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Preparing for Summer Road Races

Live Q&A Today – Summer Road Race Prep

Road race runnersHave you been training hard getting ready for summer races or events like the AJC Peachtree Road Race? Join us here from noon–1:00 p.m. EST when Emory sports medicine physician Amadeus Mason, MD and Emory sports cardiologist, and Peachtree Road Race Medical Director, Jonathan Kim, MD, will answer your questions about how to prevent injuries, discuss when and how to stretch and provide treatment options that are right for your injuries, and more.

The 4 Most Common Causes of Shoulder Pain

Causes of shoulder pain Whether you’re throwing a football, unloading the dishwasher or scratching your back, shoulder pain can compromise even the most basic daily activity. Here’s how to identify and treat the biggest instigators of shoulder pain, which include:

  • Arthritis
  • Fracture (broken bone)
  • Instability
  • Tendon inflammation and tears

The shoulder is made up of tendons, muscles and bones. Its main purpose is to position your hand for your everyday tasks and movements. Since the shoulder is such a mobile joint, it’s more prone to instability or impingement in its soft tissues. This can lead to acute (sudden) or chronic pain.

1. Arthritis

Arthritis is a frequent cause of shoulder pain. The most common form of arthritis in the shoulder is osteoarthritis, which is known as “wear and tear” arthritis and may crop up as you age.

Many people respond to arthritis pain by reducing their shoulder movements, but this can backfire and cause tightness or stiffness in the soft tissues of the shoulder joint. It can also lead to significant pain when moving the shoulder.

Osteoarthritis is often caused by chronic movements, inflammation of the joint lining from rheumatoid arthritis, work injuries or sports injuries.

Treatments: Rest, physical therapy and at-home range-of-motion exercises can be helpful in relieving pain. Your doctor may also suggest anti-inflammatory medication, such as ibuprofen, to reduce your symptoms. If conservative treatments don’t help, you may need to have joint replacement surgery.

2. Fracture

A fracture, or broken bone, is another common cause of shoulder pain, swelling and bruising. Shoulder fractures often involve the:

  • Collarbone (clavicle)
  • Shoulder blade (scapula)
  • Upper arm bone (humerus)

Fractures are typically caused by a fall in older patients or a sports or vehicle injury in younger patients.

Treatments: Depending on the severity of the injury, you may need to wear a basic sling for three to eight weeks. For worse injuries, you may need surgery.

3. Instability

Shoulder instability means the head of the arm bone (the humeral head) is displaced from the shoulder socket, often as a result of trauma or serious injury. This can cause a “catching” or slipping feeling the shoulder or even a complete dislocation where the ball of the arm bone comes out of the shoulder socket completely.

This can cause the muscles, tendons and ligaments around the shoulder to tear or loosen, which can lead to repeated dislocations. Repeated dislocations lead to pain, unsteadiness and eventually, arthritis.

Treatments: Your doctor will maneuver the arm bone back into the shoulder socket. After that, you will likely wear a sling for a few weeks as the injury heals. If you experience future shoulder dislocations, you may need surgery to correct the problem.

4. Tendon Inflammation and Tears

Shoulders are prone to overuse injuries from repetitive tasks, such as overhead lifting. This often shows up in the form of tendinitis, an inflammation of the tendons, and bursitis, inflammation of the bursa.

The bursa is a fluid-filled sac between tendons and bones that allows them to glide easily. If the bursa is inflamed, the tendons may scrape against the shoulder bones resulting in weakness or tearing. This is called impingement.

The four rotator cuff tendons are the most susceptible to tendinitis. When the tendons are inflamed, there’s less space for the tendons and muscles to move within the joint.

Treatments: Rest your shoulder and avoid positions or activities (like overhead lifting) that cause pain. If this doesn’t help, your doctor may recommend a cortisone injection to decrease inflammation and pain, as well as physical therapy.

Get Treatment for Shoulder Pain

If you’re experiencing frequent, disruptive pain throughout your day — and caring for your shoulder injury at home hasn’t helped — it may be time to get help from a medical professional.

The orthopedic surgeons at Emory Orthopaedic & Spine Center specialize in treating all types of shoulder conditions and injuries. Don’t live with the pain another day.

Call us today at 404-778-3350 to schedule an appointment.

Should You Use Heat or Ice to Treat an Injury?

Should You Use Heat or Ice to Treat an Injury?Whether you have arthritis pain, a sprained ankle or a pulled muscle, it’s important to know when to use—and when not to use—heat or ice to treat an injury.

Heat and ice—also known as temperature therapy—are very effective complements to medication and self-care when treating an injury at home. While both therapies can reduce pain, inflammation, and swelling, they aren’t appropriate for every injury.

When to Use Cold Therapy

It’s best to use cold therapy for acute or sudden pain caused by a recent injury that’s sensitive, red or inflamed. Inflammation is a normal bodily response to an injury, but it can be quite painful. Here are some of the most common acute injuries that benefit from cold therapy:

  • Ankle sprain
  • Inflammatory arthritis flare-ups
  • Muscle or joint sprain
  • Red, hot or swollen body part
  • Sudden intense pain after exercise

A joint or muscle sprain damages the blood vessels in the injured part of the body, which causes swelling. Applying something cold—such as an ice pack wrapped in a towel—helps constrict those blood vessels, which can reduce bruising and swelling.

Cold therapy is also beneficial for treating soreness or pain related to exercise. For example, you can apply an ice pack to the painful area after going for a run to reduce post-exercise inflammation.

How to Safely Use Cold Therapy

Cold therapy is safest and most effective when you follow these tips:

  • Apply ice as soon as an injury happens or after intense, high-impact exercise.
  • Do not apply ice to areas of the body that have poor circulation.
  • Never use cold therapy for more than 20 minutes at a time.
  • Only apply cold to the injured area.
  • Wrap the ice pack in a towel before applying it to the affected area.

When to Use Heat to Treat an Injury

Ice is most beneficial for treating acute injuries, while heat is best for chronic pain. Heat therapy allows the blood vessels to expand and the muscles to relax.

Heat Therapy:

  • Relaxes muscle spasms
  • Stimulates blood flow to the injured area
  • Soothes sore muscles

It’s Most Beneficial for:

  • Arthritis pain
  • Ongoing muscle pain or soreness
  • Stiff joints

How to Safely Use Heat Therapy

Get the most benefits from heat therapy with these tips:

  • Apply heat before exercising to relax the muscles. If you apply it after exercise, it can aggravate inflammation and existing pain.
  • Avoid direct contact with heating devices (like a heating pad). Wrap your heated device in a folded towel to reduce your risk of burns.
  • Drink plenty of water to stay hydrated during heat therapy.
  • Minimize prolonged exposure to higher heat therapy.

If heat relieves your pain, you can try a continuous, low-level heat wrap for up to eight hours at a time, even while you sleep. These wraps are available at most drug stores.

What to Avoid When Using Heat or Ice to Treat an Injury

Ice can worsen muscle spasms and tension, while heat can increase inflammation in a recent injury. The best thing to remember is to not overdo it with either form of treatment.

While it’s normal for your skin to be slightly pink after using heat or cold therapy, call your doctor if you notice blisters, hives or additional swelling.

Otherwise, simply follow these guidelines depending on your condition. Using heat and ice to treat an injury can be very helpful in reducing pain if used correctly. When in doubt about which therapy to use, ask your doctor.

Total Ankle Replacement – Valerie’s Story

Valerie's total ankle replacement

Valerie on Mount Kilimanjaro

After an accident in 1979 that resulted in an ankle injury, Valerie underwent surgery on her left ankle to repair the joint. At the time, total ankle replacement was in its infancy and regarded as an experimental procedure. It wasn’t until the late 80s and early 90s that advancements in design made total ankle replacement a viable option for patients.

Initially, the ankle surgery worked, but after five years, Valerie began to experience constant pain at her ankle. Being resilient, she didn’t let the pain stop her from living her life, so she carried on without realizing that she had changed her gait to compensate for the pain. Valerie walked on the tips of her toes for 25 years! She didn’t anticipate the arthritic damage caused by changing her body’s natural movement or the pain it would cause in other areas of her body.

After her husband’s successful knee surgery in 2010, she decided that there was still hope for her ankle. Valerie started to research and educate herself on treatment options for total ankle replacement. It was during this time that the years of walking on her toes finally caught up with her. Physical therapy was prescribed to address the severe hip pain caused by Valerie’s adapted gait. During one of her many physical therapy sessions, her therapist mentioned attending a lecture by Dr. Sameh (Sam) Labib of Emory Orthopedics & Spine Center. The lecture focused on treatment options for ankle arthritis. Valerie scheduled a consultation with Dr. Sameh’s office right away.

During the consultation, Dr. Labib reviewed Valerie’s case, described his diagnostic process, clinical reasoning, and delivered a tailored treatment plan that had the best outcome. In other words, Valerie was a good candidate for a total ankle replacement surgery. She was thrilled.

After careful consideration, Valerie decided to have total ankle replacement surgery in March of 2015. Post-surgery, things were uneventful – she had an average recovery. She had better function but continued to experience some pain due to bone spurs. At her one-year post-surgical follow-up, Dr. Labib arthroscopically, a minimally invasive surgical procedure, removed the bone spurs in July of 2016. Valerie has been 100 percent pain-free ever since.

Before surgery, I couldn’t walk far. After surgery? I climbed Mount Kilimanjaro — all 19,800 feet — and watched a glorious sunrise from “the roof of Africa!” with my 26-year old son and six friends and family members. I hiked and climbed for seven days to fulfill a life-long dream. Thank you, Dr. Labib. You made it possible. — Valerie


About Total Ankle Replacement Surgery

For patients with damaged ankles, ankle prosthesis may provide a reasonable option. Total ankle replacement is a procedure designed for mature patients with low impact activity demands. In this procedure, a badly damaged ankle is completely replaced with an artificial implant (prosthesis). Because the damaged ankle is completely removed, total ankle replacement can resolve serious ankle problems, like osteoarthritis.

Although not as common as a total hip or knee joint replacement, advances in implant design have made ankle replacement a feasible option for many people. Ankle replacement offers patients significant pain relief, better mobility and movement compared to fusion surgery. By allowing motion at the ankle joint, less stress is transferred to the adjacent joints, which means lessened chances of arthritis in those adjacent joints.

Ankle replacement is most often recommended for patients with:

  • An ankle condition that interferes with daily activities
  • Advanced arthritis of the ankle
  • Low impact activities

As with any joint replacement surgery, the ankle implant may loosen over the years or fail. If the implant failure is severe, revision surgery may be necessary.

VIEW TOTAL ANKLE REPLACEMENT


About Dr. Labib

Dr. Labib

Dr. Labib has an interest in problems and procedures of the knee, ankle, and foot. He is the head team physician for the athletic program at Oglethorpe University. He is also an orthopedic consultant to Atlanta Professional Teams as well as Georgia Tech and Emory University.

He has lectured both nationally and internationally at many orthopedic meetings. His research has been published in several journals, including Arthroscopy, Foot and Ankle International and JBJS -B as well as numerous video presentations and book chapters. Dr. Labib is Board Certified in orthopedic surgery with additional subspecialty certification in Sports Medicine Surgery. For the past 5 years, Dr. Labib has been nominated by his peers as one of “America’s Top Doctors” as tracked by www.CastleConnelly.com.

VIEW DR. LABIB

Back Pain Diaries: Herniated Disc – Signs, Symptoms and Treatment 

Dr. Lisa Foster discusses herniated discs

Dr. Lisa Foster, Emory Clinic

A herniated disc is a common lower back injury, but did you know lower back pain is the number one cause of disability around the world, according to the 2010 Global Burden of Disease study. For this blog, we spoke with our own Emory Clinic physician, Dr. Foster, to better understand those rubber like discs that sit between our spinal bones.

Your spine is made up of 26 vertebrae bones. Between them are soft disks filled with gel-like substance. These discs cushion the vertebrae bones and keep them in place. As we get older, the discs tend to degrade. When this happens, the discs lose their ability to cushion the vertebrae bones and this can lead to pain if the back is stressed.

What is a Herniated Disc?

A herniated disc, also commonly referred to as a ruptured disc or slipped disc, occurs when a cartilage disc in the spine becomes damaged and moves out of place. Sometimes, it can result in a pinched nerve. You can have a herniated or ruptured disc in any area of your spine but most often it affects the lumbar spine (lower back area).

How Does a Herniated Disc Occur?

When a disk is damaged, the soft rubbery center of the disk squeezes out through a weak point in the hard-outer layer. A disc may be damaged by sports injuries or accidents, repeated strain, a sudden strenuous activity or sometimes, it can happen spontaneously without any specific injury.

What Are the Risk Factors?

  • Genetic predisposition
  • Jobs or tasks that require you to repeatedly lift heavy objects, especially if you are lifting with your back and not your legs
  • Being overweight can add stress on the discs of your lower back
  • Smoking can reduce the amount of oxygen/nutrition reaching your discs to cause more rapid degeneration.

What Are the Symptoms?

  • Back, leg and/or foot pain (sciatica)
  • Numbness or tingling in the leg and/or foot
  • Weakness in the leg and/or foot
  • Loss of control over the bladder or bowels (very rare.) This requires immediate medical attention.

How Do I Prevent a Herniated Disc?

  • Build muscle strength in the core and legs. This stabilizes the spine, increases shock absorption and decreases overall muscle fatigue.
  • Alternate activities to help prevent injury. Warm up before exercising, including stretching.
  • Practice correct posture while you are walking, sitting, standing, lying down or working.
  • Don’t lift with your back; use your thigh muscles to do the lifting.

What Are Herniated Disc Treatment Options?

Each patient’s treatment plan will be different and is customized based on the precise location of the pain within the spine, the severity of pain and the patient’s specific symptoms. For the most part, patients usually start with non-surgical treatment options, such as physical therapy, spinal manipulations, massage therapy and more. A process of trial and error is often necessary to find the right combination of treatments. If a course of non-surgical treatments prove ineffective, surgery may be considered as an option.

 

Did You Know?

Emory Healthcare has a dedicated Orthopaedics and Spine Center, with locations throughout metro Atlanta. To make an appointment, please call 404-778-3350.

View Emory Orthopedics & Spine Center 

 


By Dr. Lisa Foster

Dr. Lisa Foster is a board certified, fellowship trained interventional physiatrist, specializing in non-operative spine care. Dr. Foster has published numerous articles and presented at national conferences in the fields of spine and rehabilitation medicine. Most recently, she was a contributing author for a book chapter on the workup and conservative management of lumbar degenerative disk disease in JL Pinherio-Franco’s Advanced Concepts in Lumbar Degenerative Disk Disease.

 

Emory Healthcare named Official Team Healthcare Provider of Atlanta Braves

Atlanta Braves & Emory Helathcare

The Atlanta Braves announced a new medical partnership that names Emory Healthcare as the Official Team Healthcare Provider of the Braves.

The partnership provides the Atlanta Braves with comprehensive and seamless state-of-the-art medical care. This includes access to Emory’s world class Sports Medicine, Orthopaedics, and Spine Center physicians and more. The partnership also provides the Braves access to Emory’s sports science research and performance measurement expertise at the new Emory Sports Medicine Complex in Brookhaven, opening fall 2017.

“We are thrilled to develop this relationship with Emory Healthcare,” said John Hart, Braves president, baseball operations. “This agreement is very important to our club and will help us to continue to provide the best possible healthcare to our players and staff.”

“Everyone at Emory is very excited to play a role in helping the Braves organization perform at the highest level,” said Scott D. Boden, MD, director of Emory Orthopaedics & Spine Center. “Today, caring for professional athletes requires seamless integration of all medical needs in addition to musculoskeletal care, and Emory is honored to be trusted with this responsibility for the Braves organization,” said Jonathan S. Lewin, MD, President, CEO and Chairman of the Board of Emory Healthcare.

As part of the partnership, Emory Healthcare will be opening an outpatient orthopaedics clinic in Smyrna, Ga., giving Braves players and staff easy access to evaluations, treatment and high-quality imaging.

The Emory Sports Medicine physicians who will provide care for the Braves are: John Xerogeanes, MD, director of Emory Sports Medicine Center, along with physicians Kyle Hammond, Spero Karas, Jonathan Kim, Lee Kneer, Scott Maughon, Ken Mautner, and Jeff Webb. They join the Braves medical staff roster, which includes Head Team Physician Gary M. Lourie, MD, and returning physicians Marvin Royster, Tim Griffith, Jeff Hoadley, and Brooks Lide.

VIEW SPORTS MEDICINE CENTER

 

Concussions in Young Athletes – Live Chat on August 9, 2016

concussion260x200Is the peewee football phase too early to wonder about concussions? Maybe not. Concussion rates are rising sharply among U.S. kids and teens, researchers report, and concussion diagnoses more than doubled between 2007 and 2014. According to the CDC, more than 248,000 U.S. children and teens land in the emergency room each year because of a concussion sustained in sports or recreational activities, 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, August 9 from 12:30 p.m. to 1:30 p.m. for a live online chat to discuss the topic. Our host is Dr. Jeffrey Webb, pediatric sports medicine physician at Emory Sports Medicine Center. Dr. Webb will also discuss the laws that Georgia has passed targeting concussion in high school and younger athletes.

cta-chat-blue

About Dr. Webb

webb-jeffreyDr. Webb sees patients of all ages and abilities with musculoskeletal problems, but specializes in the care of pediatric and adolescent patients. He works hard to get players “back in the game” safely and as quickly as possible. During his training and practice he has provided medical coverage for division I college football and other sports, multiple high schools, ballet, the Rockettes, marathons, international track and field events, and the Special Olympics. He is a team physician for the NFL’s Atlanta Falcons and is also a consulting physician for several Atlanta area high schools, the Atlanta Dekalb International Olympic Training Center, Emory University, Oglethorpe University, Georgia Perimeter College and many other club sports teams.

He is active in the American Medical Society for Sports Medicine and American Academy of Pediatrics professional societies and has given multiple lectures at national conferences as well as contributed to sports medicine text books.

Emory Healthcare & Atlanta Hawks New Partnership

12938175_10153983279726397_3461086211474604166_nWe have great news for our blog readers! Emory Healthcare & Atlanta Hawks Basketball Club announced a new partnership. We plan to build a first-of-its-kind training and sports medicine center on Executive Park Drive in Brookhaven.

About Emory Healthcare & Atlanta Hawks’ Facility

Emory Healthcare & Atlanta Hawks’ new facility will serve as the team’s official practice site. Also, it will feature advanced technology in sports medicine and athletic care. It will be built within a state-of-the-art training center with amenities. The team expects to break ground this summer on the 90,000-square-foot facility. The Hawks Basketball Operations Department will be housed in the facility upon its completion. Emory will become the official sports medicine provider of the Atlanta Hawks.

“When we became owners, one of our top priorities was to provide the resources necessary to build a world-class training facility—a key element of being a first-class franchise that consistently competes at the highest level. We are thrilled with the partnership that Steve and Bud have forged with Dr. Boden and the Emory team in developing a new facility that will be at the forefront of how professional teams approach integrating sports medical technology in their training centers,” Hawks Principal Owner Tony Ressler said. “It is a privilege to be partnering with a local institution that is a world leader in the medical field and that also shares our vision and passion for excellence.  In addition, we are proud that this facility will go beyond benefitting just our players, but will also be a valuable sports medicine resource available to the entire community.”

The new facility will be the first in the NBA to be co-located with an entire sports medicine center. It allows for immediate treatment and on-site access to state-of-the-art equipment. Emory will leverage a part of the facility to offer preventative and rehabilitative treatment and sports performance training. Emory Sports Medicine Center will also make this new center its permanent home and treat patients inside the new facility.

What The New Facility Will Offer

Offerings at the new Emory Healthcare & Atlanta Hawks’ facility are set to include the following:

  • 3D motion capture
  • force plates to measure joint stress
  • on-site blood and sweat testing
  • analysis for nutritional deficits
  • markers vital for the creation of individualized health and recovery plans

A fully dedicated recovery area including cryotherapy, sensory deprivation tanks and in-ground hydrotherapy will also be on-site. All non-sports orthopaedic specialties will continue to be located two blocks away at The Emory Orthopaedics & Spine Center.

“This strategic partnership will enable two outstanding organizations to create a new vision for sports medicine care and research for athletes at the highest levels of their game and translate this knowledge to our college, high school, and weekend athletes,” said Scott D. Boden, MD, Director of The Emory Orthopaedics & Spine Center and Chief Medical Officer of The Emory University Orthopaedics & Spine Hospital. “The addition of P3, the world renowned leader in peak performance enhancement, will make our facility and the city of Atlanta a destination for the most elite of athletes.”

P3 has been pioneering the use of advanced sports science technologies and front-edge applications in US pro sports. P3 specializes in quantifying athletic performance and developing precisely tailored training programs for elite athletes that boost individual performance and enhance career productivity.

Emory Healthcare is excited about the partnership to create this one-of-a-kind facility with the Atlanta Hawks and providing world-class care, treatment and training to athletes of all levels.

Heat-Related Illnesses & What To Do

man suffering from heat-related ilnessesHave you ever heard of heat exhaustion, heat rash, heat cramps or heat stroke? Yes, heat stroke! It’s a real thing! In this blog we’ll discuss the wide range of heat-related illnesses and how to prevent them.

Heat-related illnesses occur when the body is unable to cool itself down. The body is designed to cool off naturally through sweating, this helps maintain an average internal temperature of 98.6 degrees. However, when temperature is hot and the air humid, it’s hard for sweat to evaporate fast enough to cool your body so it overheats. This is when heat-related illnesses happen.

SO WHAT ARE HEAT-RELATED ILLNESSES?

Heat-related illnesses are a group of conditions brought on by staying outside in hot temperatures for too long and/or exercising too much. Here are the four types:

  • Heat Cramps Pain or muscle spasms that typically happen during intense exercise or work in hot temperatures. Symptoms can include: thirst, fatigue, and excessive sweating
  • Heat Rash Skin irritation resulting from heavy sweating. Symptoms can include: blisters or bumps filled with fluid or red, itchy bumps
  • Heat Exhaustion This happens before heat stroke. Symptoms can include:
    • Fatigue
    • Weak, fast pulse
    • Excessive sweating
    • Rapid breathing
    • Nausea
    • Faintness
    • Clammy skin
    • Low blood pressure
    • Headache
    • Muscle cramps
  • Heat Stroke This life-threatening condition can lead to brain damage and/or organ failure. During heat stroke, your body temperature can reach 106 degrees or higher. Call 911 immediately if someone is experiencing one or more of the following symptoms:
    • Dizziness
    • Weakness or muscle cramps
    • Confusion
    • Difficulty walking
    • Strong, fast pulse
    • Dry, hot and/or red skin
    • Headache
    • Nausea
    • Vomiting
    • Shallow, rapid breathing
    • Unconsciousness
    • Seizures

WHO’S AT RISK FOR HEAT-RELATED ILLNESSES?

Certain people are more susceptible to heat-related illnesses than others. This includes:

  • Children under 4 years of age
  • Those over 65
  • Those who are overweight
  • Those who are sick
  • Those not used to warm temperatures
  • Those using certain medications for allergies, high blood pressure, heart issues, etc.

You may also increase your risk of heat-related illness if you:

  • Become dehydrated
  • Drink alcohol
  • Wear too many clothes
  • Exercise or work in high-heat, high-humidity conditions

HOW DO YOU TREAT HEAT-RELATED ILLNESSES?

Here are the most effective ways to treat most heat-related conditions at home.

Heat Cramps

  • Rest
  • Move to a cooler place, such as the shade or indoors
  • Drink cool water or a sports drink with electrolytes

Heat Rash

  • Seek air conditioning or a fan to cool off
  • Take a cool shower or bath
  • Allow your skin to air-dry and avoid oil-based lotions until symptoms subside (oil prevents your skin from sweating)
  • See your physician if your rash does not go away after a few days

Heat Exhaustion

  • Rest
  • Drink cool water or a sports drink with electrolytes
  • Loosen your clothing and/or remove unnecessary items
  • Place a cool, wet towel on your neck or take a cool shower

Heat Stroke

  • Call 911 if you are experiencing signs of a heatstroke

HOW DO YOU PREVENT HEAT-RELATED ILLNESSES?

Prevention of illnesses is the best way to avoid the negative health consequences. Here’s what you need to do.

  • Avoid spending excessive time outdoors in direct sunlight and high temperatures
  • Lose weight if overweight or obese
  • Use sunscreen, a wide-brimmed hat or an umbrella
  • Visit air-conditioned places such as a malls or coffee shops
  • Stay well hydrated
  • Avoid alcohol when outdoors in high temperatures
  • Talk to your physician about your medications to see if any put you at risk of heat illness
  • Do not leave a child or pet in a hot car, even for just a few moments

Are you looking for a physician or hospital near you?

About Dr. Mines

Brandon Mines, MDBrandon Mines, MD, is an assistant professor of orthopaedics. Dr. Mines started practicing at Emory in 2005 after completing his Sports Medicine Fellowship at University of California – Los Angeles. Dr. Mines is board certified in both family practice and sports medicine. He has focused his clinical interest on sports injuries and conditions of the shoulder, elbow, wrist/hand, knee, foot and ankle. He is head team physician for the Women’s National Basketball Association’s (WNBA) Atlanta Dream.

Dr. Mines is a rotational physician for United States soccer teams and team physician for the NFL’s Atlanta Falcons along with various local high schools, colleges, and community club teams. He enjoys giving talks and lectures regarding the prevention of sports injuries. In fact, as an active member of the American Medical Society for Sports Medicine and the American Society for Sports Medicine, Dr. Mines has attended and presented at various national conferences. Through the years, he has helped all levels of athletes return to the top of their game.

Takeaways from Dr. Olufade’s Ankle Sprain Chat

Ankle SprainThanks to everyone who joined us Tuesday, May 27, for our live online chat on “Symptoms, diagnosis and treating an ankle sprain,” hosted by Emory Orthopaedics, Sports & Spine physician Oluseun Olufade, MD.

With summer coming into full swing, a lot of us are out, about and getting more active. Some of our activities can lead to ankle sprains. Dr. Olufade discussed some common misconceptions about treating sprained ankles and exercises you can do to strengthen your ankles to help prevent sprains.

See all of Dr. Olufade’s answers by checking out the chat transcript! Here are just a few highlights from the chat:

Question: My son rolled his ankle this weekend at the beach. What do I need to do?

Oluseun Olufade, MDDr. Olufade: Great question! We use something called the RICE principle. Start with “R”est by staying off the foot, “I”ce the ankle for 20 minutes at a time every hour or two, use “C”ompression, like an Ace bandage, and “E”levate the foot as much as possible.

 

Question: What are some common mistakes that people make when they think they have an ankle sprain? In other words, what do people do to “treat” ankle sprains that can actually make them worse?

Oluseun Olufade, MDDr. Olufade: Ankle sprains can be associated with fractures. Some people try to “walk it off” if they think they have an ankle sprain, and without a proper diagnosis, you could actually be doing more damage to your ankle without knowing it.

If you do have an ankle sprain (not a fracture) I would recommend resting the injured ankle for 3-5 days. Some people worry and stay off of the foot for too long. Prolonged immobilization will make for a longer recovery. People often also make the mistake of using heat on the acute ankle sprain. Heat can actually worsen swelling, so ice packs are recommended instead of heat.

Question: How can you tell if you have a fracture and not just a sprain? Are there any additional symptoms other than increased pain?

Oluseun Olufade, MDDr. Olufade: Fractures are usually diagnosed by x-rays. You should see a doctor to confirm whether you have a fracture or not.
 
 
 
 
 
If you missed out on this live chat, be sure to check out the full list of questions and answers on the web transcript. You can also visit emoryhealthcare.org/ortho for a full list sports medicine treatments offered.

If you have additional questions for Dr. Olufade, fee free to leave a comment in our comments area below.