NBA: The best team doctor in history

Chapter 87: Promotion! The real leader of the Trail Blazers team doctor
And Jiang Ming is really all-round. After staying up all night to treat Roy, he saw that Roy was in good spirits in the morning, so he directly took him to rehabilitation training.

After all, traditional Chinese medicine therapy can only make patients recover.

However, in order for patients to be able to exercise and even to participate in strenuous sports such as professional games as soon as possible, sports rehabilitation therapy is essential.

This is because it allows patients to gradually adapt to the confrontation required for the game. Otherwise, if they rely on natural recovery, it will take much longer to fully recover to the point where they can play in the game.

Robert and the management staff were so nervous when they saw Jiang Ming leading Roy to the gym that they hesitated and wanted to say something.

Jiang Ming smiled after seeing their expressions:

"Don't worry, this is really a minor problem. You can also come and see my sports therapy. It's very relaxing."

The management probably thought that Jiang Ming was going to use Jensen's heavy-weight exercise therapy, but in fact Jiang Ming had already tailored it for Roy.

This is the result of his own learning in recent years.

As a branch of medical science, sports medicine is committed to applying medical means to serve sports on the one hand, and on the other hand, it regards various sports as components of medicine, namely sports therapy or medical exercise or medical sports.

These two aspects are intertwined and supportive of each other, constituting the profound connotation of sports medicine.

Modern medicine is transforming from the traditional biological model to the bio-psycho-social model.

The development of modern society has changed people's lifestyles, as well as the quality of life and the concept of disease. So even though he has inherited the essence of traditional Chinese medicine for thousands of years, his thoughts are still advancing with the times.

Physical therapy is becoming one of the most popular clinical and rehabilitation medical methods in modern society because its connotation conforms to the new medical model.

The first step of its main content is the need for active movement.

This is also what Jensen is best at, which refers to exercise training in which the patient actively participates or the muscles actively contract.

It can also be said that all NBA team doctors must learn how to get their patients to exercise actively.

So Robert, Thomas Reese, the deputy general manager and others followed Jiang Ming to the gym to watch how Jiang Ming trained Roy, who had just injured his knee last night.

The main types of active exercise include:
1.Strength training
This exercise training method aims to enhance the absolute contraction strength of muscles. It is suitable for improving muscle function in people with various muscle weakness, and is also used to prevent and treat various muscle dysfunctions caused by braking.

Jiang Ming first asked Roy to hold dumbbells and do biceps training.

"My injury is my knee, why do I need to work on my arm?"

Jiang Ming: "Activate your physical state first."

Then let Roy do squat exercise training, which can provide comprehensive strength training for the quadriceps, hamstrings, tibialis anterior, calf triceps, gluteus maximus, iliopsoas, etc.

"If it hurts, I won't practice anymore."

"OK, it doesn't hurt now after you stuck me with the needle last night."

"Well, that's about it, next step."

2. Muscle endurance training
Endurance is divided into two categories: muscular endurance and whole body endurance.

(1) Muscle endurance refers to the total exercise load of repeated muscle contraction (number of repetitions) or sustained muscle contraction (duration). Muscle endurance training refers to a muscle training method that uses light weights and multiple repetitions to improve the muscle's ability to sustain exercise.

(2) Whole-body endurance refers to the total exercise load of whole-body exercise.

Whole body endurance is closely related to cardiopulmonary function. Since the energy source of this type of exercise is mainly aerobic metabolism, and the goal of exercise is to improve aerobic exercise capacity, it is also called aerobic training.

Aerobic training is characterized by rhythmic and dynamic movements of large muscle groups, using moderate or low intensity, and lasting for a long time (15-40 minutes).

In this part, Jiang Ming asked Roy to run on the treadmill at a pace of 4 and a slope of 12 for 30 minutes.

Robert saw this and said to the management with confidence:
"This is all very low intensity, it's okay, we can leave the gym now."

"Okay, then we won't bother Dr. Jiang anymore."

The crowd that had come to watch suddenly dispersed, mainly because Jiang Ming's methods were not as novel as his traditional Chinese medicine. Instead, they were somewhat boring and simple, and they were things they also knew.

But in fact, it is simple recovery training that can prevent patients from being injured again. There is no need to be so weird. The simplest way is to keep it simple.

"These guys just want to have fun." Roy also laughed.

Jiang Ming: "You'll get used to it. One day, everyone will get used to Chinese medicine, just like everyone is used to cupping now."

Roy picked up the yoga ball next to him and said:
"Yes, it depends on Dr. Jiang to promote Chinese medicine all over the world! I believe there will be such a day."

Roy brought the balance ball for step 3: balance exercise training
Refers to exercise training that promotes the body's balance function, including special training for weak muscles, closed-chain exercise training for weak limbs, trunk control training, balance organ training, walking training, etc.

This is used a lot in hospitals: patients with central or peripheral nerve paralysis, bone and joint diseases, the elderly and other motor control disorders will undergo balance exercise training.

For example, let patients with cerebral infarction ride balance bikes or play simulated balance games on computers.

Of course, it is impossible for an athlete like Roy to reach this level. If he had reached this level, he should have retired long ago.

He was doing the highest level of balance training, kneeling on a yoga ball with his knees, his hands clasped across his chest, with Jiang Ming and Sean protecting him on his left and right.

“Feel the force exerted by your knees, and you will become familiar with this force in the future. This is the power of body balance.”

"OK!"

Roy knelt on the yoga ball, as steady as a rock. This was the top core strength brought by top static talent. He was really stable.

The fourth step is coordinated movement training.

Refers to sports training that promotes body coordination ability, including upper and lower limb coordination, left and right side coordination, speed coordination, phase coordination, etc., such as hand fine function training, limb coordination activity training, gait training, etc.

For Roy, the focus is on muscle coordination training for shooting and layups.

However, because Roy had just been injured and was unable to conduct on-court basketball training, Jiang Ming only had a preliminary talk with Roy when he was doing balance training.

While talking, he simulated the actions himself.

"You can no longer land on the soles of your feet or even on your heels first, and you can't land forward. If someone trips on you, you will regret it for the rest of your life."

"understand!"

Roy listened very carefully, because he knew that Jiang Ming was truly doing this for his own good, because Jiang Ming was already doing what a trainer, personal coach, and even the team's shooting coach was supposed to do.

To change the landing posture, doesn't it mean changing the entire shooting action?

"Your nickname is Yellow Mamba, right? You should watch the shooting videos of Kobe and Jordan to see how their knees bend before they jump and how their knees cushion before they land, and how their soles land. This will be more intuitive."

Roy almost thought that Jiang Ming would take out Kojo's videotape.

If this is brought out, wouldn't it be doing the work of a video analyst?

Team doctor Jiang Ming really needs a raise!

Thinking of this, he kept thinking about the way of landing and exerting force for jump shots that Jiang Ming mentioned while having lunch, and then spent the afternoon break in the video room watching Kobe's videos.

The reason why Jordan and Kobe can become the spokespersons of the league is that their durability is also their very valuable quality.

Roy also deeply felt the lessons from these two injuries, so he forced himself to watch carefully, and while watching, he compared the movements with his own and analyzed the force posture.

"Come on, it's my turn to do the work now."

After Roy spent an afternoon in the video room and drank a bowl of Chinese medicine, the evening also ushered in his most comfortable rehabilitation exercise stage.

That's passive movement:
It refers to the application of power to the patient's limbs by others or instruments, causing joint movement, muscle and tendon stretching, ligament and joint capsule stretching, etc.

In a broad sense, it also includes various manual treatments, which can be treated with Jiang Ming's traditional Chinese medicine massage.

In Western sports medicine, passive exercise is used to keep joints moving and maintain limb range of motion when patients are unable to move actively;
Stretch muscles, tendons and ligaments to prevent and treat contractures; maintain or improve blood circulation in the limbs, promote venous return, etc.

But these things can also be easily achieved through acupuncture point massage in traditional Chinese medicine.

It's manual therapy. That's why Jiang Ming didn't let Roy practice in the afternoon. It's to let his knee rest. Then he can do traction therapy on the dormant knee at night.

Manual therapy refers to various treatments in which therapists apply external force to patients, such as manipulation, massage, joint loosening techniques, etc.

Used for nonspecific inflammation or metabolic disorders of muscles and soft tissues, bone and joint diseases, etc.

Traction refers to applying two opposite forces to the patient's body through external force or gravity, resulting in an increase in joint space and tissue relaxation.

For example, cervical traction, lumbar traction, etc.

Stretching refers to stretching activities on muscles and ligaments. On the one hand, it can be used to improve the efficiency of muscle contraction, and on the other hand, it can be used to prevent and treat muscle and tendon contracture.

Compression refers to therapeutic methods that apply pressure to the body.

Compression therapy works in two opposing directions.

On the one hand, positive pressure can be applied to the limb, and slow deep pressure is used to relieve spasms;

Shallow or rapid pressure causes neuromuscular excitation, and gravity or traction promotes bone metabolism to prevent and treat osteoporosis.

Limb pressure is also used to treat varicose veins, prevent and treat skin scars, etc.

On the other hand, negative pressure can be applied to cause limb vasodilation, improve tissue metabolism, etc.

Roy was lying on the bed and was being massaged by Jiang Ming, feeling very comfortable:

"Doctor Jiang, your method is much more comfortable than any fascia gun, fascia knife, or foam roller. Previously, the Jensen team relied on external force, but you rely purely on your hands. It's amazing."

Jiang Ming also spread his hands and smiled:
"Perhaps our ancestors would never have thought that our muscle and bone massage method would be so effective in the field of sports medicine in modern times."

It really works. Compared to those messy and high-sounding rehabilitation terms in Western medicine, Jiang Ming's hand directly opened up Roy's fascia. In order to compare and learn, Jiang Ming specially called Robert to come for follow-up auxiliary treatment.

After all, my hands were sore after massaging for an hour, so I decided to take a look at the high-end physical therapy method used by Robert.

For example, the most powerful neuromuscular facilitation technology in the field of sports medicine:
Refers to an exercise method that promotes the recovery of paralyzed muscle function based on physiological activities such as postural reflexes, nerve reflexes, various receptors, and central nervous system remodeling.

Often named after their founders, these include Bobath Technique, Brunnstrom Technique, Rood Technique, and PNF Technique (also known as ontology facilitation technique).

The sports relearning carried out since 2006 also belongs to this category.

There is also the integrated movement adopted by Jensen:
Refers to the activities of multiple parts and muscle groups of the whole body. Rehabilitation therapists comprehensively and scientifically select the above-mentioned multiple exercise modes according to the progression of the patient's disease so that the patient can achieve functional recovery, such as closed-chain exercise, combined exercise of upper and lower limbs, etc.

But Jiang Ming didn't dare let Robert use this comprehensive exercise method.

One is that it's night time now, so just give Roy some time to relax.

Another thing is that he is afraid that Robert will use the same tactics as Jensen, which Roy can't stand.

As a result, Robert's mistake was to treat Roy after Jiang Ming, which made Roy bored. Moreover, because he was a disciple of Jensen, many of the projects were used by Jensen before.

Roy fell asleep during physical therapy.

Robert said to Jiang Ming helplessly: "You did it on purpose, didn't you? We all know that you have strong hands. After your massage, he can't feel anything!"

Jiang Ming looked harmless: "Let's compare, this is my first time doing this too."

However, Sean and Jiang Muyan did not quite understand why Jiang Ming had been using physical therapy to treat Roy all day. After all, they all thought that Jiang Ming's own method was already very powerful.

Why do we need exercise therapy?

Useful for orthopedics?
Sean raised this question. He has always felt that this kind of bone and joint disease can be treated with medication and rest, and then exercise can be done after recovery. The players themselves will be able to control the intensity from weak to strong.

Only Jiang Ming's massage is truly useful, right?
Then Jiang Ming would tell him:

“Sean, don’t underestimate these little sports.

The treatment principles of exercise therapy in osteoarthritis:

(1) The nutrition of articular cartilage comes from synovial fluid. Only through joint movement and the compression of articular surface cartilage can the metabolism of cartilage be completed well. Therefore, without exercise, articular cartilage is difficult to obtain nutrition and metabolic waste is difficult to excrete.

In osteoarthritis, in order to repair damaged cartilage surfaces and eliminate inflammatory substances, more activity is needed to enhance metabolism.

(2) Exercise increases blood circulation throughout the body and in the joints, which helps to relieve inflammation. In clinical practice, we often see that patients’ pain is relieved and their joint range of motion increases after exercise.

(3) Enhance muscle strength through exercise, correct disuse muscle atrophy, increase muscle strength, increase joint stability, break the vicious cycle mentioned above, reduce the recurrence of inflammation, and delay the progression of the disease.

(4) Through exercise therapy, the soft tissues around the joints are stretched, the elasticity of the joint capsule, ligaments and muscles is increased, joint adhesion is prevented, and the range of motion of the joints is increased.

Robert was simply stunned.

This was the first time he heard Jiang Ming give such professional comments on sports medicine. Is he definitely the Minister of Traditional Chinese Medicine?
It’s totally possible to be the chief team doctor!
Because everything he did for Roy today was enough to prove that he could combine Chinese and Western medicine to treat all athletes with the best sports therapy method!!!

These were naturally noticed by Larry Miller and other management members. After Jiang Ming got off work, they kept Robert and Roy to ask questions.

Both of them gave Jiang Ming the highest evaluation.

Robert is very direct:

"I know what management means, and I support it."

Roy was even more blunt:

"Mr. Larry, have you seen the extent of my knee's recovery and Dr. Jiang Ming's extraordinary treatment methods? Chief! I must be the chief this time!"

The next day.

Trail Blazers home game day.

To be on the safe side, Roy continued to miss the game.

However, the management did not watch the game on site, but all went to "accompany" the boss.

The team medical team consisted of Jiang Ming and Thomas Reese sitting behind the coaching staff. It was said that Jensen had been staying in the office for two days and had not come out.

Paul Allen flew to Portland yesterday and was too exhausted to go see the players, so he rested for a night. During the day, he had dinner and chatted with the former owner of the Trail Blazers. In the evening, he went to the Salmon River Heritage Endowment Hospital, the most beautiful private hospital in Portland, to visit Blake.

Then he personally went to the home of substitute center Big White Bear to give Big White Bear some fruit supplements.

It turned out that Blake and the Great White Bear recovered at an impressive rate.

Just by asking casually, I could hear the praise for the attending physician Jiang Ming in their words.

But Paul Allen also knew what was going on.

So he told his assistant that his trip to the stadium to watch the game and see Roy was cancelled because it was no longer necessary, and he didn't know why he felt a little weak and had a shortness of breath.

Now that he was at the hospital, he also asked the doctor what to do if he felt weak and couldn't eat much.
The chief physician of internal medicine at the Salmon River Heritage Endowment Hospital came to see Paul Allen in person.

Because Paul Allen certainly didn't have time to go to this kind of hospital for examination, so he could only ask about it with the naked eye. He told Paul Allen that as he got older, he should pay attention to rest, get more sleep, and not pay attention to too many things, as it is not good to consume too many brain cells.

After Paul Allen was prescribed some expensive anti-fatigue drugs, he held a meeting with the Trail Blazers' small shareholders and managers who followed him in the hospital's conference room.

The content of the meeting was very simple, just dealing with the team medical team.

Larry Miller also quickly explained the recent situation, including Jiang Ming's meticulous treatment plan for Roy in the past two days. Everyone present was amazed. This sports medicine expert is really good. He is a true genius!

Paul Allen was also pleased:
"I wanted to see this talented young man today, but forget it if he is not at the game. The health of the players comes first."

Bert: "Boss, shall I call him over right away?"

Paul Allen glared at him directly:
"No need. I'm going to take a plane to Silicon Valley soon. Solving this problem is the purpose of my coming here."

"Okay, boss!"

Paul Allen continued:

"Okay, I learned today that Jiang Ming can cure all of our players before the end of the season. He will definitely be famous all over the world! In order to prevent him from being poached by other teams or jumping ship, how about we just increase his salary?"

Everyone nodded. This was a necessary thing to do. Besides, the boss had spoken. Since the money was paid by the boss, naturally the boss had the final say.

"Then let him be the director of the medical department, in charge of all medical affairs of the pioneers."

what?
Paul Allen confused everyone.

Paul Allen hand-picked director?

This makes perfect sense, but in fact, the director of the medical department of each team is an internal medicine expert.

That is to say, they have a more famous reputation, but there are not so many things for athletes. Generally, they are well-known doctors working part-time or on a temporary basis, and they focus on their main business (clinic or hospital).

Moreover, if Jiang Ming directly becomes the director of the medical department, what will happen to Thomas Reese?
He is a very influential local internal medicine doctor in Portland. Are they going to fire him?

What about Jensen?
Why didn't you mention Jensen who made the mistake?

Larry Miller quickly asked:

"And Dr. Thomas?"

"Just listen to me."

Paul Allen had already thought of it.

It was too much to give Chief Jiang Ming the message all at once, and I was afraid that Jiang Ming would be harassed online without reason.

So he went on to say:

"How about having Thomas Reese replace Jensen as the chief team doctor and demoting Jensen to deputy director of the Trail Blazers' medical department, in charge of medical equipment? Let's vote on it."

hiss!
Sure enough, Paul Allen returned to the Trail Blazers this time to take action against Jensen!

Cool!
The Trail Blazers executives all looked at each other.

Jensen is truly taking a back seat.

And Jiang Ming is still in charge.

Paul Allen has means.

And Jiang Ming has truly become the head of the team's medical team!
It seems that Thomas Reese is the chief team doctor, but he doesn't know anything about surgery. He can only assist in surgical operations, and he himself can only perform internal medicine operations.

But in the NBA team, surgeons are the main force, and the players are so young and don’t have many medical diseases.

Most of them are surgical injuries. With Paul Allen's decision, the highest-ranking official in the surgery department will be Jiang Ming, the director of the medical department!
It took Dr. Jiang Ming less than half a season to become the head of the Trail Blazers team medical team!!!

"I agree!"

Justified!
Worthy of the name!

Deserved!

Traditional Chinese medicine is very good at passive exercise in sports medicine~~
It is strongly recommended that blind massage be introduced into the gym, haha.

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(End of this chapter)