Category Archives: Workshop

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 Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.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 Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.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

Reducing Injury Risk – 588

Dr. Layci Harrison has a specialty in Movement Screens and their role in Reducing Injury Risk.

What is FMS training?

A Tool for identifying the potential for injury due to limitations in specific movements. It was developed by Gray Cook

Getting certified is a good idea and can really help you take advantage of the tests and results but it is not mandatory o use the tests to help identify potential issues.

What is the key to Reducing Injury Risk with FMS?

Protect before you correct

What tests does it involve?

  1. Deep Squat
  2. Hurdle Step
    • Tight Hip flexor may cause limitations in testing
  3. In-Line Lunge
  4. Active Straight leg raise
  5. Rotary Stability- probably the hardest one
  6. Shoulder Mobility- Hard to access
  7. Trunk Push up

Scoring the movement screens

0-pain in any movement
1- no pain but unable to do the movement
2- Complete movement but show some compensation
3- Complete movement no pain or compensation
A score of 14 or less equals a more likelihood of injury.
21 is a perfect FMS score

Dr. Harrison's Tips:

Use the score sheet from FMS, easy to find on Google.

It can help screen and individualize training.

Tai Chi or yoga may also help balance

  • Balance testing can be accomplished using BESS and YBT
    • BESS- Static balance
    • YBT- dynamic balance

A large part of reducing Injury Risk is knowing what to do with the data once we have it…but more on that another time.

Thanks for hanging out with us live in Katy, Texas at the Memorial Hermann Sports Medicine Update

Shout Out to Patrick Ohaver for typing up the show notes

Layci Harrison, Reducing Injury Risk; preventicx

Want to watch the presentation?

Functional Movement Screenings: Strategies to Reduce Injury Risk – Laci Harrison, PhD, LAT, ATC

Functional Movement Screenings: Strategies to Reduce Injury Risk – Laci Harrison, PhD, LAT, ATC

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

More about Dr. Layci Harrison

My research interests include functional movement and how movement is related to balance ability. Specifically, I am interested in ways to improve functional movement and the effects of improved functional movement scores on injury risk.

I am also studying how the effects of balance training can be crossed from the trained limb to the contralateral limb following lower-body injuries as a way to expedite the injury rehabilitation process

Dr. Harrison was also on the Sports Medicine Broadcast…

Preventicx with Kevin Robel – 569

Call to Action:

Order some HOIST and save using “TheSMB” as your promo code

Contact us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.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; Reducing Injury Risk

Care For The Active Wrist – 582

Dr. Candice Teunis joins Shawn Ready to discuss care for the active wrist.

Can't Miss Injuries of the Hand; care for the active wrist

How do we Care For The Active Wrist

One of the huge tips she continued to share was REFER ANYTHING YOU REDUCE!!!

I have reduced injuries before and since meeting Dr. Teunis I always refer them to get an x-ray before allowing them to return to play.

Mallet Finger:

What is it: Extensor tendon rupture or avulsion involving DP joint.

Treatment– Splint religiously! 6-10 weeks

Alumaform vs. Stax Splint- Not all 1 size fits all. consult with your local hand doctor to see what they prefer and why. discuss ways to ensure patient compliance and seamless transition from office to AT Facility.

NOT ALL Mallet Fingers can be splinted, some require surgical intervention.

Jersey Finger-

What is it – Flexed finger pulled into extension (commonly ring finger, 75%) rupturing flexor tendon.

Treatment:

Dislocations

Dorsal Dislocation-  splint 1 week, then buddy tape

Volar dislocation – much less common, extensor mechanism disruption, hard to reduce

Mimickers-

  • Traumatic Boutonniere
  • Skiers Thumb

Scaphoid Fractures

  • Hard to treat
  • hard to diagnose.
  • Common in football – “see these in December”

Scaphoid fractures…about 40% are missed and that is bad news, they take several months to heal due to poor blood flow. if it dies you get arthritis in your 20s.

Fall on outreached hand (FOOSH)

Need more on Care for the Active Wrist?

Live from Memorial Hermann's Sports Medicine Update 2019 Dr. Teunis lectures on Can't-Miss Injuries of the Hand and you can see that presentation here on Facebook

Can't Miss Injuries of the Hand – Candice Teunis, MD

Can't Miss Injuries of the Hand – Candice Teunis, MD

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

Contact us:

Dr. Teunis – Email

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.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.

Abdominal and Thorax Injuries – 579

Dr. Benedict Ifedi, MD, CAQSM covers Abdominal and Thorax Injuries from diagnosis to treatment. After his presentation at the Memorial Hermann Sports Medicine Update we get to follow up dig a little deeper.

Have experience with Thorax Injuries?

Dr. Ifedi was around the medical team at the University of Houston when they had an athlete rip his inferior vena cava.

What about getting a soccer ball to the chest causing comotio cordis?

Here are a few previous episodes dealing with the heart

thoraxinjuries, Ifedi, Benjamin, Abdominal injury, Thorax Injury

Check out his presentation broadcast on Facebook live

Diagnosis and Management of Thorax and Abominal Injuries – Benedict Ifedi, MD, CAQSM

Diagnosis and Management of Thorax and Abominal Injuries – Benedict Ifedi, MD, CAQSM

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

More about Dr. Ifedi

After graduating magna cum laude with his Bachelor of Science in Biochemistry from the University of Houston, Dr. Benedict Ifedi received his medical degree from Baylor College of Medicine in Houston. He went on to complete his family medicine residency at Memorial Family Medicine Residency in Sugar Land, Texas, where he also served as chief resident. Afterwards he completed a fellowship in sports medicine at Bayfront Health in St. Petersburg, Florida.

Board certified in family medicine and sports medicine, Dr. Ifedi treats patients ages 5 and older. He provides care for sports-related injuries, such as strains, pulls and concussions, as well as wellness and preventive medicine. His clinical interests include management of chronic diseases, exercise medicine and physical activity.

He is an active member of the American Academy of Family Physicians, American Medical Society for Sports Medicine, and American College of Sports Medicine. Patients in Katy and the surrounding communities enjoy his welcoming smile and genuine concern for their well-being. Dr. Ifedi’s goal is to help his patients get back to feeling their best and to help teach them the best methods to achieve optimal health.

In his spare time, he enjoys traveling as well as watching and playing sports.

Call to Action:

Dragonfly Max is here to help you improve efficiency and make best use of your valuable resources. Designed for Athletic Trainers, DragonflyMax can help you improve communication, record keeping and efficiency

Contact us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.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.

Stop Using Ice – Gary Reinl – 576

Stop Using Ice!!!

Stop Using Ice; Gary Reinl; Ray Olivo; John Ciecko

Buy a FrioHydration Unit that will hold ice for days and then STOP USING ICE and be done…

Actually, this is about using Ice as a treatment option for injuries.

In his book, Iced, The Illusionary Treatment Option, Gary Reinl covers almost everything we talk about here.

Stop Using Ice, Gary Reinl, Delayed healing, congestion of waste

Why should you Stop Using Ice?

There is very little research to support its efficacy

It actually slows the healing down by creating congestion at the damage site. Similar to a lane closure on a freeway due to an accident. when the cars back up the Emergency crew can not get there quickly and the 30-minute commute now takes 90 minutes.

There is no Google or Waze app for the human body. It really tries to repair rather than destroy itself. Let it run its course.

We confuse swelling and inflammation

Swelling can occur when a part of the body becomes inflamed. However, it is caused by the accumulation of fluid in tissues throughout the body, or in a specific region of the body

Inflammation is classified as a protective response from the immune system to injury, infection, or irritation.

Discussion on the SMB not in the book…

Practical application of the principal

  • How to talk to your coaches about it
  • How to talk with your athletes about it
  • How to discuss changing your physician's protocol

Slight exception to the rules:

  • If you have a dislocation and need to transport, ice will reduce swelling which will allow for a better relocation.
  • If you are using it once as an emotional trigger to help calm down the athlete

What About MarcPro

Using my code (TheSMB) helps to ensure your best discount as well as support the SMB

A medical-grade device that can run for hours to relieve the congestion of waste in and around the damaged tissue.

Try out the loaner program and see if it is worth your while – Email Gary@MarcPro.com and mention the Sports Medicine Broadcast and the Loaner Program

Contact us:

Gary Reinl – Email Gary Reinl

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Ray Olivo – rayolivo1@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.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.

Eating Disorders: Current Research – 566

Whats is your story?

Catherine Lawrence previously shared her story of battling with an eating disorder here on the Sports Medicine Broadcast.
Live from the Sports Medicine Update Catherine shares her story interjected into Dr. Brooks's research based talk.

Where are we?

The Sports Medicine Update is one of the best summer workshops in Houston to cover a variety of topics.

Who makes this possible?

Bob Marley continues to allow us to record and interview the speakers.
He gives away registrations so The Sports Medicine Broadcast can continue to add value to you.
If you would like to win one of the FREE REGISTRATIONS then join the email list or check back at the beginning of each March
There are plenty of others that help make this possible:

Need Some Hydration Equipment?

Frio Hydration provides Superior Hydration products and is the official hydration provider of the Sports Medicine Broadcast.
Tell them the Sports Medicine Broadcast sent you and receive some special deals on custom graphics or a solar panel.

Need more CEUs

Try: The ATVantage Podcast for free or my affiliate link with MedBridge to save a bunch.
Dermoneuromodulation; Medbridge; CEUs Online CEUs; affiliate link
 
 
Something you like or want to see more of?  
I want to hear from You
 

Patient Based Care – 565

Jeremy Blanchard, MD asks the question: “Are we really providing Patient Based Care?”

In one of the better sessions in a long time, Dr. Jeremy Blanchard demonstrates what it really looks like, sounds like and feels like to provide patient based care.

What is it?

According to Oneview:
The IOM (Institute of Medicine) defines patientcentered care as: “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions

Patient Based Care, jeremy blanchard, aafl, Dr. Jeremy Blanchard, Trinity University, Trinity University 2019
image from Oneview

What is interrupting you?

Research has shown that if you answer a phone notification it will take you about 67 seconds to fully re-engage.

Dr. Blanchard asked us turn our phones to silent and put them away so that we were fully present in the conversation.

What can I do to start now?

At the beginning of this podcast Dr. Blanchard asks us to take a deep breath, hold it and slowly release.

He explains this allows you to step away from what was happening before and step into the current situation “fresh”

This helps clear your mind and prepare you to listen.

DON'T INTERRUPT

11 seconds

Dr. Blanchard stated doctors generally gives you less than 15 seconds to state your reason for visiting before.

Multiple sources back this up but here is an article from Forbes

Contact us:

Jeremy Jackson

Dr. Jeremy Blanchard

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.

AT Efficiency with Scott Mullet – 564

Scott Mullett, founder and owner of AT Efficiency aims to advocate for the value of Athletic Trainers in all settings.

What is your actual ROI?

Who is Scott Mullett?

Founder and owner of AT Efficiency.

Scott received both his bachelor’s and master’s degree from Kent State University. Scott has worked in the secondary school setting, and currently holds a position within the industrial/occupational sector.

Scott’s goal is to advocate the value of the athletic trainer in all settings.

AT Efficiency, Scott Mullett, ATEfficiency,

What is AT Efficiency?

Scott Mullett wants to help you produce a means to show value, generate an ROI for stakeholders, and increase clinical efficiency.

Where does Scott start collecting data?

With whatever you have.

If you have none then they will give you some pointers as to where to start but in this day and age of digital documentation you should be documenting your patient visits and notes.

Some of the services they offer:

  • Consulting
  • Data Collection
  • Data Analytics and Reporting
  • Patient Outcome Metrics

Contact Us

Scott Mullett – Email Scott

Adam Halpern

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.

Exertional Heat Stroke – 563

Dr. Lesley Vandermark discusses practical considerations for Exertional Heat Stroke, Identification and care live at Trinity University's 2019 conference.

What is Heat Stroke?

According to KSI –

“While exertional heat illnesses (EHI) are not always a life-threatening condition, exertional heat stroke (EHS) can lead to fatality if not recognized and treated properly. As the word heat implies, these conditions most commonly occur during the hot summer months; however, EHS can happen at any time and in the absence of high environmental temperatures.”

What are symptoms of Heat Stroke?

In an article by Mom's Team these are listed:

Exertional Heat Stroke, Lesley vandermark, moms team, momsteam.com, heat stroke,

Exertional heat Stroke, Leslie Vandermark, Lesley Vandermark, Lesley, vandermark, Heat Stroke, UofA, University of Arkansas

What are some of the practical considerations?

  1. Have a practiced EAP
  2. Know the signs and symptoms
  3. Use a rectal thermometer
  4. Cold Water Immersion
    1. Cold tub
    2. TACO – Tarp assisted cooling
  5. Activating EMS
    1. again having a practiced EAP with trained personnel
    2. Use
    3. Software like TeamEMSoft to help coordinate location

Contact Dr. Vandermark

Lesley Vandermark – lwvander@uark.edu

Dr. Vandermark's presentation

Contact us:

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.

TACO Treating Heat Illness

Dr. Lesley Vandermark is a member of of the KSI advisory board

Posted by Sports Medicine Broadcast on Thursday, January 10, 2019