Learn how to prevent ankle sprains

Learn how to prevent ankle sprains!

An athlete is at a much greater risk of another ankle sprain for 2 years after an initial ankle sprain.  Rehabilitation exercises focusing on balance and proprioception results in a 2-3 fold decrease in risk after 8 weeks of exercises; also, ankle braces can decrease your risk by 3-4 fold.  Check out Dave, from Valley Active demonstrating some rehab exercises that can help!


To learn more, check out our Facebook page at Valley Sports & Spine Clinic, or at Valley Active.  Come visit us at our Blacksburg office, right next to Christiansburg, in front of Lewis-Gale Montgomery Hospital.


Good Luck!


Medicine Delivered at the Speed of Sound!

Dr Colliver & Crew after finishing up some Ultrasound training

Dr Colliver & Crew after finishing up some Ultrasound training

Last week was busy with several after-work activities.  One of these evenings was spent with Blacksburg Physical Therapy, reviewing musculoskeletal ultrasound.  But first, I should explain that I have known this amazing group longer than any other physical therapy group, and they have always impressed me.  For example, when a patient has a particularly difficult time in rehabilitation, we will do a “co-visit”- which is when the physician and the physical therapist meet the patient together and review the rehab plan. Also, we have done training together on Postural Restoration Institute courses and practiced Manual Medicine together.  So when they asked me to come review Musculoskeletal Ultrasound, of course I said YES!

At first, I went over my standard spiel on examination of the shoulder.  But that quickly devolved and soon everyone was looking at everyone else’s various musculoskeletal oddities, like the distal biceps pain of the professional powerlifter.  This group quickly figured out how Ultrasound is very efficient, diagnostic, and has lots of applications in the therapy setting.  This allows us to quickly evaluate shoulder pain; but also, foot, ankle, knee, hip, elbow, wrist and hand pain.

In this world of instant social media, selfies, Tweets, etc, musculoskeletal ultrasound allows the physician and patient to instantly see what inside the body looks like and how it reacts with motion.  MRI can’t even do the things that Ultrasound can!  But it does take a lot of training; and as the leading musculoskeletal ultrasound physician in the New River Valley, I feel excited to introduce this approach to as many providers who could benefit from this technology.

Thanks again, Blacksburg Physical Therapy, for a great evening.  Keep practicing.


Good Luck!

Valley Sports & Spine Clinic Giving you Back your Life

Dr Ethan Colliver

Where will the next generation of Physicians come from?

emg2The Practice of Medicine has alwaVCOM students practicing nerve conduction studies on each otherys been a blend of science and art.  Medical school lays the foundations for the science portion; however, the art comes from the guidance given by established physicians. In fact, you graduate medical school with a Medical Degree but cannot practice medicine until you do an internship where you train under the tutelage of an Attending Physician.

VCOM students practicing nerve conduction studies on each other


This week I helped the Physical Medical & Rehabilitation club at Edward Via College of Osteopathic Medicine learn about electrodiagnostic medicine.  This is a group VCOM medical students who have a particular interest in learning about physiatry. Electrodiagnostics include nerve conduction studies and electromyography and all physiatrists learn how to perform them over the course of 3-4 years of training. We discussed  how these studies can help patients with sciatica, carpal tunnel syndrome, neck pain, low back pain, peripheral neuropathy, myasthenia gravis, or myopathy.

After some didactics, I even had a brave volunteer allow us to practice on her so that everyone could see how to perform and interpret these studies!  I was so impressed with the students genuine interest and thoughtful questions.  By the end, all students were able to practice zapping their friends.  This experience will give the students empathy and insight for when they are faced with ordering this test for a patient in the future.

I am fortunate and privileged  to have interested students I can guide along the path to Physician.  Thank you VCOM PM&R club!



Good Luck!

Valley Sports & Spine Clinic Giving you Back your Life

Dr Ethan Colliver