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.


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.


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


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


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


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.

Are you a Weekend Warrior and Want to Learn How to Train for Summer Running Races and Other Athletic Adventures?

If so, join Emory Sports Medicine physician Amadeus Mason, MD for an online web chat on Tuesday, June 10 at noon. Dr. Mason will be available to answer your questions regarding running and other sports injuries such as

  • Prevention of injury
  • Stretching
  • Symptoms of certain athletic injuries
  • Risk factors for athletic/running injuries
  • Treatment for specific sports injuries
  • When to visit your sports medicine physician

If you are interested in learning more about preventing and treating sports and running injuries register for the live chat by visiting emoryhealthcare.org/mdchats!

About Dr. Mason

Amadeus Mason, MDDr. Mason is an assistant professor in the Orthopaedics and Family Medicine departments at Emory University. He is board certified in Sports Medicine with a special interest in track and field, running injuries and exercise testing. He has been trained in diagnostic musculoskeletal ultrasound, orthopedic stem cell therapy and Platelet Rich Plasma (PRP) therapy. Dr. Mason is Team Physician for USA Track & Field, Tucker High School, and Georgia Tech Track and Field.

Dr. Mason is a member of the American College of Sports Medicine, the American Medical Society for Sports Medicine, the America Road Racing Medical Society, and the USA Track and Field Sports Medicine and Science Committee. He has been invited to be a resident physician at the US Olympic Training Center, a Sports Medicine consultant in his homeland of Jamaica and the Chief Medical Officer at multiple USA Track and Field international competitions. He is an annual speaker at the pre-race expo for PTRR, Publix marathon and Atlanta marathon commenting on a wide variety of topics related to athletics and running injuries.

Dr. Mason is an active member of the Atlanta running community. He attended Princeton University and was Captain of the track team. His other sports interests include soccer, college basketball and football, and the National Hot Rod Association (NHRA). A Decatur resident, he is married with three children

Related Links

Emory Sports Medicine
Runner’s chat with Dr. Mason 2013 transcript
More Runners’ Chat Questions Answered
Tennis Elbow and PRP (Platelet Rich Plasma) Therapy – Is it Right for Me?

Plantar Fasciitis Symptoms and Risk Factors

ankle-painAre you one of the over 2 million Americans who is suffering from plantar fasciitis this year? If you have stabbing pain in your heel right after getting out of bed or after long periods of standing or sitting you could be suffering from plantar fasciitis.

Plantar fasciitis is one of the most common causes of heel pain and it is caused by inflammation in the thick band of tissue – plantar fascia – that stretches across the bottom of your feet, connecting your heel to your toes.

Plantar fasciitis affects some groups of people more than others. If you fit into any of the categories below, you may be at increased risk for plantar fasciitis:

• Middle – aged individuals: Plantar Fasciitis is most commonly experienced by people between 40-60 years of age
• Occupations that require standing: People who are on their feet a lot are more likely to develop plantar fasciitis. This could include teachers, factory workers, soldiers, nurses and anyone else who stands a good portion of the day.
• Overweight individuals: Individuals who carry extra weight are at an increased risk for plantar fasciitis because the additional pounds add stress to your plantar fascia
• Active individuals: Any exercise that puts lots of stress on your heel and the attached band of tissue can lead to early-onset Plantar Fasciitis. Ballet dancers, runners and dance aerobicizers commonly develop plantar fasciitis.
• Individuals with impaired foot mechanisms: High arches, flat feet, or an irregular walking pattern can lead to incorrect weight distribution while standing. This puts additional strain on the plantar fascia in your feet and can lead to extreme heel pain.

It is important not to ignore heel pain, especially if it is so extreme that it gets in the way of your daily activities. Brushing aside plantar fasciitis may cause you to adjust the way you walk to decrease pain, which can lead to foot, knee, hip or back problems over time.

If you think you may have plantar fasciitis a good first treatment is rest! Cut back on the activities that hurt your heel. You can also try stretching your calves, toes and quads in order to reduce the pressure on the heel. If these simple remedies do not work, it is important to talk to your doctor so he or she can suggest the best treatment plan for you.

Related Links:

Plantar Fasciitis

Plantar Fasciitis PDF

How to Prevent Plantar Fasciitis – A common Running Injury

Emory Doctors Relieve Chronic Heel Pain with New Shock Wave Therapy System – A First in Atlanta

Rami Calis, DPMAbout Rami Calis, DPM:

Rami Calis, DPM, is assistant professor in the Department of Orthopedics. He is board certified and a Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine, with an interest in sports medicine of the lower extremity and foot and ankle biomechanics. Dr. Calis sees patients at Emory Orthopaedics & Spine Center at Executive Park and also in Sugarloaf, at our satellite office. Dr. Calis’ professional goal is to improve patient care and quality of life for patients with foot and ankle problems. Dr. Calis began practicing at Emory in 2003.

Hand and Upper Extremity Live Online Chat

hand-upper-caloutDo you have hand, wrist or elbow pain that is keeping you for your daily activities? If so, join Emory Orthopaedic Surgeon, Dr. Claudius Jarrett on Tuesday, July 23 for an online web chat to discuss various topics related to hand and upper extremity conditions in the hand, wrist and elbow such as:

  • What is the difference between a fracture and a sprain?
  • What are the most common injuries that occur from falling down on an outstretched hand?
  • What is carpal tunnel syndrome?
  • What types of hand and wrist problems need surgery?
  • How do you treat arthritis in the hand?
  • What does it mean if it have numbness and tingling in my hands at night?
  • Is Emory involved in any research regarding new treatments of hand and upper extremity conditions?


Takeaways from Dr. Bradbury’s Hip and Knee Replacements Chat

Thank you for participating in the online chat on Hip and Knee Replacements.  We had a lot of really great questions.  We received a few questions a couple times so we will highlight the answers to those questions here!

What is the longevity of knee replacements?

The lifespan of a knee replacement is related to the body weight and activity level of the individual who receives the replacement.  Individuals who are very active often reduce the longevity of their knee replacement because high activity can put extra stress on the implant leading to loosening of the implants from the bone or “wearing” of the parts used to replace the joint.  Being overweight increases the forces on implant and can also lead to early failure.  In general, 15 year survivorship of modern knee replacement designs used in  good candidate is around 90 percent.

Typically for younger patients,  if x-rays do not show complete loss of cartilage, “bone on bone”, I recommend waiting as long as possible to have the knee replacement surgery.  However, if there is “bone on bone” arthritis, knee replacement is the most effective treatment, but the risks of early failure are increased.

What exercises can I do for a total knee replacement?

Low impact aerobic conditioning 4-5 times per week for 4-6 weeks prior to surgery is best.  Low impact activities include swimming, elliptical, or stationary  bike.

“Prehabilitation” is rehabilitation to get your body ready for the surgery so you can recovery as quickly as possible after surgery.  Instruction during this period should be focused on strengthening the muscles around the joint.  The prehabilitation period should last for several weeks before surgery.

How long is recovery after hip/knee replacement?

It is best to think of how long it takes to reach recovery milestones –

• For hip replacement, pain is typically better than what it was prior to surgery in 2-3 weeks, normal walking typically occurs by 6-8 weeks and full recovery typically occurs within 3-4 months.

• For knee replacement, pain is typically better than what it was prior to surgery by 4-6 weeks, normal walking typically occurs by 8-10 weeks and full recovery typically occurs within 4-5 months.

Thank you again for attending the chat. I hope you found the information useful!  If you have questions or would like to schedule an appointment with an Emory Orthopedic Surgeon about hip or knee replacements please call 404-778-7777.

>>Read the full transcript from the online chat here!<<

About Dr. Bradbury

Dr. Bradbury is an Assistant Professor of Orthopaedic Surgery at Emory. He specializes in hip and knee arthroplasty. He really enjoys this area of orthopaedic surgery because of the consistency of success in the properly selected patient. Dr. Bradbury’s professional goal is the improvement in quality of life for patients with pain secondary to hip and knee problems.

His research interests center around infections involving hip and knee replacements which are rare, but difficult problems. Dr. Bradbury is researching the success rate of current treatment methods for hip and knee replacement infections caused by resistant bacteria (MRSA). Through his research, he hopes to find better way to both prevent and treat periprosthetic hip and knee infections.

Related Links

8 Types of Low Back Pain that Mean You Should Visit Your Doctor

Back pain warning signOver 80% of the population will suffer from lower back pain at some point in their lives. Low back pain is a common complaint in medical offices and is a common issue causing many people to miss work and be unable to participate in daily life activities. Sometimes back pain is due to a pulled or strained muscle and many times will not require a trip to your doctor’s office. Other issues such as fractures, tumors and infections of the spine are very serious and need to be evaluated by a physician promptly.

Patients should see a doctor immediately if they experience low back pain as a result of severe trauma. Patients should also make an appointment with a doctor if low back pain is accompanied by any of the following: fever, loss of bowel or bladder control, serious trauma, numbness, unplanned weight loss, personal history of cancer, back pain that persists more than 6 weeks, or severe night pain.

Fever and Back Pain
Fever combined with back pain can indicate an infection in your kidneys or back. A primary care physician can determine if you need antibiotics to eliminate the infection.

Loss of control of your bowel or bladder and Back Pain
If you have back pain along with new incontinence, you could have a serious back condition causing pressure on the nerves that requires immediate medical care.

Serious Trauma and Back Pain
Trauma such as a car accident or falling down a flight of stairs can cause a fracture in your back. Seek immediate care from your physician or the emergency department.

Numbness or Tingling in Leg and Back Pain
Numbness on tingling in your leg and back pain could indicate nerve irritation or nerve damage. You could have a herniated disc or spinal stenosis. A doctor can prescribe medications, treatments or even surgery to help relieve the pressure on the nerves.

Unexplained weight loss and Back Pain
If you lose a lot of weight without changing your diet or activity level and have back pain, a doctor should order imaging and blood work to check for cancers or hormonal disorders.

History of Cancer and New Back Pain
If you have had cancer, onset of back pain could be a sign that cancer has spread to you spine. You should visit your physician for further evaluation.

Back Pain at Night
Pain in your back that causes you to lose sleep should not be dismissed. This could be a sign of spinal tumors or even cancer.

Back pain that lasts more than 6 weeks
Any pain that lasts more than a month or two should be evaluated more fully.

If you experience significant trauma and back pain, an evaluation in the Emergency Department is indicated. In most other cases, your primary care physician can evaluate your condition and begin treatment. . If he or she is unable to help with your condition he can refer you to a spine specialist.

For more information about low back pain, visit Spine-Health.com. Our spine physicians at Emory regularly contribute content to this website for not only our own patients, but for anyone searching for spine information.

Dr. Susan DreyerAbout Susan Dreyer, MD
Dr. Dreyer is an Associate Professor in the departments of Orthopaedics and Physical Medicine & Rehabilitation at Emory University School of Medicine. Dr. Dreyer specializes in non-operative spine care and focuses on helping patients achieve their best functional level. She has taught many national and international courses on spine care and spinal injections for sciatica and other causes of back and neck problems. She is also active in several professional societies. Dr. Dreyer started practicing at Emory in 1992.


Related Resources:

Did you know that July is Juvenile Arthritis Awareness Month?

We are all painfully aware that arthritis affects many older adults, but did you know that kids can develop juvenile arthritis?

Approximately 294,000 children age 16 or younger are affected by pediatric arthritis and rheumatologic conditions.
In adults, arthritis typically affects the joints. While juvenile arthritis can cause bone and joint growth problems, it also can affect the eyes, skin, and gastrointestinal tract.

The most common symptoms of juvenile arthritis are joint swelling, pain, and stiffness that won’t go away, particularly in the knees, hands, and feet. Symptoms are generally worse in the morning and after naps. Other signs of juvenile arthritis include:

•    Limping due to a stiff knee

•    Excessive clumsiness

•    High fever and skin rash

•    Swelling in the lymph nodes

The most common type of juvenile arthritis is juvenile idiopathic arthritis. (Idiopathic means “from unknown causes.”) You may have heard this referred to as juvenile rheumatoid arthritis. This type of arthritis is diagnosed when a child has swelling in one or more joints for at least six weeks.

There are several different types of juvenile idiopathic arthritis. The type is usually determined by the number of joints affected as well as by the results of a rheumatoid factor blood test. While children may have a genetic predisposition that makes them more likely to develop the disease, at this point, researchers have not determined a direct cause, and there’s no evidence that toxins, foods, or allergies can cause it. Most children with juvenile arthritis experience remission, when the symptoms get better or go away, and times when symptoms flare, or get worse.

If your child has juvenile arthritis symptoms, the first thing to do is get an accurate diagnosis. Your child’s pediatrician can run tests that will rule out other potential causes, but if the signs point to juvenile arthritis, he or she may suggest you make an appointment with a pediatric rheumatologist.

There is no cure for juvenile arthritis; however, a number of treatments can improve your child’s quality of life, including:

•    Nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and analgesics to help relieve inflammation and control pain

•    Disease-modifying anti-rheumatic drugs (DMARDs) and a biologic response modifiers (biologics), which can alter the course of the disease, put it into remission, and prevent joint damage

•    Splints to help keep joints in the correct position and to relieve pain and orthopedics or shoe inserts to compensate for any difference in leg length or to improve balance

•    Physical therapy to help restore motion and flexibility in joints that have become stiff and occupational therapy to help children learn how to do basic activities without aggravating their arthritis

And, of course, it’s super important for kids with juvenile arthritis to eat healthy foods and get regular moderate exercise, to keep joints strong and flexible.

Does your child have juvenile arthritis? How does your family cope? We welcome your questions and feedback in the comments section below.