I've been on a bit of a theme lately. What I would consider to be the pillars for
success at sports and life. Hard
work. Integrity. Focus.
So before my Favorite Person tells me I should get back to
writing about athletic injuries and stuff like that, I'm going to go there on
my own. I mean, that is what I do and
probably what I know best.
Let's talk about concussions (everyone else is...we might as
well join them). Concussions are a real concern. They simply cannot be taken lightly. The long term effects are too serious.
For high school athletes here, we do ImPACT testing
pre-season on as many as we can. That
gives us a baseline on brain function and helps us make better decisions. Beyond that, we treat every blow to the head
that results in symptoms as a concussion until convinced otherwise.
Before anybody can go back to their sport after having had
what appears to have been a concussion, they must first have medical clearance,
pass cognitive testing, pass balance testing, and then go through a series of
activities and exercises, basically simulating their sport in a monitored
environment. And they have to do that
without any of their symptoms coming back.
And knee injuries. If
your knee hurts, you really need a proper diagnosis. I've seen too many cases of self-diagnosis
where delay in getting proper treatment was a big mistake. See the experts.
Ankle injuries? Ice
and protection. Ankle injuries are
easily the most common sports injury.
Usually the foot goes in and the ankle hurts on the outside.
Shoulder problems? A
big part of it is probably your posture.
Every single day, I see patients with shoulder injuries. And almost every one of them has some
postural component. We call it
"inturned" shoulders.
When you stand up, are your hands in front of your
body? That comes from your
shoulders. A big part of it is the world
we live in. Everything we do is in front
of us. Computers. Driving.
On and on.
Neck hurts? Again, heavily influenced by posture. I saw a photo of myself from the side this
week. Oh my...I've got to work on my
posture.
TMJ problems? Go to a
soft diet and see a dentist or oral surgeon that knows something about the TMJ.
Shin splints? It's
probably your feet. Really. Foot problems that increase the impact forces
of running are the most likely culprit.
Correct the way the foot hits the ground and you fix the problem.
Hip pain? Again, you
need a good diagnostic workup. It can be
so many things. See your
orthopedist. Don't wait too long on this
one.
Elbow hurts when you throw?
You need an athletic trainer to look at your throwing motion.
Hand or fingers numb or tingly? Could be coming out of your neck. Get it checked.
Wheezing when you exercise?
Asthma. Very treatable. I do seem to see too many athletes with
bronchodilators (inhalers), claiming asthma.
Those things should not be used for performance enhancement. I'm afraid that's what's happening too often.
Above all else, trust your body, seek professional help,
don't ignore warning signs, and don't turn to the internet for medical
advice.
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