Chat

Concussions in Young Athletes – Chat with Dr. Mautner!

School is back in session for most of Atlanta and the surrounding communities and that means the start of fall sports!  While this can be an exciting time, it can also be a time where parents and coaches educate themselves in order to keep our children safe.   According to a recent report from the Centers for Disease Control (CDC), there is approximately a 60% increase in the number of concussions and traumatic brain injuries during the last 10 years.  In 2009, there were more than 248,000  traumatic brain injuries in young people under the age of 19 from sports such as bicycling, football, basketball, soccer and from playground injuries.

If you have a young child or a student athlete who is participating in sports and want to learn more about how to prevent, detect and treat concussions join us on Tuesday, September 10th at noon for a live online chat to discuss the topic. We will also discuss what the new law in Georgia regarding concussion means for your child.  Dr. Ken Mautner will be available to answer questions in an informal yet educational session.

Sign Up for the Chat

For more information or to register please visit emoryhealthcare.org/mdchats.

About  Kenneth Mautner, MD
Ken Mautner, MDKen Mautner, MD is an assistant professor in the Department of Physical Medicine and Rehabilitation and the Department of Orthopedic Surgery. Dr. Mautner started practicing at Emory in 2004 after completing a fellowship in Primary Care Sports Medicine at the American Sports Medicine Institute in Birmingham, Alabama. He is board certified in PM&R with a subspecialty certification in Sports Medicine. Dr. Mautner currently serves as head team physician for Agnes Scott College and St. Pius High School and a team physician for Emory University Athletics. He is also a consulting physician for Georgia Tech Athletics, Neuro Tour, and several local high schools. He has focused his clinical interest on sports concussions, where he is regarded as a local and regional expert in the field. In 2005, he became one of the first doctors in Georgia to use office based neuropsychological testing to help determine return to play recommendations for athletes. He also is an expert in diagnostic and interventional musculoskeletal ultrasound and teaches both regional and national courses on how to perform office based ultrasound. He regularly performs Platelet Rich Plasma (PRP) injections for patients with chronic tendinopathy. Dr. Mautner also specializes in the care of athletes with spine problems as well as hip and groin injuries.

About Emory Sports Medicine
The Emory Sports Medicine Center is a leader in advanced treatments for patients with orthopedic and sports-related injuries. From surgical sports medicine expertise to innovative therapy and athletic injury rehabilitation, our sports medicine physicians and specialists provide the most comprehensive treatment for athletic injuries in Atlanta and the state of Georgia. Constantly conducting research and developing new techniques, Emory Sports Medicine specialists are experienced in diagnosing and treating the full spectrum of sports injuries.

Our sports medicine patients range from professional athletes to those who enjoy active lifestyles and want the best possible outcomes and recovery from sports injuries. Our doctors are the sports medicine team physicians for the Atlanta Falcons and Georgia Tech and provide services for many additional professional, collegiate and recreational teams. Appointments for acute sports injuries are available within 48 hours in most cases. Call 404-778-7777 for an appointment.

Takeaways from our Orthopedic Hand & Upper Extremity Chat

Thank you to those of you who were able to attend the live chat with me on Hand and Upper Extremity conditions on Tuesday, July 23, 2013.  We had some great questions!  Many of the questions were related to when a patient should see a physician after an injury to the hand or upper extremity.  It is important that patients see a physician as soon as possible after an injury to avoid any long term complications.

Broken Wrist

For many hand and upper extremity injuries you can visit your primary care physician first and he/she can evaluate and if necessary refer you to an orthopedist or sports medicine specialist if it is an athletic injury.  If your injury is severe, many insurances allow you to schedule appointments directly with an orthopedist such as Dr. Gary McGillivary or myself, Claude Jarrett.  If you are not sure who to schedule your appointment with, call your primary care physician and they can help direct you to the correct place.

At Emory, you can call our Emory HealthConnection line at 404-778-7777.  This is a call center staffed by nurses that can help you determine the best physician for your specific condition.

Remember, the sooner you see a physician the sooner you will be back doing all the activities in your day to day activities.

If you were not able to join the chat last week, please review the transcript.  Also, for information on specific conditions, we have several blogs on hand and upper extremity conditions and they are placed below in the related links.

Thank you for your interest!

Claudius Jarrett

Claudius Jarrett, MDAbout Dr. Claudius Jarrett
Claudius Jarrett, MD is an assistant professor in the Department of Orthopedic Surgery. He started practicing at Emory after completing a hand, microsurgery, and upper extremity fellowship at Allegheny General Hospital in Pittsburgh, Pennsylvania. After finishing medical school at Northwestern University, he completed his orthopedic residency here at Emory University. His clinical practice and research interests focus on addressing hand, wrist, elbow, and shoulder injuries.

Related Resources:

 

Tennis Isn’t the Only Thing that Can Cause Tennis Elbow

Tennis Elbow PDFTennis elbow is a condition that is caused by over using the wrist. This type of injury occurs when the tendon that connects the wrist to the elbow gets inflamed or tears.

In a recent interview with the team at CNN, Emory Sports Medicine physician Dr. Amadeus Mason was asked to speak about Tennis Elbow and answers questions such as:

  • What is Tennis Elbow?
  • What types of professions are most likely to cause Tennis Elbow?
  • How can you prevent Tennis Elbow?
  • How is Tennis Elbow treated?

Check out Dr. Mason’s full interview in the video below:

Take-aways from our Pediatric Orthopaedic Hip and Spine Chat with Dr. Fletcher

On February 5, 2013, Dr. Nicholas Fletcher, Emory Pediatric Orthopaedic Surgeon held a  live web chat to answer questions pertaining to the newest treatment options for pediatric orthopedic hip and spine conditions such as scoliosis, kyphosis, hip dysplasia, leg length differences and femoroacetabular impingement.

One of the most common pediatric orthopedic problems is hip dysplasia. Hip dysplasia occurs when the hip socket does not form correctly, which can lead to hip dislocation as a child grows, stated Dr. Fletcher in the chat. Unfortunately, hip dysplasia cannot be diagnosed in a child before birth, a great question which was asked by one of the chat participants. While hip dysplasia is not particularly common, mild abnormalities of the hip socket are regularly seen at birth, but parents should not be alarmed, as these abnormalities typically get better within a couple of months of a child’s life. One of the pediatric hip dysplasia treatment options Dr. Fletcher mentioned in the chat is called the Ganz Osteotomy, a procedure available at Emory. The procedure is used to realign the hip and settings of hip dysplasia when it is found in teenagers and adults.

Participants were also interested to learn that Emory is one of only a few centers in the southeast that offer hip preservation surgeries. Hip preservation is a surgical approach to hip problems in teens and young adults designed to prevent the need for hip replacement down the road. It usually involves realigning an abnormal hip socket into a more normal position or removing bone spurs in the hip that could lead to early arthritis.

Dr. Fletcher provided some great insights and answered some hard pressing questions from chat participants. If you would like to know more about the causes and treatment options of Pediatric Orthopaedic Hip and Spine conditions be sure to take a look at the live web chat transcript. Also, for more information on Scoliosis and on how to become a patient visit Emory Orthopedic and Spine online today.

Related Resources

Takeaways from Running Injury Live Chat

Dr. Amadeus MasonOn Tuesday, Dr. Amadeus Mason of Emory Sports Medicine, held a live chat that answered your questions about preventing running injuries. Dr. Mason provided some great answers to some very interesting questions; from how to prevent running injuries to the ideal length of time one should consider when training for a 5k and other long distance races.  Dr. Mason also provided participants with resources on things like: knee pain and strengthening and IT Band Syndrome.

The following is a recap of the live chat, or you can check out the transcript from Dr. Mason’s Preventing Running Injuries chat.

Q. Is it better to stretch before a run? After a run? Or Both?

A. For runners stretching for flexibility, it’s better to stretch after their run, because muscles are looser and more receptive to the stretch at that time. Dr. Mason also noted that while stretching before a run doesn’t hurt, runners should keep in mind that it’s best to spend at least ¼ of the time you spend running on stretching. As an example, Dr. Mason suggests if a runner trains for an hour, it’s best to stretch for at least 15 minutes.

Q. How does a runner prevent shin splints from reoccurring and preventing the pain’s longevity?

A. Runners experiencing recurrent shin splints, or moderate to severe pain in the shin that lasts for a long period of time, should see a specialist. Make sure not to train too much, too quickly, that’s one of the most common causes of shin splints, according to Dr. Mason. If shin splints occur, it’s recommended that a runner modifies their training regimen to accommodate for pain relief. Females, who experience shin splints on a fairly regular or recurrent basis, should contact their Physician.  Continuous shin pain is a possible indication that there’s some sort of hormonal imbalance or insufficient caloric intake from a female runner’s diet.

For more information on preventing running injuries, check out Dr. Mason’s chat transcript. You can also download the resources he shared in the chat by using the links below.

Related Resources

10 Tips for a Healthy Peachtree Road Race Run

Peachtree Road RaceRunning is great exercise for your health and your mind. Follow the tips below to ensure that you are in top form on race day. Have a safe and fun Peachtree Road Race!

  1. Hydrate yourself frequently before, during and after running in order to loosen muscles.
  2. Warm up and/or stretch before the race to loosen tight muscles.
  3. Run slower in hot weather in order to avoid heat stroke, heat cramps or heat exhaustion.
  4. Use hand lotion on feet and areas of chafing to prevent skin damage and blisters.
  5. Don’t forget to use sunscreen to protect against sunburn.
  6. Wear sunglasses to reduce glare and avoid tripping.
  7. When your energy is gone, imagine someone running in front of you and pulling you forward.
  8. Get your rest! Sleep one extra minute each night for every mile you run. For example, if you run 30 miles a week, sleep 30 additional minutes each night.
  9. Change soggy, sweaty socks soon after the run and stuff shoes with newspaper to avoid moisture buildup.
  10. Pay attention to your body! If you experience pain during or after the race and it does not go away, something may be wrong. Schedule an appointment with an Emory Sports Medicine physician.

Related Running Resources:

Still looking for more tips? Check out the transcripts from a few of our recent MD chats on running using the links below:

Runners’ Chat with Dr. Mason Part I

Runners’ Chat with Dr. Mason Part II

More Running Questions Answered

More Runners’ Chat Questions Answered

Dr. Amadeus MasonOn Wednesday, I held a live chat on the topic of running to help those preparing for the Peachtree Road Race and to educate runners of all skill levels on injury prevention, nutrition, and technique. It was my first so-called “live chat,” so I really didn’t know what to expect. The questions that I received in yesterday’s chat were fantastic. Not only do I feel like I got to help the 50+ people who joined me in the chatroom, but I myself was able to learn something in the process. Typically when I chat with people who have questions for me, they are my patients, in a one-on-one setting. This really gives me the time to feel them out and learn about them as individuals. Wednesday, I was charged with a new and equally inspiring and fulfilling task– to educate a group, without being able to see them in person or learn about them before we talked. It was an extremely eye opening experience.

I want to thank those who joined me Wednesday for a wonderful chat. It was so successful, in fact, that I didn’t get a chance to answer each and every question. For those who were in the room, I promised to follow up with a blog to answer all questions that were unaddressed, and I have done so below. At the bottom of this blog post, you will also find the documents I mentioned in the chat for your further reference. As an added bonus, to make sure everyone gets a chance to discuss the topic of running and all of its facets with me, we will be holding the next live chat on running on June 15th. PART II CHAT TRANSCRIPT

Larry: I ran a marathon with IT band issues.  What can I do to prevent it in the future?
Dr. Mason: Larry, to prevent IT band problems, you should strive to work on increased flexibility. I’d advise that you watch the rate at which you increase your mileage/distance and start training early enough to allow for a slow and steady progress with sufficient recovery times between training sessions.

Shirley: Dr. Mason, Why does my back hurt periodically when I am tired while running?  Should I bend over to stretch?  I am a beginner.
Dr. Mason: I can’t speak to your specific medical circumstances without seeing you in-person, but generally speaking, oftentimes people experience back pain while running due to hamstring tightness. For these patients, I advise that they avoid the typical stretch that involves bending over, and instead focus on extension type exercises.

M. White: How do I know when it is time for new running shoes?  This will be my first time running longer than a 5k.
Dr. Mason: My recommended guidelines for footwear are if you run more than 20 – 25 miles a week you should change you shoes every 3 – 4months ( ~300 miles); if you run less than 20 miles a week can change shoes twice a year.

Sylvia: Hi. Dr. Mason. Is there any particular type of shoe that you would recommend as best for protecting against injuries; Knees, ankles, shin splints, etc.?
Dr. Mason: Studies have shown that shoe comfort is a more important factor in preventing injury than the actual type of shoe.  I would recommend you get evaluated at your local running store to determine what class of running should would be best for you. After doing that, go ahead and pick the most comfortable one in that class.

Judy: I’m used to walking about 3 miles about 3 times a week.  I am signed for the Peachtree.  Obviously I will be walking it.  I have 6 weeks to step up my training.  How would you suggest I proceed to get to 6 miles in time for the race?  Thanks.
Dr. Mason: Good question, Judy. I’d recommend adding about ½ mile to your distance each week.

Steve: Dr. Mason, I have a chronic hamstring issue.  What can I do to help the issue?  What type of Dr. or therapist should I seek out for help?
Dr. Mason: I would recommend you see a physician with sports medicine training.

M. White: I have been training for a 5k (took 30min) – which I ran a couple of weekends ago.  To train for the Peachtree what should I do?  Increase distance or time?
Dr. Mason: My answer here depends on whether you want to run the Peachtree for time or just for fun.  Since this race is twice the distance of a 5k,  I would start out increasing your distance (1/2 mile a week. Once you get to 5 miles then you can start increasing your pace.

Mac: What are some good lower-fat proteins for vegetarian novice runners?
Dr. Mason: As a vegetarian you should be concerned about getting in GOOD fats as opposed to LOW fat.  To that end eating things like beans, nuts and/or soy would be good choices.

Dawn: When I ran the Peachtree last year, I found it difficult to actually drink water at the hydration stations (did more of a swish-and-spit).  I am concerned about dehydration during the race.  Should I increase my fluids before the race?
Dr. Mason: Yes, in a 10K there is LESS risk/concern for dehydration that in half or full marathons, but you should be starting your hydration process now.  I recommend increasing you fluid intake (electrolyte/water) weeks before you run and incorporating “water stops” in to your training.  You know you are well hydrated when you have to use the bathroom 30 min after fluid intake (when you’re not running).

1st Timer: Are there any weight training exercises you recommend?
Dr. Mason: In order to answer this question in detail, I would need more information from you.  What I can say is that weight /strength training should be a part of any running program. This type of training should primarily (but not solely) focus on lower body strength and be accompanied by a good flexibility program.

Jacqui: How frequently should you increase pace or distance?
Dr. Mason: I normally recommend increasing distance then pace. But, as we mentioned in the chat, it really depends on the goals you’re looking to achieve. If you are looking to run a long distance race, you’ll probably want to focus on increasing distance, more often than pace, and doing so every 2 weeks should work well. Just remember to never increase both distance and pace at the same time.

Shalewa: What about energy enhancers like sports beans or 5 hour energy drink?  Are those bad for you?
Dr. Mason: Most “energy enhancers” are just caffeine or a caffeine derivatives and I would stay away from them as they greatly increase dehydration risk.  Good nutrition that balance carbohydrates, proteins and good fats should give you the energy you need for a 10K.  With marathons, ultra marathons, and triathlons in-competition metabolic supplements (which are very different from the energy enhancers) are often provided and can be helpful.  You’ll want to be careful and make sure that you are using them throughout your training so your body has time to adjust.

Jennifer: Hi, Dr. Mason.  I am an active person who is new to running.  After my training runs I am experiencing some discomfort/tightness in my upper and outer knees.  What can I do to help prevent this?
Dr. Mason: If these symptoms are not preventing you from doing the type/intensity of run that you want, then I would recommend working on the flexibility and strength of you quads and hamstrings.  If you are having to modify your training runs then you should see a Sports Medicine Physician.

Thanks again to those who joined me in Wednesday’s chat. I hope to see you all in Part II on June 15th! Below are the documents I referenced in the chat, please feel free to download them and keep them for reference. If you missed Part I of the chat, you can check out the chat transcript. You can also sign up to attend Part II of the chat, which is taking place on June 15th at 12pm.

Related PDF Downloads:

 

 

Are You a Runner Looking to Prepare for the Peachtree Road Race?

Peachtree Road RaceDr. Amadeus MasonThe Peachtree Road Race is right around the corner! Whether you’re a beginning runner and wondering how to get started, or a seasoned pro and have been running for years, there always new things to learn about training, nutrition, attire, and even injury prevention. As a runner, training for peak performance is key.

No matter what running category you fall into, you can join me on Wednesday, May 18 from 12 – 1:00 p.m. for an interactive online Q & A web chat TRANSCRIPT on healthy running. Much of what we cover will be dependent upon your questions, but the chat will span a wide array of running related topics and I will be available to answer questions and discuss them, including how to best prepare for Peachtree Road Race success!

If you are interested in learning more about running benefits, prevention, and tips, register for the live chat now. Spread the word about our online runner’s chat to your fellow runners, friends and neighbors. I’ll see you on the 18th!

RUNNERS CHAT TRANSCRIPT

 

About Dr. Mason
Dr. R. Amadeus Mason is a board-certified physician at Emory Sports Medicine with a special interest in track and field, running injuries and exercise testing. He is the team physician for USA Track and Field and the Nike/National Scholastic Sports Foundation Track and Field and Cross Country meets, Tucker High School, and Georgia Tech Track and Field. Dr. Mason is an active member of the Atlanta running community.