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About Mark Balch, PT, MPT, CSCS
(Top Expert on this page)

Expertise
All questions relating to acute or chronic injuries or pain. Specialties include spinal conditions including cervical, thoracic, and lumbar strains, SI dysfunctions, and disc issues; orthopedics including post surgical; and sports medicine. No systemic disease or pediatric questions.

Experience
Masters in Physical Therapy, Strength & Conditioning Specialist certified, 6 years of outpatient orthopedic experience

Education/Credentials
BS in Exercise Physiology, Masters in Physical Therapy, CSCS

   

You are here:  Experts > Recreation/Outdoors > Sports Medicine > Physical Rehabilitation Medicine

Questions Answered By Expert  Mark Balch, PT, MPT, CSCS 
In Category  Physical Rehabilitation Medicine

SubjectDate Asked

post op 12 weeks/labrum/bicep tendonesis9/3/2009
  Q: I am presently having PT 3x week since 5/2709 I just had a second post of cortisone injection on ...
  A: Cindy, a cortisone injection is designed to decrease the inflammation specifically in the area ...
Neck Length and Pain4/23/2009
  Q: I have a short neck, a lump at the base of my neck (Dowager’s hump I think, or just bad posture) and ...
  A: Laura, First of all, the lump at the base of your spine is most likely not a Dowager's hump. A ...
Knee Dislocation Rehab4/19/2009
  Q: I dislocated my knee about 8 days. I am overweight and was trying to get myself into an active ...
  A: Merri, More than likely, you will not re-dislocate if you stay in the knee brace and are careful ...
3 months constant lower back pain4/17/2009
  Q: My lower back began hurting randomly exactly 3 months ago, as if I was on my feet all day. The pain ...
  A: My recommendation would be to see either a Physical Therapist or a spinal doctor. At our clinic, we ...
Right total Knee Arthroplasty4/16/2009
  Q: My dad got Right total Knee Arthroplasty done on 03/26/09. He has been doing the recommended ...
  A: Has you dad had low back pain prior to this surgery? It sounds like, either from the surgery, from ...
biceps tear at distill end4/11/2009
  Q: I'm a 41yr old male who recently suffered a Biceps tear at the distill end. The accident happened ...
  A: Jonathan, You are right, it will take a number of months for the tendon and surgery to heal. I ...
nerve damage5/11/2008
  Q: 72hrs ago i feel asleep on my left arm for 8hrs. when i woke up i can not fully extend my thumb ...
  A: Very unlikely. It takes a long period of compression on the nerve to do permanent damage. The fact ...
Broken Ankle Sports Rehab5/8/2008
  Q: Balch, 30 days ago I broke my right ankle in a soccer accident. I am male, 30 yrs old, 150 lbs and ...
  A: Andrew, It sounds like you have been pretty lucky in regards to pain. To be walking on it as soon ...
Chest Injury - strain / torn muscles5/5/2008
  Q: I was hoping you could give me some advise on a chest injury I've had for the last three months! ...
  A: Gareth, It sounds like you strained your pec muscles and are not resting it enough before stressing ...
lower leg pain at night5/5/2008
  Q: I am a 73 years old female in good health. At night, my lower legs get a deep, dull ache. Asprin ...
  A: Frances, Not sure what the last line of your question is supposed to say, not sure what "thst" is. ...
PT Abbreviations5/4/2008
  Q: I am a certified medical coder and I code alot of PT notes. I am looking for a good reference for ...
  A: Julie, This website is fairly comprehensive for all medical fields. ...
Shin Splints/Shoulder Impingement5/1/2008
  Q: How are you? Thanks for helping out on this site :) I've had shin splints for the last 10 years ...
  A: Aly, From my experience, shin splints go hand-in-hand with tight calves. If your calves are ...
back pain4/28/2008
  Q: hey there. i hurt my back six months ago. it was due to over use and over stretching. i surf and i ...
  A: Jack, It sounds like you are trying to get back too quick and not letting the muscle heal fully. ...
Spinal surgeries - leg neuropathy4/24/2008
  Q: I have had 4 surgeries to finally achieve desired fusion from T11 to S1 over a 4 year period. This ...
  A: Joe, Figuring out what is pinching the nerve is necessary. Is it being pinched at the fusion ...
weight restrictions4/24/2008
  Q: Recent pelvic floor surgery led to a weight restriction of 25 pounds. My Physical Therapist could ...
  A: Pat, This is a tough question but I will try my best. A study in 2004 measured the exertion of a ...
back pain4/23/2008
  Q: I was in an auto accident in 2005 and injured my lower back/neck. My pain has gotten much better, ...
  A: Danielle, Typically when someone is termed to have instability issues it means that there is a ...
Elbow4/22/2008
  Q: Good Morning, Last night while training in BJJ I was put in an arm bar that got cranked a little ...
  A: Scott, Sounds like you basically hyperextended your elbow. The pop is most likely the tendons ...
broken humerus & dislocated elbow4/15/2008
  Q: My son, who is 12, broke his humerus, just above the elbow and also dislocated his elbow in August. ...
  A: Melody, The PT is being a little over dramatic but his best chance of recovering full ROM is now. ...
long thoracic nerve4/14/2008
  Q: I'm going to try to make my question short but I have to give you some background information. I ...
  A: I'd be very surprised if this is what is going on in your case, but you never know. Did you ever ...
Pectoral / Tricep Atrophy4/13/2008
  Q: I have had a herniated disk c6-c7 for almost one year now. Ever since the injury i could not lift ...
  A: Craig, With all the info you mentioned, my recommendation is start the process going towards ...
Partially torn bicep4/13/2008
  Q: I amm 66 years young and believe I partially tore my left bicep muscle with a particularly ugly, ...
  A: Steve, Did your PCP think it was a torn muscle because if he did he should have sent you to an ...
Perthes Disease4/7/2008
  Q: My 8 year old daughter is a competitive gymnast diagnosed this week with perthes disease. She ...
  A: Cheryl, You're right that this isn't my specialty but you are also right that Legg-Calves Perthes ...
long thoracic nerve4/4/2008
  Q: I'm going to try to make my question short but I have to give you some background information. I ...
  A: Jonnie, Damage to the long thoracic can occur a number of ways. A blow to the ribs with your arm ...
mri results on R shoulder4/2/2008
  Q: ac joint mild hypertrophy, mild juxta-articular changes seen which may indicate involvement ...
  A: Gayle, MRI's are usually very helpful in telling you what is going on in your shoulder, for ...
about practise in USA3/29/2008
  Q: I AM MANPREET KAUR I AM IN USA RIGHT NOW .I AM PLANING TO DO A JOB AS PHYSICAL THERAPIST PLEASE TELL ...
  A: This is a very vague question but I'll give you some basics. First, it depends on what state you ...
? of a Scaphoid Fracture3/27/2008
  Q: I was involved in a high speed accident, multi-impact collision about two and a half weeks ago. I ...
  A: Katelyn, A lot of times, scaphoid fractures don't turn up on x-rays and will only show 2-3 weeks ...
Broken femur (mid-shaft)3/26/2008
  Q: Im a 14 year old male who broke his femur recently in a skateboarding accident about 2 months ago. I ...
  A: Jake, the atrophy is very normal because you haven't been using your leg and the muscles as much as ...
Broken femur (mid-shaft)3/24/2008
  Q: Im a 14 year old male who broke his femur recently in a skateboarding accident about 2 months ago. I ...
  A: Jake, First off, don't rush the process too much. When the doctor gives you the ok to start ...
pain in upper arm3/21/2008
  Q: I am a 53 year old female. Two months ago I knee surgery to repair two tears. My doctor had me on ...
  A: Barbara, it sounds like you strained the muscles pretty good. Best advice is to rest them as much ...
nerve damage in wakeboarding accident3/21/2008
  Q: My upper arm was injured by the ski rope during a wakeboarding accident eight months ago. After two ...
  A: Jay, your question is very vague. What type of injury did you sustain? Was there a fracture, ...
broken rt arm & broken left femur3/19/2008
  Q: there is no weight bearing on rt arm which is broken down near the wrist, and only touch with the ...
  A: You're right that typically the assistive device goes on the side opposite the injury but in this ...
Fractured Calcaneous and Fractured Patella3/19/2008
  Q: I recently fractured my calcaneus and my patella in an auto accident 1 month ago. I have my ...
  A: Nicole, For your ankle, you should be doing exercises like ankle pumps, ABC's, and stretching. ...
iliopsoas release3/14/2008
  Q: Mark, Thank you for your reply about iliopsoas release. I choose to have the surgery as I tried PT ...
  A: Debbie, glad to hear that your surgery was successful. To not be able to move your leg right after ...
Finger3/14/2008
  Q: I have just had to go through finger surgery to repair a partially torn ligament in my index finger. ...
  A: Jesse, As far as time frame for recovery, expect to have some strength and ROM issues for 4-8 weeks. ...
ham string snapped3/12/2008
  Q: I felt my hamstring completely snap in half and my whole leg is so swollen and black & blue and ...
  A: First off, how long ago did this happen? If it has been more than a week or so, you can start ...
Herniated Disk3/11/2008
  Q: My daughter, age 18, is a college swimmer. She got a herniated disk lifting weights during practice ...
  A: First off, during her therapy, was she performing any trunk stabilization exercises or was she just ...
Back pain3/11/2008
  Q: Dr Balch, I am a 56 Yr old male that has has sever back pain, I also have been diagnosed with ...
  A: The L4 & L5 discs could absolutely be causing some of your pain. Injury to these areas is usually ...
lower back/buttock-severe ankle pain3/10/2008
  Q: I am a 43 yr old female. general fitness good, very flexible, slightly over weight. I use to dance- ...
  A: First of all, I'm not sure what you mean by "she brought my heel to seat when lying flat tummy on ...
Hamstring inj3/2/2008
  Q: My 13 old daughter plays on an elite fastpitch softball team. She is a power hitter/pitcher and ...
  A: Jeff, I would get your daughter in to see a PT. They can show her the best ways to stretch and ...
Disc Herniation2/28/2008
  Q: . Ths is Raghavendra. I am having a severe pain in my right leg and buttocks area.. MRI scan ...
  A: There is definitely a chance that the shots won't relieve all of the pain, but 95% of the time they ...
Torn Leg Muscles2/28/2008
  Q: I slipped and fell last week and my left leg shot out to the left. I tore my inner thigh and back ...
  A: Mary Kay, Obviously, I would recommend physical therapy. They can show you how to stretch and ...
Hip Flexor Strain?2/27/2008
  Q: I'm an 18 year old, male, distance runner. The front of my right hip has been sore the past couple ...
  A: Charlie, It sounds exactly like a hip flexor strain. The best treatment for the quickest recovery ...
torn rtc2/27/2008
  Q: my mom has a partially torn rotator cuff what can she do to prevent it from completely tearing.
  A: April, It depends on how badly the tear is but everyday activity will wear on the rotator cuff. ...
Disc Herniation2/26/2008
  Q: . Ths is Raghavendra. I am having a severe pain in my right leg and buttocks area.. MRI scan ...
  A: Raghavendra, There is a very good chance that the cortisone shots will decrease the pain. Are you ...
arm tightness2/26/2008
  Q: Mr.Balch i just finished my first football workout and felt ok. i went to sleep and woke up with ...
  A: Bernard, The tightness that you talk about sounds pretty normal for a workout of many pushups. To ...
broken elbow2/25/2008
  Q: I slipped and fell dislocating my elbow and breaking it as well as tearing ligaments in shoulder, ...
  A: Julie, More than likely, the reason that the Ortho said surgery was too late was that healing of ...
kinetic chain2/25/2008
  Q: I am a personal trainer and have a client with bilateral external rotation, and flat feet. Can this ...
  A: Julie, I'm not sure what you mean by "having bilateral external rotation." Do you mean that she ...
Pinky finger2/23/2008
  Q: I fractured my left pinky finger in Sept. My finger is still stiff and doesn't want to bend. ...
  A: Sandi, No offense but this sounds like a good question for your therapist. If you have been going ...
Surgical release of iliopsoas tendon2/22/2008
  Q: I had a hip revision on 4/18/07. I had impingement. So I had another surgery on 6/20/07 to put a ...
  A: Deb, The iliopsoas can definitely be stretched in various ways, both by yourself and by a ...
Excruciating Pain in back of leg2/20/2008
  Q: Yesterday afternoon, while attempting to go thru the turnstyle at the Metro, the doors slammed shut ...
  A: Margo, It sounds like you strained you hamstring. That position you describe stretches the ...
torn/pulled triceps2/20/2008
  Q: Mark: Few weeks ago I went snowboarding, overexerted my triceps picking myself up many times. ...
  A: Robert, With the amount of bruising you report, you may have torn the muscle. But more likely you ...
Sports related arm injury2/18/2008
  Q: I have been playing volleyball for about 10 years now. I am 24 years old and usually play only ...
  A: Vanessa, Sounds like due to minimal warm-up you either strained a muscle or inflamed the tendon and ...
lower back2/17/2008
  Q: Mark I was overweight and out of shape most of my adult life,carrying a large belly. In the last ...
  A: Barry, Some amount of lordosis is necessary for normal spinal health. The lordosis aligns the ...
Weightlifting and Knee Replacement2/15/2008
  Q: Hey, I am wondering if someone who has a knee replacement can lift weights? Can upper body heavy ...
  A: Dan, You didn't say how long ago your replacement was but based on your question I would guess that ...
left calf2/14/2008
  Q: Just a question. I've always exercised, in fact I do way less now than the past. I was a runner, ...
  A: Andrea, Tightness in the calf could be due to a number of reasons. First things first, do you ...
Sciatica2/12/2008
  Q: I am male 25yrs old. I am suffering from sciatica. I have been taking pain relief pills for the past ...
  A: Paul, What you are describing is called the slump test. It is a neural tissue tension test for the ...
Question2/12/2008
  Q: Ok well tonight i just got this serious sharp pain that i cant stand in my ankle. and they have been ...
  A: Bambi, Your question is a bit vague but more than likely it sounds like your pain is more from ...
occipital neuritis2/11/2008
  Q: i had a traumatic brain injury on dec 11 2006, i was a personal trainer and a machine struck me on ...
  A: Johnny, This question is a bit beyond my experience as I work mostly with sports injuries and ...
realistic time of healing2/10/2008
  Q: how long will it take for me to walk w/out a cane/limp again if i go ti PT 3x a week for a tib/fib ...
  A: Patrick, Typical healing time for this type of injury is about 20 weeks. But that is just the ...
Distal Tendon of the Bicep - Rupture2/7/2008
  Q: I am a Personal Trainer and a client of mine (57 years old/male) had his distal tendon of his left ...
  A: Jillian, I'm not surprised your client has such weakness but I am surprised that he didn't have ...
Question2/6/2008
  Q: Ok i was badly injured my right ankle two years ago by a baseball bat and badly sprained my ankle. I ...
  A: Bambi, Sorry to hear about you ankle pain. It sounds pretty involved. First things first, the ...

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