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Ask an Expert

  1. Q & A: Can I wear KT Tape in the pool?

    "Absolutely!  KT Tape can be worn in water and KT Tape PRO stays on even better.  In the summer, you will want to be sure and use rubbing alcohol on your skin to remove any suntan oils or lotions.  It’s best to wait an hour after application before you swim, shower, or exercise.  This will allow the tape time to adhere well to dry skin.  When you are finished with your water activity, and the tape is wet, rinse the tape area thoroughly to remove any other chemical agents.  Then pat the tape dry with a towel, allowing it to dry for 20 minutes.  Enjoy the rest of your summer, allowing KT Tape to make you more comfortable during activities!"
    Holly Moriarty, DC, DACBSP
    Sports Chiropractor
    Haymarket, VA
    beach tape
    Read more »
  2. Q & A: Is it okay to use multiple tape applications on one specific area?

    For example, can I tape my Achilles while also taping for plantar fasciitis?

    Multiple tape apps

    "The simple answer to this question is, yes, it is perfectly fine to apply multiple applications in most situations.  In fact, in the clinic it is fairly rare that I use a single application technique in isolation.  For example, with an acute lateral ankle sprain I may use a lymphatic assisting application to decrease swelling that uses no stretch on the tape while also using a lateral ankle technique which places moderate stretch on the tape in order to provide improved feedback and stability over the injured area.  In this example, two very different techniques are utilized to achieve separate goals for the same injury.

    Read more »
  3. Try and Guess the Worst Injuries in the NBA and NCAA. [INFOGRAPHIC]

    A sport of springs, jumps, and quick stops is bound to take a toll on the legs, knees, and feet. Basketball players see their fair share of injuries, typically from overuse or minor trauma. Usually, they heal and return to the court. But that's not always the case. Sometime a basketball player who gets blindsided gets sidelined. The following graphic takes a look at some of the worst injuries ever in the NBA, the three most common injuries in the NBA, and how injuries in the NCAA compare.
    [addtoany style="float: right"]

    Click the image for a full size version.

    Read more »
  4. The Truth about ITB Syndrome

    KT Tape Advisory Board member Dr. Hal Rosenberg, DC explains the causes, symptoms, and best treatment practices for IT band pain, with a specific focus on how KT Tape works to alleviate pain and enhance the healing process. ILIOTIBIAL BAND SYNDROME Iliotibial band (ITB) syndrome is the most common cause of outer knee pain among athletes. (M. Fredericson. Practical Management of Iliotibial Band Friction Syndrome in Runners. Clin J Sport Med: May 2006 - Vol 16 (3) p 261-8) It develops as a non-traumatic, gradual increase of pain that is within the category of overuse syndromes. This condition is usually seen in runners and cyclists, but athletes of other sports can be affected as well. In ITB syndrome, pain in the outer knee is felt with foot contact in runners and as the knee extends (straightens) in cyclists.  ITB syndrome is also seen in athletes who participate in tennis, soccer, volleyball, and skiing. Anatomy of the IT Band Anatomically, the ITB is an extension of the Gluteus Maximus (GMax) and Tensor Fascia Lata (TFL) muscles of the hip. These muscles join together in a “Y” formation just below the pelvis and run down the outer thigh to attach just below the knee joint – to a spot called Gerdy’s Tubercle on the Tibia (shin bone). The function of the ITB is to provide stability to the thigh and knee joint. Evaluation of ITB Syndrome The evaluation of ITB Syndrome begins with an injury history of the athlete and a standard biomechanical and orthopedic evaluation. Common findings include poor control/stability of the outer hip stabilizers (primarily Gluteus Medius), core musculature, and/or over pronation of the foot. Pain can often be elicited by pressing along the outer knee along the course of the ITB, but otherwise there are no specific problems detected at the knee. When the Gluteus Medius is weak or inhibited, it does not keep the pelvis level when weightbearing – such as during stance phase while running or pedaling while cycling. This allows the pelvis to “dip” on the opposite side. The body’s response to this is to contract other muscles to compensate – in this case the GMax and TFL – which end up tightening the ITB. As tension within the ITB increases, it puts pressure on the structures of the outer knee and causes pain. Also tied in with Gluteus Medius stability is muscular control of the core. Muscular control of the core involves all of the muscles that wrap around the midsection of the body and extend down to the hips. When they contract they have a bracing affect. To visualize this, think about how you would tighten your muscles if someone were to hit you in the stomach, you were to hit a baseball, or shoot a basketball. You should notice that muscles contract in a ring-like formation around your mid-section. Overpronation of the foot, as mentioned above, also ties into lower extremity biomechanics. Pronation is a normal phase of gait which allows the foot to conform to the ground as it contacts it during foot strike. Overpronation occurs when the foot rolls in too far during foot strike. Treatment of ITB Syndrome As with most treatments in sports medicine, the treatment of ITB is multifaceted. Treatment begins with symptomatic relief of the pain. This can be achieved with icing the knee to decrease pain and inflammation. Gel ice packs designed for sports injuries are the best and should be applied over top of a moist paper towel barrier. Ice no longer than 15 minutes per hour and remove the ice if it becomes too painful or once the area becomes numb. KT Tape is a type of Kinesiology Tape that can be effective in treating ITB pain. When applied properly, KT Tape can help to relieve ITB pain by decreasing pain of rubbing or compression along the outer knee, as well as to help decrease swelling and inflammation. KT Tape is an elastic athletic tape that stretches lengthwise, but not widthwise. It is applied with a slight stretch on the tape and a slight stretch on the skin; when the tape recoils, it has a lifting effect on the skin. This lifting effect decreases pressure, which in turn helps to reduce pain. This same pressure decrease, combined with channels embedded within the adhesive of the tape, also helps to create a conduit to clear swelling. A further description of KT Tape and instruction on how to tape for ITB Syndrome can be found here. The next aspect of treatment involves addressing soft tissue restrictions within the muscles, tendons. This is achieved by a number of soft tissue techniques such as Dynamic Motion Therapy (DMT), myofascial realease therapy, massage therapy, and instrument assisted soft tissue mobilization therapy (IASTM). The goal of these therapies is to release excessive tension, scar tissue, and adhesions. When these restrictions are present in the soft tissue structures, they can cause pain as well as mechanically restrict motion patterns. Chiropractic manipulation and mobilisation of the low back and pelvis has also shown to be effective to address pelvic rotations that result from muscle imbalance. Foot stabilization must also be addressed if that is a contributing issue. A running gait analysis is utilized to address biomechanical imbalances, determine shoe prescription, and it one aspect to determine the need for orthotics. The final component of ITB Syndrome treatment involves exercise rehabilitation to restore the normal biomechanical stabilization. Working with a qualified sports chiropractor, physical therapist, or exercise rehabilitation therapist will help to correct biomechanical imbalances – and in doing so you will not only decrease your risk for injury but also improve your overall efficiency. Conclusion ITB syndrome is a common injury in endurance athletes, but it can also be seen in other sporting populations. Prevention starts with good biomechanics and proper core stabilization. Once injured, athletes can effectively be treated with specific soft tissue techniques, chiropractic manipulation, KT Taping, and exercise rehabilitation.   About the Author Dr. Hal Rosenberg is a member of the USA Triathlon medical staff, has served a Sports Medicine rotation at the United States Olympic Training Center in Colorado Springs, CO, and is a certified coach for USA Cycling. As a Certified Chiropractic Sports Practitioner (CCSP), Dr. Rosenberg specializes in the treatment of athletes. He has a diverse clinical approach by combining chiropractic, exercise rehabilitation, functional performance enhancement, Functional Movement Screening (FMS), Selective Functional Movement Assessment (SFMA), Graston Technique (GT) soft tissue therapy, and kinesiology KT Tape where he also serves on the medical advisory board. Dr. Rosenberg is a former instructor of Active Release Techniques (ART) soft tissue therapy. An Ironman and endurance athlete himself, Dr. Rosenberg's clinical practice includes athletes of all levels and disciplines. Additionally, Dr. Rosenberg is a faculty member at Palmer College of Chiropractic West where he teaches Sports Medicine. "My goal is to get you out of pain and back to an active and healthy lifestyle as quickly as possible. I educate my patients on how to stay healthy, active, and avoid injuries. I strive to deliver immediate and lasting relief from pain and enhance daily performance."   - Hal Rosenberg, DC, QME, CCSP  
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  5. KT Tape to Eliminate Shin Splints

    Shin splints is an injury almost every runner experiences at one time or another.  KT Tape can be used to treat shin splint pain both during and after running or sporting activity, and it can also be used preventatively.

    SHIN SPLINTS

    Here's a brand new video for shin splints. The shin is the common name for the front of the lower leg bone (tibia) and its associated muscles and tendons. While the tibialis posterior serves to point the toes and foot downwards (plantarflexion), muscles on the front of the leg (primarily the anterior tibialis) serve to point the toes and foot upwards (dorsiflexion).

    KT Tape can help relieve the pressure and strain on the tissue as well as relax the muscles of the shin. KT Tape will also increase proprioceptive awareness along the tibialis anterior and increase circulation to help quell inflammation. Use KT Tape in conjunction with rest to promote the healing process and see reduced recovery times.

    [youtube width=585 height=327]xICBWe-UbTo[/youtube]

    For more info on the causes and treatment of shin splints check here. You can see a full list of new applications here. Leave a comment and let us know what you think? Thx!

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  6. Can KT Tape Pro outlast you in water?

    KT Tape Pro doesn’t stop working. Not even when you do. It is engineered to perform in the harshest environments. It has the tenacity to last for an entire week, through multiple runs, daily showers, in humidity, cold, or in the pool. It features a patented SecondSkin adhesive that will go as long as you do, and—no offense—probably longer. But how does it perform in water?

    Dr. Narson, a 2-term past president of the Florida Chiropractic Associations's Council on Sports Injuries, Physical Fitness & Rehabilitation and Chiropractic Sports Physician of the Year in 1999-2000, recently tested KT Tape Pro in the pool. Here is his report:

    So, we've all seen the Olympic beach volleyball players wearing that funky looking colorful tape on their shoulders and knees. You've probably seen it at local triathlons, marathons and other sporting events as well.

    There are several companies out there but one in particular is making a special synthetic tape with a waterproof adhesive. KT Tape's KT Tape Pro has the same elasticity as the original tape but puts it on a more tough synthetic material and keeps it in place with a heat sensitive waterproof adhesive.

    Many athletes use this tape to help in the correction of postural dysfunction, to aid the healing of an injury or to give a particular motion some extra assistance (physically and proprioceptively). The problem has always been, when the athlete starts sweating, the tape begins to lose its stickiness and peel off. So, I put this to the test.

    I had the KT Tape applied to my shoulder on Saturday. The any hair was shaved and the skin was cleaned with rubbing alcohol. The tape was applied to help stabilize my right scapula (which is winged) and help assist the deltoids in abduction because they've really been working overtime in dealing with the winged scapula.

    Anyway, since I had the tape put on, I had taken several showers, ran a 5k, went on a rowing machine (aka: Erg) and rowed 10,000 meters, took a long hot bath after rowing and then, on the 4th day, did a 1-mile swim test.  As you can see from the video below, the tape held up very well. So if you are in the market for some good kinesiology tape, you can't beat the KT Tape Pro. It comes in rolls of pre-cut 10" strips and in a variety of really cool colors & black. For clinicians, it comes in a large uncut clinic roll that allows you to cut the lengths you need.  KT Tape also has a cool desktop display dispensor for your office.

    Check out the video of my 1-mile swim test. As I write this, I've also done another 10k run and showered twice more. It's still sticking and still has retained its resiliency and function.

    [hdplay id=49 ]

    KT Tape Applied Saturday

    After...

    4 Showers
    1 Hot Shower
    Running a 5K
    Rowing 10,000 meters on an Erg 
    Swimming 1.4 miles &
    another shower when I got home...
    The KT Tape is still on, holding well and still has its original resilience.  The Swim was Tuesday.

    So if you're looking for some extra support for your posture or need to correct some performance dysfunction or simply want to give your muscle and tendons some assistance through a particular movement - then KT Tape Pro is for you. It's a great quality product, reasonably priced and best of all, it looks really cool too!

    On their web site you'll even find instructional videos for applying the tape for basic problems. Anything more complex and you'll want to consult with someone like me.

    'Nuff Said.

    Dr. T

    Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.

     

    Check out Todd Narson on Facebook

    Original Post

     

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  7. Turf Toe: Definition and Biomechanics

    Turf Toe Defined -by David J. Micca, DPM, FACFAS, CWS, FCCWS

    Turf toe is the term used in sports medicine circles to describe a jamming or impaction injury of the great toe joint (1st metatarsophalangeal joint). Another, more appropriate name for this condition is hallux limitus.

    Historically, the term “turf toe” developed due to an increased incidence of 1st MPJ soft tissue injuries in football players wearing flexible cleats allowing hyperextension at the 1st MPJ and jamming of the joint while playing on artificial turf.

    Turf toe injuries account for more missed practice and training than ankle sprains, despite occurring less often

    Turf toe can be both acutely and chronically disabling if not treated appropriately. In fact, approximately 50% of all patients with hallux limitus (turf toe) have persistent symptoms which include hallux rigidus (severe degenerative joint disease with loss of range of motion of the 1st MPJ), hallux valgus (bunion deformity), chronic capsulitis and/or extensor tendinitis.

    Turf toe caused by a direct injury to the joint may or may not obvious initially. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the training progresses.

    Turf toe pain will subside with rest only to recur with increased activity

    It’s not unusual to see symptoms of turf toe resolve in the off-season only to recur with renewed exercise. This condition is not just associated with sports or training injuries to the 1st MPJ. Some sedentary patients have a biomechanical abnormality which results in jamming of the 1st MPJ with every step. After several years, degenerative changes occur causing a hallux limitus or rigidus.

    Many factors have been implicated in the increased incidence of turf toe

    These reasons include:

    • Direct physical injury to the great toe joint (turf toe) - injury to the articular cartilage or subchondral bone. These injuries may be due impaction injuries or hyperextension/flexion of the first MPJ.
    • Functional hallux limitus - biomechanical function that results in metatarsus primus elevatus (congenital elevation of the 1st metatarsal) and subsequent repetitive jamming of the first MPJ.
    • Structural hallux limitus - limited range of motion caused by a congenitally long first metatarsal.
    • Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc. which damage the joint.
    • Other structural or biomechanical abnormalities such as: a congenitally flat metatarsal head, hypermobility of the 1st ray/medial column, increased ankle dorsiflexion, flat feet (pes planus).

    It's important to understand that the terms turf toe and hallux limitus are similar but aren’t synonymous. The fundamental difference between the two terms is the patient population that they affect. Turf toe is a term used in athletic circles that refers to an injury of the great toe joint. On the other hand, hallux limitus, refers to a broader, ‘non-athletic’ patient population and need to include all the above listed causes of hallux limitus.

    Turf toe is graded in severity ranging from grade 1 through grade 4 depending on the severity of the condition.

    Biomechanics of Turf Toe

    Normal function of the great toe joint (1st metatarsal phalangeal joint) requires that the 1st metatarsal bone plantarflex (move down) to allow the proximal phalanx to ride up (dorsiflex). This hinge action needs to take place with each step. If the normal range of motion is limited in any way, jamming of the joint will occur and hallux limitus will ensue. There are two known biomechanical factors that contribute to the formation of hallux limitus.

    Those factors include:

    • A long 1st metatarsal - the relative length of the 1st and second metatarsals is very important in understanding the onset of hallux limitus.
    • An elevated 1st metatarsal (metatarsus primus elevatus)- as previously described, plantarflexion of the 1st metatarsal is required for the hallux to ride up onto the 1st metatarsal head. With an elevated 1st metatarsal, the hinge motion is limited and jamming occurs.
    • Direct injury to the joint - Impaction injury or hyperextension injury to the great toe joint is often called turf toe. These injuries affect the normal biomechanics of the joint in a number of ways. Turf toe injuries can result in bone contusions, damage to the cartilage surface or interposition of soft tissue or loose bodies within the joint.

    Symptoms of Turf Toe

    Symptoms include pain with the onset of activity. Swelling and stiffness of the great toe joint increases with activity. Bruising may occur following the initial injury but is not commonly seen as turf toe progresses.

    There may be radiating pain if that extends from the 1st MPJ dorsally (top of foot) towards the ankle. This is usually due to a chronic extensor tendinitis/capsulitis. Transfer of the weight to the lateral side of the foot to aid in propulsion and limit 1st MPJ dorsiflexion. Chronic pain to the outside and ball of the foot may ensue as a result of this compensation.

     

     

    Treatment of Turf Toe

    Most turf toe injuries are treated non-surgically. If surgery is performed for this condition it is usually after years of repetitive jamming and destruction of the joint requiring joint replacement surgery. Prevention by addressing the biomechanical influences for turf toe is the key to treating this condition pallitively.

    An initial assessment to rule out fractures or dislocations is made. Once ruled out, treatment is geared at protecting the soft tissues and allowing for functional rehabilitation.

    1. RICE protocol: Rest and restricted motion at the 1st MPJ. Rigid soled shoes to limit hyperextension during propulsion. Ice during the first 48 hours of injury. Compressive dressing and elevation
    2. NSAIDs as an adjunctive therapy to reduce inflammation of the joint
    3. Taping of the hallux with a crossing loop over the top of the proximal phalanx to splint the first MPJ and protect the soft tissues while restricting hyperextension
    4. Physical therapy modalities such as whirlpool and ultrasound with cold compression to improve motion by actively reducing edema and prevent scarring.
    5. Functional orthotic control, more specifically a kinetic wedge orthotic which plantarflexes the 1st ray allowing less jamming at the MPJ
    6. HA padding which preloads the hallux also allowing the 1st metatarsal to drop

    Is KT Tape an effective treatment?

    KT Tape helps to treat turf toe by providing therapeutic stability and support while maintaining a healthy range of motion. It may take up to 4 weeks for the condition to completely subside, but with KT Tape and the following guidelines, you will certainly reduce the amount of time necessary to return to normal activity levels. If symptoms do not subside at all within 12 hours, consider an X-ray to check for fractures.

    [hdplay id=47 ]

    See Turf Toe Instructions.

    Leave a comment and let us know how this worked for you.

     

    Special thanks for our friends at sportsmedinfo.net for giving us permission to re-post. Original Article

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  8. 3 More KT Tape instructions for knee's, lower back, and arch pain.

    Here are three more new KT Tape apps hot off the press from the studio. These apps are all improved versions of some of our most popular instructions. First, is an updated video for the runners knee and full knee support applications. The new application starts by only using a 1/2 strip of KT Tape for the first strip which makes it easier to apply and helps prevent it from falling off prematurely. It also provides support, pain relief, and normal body mechanics without restricting motion or circulation like other treatments

    [youtube width=585 height=327]v2xYUxXrjxk[/youtube]

    The second video is for lower back pain and is an updated version of our SI Joint application. If you've ever tried the the SI Joint app and liked it then you'll love this one. We've added an extra strip of tape to this application which provides greater relief of pressure and pain, greater proprioceptive support, and increases circulation to promote the healing process. Relief is generally felt immediately and allows the body to return to a healthy posture and normal function.

    [youtube width=585 height=327]blqHMMj35x4[/youtube]

    The third video is for arch pain which is an improved version of the plantar fasciitis application. We basically beefed up the application to provide extra strength support. Using KT Tape for this condition has shown tremendous results in alleviating pain and promoting the healing process. KT Tape provides comfortable and conformable support for the arch serving to relax the foot and reduce inflammation. Reduced activity, stretching the calves, massage therapy, weight loss in overweight individuals, foam rolling, ice, and NSAIDs can all serve to help alleviate symptoms and treat plantar fasciitis. Stretch the calves and plantar fascia before going to bed and before getting out of bed.

    [youtube width=585 height=327]WTSOQg680mc[/youtube]

    We'll continue posting new applications daily and all of the applications will be available on the instructions page soon. Leave a comment and let us know what you think? Thx!

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  9. New KT Tape App for Neck & Shoulders

    Here's another of 50 new apps hot off the press from the studio. This is an updated version of a proven application to address neck and shoulder muscle pain. KT Tape alleviates pain by relaxing the muscles, providing support, increasing circulation around the affected area, as well as reducing pressure on the myofascial tender spots -- all to promote the body's natural healing processes. Generally individuals will feel immediate support and pain relief upon taping.

    We'll be posting new apps daily on the blog so check back for more. Leave a comment and let us know what you think? Thx!

    [youtube width=585 height=327]kaAs47A7f-s[/youtube]

     

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  10. NEW KT Tape App for Bunions

    Here's the first of 50 new apps hot off the press from the studio. A bunion, also known as hallux valgus, results when the big toe points towards the second toe and results in inflammation of the tissue surrounding the joint. The inflammation causes the joint to become swollen and tender, making everyday activities like walking or jogging very painful.

    We'll be posting new apps daily on the blog so check back for more. Leave a comment and let us know what you think? Thx!

    [youtube width=585 height=327]aeZzCf0sQ28[/youtube]

     

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