Sports Medicine & Orthopedic Physical Therapy Annie Stoecklein, PT, DPT, LAT

Schooling 2004 - graduate of Lakeville High School First sports medicine class 2009 – bachelor of science from the University of Wisconsin Stevens Point Major in Athletic Training Minor in Psychology 2012 – doctorate in physical therapy from the University of Wisconsin La Crosse

Advanced Certifications Level 1 & 2 Functional Dry Needling certified M1 Graston certified Credentialed Clinical Instructor In progress…Orthopedic Clinical Specialist residency through SPTE and Mayo Clinic

What does it mean to specialize in Sports Medicine or Orthopedics? Athletes – high school, collegiate, professional Recreational athletes - all ages, all ability levels Who/what you see depends on where you work Running video analysis (can also do biomechanical video analysis on other sports specific movements, but I specialize in running) Orthopedics Post operative patients Musculoskeletal injuries or conditions (tendinitis, sprains/strains, fractures, etc) Bracing, orthotics

Functional Dry Needling Active vs. latent trigger points Spontaneous electrical activity Biochemical changes Spinal segment Theories Energy crisis theory Motor end plate hypothesis Radiculopathic model “Dry needling is a skilled technique performed by a physical therapist using thin filiform needles to penetrate the skin and/or underlying tissues to affect change in body structures and functions for the evaluation and management of neuromusculoskeletal conditions, pain, movement impairments, and disability” – Federation of State Boards of Physical Therapy, May 2015 Tissue

Physiologic effects of dry needling Increase blood flow Decrease in banding Decrease in spontaneous electrical activity Biochemical changes CNS changes In other words: decreased pain, better motion, improved muscle activation/strength

Graston An intentional mode for inducing controlled microtrauma Facilitation of connective tissue healing Release of functional soft tissue/fascial restrictions, entrapments, facilitation of movement, etc. Acute injury management of edematous soft tissues Scar management

DEMOS! Anybody wanna try Graston? If you don’t like needles, now is a good time to peace out (or at least sit down and look away)

Questions? All images stolen from the internet stoecklein.anna@mayo.edu