Category Archives: Workshop

Imaging and Sports Injuries – 625

What's the role of Imaging and Sports Injuries

Dr. Manickam “Nicks” Kumaravel, MD shares what the current and future role of imaging and sports injuries are at the Memorial Hermann Sports Medicine Update.

Dr. Mark Knoblauch shares the mic as we are live in Katy, Texas learning.

Imaging and Sports Injuries

What is a normal day like for radiologists?

Most are sitting in front of a computer looking at images, coming up with a diagnosis, and sending them back.

Dr. Nicks has a unique set up as he has a viewing room in the middle of the ortho floor. He regularly gets out of the office to interact with doctors and patients.

He, at times, even scrubs in with the surgeons to help and learn.

How much info are you usually given with the images to make a diagnosis?

Usually one or two lines at most. This is part of the reason he gets out of the office to see and interact with the doctors.

“Garbage in gets garbage out” plays true in imaging and sports injuries too.

Are there specialties in radiology as well?

Absolutely, If Dr. Kumaravel were to get a neuro MRI he would be sending it right along.

Where are we headed with Imaging and sports injuries?

Clinical Skills need to be an emphasis in radiology education. We are moving away from using clinical skills and he believes it is showing in the results.

Continued improvement and growth. we are now able to see bone marrow edema with CT scans

Ultrasound is the next big wave in the United States. It is becoming an extension of the physical exam.

The hardest part about an AT using the US machine is knowing what it means and interpreting the results.

Cinematic renderings are amazing to see as well.

Watch the presentation on Facebook

Imaging and Sports Injuries – Manickam "Nicks" Kumaravel, MD, FRCS (UK)

Imaging and Sports Injuries – Manickam "Nicks" Kumaravel, MD, FRCS (UK)

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Contact us:

Dr. Kumaravel

Jeremy Jackson

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Minority Women Doctors – 622

Doctor Angie Curtis, MD, MPT fits into the Minority Women Doctors category but has a unique path.

Minority Female Doctors; Dr. Angie Curtis; black women; african american colleges

Her original plan was to be a doctor.

Obstacles arose and she chose Physical Therapy school.

Before she could get established as a PT she knew she needed to go after her dream of becoming a Sports Medicine Doctor.

Challenges facing Minority Women Doctors

Doctor Curtis did not present on becoming a doctor as an African American woman. But a previous conversation in the hallway sparked an interest in me to learn more and help grow to understand.

I know I have preset judgments and biases based on where and how I was raised.

I also know that I am responsible for my actions and choices. I can not blame anyone else for the way I view or treat others.

Have you judged Minority Women Doctors too soon?

Dr. Curtis has been overlooked and ignored because she is a black female, dressed like a doctor, carrying clipboard and stethoscope. The nurse in scrubs was a male so he was obviously more “doctorly”

She has not allowed this to make her bitter but continues to grow and improve patient care and open doors for the women behind her.

Dr. Curtis's presentation on Facebook

Overuse Injuries in the Young Athlete – Angie Curtis, MD, MPT

Overuse Injuries in the Young Athlete – Angie Curtis, MD, MPT

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Contact Us

Dr. Angie Curtis

Jeremy Jackson

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Minority Women Doctors

Athletic Shoulder – Stephen Simonich – 619

What does the Athletic Sholder look like in 2019?

Dr. Stephen Simonich, MD joins us today to talk about the athletic shoulder from the Memorial Hermann Sports Medicine Update.

Dealing with Challenging Parents

Ever wondered how to explain the rotator cuff as a secondary stabilizer in the GH joint to either your athlete or their family?  Dr. Simonich has the perfect analogy.

He tells his patients that it is like if I were to take a big exercise ball in my right arm and pull it into my chest.  My chest would be the socket, the exercise ball my humeral head, my arm would be the rotator cuff and my hand the tendons of the cuff.  That demonstration can help show how difficult it is for the rotator cuff to stabilize the joint.

What are the two types of shoulder dislocations, where do you see them and how should we treat them?

TUBS (Traumatic Unilateral Bankart Surgical) and AMBRI (atraumatic multidirectional bilateral rehab rarely inferior capsular shift) are the two types of dislocations.

You will see TUBS is most often in contact or collision sports like football or rugby.  AMBRI is seen often in swimmers especially at the end of a long season.  

Post a TUBS dislocation and relocation Dr. Simonich likes to use the apprehension test as an indicator of further treatment.  He also uses athlete age (young athletes have a high rate of recurrence) individual goals, sport played and level of participation as indicators for surgery.  Surgery reduces the high rate of recurrence in young athletes.

What are the types of AC joint separation and how do you treat them?

AC joint separations are relatively easy to see and cause biplanar instability.  There are 5 types with Type I and II requiring conservative treatment, Type III going either way but trending non-operatively and Type IV V VI requiring reconstruction with a joint tie-down.

Clavicle fracture treatments have changed throughout the years due to research.  What does the current research say?

Prior to 06’-07’ most clavicle fractures were treated non operatively.  Research was introduced in two studies in those years that saw a better union rate with fixation in the clavicle post-fracture and surgeons began to surgically treat and fixate. 

In 2017 a new study showed that while the rate of union is still higher in clavicle fractures with fixation, fixation doesn’t improve shoulder function nor does it decrease limitations in the shoulder.  Dr. Simonich will put a plate to fixate the clavicle on an athlete with shortening, displacement, or comminution because they get faster healing rates, are more predictable and can get them back to their sports.

Watch the Athletic Shoulder 2019 presentation on Facebook

The Athletic Shoulder – Stephen Simonich, MD

The Athletic Shoulder – Stephen Simonich, MD

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Contact Us

Stephen Simonich(713) 486-9800

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

Sponsors


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy; Athletic SHoulder

Previous episodes discussing the Athletic Shoulder:

The Athletic Shoulder: What You Need To Know – 394

Shoulder Rehab Tips – 494

Shoulder Anatomy – 489

Thrower’s Elbow – 616

Thrower’s elbow is an injury that AT’s and coaches deal with frequently.  What do we need to know as we interact with young throwers?

Thrower's Elbow

The more you throw and the higher velocity you throw at increases your risk for injuries.  As AT’s and coaches, we need to not only be aware of the rules that are in place to protect these young athletes we need to follow them and encourage parents who may have their kids participating in multiple leagues to stay within the guidelines.  The bottom line is the AMOUNT MATTERS.

What should we do when a throwing athlete begins to complain about pain?

When complaints begin we need to take them out.  Shut them down from throwing and begin evaluating what might be going on.   Remember that in developing youth, growth plates are the weakest link. Rest when the pain starts to prevent an injury in the growth plate.  

We hear about the dreaded curveball and why it shouldn’t be thrown by young athletes.  Is this accurate?

We need to change how we think about the curveball.  Any speed off-speed pitch will decrease the forces on the elbow and shoulder.  The more you throw at an increased speed the higher your risk moves. It’s not the curveball that is the problem, it is the fact that most young people don’t have the correct mechanics to throw it.

What about asymmetry?  We are told to expect it in throwing athletes.  At what point should we be concerned?

When you see a greater than 15-20 degree difference between the throwing and non-throwing hand there is a significant increase risk of injury.

If the athlete has this significant difference but isn’t experiencing pain or throwing mechanics haven’t changed, you don’t have to shut them down but you should be working to get them around 10 degrees of motion between their throwing and non-throwing arms.  It’s also important to remember that throwing slows down progress on the range of motion games.  

Should we change our thinking on surgical vs non-surgical treatment of shoulder injuries and thrower's elbow?

It really is a case by case basis.  Young athletes with acute large tears probably should get a surgical consult.  More chronic injuries in a little bit older throwers might choose rest to get them pain-free or to finish out their career.  It’s not cut and dry one way or the other but needs to be evaluated case by case.

What are the biggest barriers to recovery post-injury?

The number one barrier is compliance with treatment.  Staying on top of them and encouraging them to continue with the rehabilitation even once they’ve become pain-free.  Compliance with prevention is also difficult. They need constant reminders and encouragement to follow through.

Are there any prehab thoughts from athletes awaiting UCL repairs?

Braces that prevent valgus and restrict 10-100 degrees are recommended.  Controlling pain and inflammation pre-surgery and reducing the stiffness in the joint is helpful.  The athlete can continue to exercise if they are pain-free and using symptoms as their guide.

Is there anything else AT’s should know regarding throwing injuries?

Young kids are at increased risk because of their growth plates and mechanics.  Be their advocate, and follow the rules.

The Thrower's Elbow – V. Joe Mandola, MD, CAQSM

The Thrower's Elbow – V. Joe Mandola, MD, CAQSM

Posted by Sports Medicine Broadcast on Tuesday, June 11, 2019

Related episodes

Here are other podcasts related to elbow injuries

Contact us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Stem Cells and their Use – 610

What are stem cells and how are we using them in the knee?

Today on the SMB, we are joined by Dr. Evan Meeks who helps educate us on stem cells and their use.

What is New In Knees

Dr. Meeks explains that stem cells are found within the body and they can change into other types of cells.  They can be used to treat musculoskeletal injuries (ie regrow muscle, ligament or cartilage) However, Dr. Meeks cautions us that stem cells are a “new and budding area that has theoretically huge potential for the future but the science is still in the early stages.”

What can make you a good candidate for stem cell therapy?

Type and degree of injury are important factors when considering stem cell treatment as well as the patient’s age.

How are patients prepped for this procedure?

The best preparation we can give a patient is to educate them and to manage their expectations.  

Are there ethical issues regarding stem cell treatment?

The main ethical concern is embryonic stem cells.  However, currently, it is illegal to use embryonic stem cells for treatment.  They are only used for research. Dr. Meeks cautions that embryonic stem cells are unsafe right now.  They can turn into any type of cell and we can’t control it.

As secondary school athletic trainers will we encounter this often?

Dr. Meeks explains that it is pretty rare since or population is younger and still heals well.  He does say occasionally it can be used to help surgical outcomes with meniscus repair or bone stimulation.

What is Dr. Meeks’ prognosis for stem cell usage for the next 10-20 years?

“It will be the new frontier for musculoskeletal medicine.”

What one thing should AT’s know regarding stem cell treatment?

Dr. Meek’s feels stem cell treatment is the new pitch count in athletic training.  We must educate and disseminate the correct information.

About Dr. Meeks

Dr. Evan Meeks is an assistant professor in the Department of Orthopedic Surgery at McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth).

Dr. Meeks specializes in sports medicine with an emphasis on arthroscopy and minimally invasive techniques to treat injuries of the shoulder, hip, and knee. During his training, Dr. Meeks worked extensively with professional and college teams in the Houston area, including the Houston Texans, Houston Rockets, Houston Astros, Houston Dynamo, and the University of Houston athletic program.

As a former college athlete, Dr. Meeks has the unique ability to see injuries from the perspective of both the athlete and the physician.

Contact us:

Dr. Evan Meeks – Evan.G.Meeks@uth.tmc.edu

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Social Media Etiquette – 605

Dinner etiquette means starting with the outside and working your way in with the silverware. Social Media Etiquette is an everchanging environment but certain truths hold solid.

Is Social Media important for the Sports Medicine Professional?

YES! – there is so much to learn. Find a good knowledge stream on twitter or facebook and you will be completely filled. It can be a source of customers and advocacy as well as connection and mentoring.

CAUTION!!! – Social media can also become a breeding ground for decay if you choose to follow and engage with “dead fruit.”

Do these things

  1. Know your WHY
  2. Start with ONE
  3. Know your LIMITS
  4. be YOURSELF
  5. Remember there are real people reading these
  6. CHECK your spelling and grammar
  7. PROTECT patient privacy
Social Media Etiquette

Don't do these things

  1. Use foul/inappropriate language
  2. Use inappropriate pictures
  3. Share pictures of videos with ANY injury details
  4. Think “permission to post” clears you legally
  5. Forget there are real people on the receiving end
  6. Be too serious
  7. Forget your WHY

Tips and Tricks

  • Be a sponge first
    • If you are new to Social Media start with one platform and be a creeper for a little while. Read posts, watch others and see what is normal for that platform.
  • Use different apps for different accounts
    • TweetDeck for Personal and Twitter app for Bussiness or
    • Hoot suite for all personal accounts and native apps for professional
  • Tools to check that spelling
    • Grammarly – checks spelling and grammar
    • PhraseExpress – allows me to type “SMB” and it automatically gets expanded to “Sports Medicine Broadcast”
    • TextExpander is another option

Social Media Etiquette for Sports Medicine – Jeremy Jackson LAT

Social Media Etiquette for Sports Medicine – Jeremy Jackson LAT

Posted by Sports Medicine Broadcast on Monday, 10 June 2019

Contact us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Hoist logo; rapid hydration; social media etiquette

Relative Energy Deficiency – 602

Christina Curry-King joins Ray Olivo to discuss her presentation on Identification & Implication of Relative Energy Deficiency in Sport (RED-S) at the Memorial Hermann Sports Medicine Update.

Relative energy Deficiency, Christina Curry king

Baseline tools to ID REDs

Relative energy deficiency in sport (RED-S) is a syndrome in which disordered eating (or low energy availability), amenorrhoea/oligomenorrhoea, and decreased bone mineral density (osteoporosis and osteopenia) are present.

wikipedia

Questionnaires – leafq is a lengthy 50 – 75 questions

BEDA9 – is a shorter 9 question survey and a great place to get started.

What do you do after Identifying those at risk?

Sit down and get a 24-hour recall of what they are doing and eating.
– Could be inadvertent due to scheduling
– Or people who are struggling do to eliminating certain foods.

What about the subjective portion of the evaluation?

Athletes struggling with relative energy deficiency may report still being tired ad lethargic.

Try these things:

  • getting some good nutrient-rich food in around those training times
  • Ask about sleep
  • probe deeper
    • Are you fearful of certain foods?
    • Was it from reading an article
    • Weight gain
    • Hesitant to eat before or after the event
    • Not being able to perform
    • Bad experience with certain food

Recommendations for AT involvement with cafeteria 

Something is better than nothing

  • Add color
  • Bring some fruit and veggies from home
  • Pre-activity quick snack
  • Some sort of granola bar
  • Or banana
  • Applesauce
  • Shelf-stable and portable
  • Even juice like apple or orange on the way out the door

What about the fast-food budget family

Is there a grilled option or fruit and yogurt option?

Thoughts on supplementation?

You will get more bang for your buck by buying real food…you will get more energy in food then you will ever get in a supplement

Certain supplements have a place if the other standards are met first.

Sleep calculations – 

Hands down top recovery tool

8-9 hours per night sleep minimum is critical for injury prevention.

Watch the presentation on Relative Energy Deficiency

Identification & Implication of Relative Engery Deficiency in Sport (RED-S) – Christina Curry King, MS, RD, LD

Identification & Implication of Relative Engery Deficiency in Sport (RED-S) – Christina Curry King, MS, RD, LD

Posted by Sports Medicine Broadcast on Monday, June 10, 2019

Contact us:

Christina Curry King – christina.curry@memorialhermann.org

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

Relative Energy Deficiency, Frio Hydration; John Harmon

Dealing with Challenging Parents – 599

Have Challenging Parents?

I am not talking about your in-laws being challenging parents. We are not even discussing the relationship you have with your own parents.

Challenging parents and family members of patients can ruin your day and cause some serious headaches for Athletic Trainers.

Charlotte Koenig works for Memorial Hermann in risk management and knows a few things about dealing with challenging patients and family members.  Today on the podcast she gives us some great steps to follow when dealing with a challenging athlete, parent or coach and also helps us set and follow through with boundaries.

Dealing with Challenging Parents

Are you someone who says, “I’m sorry,” often?

Charlotte believes that is a phrase that is empty and doesn’t have much substance   She recommends changing the “I’m sorry,” to “I apologize.”  

Use the 5-minute rule speaking with a challenging parent?

When Charlotte is engaged in a face to face or phone conversation with someone who is challenging she makes sure to wrap things up in about 5 minutes.  

Active listening and repeating back to them what you think they are saying can diffuse situations.  

One phrase she uses often is, “What I hear you saying is...”

When do you ditch email and talk to someone face to face?

“Compassion can’t come through text or email.”  Every person can insert there own emotion when reading a text or email so Charlotte believes that it is always best to communicate verbally when you are dealing with someone who might be upset.

How do you de-escalate a situation that has gotten heightened?

“Don’t throw fuel to the fire,” when dealing with someone that is challenging.  Remain calm, meet them where they are and see the whole person not just this incident.

Sign up for emails:

Visit sportsmedicinebroadcast.com/EMAIL to stay in touch and get important news

Dealing with the Challenging Patient/Family Member – Charlotte Keoning, BSN, RN, CPHRM, FASHRAM

Dealing with the Challenging Patient/Family Member – Charlotte Keoning, BSN, RN, CPHRM, FASHRAM

Posted by Sports Medicine Broadcast on Monday, June 10, 2019

Contact us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

FrioHydration; frio hydration; Get Frio; Best in class; Waterboy; wisstech; hydration station; sports medicine broadcast; Jeremy Jackson; Rob McFarlin; Challenging parents

Skin With Kathy Nguyen – 596

Have questions about infections??? Joins as we discuss Skin with Kathy Nguyen

Who is Dr. Kathy Nguyen?

Dr. Kathy Nguyen is a primary care/sports medicine physician.  She is a team physician for multiple high schools, helps with colleges in the Houston area and is the team physician for the Houston Dash soccer team.

Skin With Kathy Nguyen

Do you know what is considered best practice and recommended by research?

As athletic trainers, we routinely see a variety of skin issues happening with our athletes.

Blisters: do you pop it or not?

Today on the podcast Dr. Nguyen relays to us the best practice in issues as common as blisters and as serious as tinea issues that may be resistant to topical antibiotics.

For example

At minute 2:10 on the podcast, Dr. Nguyen says she always recommends leaving the blister if possible.

Around 4 minutes on “Skin with Kathy Nguyen”, she discusses wound care specialist opinion on new skin growth and scarring.

What are truths and what are myths?

Through research and discussion with other wound care specialists, she helps us sift through what are considered old wives tales and gives us concrete reasons to refer a skin issue or lesion to a doctor.

We have discussed Dermatology and skin before:

Digging into dermatology with Dr. Jimmy Gonzalez – 287

Skin Infections and Sports – 96

Dr. Chassay on Skin Conditions – 542

Topicals and Wound Care – 583

Watch the “Skin with Kathy Nguyen” presentation

Dermatological Issues in Athetlics – Tu Dan "Kathy" Nguyen, MD, CAQSM

Dermatological Issues in Athetlics – Tu Dan "Kathy" Nguyen, MD, CAQSM

Posted by Sports Medicine Broadcast on Monday, June 10, 2019

Contact us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

McDonald; Dermoneuromodulation; Medbridge; CEUs Online CEUs; affiliate link

Foot Injuries In Sports – 592

Foot Injuries in Sports are Increasing

30 – 40% of injuries seen in clinics are foot and ankle related

Dr. Taggart Gauvain shares some of his research and clinical knowledge with Shawn Ready, ATC LAT at the Memorial Hermann Sports Medicine Update

Foot Injuries In Sports; Shawn Ready; Tagart Gauvain

Some of the reasons we are seeing more foot injuries in sports:

  • Bigger athletes
  • Stronger athletes
  • The desire for lighter footwear to increase speed
  • Faster athletes
  • Increased mobility in footwear

However, Dr. Gauvain discusses the lack of research and evidence to confirm that lighter shoes are contributing to the growth in injury.

What are some of the troublesome foot and ankle injuries?

High-ankle sprain –

  • separation of the tibia and fibula.
  • We do not really get into the whole fix it after a week of rehab topic… but it is really controversial in the high school setting

Dr. Gauvain recommends the following for high ankle sprains:

  • Treat each one individually
  • adjust the plan to fit the need and injury
  • in general non-weight bearing in a cast or boot for 6-8 weeks
  • begin therapy for the mobility of joint
  • after mobility of joint returns begin working on agility and return to sport activity

Jones Fracture –

  • occurs at the base of the 5th metatarsal
  • non-union occurs about 10% of the time
  • Re-fracture rates are reported post-surgical intervention

Some have tried adjusting diet and increasing vitamin D

Plantar Plate / Turf Toe

  • Sesamoid fracture complicates things…
  • Some are born with bipartite bones
  • We lack great fixation techniques because of the size of the bone.
  • Mobility vs stability is a huge issue with plantar plate injuries. 
  • Finding the balance is always key

Lis Franc

  • Discuss the change in the mechanism of injury
  • Roma arch configuration gives a great understanding of the importance
  • orthotics may be partially to blame

How can ATs be more effective at collaborating with Doctors and diagnosing foot injuries?

  • Always discuss with an athlete the injury and what you think.
  • Tell them and write down what you would like to see
    • weight-bearing films are crucial
    • need bi-lateral comparison
  • Plantar Bruising
  • Dorsal Swelling
  • Inability to return to practice after rehab

Do we have a window for getting films on a midfoot sprain?

Refer to the above clinical signs as well as a few missed practices.

A missed diagnosis can create long term debilitating arthritis.

If there is a suspected Bone Bruise then Dr. Gauvain likes to refer for an MRI to ensure there is not something being missed

Foot & Ankle Injuries in Sports – Taggart Gauvain, MD

Foot & Ankle Injuries in Sports – Taggart Gauvain, MD

Posted by Sports Medicine Broadcast on Monday, June 10, 2019

Other Foot and Ankle podcasts on the Sports Medicine Broadcast

Here is a list: https://sportsmedicinebroadcast.com/?s=foot

Contact us:

Taggart Gauvain –

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Ray Olivorayolivo1@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

These people LOVE ATs and help the SMB pay the bills:


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free and support the podcast.

PhysicalTherapy.com; 1freecourse; continued; Foot Injuries In Sports