Posts Tagged ‘injury’

When it Comes to Your Health, are High Heels Worth the Price of Looking Good?

High Heels Back PainEmory Orthopaedics, Sports and Spine physicians Kyle Hammond, MD  and Oluseun A. Olufade, MD recently participated in “Ladies Night Out”  at Emory Johns Creek Hospital.

The Ladies Night Out event is an annual health fair held by Emory Johns Creek Hospital for women to talk with physicians and other providers in the Johns Creek and North Atlanta communities and learn about services near them.

At the Emory Orthopaedics, Sports & Spine table, Drs. Hammond and Olufade spoke with women about potential injuries that could occur from wearing high heeled shoes and what women might be able to do to help prevent injuries to their backs, ankles, feet, hips and knees.

As a fun activity at the Ladies Night Out event, we also had a free drawing for high heeled shoes that were displayed at the table.  Five lucky women went home with a new pair of shoes and lots of tips to prevent orthopedic injuries.

Emory Orthopaedics and Spine Team at the Ladies Night Out Event
Below are 5 orthopedic conditions or injuries related to wearing high heels and tips on how you can prevent them:

ACHILLES TENDINITIS

Symptom: Pain & swelling in lower calf and heel cord resulting in decreased calf flexibility

Achilles Tendinitis Prevention:

  •  Calf stretches with towel or band
  • Calf raises / strengthening exercises
  • Heel pads
  • Wear short heels or flats

ANKLE SPRAIN / FRACTURE

Symptom: Pain, bruising, swelling and inability to walk

Ankle Sprain & Fracture Prevention:

  • Wear short, wide heels (no stilettos)
  • Single leg balancing
  • Ankle ‘A, B, Cs’

BUNIONS

Bunion Symptom: Tenderness and prominence inside of the big toe joint

Bunion Prevention:

  • Ensure proper shoe size & fit
  • Wear short heels with wide toe box
  • Use pads to cushion bunions
  • Wear heels for brief periods of time if possible

KNEE AND HIP INJURIES

Symptom: Muscles in your hip and knee have to work harder when you wear heels as muscles become fatigued and more prone to injury

Possible Injuries:

  • Muscle strain
  • Tendinitis
  • Meniscus tear
  • Hip impingement

Hip & Knee Injury Prevention:

  • Stretch hamstrings, quads, & hip
  • Strength training for lower body
  • Alternate heels with flats during the work week
  • Balance exercises

LOW BACK PAIN

Low Back Pain Causes: Normal center of gravity changes, increasing the curvature of your low back and tilting your pelvis forward.

Low Back Pain Prevention:

  • Change into flats for long walking distances
  • Strengthen your core (crunches & low back extension exercises)

Although high heels look nice and are fun to wear at special events, try to limit the high heels to special occasions and stick with flats for your day to day activities.  Your body will thank you!

About Dr. Kyle Hammond

Dr. Hammond is an orthopaedic surgeon new to the Emory Orthopaedics faculty.  He recently completed his fellowship at the University of Pittsburgh Medical Center.  While at the University of Pittsburgh he was the Associate Head Team Orthopaedic Surgeon for both the Duquesne University Football team and the University of Pittsburgh Men’s Basketball team.  He also worked as a Team Physician for the Pittsburgh Steelers, the Pittsburgh Penguins, the University of Pittsburgh athletics, Robert Morris College athletics, as well as the Pittsburgh Ballet.

Dr. Hammond sees patients at Emory Johns Creek Hospital, as well as Emory Orthopaedics & Spine Center in Atlanta.  Dr. Hammond has a special interest in the overhead/throwing athlete, ligament injuries to the knee, Tommy John surgery, joint preservation surgery, and is one of the few fellowship trained hip arthroscopists and concussion specialists in Georgia.

About Dr. Oluseun A. Olufade

Dr. Olufade is board certified in Physical Medicine & Rehabilitation and Interventional Pain Medicine. He completed fellowship training in both Sports Medicine and Interventional Pain Medicine. During his fellowship training, he was a team physician for Philadelphia Union, a major league soccer (MLS) team, Widener University Football team and Interboro High School Football team.

Dr. Olufade employs a comprehensive approach in the treatment of  sports related injuries and spinal disorders by integrating physical therapy, orthotic prescription and minimally invasive procedures. He specializes also in concussion, tendinopathies and platelet rich plasma (PRP) injections. He performs procedures such as fluoroscopic-guided spine injections and ultrasound guided peripheral joint injections. Dr. Olufade individualizes his plan with a focus on functional restoration. Dr. Olufade sees patients at Emory Johns Creek Hospital.

About Emory Ortho, Sports and Spine in Johns Creek and Duluth

Emory Orthopaedics, Sports & Spine has recently opened two new clinics, one in Johns Creek and one in Duluth.  Emory physicians, Kyle Hammond, MD, and Oluseun A. Olufade, MD see patients in Johns Creek.  Mathew Pombo, MD and T. Scott Maughon see patients in Duluth.  Our new clinic locations care for a full range of orthopedic conditions including: sports medicine, hand/wrist/elbow, foot/ankle, joint replacement, shoulder, knee/hip, concussions, and spine.

To schedule an appointment call 404-778-3350

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ACL Injuries and Young Female Athletes

Thank you for joining me for the live chat on ACL injuries last week!  We had some excellent questions. One participant asked a key question about young females and ACL injuries and I would like to expand on my response to this important subject.

There are a growing number of  female athletes who are tearing their ACLs.  In fact, young female athletes (under 20 years old) are four to eight times more likely than males to injure their ACL.  Even though extensive research has been done on the reasons why this could happen, we are not exactly sure why females tend to injure their ACL easier. Luckily, if a young woman injures her ACL  we are able to get most athletes back to their previous level of play due to advances in arthroscopic surgery and specialized physical therapy.

Full recovery may take about eight to 10 months but important to note, is in rehabilitation, experienced physical therapists are working with the athlete to help them avoid re-injury.  The physical therapists and athletic trainers are teaching young girls how to jump, how to land, how to contract muscles correctly as well as specific exercises that will help strengthen the knee.  Some of the things we are teaching young female athletes are not instinctual but will greatly help reduce the risk of future injury if implemented correctly when the athlete starts participating in their sport again.

If you have had a ACL injury please make sure to work with your physical therapist to make sure you are working some of these aspects into your recovery.  If you have not had an ACL tear but you are a young female athlete, do some research on how to avoid injuries so you can excel in your sport without injury. One recommended source is the PEP Program which seeks to prevent ACL injuries.

For the full transcript on the chat visit - http://advancingyourhealth.org/orthopedics/past-doctor-chats/acl-injuries-chat/

About Dr. Sam Labib

Dr. Labib is an Emory Sports Medicine orthopaedic surgeon with special interest in problems and procedures of the knee, ankle, and foot. He is the head team physician for the athletic programs at Oglethorpe University, Spelman College, and Georgia Perimeter College. He is also an orthopaedic consultant to the Atlanta Faclcons, 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 JBJS, Arthroscopy, Foot and Ankle International and the American Journal of Orthopedics 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.

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6 Tips for an Injury-Free Transition from Indoor to Outdoor Sports

Outdoor Sports TransitionWarm weather is right around the corner and athletes of all ages will be out in force tearing it up on the athletic fields playing the games they love! Injury prevention during the seasonal sports transition is key. It is important to take care of your body and follow certain precautions as athletes transition from winter to spring sports. This is especially important for the young athletes. Outdoor elements such as soggy, muddy field conditions or bad weather, can negatively affect young athletes. Many times young athletes don’t have as much opportunity to train in an environment similar to which they will be playing in during their season. This can greatly increase the risk of athletic injury.

Below is a list of suggestions to help athletes adjust and prepare for the transition from indoor to outside venues and prevent injuries in the process!

All outdoor and field sport athletes should know:

  1. Stretching is extremely important in all sports. Typically, you should hold stretches for 30 seconds! Do some 20 – 30 yard runs, starting out slower and ending up at full speed to loosen the muscles up.
  2. Make sure your cleats are “broken in.” W e highly recommend that the young athlete begin wearing cleats outside on the field surface which they will be playing before the season starts. This will help ensure the cleats fit well and feel comfortable on the playing surface during practice and games.
  3. Arrive to the field early on game day and allow your body to adjust to the outside temperature.
  4. If you are able to arrive early, take a few minutes to walk the field to assess for soft or uneven spots in the field. If it has rained, scout the field for standing water puddles. This is especially important if you haven’t ever practiced or played on the field.
  5. Keep your muscles warm as long as possible before the game. Keep your warm-up gear on til the last second. You can also wear thermal type clothing like Under Armour under your uniform if you are playing in cold temperatures.
  6. Do not let muscles get cool during the game. If you are not playing, stand and keep moving as much as possible.

Spring sports are exciting for the athletes and for all the spectators! We want to help you make sure you stay healthy so you can enjoy them from the field!

About Dr. Brandon 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 a consulting 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.

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Emory Sports Medicine Puts Former Falcons Player Back in the Game After Jones Fracture

Atlanta Falcons Jones Fracture Sports MedicineA couple of years ago, a young recruit of the Atlanta Falcons football team was running during practice when his cleat got caught in the turf, a misstep that led to him both twisting and breaking his foot. The injury turned out to be what’s known as a “Jones fracture,” which is a very specific break in one of the bones in the midportion of the foot.

The Falcons recruit went out of state for surgery to insert a screw in his foot that would secure the bone while it healed, but his injury never healed properly, and on the first day of football practice the next year, he rebroke his foot. This time, he decided to find a surgeon in the Atlanta area and was referred to Dr. Sam Labib, director of the foot and ankle service at the Emory Sports Medicine Center.

During his time practicing at Emory, Dr. Labib has become very familiar with the Jones fracture. “As it turned out, at Emory, we had done extensive anatomic research on this particular type of injury and knew the ideal location for the screw,” he says. “When he came in for surgery, we removed the screw, cleaned up the bone, and replaced the screw in a better, more stable area.”

“Because we are a research environment as well as a surgical practice, we have a wealth of information and experience to bring to bear on injuries such as the Jones fracture,” Dr. Labib says. “Doing anatomic research is like drawing a map for surgery. With practice, we can effectively calculate the path of the screw and place it in the most solid position. Our patients benefit from this research and expertise.”

According to Dr. Labib, a Jones fracture typically takes a minimum of three months to heal. In the football player’s case, the fracture healed beautifully after his surgery at Emory, and he was back to training just three months later.

Have you had foot surgery, or would you like to learn more about foot surgery at Emory? We welcome your questions and feedback for Dr. Labib in the comments section below.

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Using Biomechanics & Motion Analysis to Enhance Athletic Performance & Reduce Injuries

For those people who participate in competitive sports, athletic injury and related pain are not uncommon. Even without being an athlete yourself, you’re likely no stranger to some of the worst injuries that have been sustained by professional athletes. Mary Pierce and her torn ACL, Willis McGahee’s broken leg post-collision on the field, or Tony Saunder’s (Devil Rays’ pitcher) breaking his arm while throwing a pitch are just a few noteworthy examples. More recently, we saw Peyton Manning sidelined with a neck injury that kept him from participating in this year’s NFL season.

It is injuries like these and research being conducted in the world of biomechanics that is helping today’s athletes make strides in improving their form and physical durability.

Research and evaluation into biomechanics has resulted in new technology that allows experts to capture the movements of an athlete and analyze those movements via specialized software. The takeaways from the analysis are used to help educate and train athletes to move in the most effective and efficient ways to reduce injury and maximize outcomes. While much of this technology is emerging from colleges and universities around the U.S. and in turn, helping keep college athletes operating at peak performance, the same technology is also being used by professional athletes and their trainers.

As Jeff Fish, director of athletic performance for the Atlanta Falcons explains in a recent article covering biomechanics, “You have to look at the movement. It’s so much bigger than just is this player strong, is this player fast.” And with the help of Emory’s Dr. Spero G. Karas, head team physician for the Falcons, the team has one of the lowest injury rates in the NFL.

To help keep injury rates low and enhance performance among the Falcons, a fairly scientific process is in place. More than once a year, each player from the Falcons goes through “functional movement screening,” during which their strengths and weaknesses from a biomechanical movement standpoint are evaluated and they are each given a healthy motion score. After each player’s risk factors are evaluated, a customized plan is developed for each of them. Plan success is determined based on changes in the healthy motion score gleaned from the functional movement screenings.

Dr. Spero Karas

Dr. Spero Karas

Furthermore, now when a Falcons player is injured, that healthy motion score provides a baseline for team physicians such as Dr. Spero Karas to use to measure improvement in the athlete’s range of motion after injury and rehabilitation.

As Dr. Karas explains, “I can use that objective data that was generated before the athlete was injured to help me evaluate the athlete at the time of return to play.”

These are some pretty amazing developments for the athletic and medical worlds. For years, we’ve seen players watch their own game footage/tapes for insight into how they can better execute each play on the field. Now, with the help of biomechanics, functional movement screenings, and experts such as Dr. Spero Karas, those same players can learn how to fine tune their movements before taking the field to ensure the outcomes once there are the best they can be.

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What is a Biomechnical Injury?

Dr. Amadeus Mason of Emory Sports Medicine explains biomechanical injuries and how they can be prevented and treated.

Biomechanical Injury

In sports medicine, we see a lot of biomechanical injuries. A biomechanical injury is caused by the overuse or incorrect use of a joint or muscle. This type of injury generally occurs when the joint has been stressed in the wrong way or overstressed repetitively over a short period of time. While any joint can sustain a biomechanical injury, at the Emory Sports Medicine Center, I see a lot of runners who come in complaining of knee pain.

Iliotibial band syndrome, or ITBS, is a biomechanical injury. It usually presents as pain on the outer side of the knee and is a common complaint among middle-distance runners or in athletes when they try to do too much running too quickly. This usually occurs early in the season or when athletes increase the intensity of their training, e.g., moving up from 5K to 10K distance.

To prevent a biomechanical injury, no matter where in the body it is, you need to be cognizant of how you’re stressing your joints and give your body enough time to accommodate the increased stress. If you’re a runner, start slow with low mileage (1–2 miles) and a moderate pace and slowly increase distance or intensity, but not both. If you’re lifting, start with a lighter amount of weight and a higher number of reps in each set and then, as you increase the weight, decrease the number of reps per set.

If you think you might have a biomechanical injury, you should be evaluated by a sports medicine specialist who understands biomechanical injuries. He or she can correctly determine the source of your pain and initiate the appropriate interventions so you can get better. If you’re in pain but not sure what type of injury you have, don’t take chances—come see a specialist here at the Emory Sports Medicine Center.

Things to Keep in Mind if You Have (Or Suspect You Have) a Biomechanical Injury:

  • This type of injury will not just “heal on its own” with rest. You need to address the cause of the pain, or the symptoms will come back when you return to whatever activity caused the pain in the first place.
  • Don’t push through the pain. This pain is telling you that you’re doing something wrong. This is not a no-pain, no-gain situation.
  • There’s no quick fix. There’s no pill or quick shot that can cure a biomechanical injury. The best approach is to correct the problem using a holistic approach, which may include therapy, medications, modalities, and injections (as needed). Physiotherapy, in conjunction with steroid injections or platelet-rich plasma (PRP) injections, can help reduce inflammation and, in turn, alleviate pain and facilitate addressing the underlying biomechanical issues. This is why it’s important to seek the help of someone who understands this type of injury.

Have you had a biomechanical injury? We’d like to hear about your experience. Please take a moment to give us feedback in the comments section below.

Dr. Amadeus MasonAbout R. Amadeus Mason, MD:

R. Amadeus Mason, MD, 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 and platelet rich plasma (PRP) injection. Dr. Mason is Team Physician for USA Track and Field and the National Scholastic Sports Foundation Tucker High School, and Georgia Tech Track and Field.

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Not Just on the Sidelines: Emory Sports Medicine Doctors Work with the Atlanta Falcons On & Off the Field

Dr. Spero Karas Atlanta Falcons Team Doctor

Source: Atlanta Falcons Website

The Atlanta Falcons recently contracted Emory Sports Medicine physicians to help manage the team’s sports medicine needs. I am honored to now serve as the Falcons’ head team physician; my colleague, Dr. Jeff Webb, is the assistant team physician. Now that football season is finally upon us, we’re staying busy!

We’re excited to be bringing expert care to the Falcons in a three-prong approach that includes:

  • Athletic performance improvement – strength training and conditioning, biomechanical corrections, and injury prevention through corrective exercises and through training that improves flexibility, flexibility, posture, gait, and overall core strength and strength and balance.
  • Athletic training – the care and prevention of injuries through treatment, taping and orthotics, bracing, heat, ultrasound, muscle stimulation and similar methods.
  • Sports medicine – surgical and medical care of injuries and illnesses

As head team physician, I direct the sports medicine prong, working closely with Dr. Webb and drawing on all the resources of Emory Sports Medicine and Emory Healthcare so that, whatever the problem, I can rely on the finest specialists in the field. The Falcons play really hard and end up with many interesting injuries and illnesses. It’s my job to make sure that the Falcons are wrapped in a complete blanket of world-class care. Emory Sports Medicine offers comprehensive services and renowned experts who can cater to the needs of each player and his specific injury.

As you can see, our work will extend far beyond the sidelines of the games, but Dr. Webb and I will also be there on the sidelines for every game, assessing injuries, and providing care.

I’m really looking forward to being at the games with the Falcons, though it does require me to separate the football fan in me from the physician, taking a more analytic approach to the game. When the Falcons score a touchdown, I’ll be focused not on the elation of the moment or the guy who brought it into the end zone, but on all eleven guys who just contributed to that score. I’ll make sure they’re properly hydrated and that there are no issues arising from their ongoing injuries. I have to be more aware of the medical situation rather than getting too caught up in the excitement of the game.

I’m very proud to be the Falcons’ head team physician, but ultimately my job is to provide the best, most competent care in order to insure the health and safety of each athlete. I’ll save my own celebrating for later, when the job is done.

See how Dr. Karas and the team at Emory Sports Medicine is working with the Atlanta Falcons in this short video, “Meeting the New Team Physician,” on the Atlanta Falcons website.

About Dr. Spero Karas

Dr. Karas is the Director of the Orthopaedic Sports Medicine Fellowship Program and an Associate Professor of Orthopaedic Surgery at Emory University. His specialties include sports medicine, surgery of the shoulder and knee, and arthroscopic surgery. He is Board Certified in Orthopaedic Surgery, with a subspecialty certification in Orthopaedic Sports Medicine. He currently serves as team physician for the Atlanta Falcons, Georgia Tech Baseball and Lakeside High School, as well as a consulting team physician for Emory University, Ogelthorpe University, Perimeter College, Oglethorpe University, Perimeter College, and Georgia Tech athletics. He cares for patients and athletes of all levels: professional, collegiate, scholastic, and recreational.

 

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:

 

 

Emory Plays a Key Role in Accelerated Bone Healing

Dr. Scott Boden Emory HealthcareAt Emory Healthcare, we’re always looking for new and better ways to treat patients. Bone healing, particularly after spine fusion surgery, is one of the many areas in which we’ve pioneered research that can significantly improve our patients’ quality of life. For more than two decades, the Emory Orthopaedics & Spine Center has been instrumental in developing technology to improve bone healing, accelerate the speed of healing, and prevent the need to “borrow” bone graft.

While some broken bones heal quickly and easily, certain types of leg bone fractures and high energy traumatic fractures often need extra help. In some cases, bone graft has been used in the treatment of difficult fractures, segmental bone loss, and fusion of other joints in the body that may have severe arthritis (e.g., foot joints). At Emory, spine fusion represents 50% of the reason our surgeons would harvest bone graft in the past. Many spine operations involve getting bone to grow in the spine, where it normally doesn’t grow. Also, for certain types of long spine fusions, there’s often not enough bone. Traditionally, the surgeon would harvest bone graft from the patient’s hip (pelvis). This process, called an iliac crest bone graft harvest, often causes patients to complain of chronic pain at the bone donor site.

So how do we accelerate bone healing and avoid the use of bone graft? Emory has participated in laboratory studies and clinical trials to work out the details of how to use special proteins in humans. The first procedure was approved by the FDA in 2002. The approval is for only very specific indications, so work is ongoing to optimize these proteins for more broad use. Since we at Emory are very familiar with the science and development of these proteins, we’re able to use them safely in a variety of individual patient cases. In some situations, use of these proteins can prevent the need for bone graft harvest from the hip and result in better healing.

Some of the newer bone-healing technologies have only limited approval by the FDA and can be associated with some local side effects, so their use is not as broad unless they are being used by a very experienced surgeon or as part of a research trial—such as those conducted at Emory. Over the next five to 10 years, you can expect these new bone healing technologies to be more commonly used. If you’re having surgery at Emory that requires bone grafting or bone healing, ask your surgeon whether bone healing technology is a viable option for you.

Have you had a bone graft or surgery using new bone-healing technology? We welcome your questions and feedback about accelerated bone healing in the comments section below. For more information on accelerated bone healing technology at Emory, watch the short video below:

About Dr. Boden

Scott D. Boden, MD, Director of the Emory Orthopaedics & Spine Center and Professor of Orthopaedic Surgery, is an internationally renowned surgeon, lecturer, and teacher and the driving force behind the Emory University Orthopedics and Spine Hospital (EUOSH). Dr. Boden started practicing at Emory in 1992.

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.