceleration.  If the left leg does not absorb its appropriate share of the workload during this deceleration, one of two things is bound to happen: 1) re-injury to the left knee or 2) new injury to the right knee.

As Rose attempts to move to the left, the outside of the left knee absorbs the majority of the workload while moving in that direction. This creates less of a challenge for Rose in the future because of the nature of the injury.  Stopping or changing directions for Rose when moving left should be considerably easier for Rose to do as the inside of his right knee will bear the majority of the load in deceleration.  The act of actually pushing off is primarily the responsibility of the outside of his left leg.  As a result, Rose will be able to change directions when moving left, but may subconsciously rely more on his right leg.

In my description above, Rose will be forced to overuse his right leg considerably, resulting in a higher risk of injury to the right leg from foot to hip.  We may see Rose tear his right ACL or retear his left, develop Patella tendonitis in the right knee, or suffer an injury to the right hip,or foot (which was supported by muscles already weaker than those in his left leg).

The biggest concern for Rose is the fact that Rose’s injury is an injury related to rotational stability of his left knee.  The ACL attaches to the inside of the lateral aspect of his femur (thigh bone) and the lateral aspect of the medial portion of the tibia (lower leg).  In stabilizing the knee, the ACL resists rotation. In Rose’s case, his lower leg internally rotated and could not stabilize before his femur began to externally rotate.  The rotated out of sequence and in opposite directions.

The most neglected part of ACL surgery and rehab is the rotational stability of the knee.  During surgery, the bones of the upper and lower leg are not typically rotated back into their normal position prior to the injury.  The new ACL is attached typically with the two segments in the posture they moved to when the injury occurred.

As for rehab, we constantly hear “experts” in the field of medicine and rehab referring to the quadriceps and hamstring muscles as the most important to ACL recovery. But we are rehabbing only part of the knee’s stabilizing muscle groups.

Why is it that no one discusses the extremely important segment of the body below the knee with muscles that cross the knee and assist in the stability of the knee?  It’s because the protocols have become watered down and we only look at the primary muscles that flex or extend the knee.  Apparently, experts in the field of rehab and medicine have forgotten that the lower leg muscles assist in stabilizing and supporting healthy knee function. Yes, I’m referring the entire muscle group of the lower leg.

The Gastrocnemius/Soleus complex (typically referred to as the calf muscles) is the single most important muscle group to target when recovering from ACL surgery, the quads and hamstrings are important but no more important than the lower leg muscle group.  Yet, only a minimal portion rehab is dedicated to targeting the lower leg.  The Anterior and Posterior Tibialis, and mobility of the peroneals are extremely important to complete recovery.

In addressing this area to aid in recovery, Rose’s therapist must pay attention to the rotation of the knee, by manually assisting the repositioning the tibia/femur posture. In doing so, they can return his knee to its pre-injury “joint posture”. If this happens, Rose can return quickly and achieve near pre-injury levels, reducing his risk of re-occurrence.

If you ask anyone who has ever undergone ACL or meniscus rehab (Greg Oden, Brandon Roy, Terrell Owens, myself (8 times), and the list goes on and on) no one will say that they spent a good deal of rehab time working on developing the lower leg muscles. For Derrick Rose and others to recover completely from ACL or other knee injuries, more emphasis must be placed on the lower leg.  If not, Rose will become an out of control player (unable to stop to change directions) or suffer repeated injuries to his knees and be out of the game before he’s 26 years old.  Keep in mind that rehab type exercises for Rose will need to become a part of his regular training program to ensure that his “fixes” are permanent and to keep him from suffering chronic knee, hip, foot, and other injuries.  As a Bulls fan, I’m pulling hard for Derrick Rose, but I have my concerns.

As a Sports Kinesiologist specializing in human movement, I’m pulling for experts in our field to open their eyes and close their protocols. Address every athlete individually, not the injury.  The injury is just a symptom that something went wrong.  And in the case of Derrick Rose, Greg Oden, Brandon Roy and others, something went wrong repeatedly and will continue to do so, unless the root cause of the injury is address. Let’s hope Shabazz Muhammad and other young players bound for the NBA can benefit from the changes in the sports, fitness, and medical injury early enough to stop the trend in accepting injuries as part of the game.  Many injuries can be prevented but we have to take steps to make this a reality.

Zig Ziegler, The Sports Kinesiologist, provides feedback on injuries to A-List athletes in an effort to help educate athletes and parents on the prevention of injuries.  Be sure to check out other stories here about Greg Oden, Brandon Roy, Mark Sanchez, Tiger Woods, and more.  Follow Zig on twitter @zig_ziegler.