Baseball season has arrived!
It’s time to put away the 409-page Mitchell Report and any pharmacology texts fans may have been consulting. Box scores will now move to the top of the sports page.
Despite this good news, controversy still abounds.
This season, one issue surrounds the need for surgical repair of Curt Schilling’s ailing right shoulder. Rarely does the public see such divergent opinions among highly regarded sports medicine specialists as in this situation.
Dr. Thomas Gill, the Red Sox team physician, advocates non-surgical treatment with rehabilitation and return to pitching this season. Dr. Craig Morgan, who operated on Schilling’s shoulder in 1995 and 1999, recommends surgical repair with resuming action late in the season. A third opinion from Dr. David Altchek, Mets team physician, suggests surgery. The final decision has been no surgery and a possible return in several months.
Shoulder injuries are common in throwing sports and usually involve the rotator cuff. The rotator cuff refers to the system of tendons and muscles that support the most moveable joint in the body.
Common symptoms of injury are aching pain and weakness when attempting to raise the arm overhead. The principal issue when considering surgery is whether or not a tear is present or just inflammation. These conditions respectively require surgery with rehabilitation and rehabilitation alone.
The “Healthy Sports Spring Training Tour” is currently visiting the Connecticut Defenders at their preseason camp in Scottsdale, Ariz.
Dr. Stephen Scarangella of Willimantic is an orthopedist and Connecticut Defenders’ team physician. He reports that many pitchers respond well to surgery after rotator cuff tears. Although success depends on the extent of injury, tears are usually discovered early in pitchers and are small in size.
Anthony Reyes is the former Defenders’ athletic trainer and is now responsible for the San Francisco Giants’ Triple A Fresno club. His focus is on the prevention and rehabilitation of rotator cuff injuries. He allows a full year for recovery after rotator cuff surgery for a pitcher. This permits full healing and any changes the player must make in pitching mechanics.
The current controversy involving Curt Schilling’s injury will be played out over the next few months. When dealing with a shoulder injury, seek out multiple opinions from qualified specialists before deciding on a course of action. It’s what the pros do.
If you wish to learn more about shoulder injuries in sports, listen to the podcast or go to the Healthy Sports Blog at Backus Hospital.
Healthy Sports Arizona 2
Scottsdale, Ariz., is a growing suburb of Phoenix. Judging from the number of high-end car dealerships, including Rolls Royce and Ferrari, the average income is well above the poverty level. The sun is always shining and there seems to be no bugs. It is home to Arizona State University and serves as the spring training base of the San Francisco Giants.
Don and Charlie’s is a restaurant in Scottsdale known for good food, sports memorabilia, and famous patrons. Knowing this, it was still shocking when my party was seated at a table next to a group that included Muhammad Ali.
Despite being afflicted with Parkinson’s disease, his personality still captures the attention of all. Unable to sign autographs, after finishing his meal he spent time posing for pictures with young children who will certainly one day appreciate the importance of that moment. When Ali finally rose to exit the restaurant, every patron stood and respectfully gave a standing ovation.
Many years of intense physical training will reduce the chance of disease but will not impart immunity. Neurologic diseases like Parkinson’s, Multiple Sclerosis and Lou Gehrig’s disease will seriously impair motor function.
Some patients, especially those who have spent much of their lives in the limelight, may retreat to a solitary existence when faced with chronic illness. Much has to do with vanity over their more frail appearance. Others transcend their physical infirmities and continue to contribute to society in a different role. So often, those with strong personalities won’t allow themselves to take a step back. Studies have shown these groups of people always have better outcomes when fighting disease. When polled, they also report a better quality of life.
As in all professions, sports has its heroes and villains. On this night in Scottsdale, Muhammad Ali once again rose up and demonstrated to all present why he is still “The Greatest.”
If you wish to learn more about the Healthy Sports Tour, listen to the podcast or go to the blog at The William W. Backus Hospital or norwichbulletin.com.
Don and Charlie’s is a restaurant in Scottsdale known for good food, sports memorabilia, and famous patrons. Knowing this, it was still shocking when my party was seated at a table next to a group that included Muhammad Ali.
Despite being afflicted with Parkinson’s disease, his personality still captures the attention of all. Unable to sign autographs, after finishing his meal he spent time posing for pictures with young children who will certainly one day appreciate the importance of that moment. When Ali finally rose to exit the restaurant, every patron stood and respectfully gave a standing ovation.
Many years of intense physical training will reduce the chance of disease but will not impart immunity. Neurologic diseases like Parkinson’s, Multiple Sclerosis and Lou Gehrig’s disease will seriously impair motor function.
Some patients, especially those who have spent much of their lives in the limelight, may retreat to a solitary existence when faced with chronic illness. Much has to do with vanity over their more frail appearance. Others transcend their physical infirmities and continue to contribute to society in a different role. So often, those with strong personalities won’t allow themselves to take a step back. Studies have shown these groups of people always have better outcomes when fighting disease. When polled, they also report a better quality of life.
As in all professions, sports has its heroes and villains. On this night in Scottsdale, Muhammad Ali once again rose up and demonstrated to all present why he is still “The Greatest.”
If you wish to learn more about the Healthy Sports Tour, listen to the podcast or go to the blog at The William W. Backus Hospital or norwichbulletin.com.
Healthy Sports Arizona
The Healthy Sports “Spring Training Tour” is now in the midst of the Arizona swing.
A visit to the San Francisco Giants/Connecticut Defenders training camp reveals many former Defenders players now enjoying Major League status. Dan Ortmeier, Matt Cain and Travis Ishikawa are all currently in Major League camp and hoping to make it to the big league.
But the real story lies in the workout regimen of the coaches, trainers and instructors.
Their day begins at 5 a.m. in the workout room. This early hour is the only opportunity staff will have to complete their personal workout programs before a hectic day of staff meetings, instruction and games.
In an effort to keep up with my own workout schedule while on the road, the Giants afforded me the opportunity during my stay to join this early morning fraternity. Like most gyms, there is a wide variety of well-maintained equipment and a big screen TV (always tuned to ESPN). There are also many iPods in use. Discussion is centered on player performance, drills for the day, and upcoming games in the afternoon. A lot gets done during these sessions.
Many patients feel that the walking involved in their jobs is a sufficient workout. Coaches and staff are constantly walking, swinging, and throwing for eight hours over multiple fields, encompassing several acres, yet they still see the need to hit the aerobic machines and weights each morning. This is a model that many industries outside of sports are trying to replicate as a means to promote better health, lower health costs, and provide a sense of camaraderie.
A quick trip to Surprise, Ariz., the spring training home of the Kansas City Royals, presented an opportunity to meet with former Norwich Navigators manager and now first-year manager of the Royals, Trey Hillman. Sitting and reminiscing in his new office, it is apparent that the leadership skills he developed in Norwich and later in Japan are going to pay off big for Kansas City this year. It will be interesting to follow his success in the major leagues.
If you wish to learn more about the Healthy Sports tour, listen to the podcast or go to the blog at The William W. Backus Hospital or norwichbulletin.com.
A visit to the San Francisco Giants/Connecticut Defenders training camp reveals many former Defenders players now enjoying Major League status. Dan Ortmeier, Matt Cain and Travis Ishikawa are all currently in Major League camp and hoping to make it to the big league.
But the real story lies in the workout regimen of the coaches, trainers and instructors.
Their day begins at 5 a.m. in the workout room. This early hour is the only opportunity staff will have to complete their personal workout programs before a hectic day of staff meetings, instruction and games.
In an effort to keep up with my own workout schedule while on the road, the Giants afforded me the opportunity during my stay to join this early morning fraternity. Like most gyms, there is a wide variety of well-maintained equipment and a big screen TV (always tuned to ESPN). There are also many iPods in use. Discussion is centered on player performance, drills for the day, and upcoming games in the afternoon. A lot gets done during these sessions.
Many patients feel that the walking involved in their jobs is a sufficient workout. Coaches and staff are constantly walking, swinging, and throwing for eight hours over multiple fields, encompassing several acres, yet they still see the need to hit the aerobic machines and weights each morning. This is a model that many industries outside of sports are trying to replicate as a means to promote better health, lower health costs, and provide a sense of camaraderie.
A quick trip to Surprise, Ariz., the spring training home of the Kansas City Royals, presented an opportunity to meet with former Norwich Navigators manager and now first-year manager of the Royals, Trey Hillman. Sitting and reminiscing in his new office, it is apparent that the leadership skills he developed in Norwich and later in Japan are going to pay off big for Kansas City this year. It will be interesting to follow his success in the major leagues.
If you wish to learn more about the Healthy Sports tour, listen to the podcast or go to the blog at The William W. Backus Hospital or norwichbulletin.com.
Exercise can help with Parkinson’s disease
Parkinson’s disease is a progressive, degenerative disease of the nervous system which primarily affects motor function. Its victims have uncontrollable tremors, rigid joints and slowed movements. It was previously considered highly unlikely that a Parkinson’s patient could maintain an exercise regimen.
Thanks to the development of neuro-modulating medications, many people now suffering from Parkinson’s disease remain active. Exercise directly impacts Parkinson’s disease through prevention and better outcomes for those suffering from Parkinson’s disease.
Researchers from Harvard University presented data at the annual meeting of the American Academy of Neurology. The studies showed that people who exercise moderately to vigorously for 30 minutes each day are less likely to develop Parkinson’s disease.
After being diagnosed with Parkinson’s disease, patients who exercise regularly have a higher level of physical function and quality of life. An exercise program should be customized for each patient. The structure of the program requires the input of physical and occupational therapists as well as the patient’s physicians.
The goals of any exercise regimen include:
• Increased cardiopulmonary stamina
• Greater joint range of motion
• Better muscle strength
• Preservation of walking ability
• Improved posture and balance
Since Parkinson’s disease primarily affects motor function, maintaining posture, balance, and coordination are crucial. Many Parkinson’s patients die from the effects of falls, including broken bones or pneumonia which results from immobility.
Dr. Anna Hohler is a movement disorder specialist who treats many Parkinson’s patients at Boston University Medical Center.
“Exercise is vital to optimization of care; medication alone is not enough,” Hohler said.
She obtains a formal gait assessment performed by an occupational therapist for all her patients. Her institution offers a yoga program specifically designed for patients with Parkinson’s disease. Tai chi is also very effective in improving balance and flexibility.
Parkinson’s is now among a growing number of diseases that can be improved with regular exercise both before and after diagnosis.
Thanks to the development of neuro-modulating medications, many people now suffering from Parkinson’s disease remain active. Exercise directly impacts Parkinson’s disease through prevention and better outcomes for those suffering from Parkinson’s disease.
Researchers from Harvard University presented data at the annual meeting of the American Academy of Neurology. The studies showed that people who exercise moderately to vigorously for 30 minutes each day are less likely to develop Parkinson’s disease.
After being diagnosed with Parkinson’s disease, patients who exercise regularly have a higher level of physical function and quality of life. An exercise program should be customized for each patient. The structure of the program requires the input of physical and occupational therapists as well as the patient’s physicians.
The goals of any exercise regimen include:
• Increased cardiopulmonary stamina
• Greater joint range of motion
• Better muscle strength
• Preservation of walking ability
• Improved posture and balance
Since Parkinson’s disease primarily affects motor function, maintaining posture, balance, and coordination are crucial. Many Parkinson’s patients die from the effects of falls, including broken bones or pneumonia which results from immobility.
Dr. Anna Hohler is a movement disorder specialist who treats many Parkinson’s patients at Boston University Medical Center.
“Exercise is vital to optimization of care; medication alone is not enough,” Hohler said.
She obtains a formal gait assessment performed by an occupational therapist for all her patients. Her institution offers a yoga program specifically designed for patients with Parkinson’s disease. Tai chi is also very effective in improving balance and flexibility.
Parkinson’s is now among a growing number of diseases that can be improved with regular exercise both before and after diagnosis.
Cheerleading a much more dangerous sport these days
Cheering during sporting events has changed radically over the past ten years. Young girls no longer wave pompoms while leading rhythmic cheers for their team.
Cheerleading has become a performance that captures the attention of the entire audience. Tumbling, jumping and spectacular human formations are now the norm.
Participants consist of powerful men and women who provide a base for the formations, as well as petite “flyers.”
Cheerleading is a collegiate scholarship sport and not just a sideshow.
As the sport has become more athletic and spectacular, the frequency and severity of injuries related to cheerleading have also climbed.
A recent study in the medical journal Pediatrics documented over 200,000 emergency room visits for cheerleading injuries. This study covered a period of 13 years with most injuries involving teenage girls. Since the study only looked at injuries requiring hospital care, it is believed the injury rate is much higher when considering visits to physician offices and urgent care centers. The principal injuries are musculoskeletal but neurologic injuries like concussion and spinal trauma are increasingly common.
In some states, cheerleading is not a sanctioned sport. This often leaves cheerleaders without medical support and safety requirements like in other competitive sports.
Martha Davis is a cheerleading parent whose 11-year-old daughter, Morgan, has been competing for the past four years with the Impact All-Stars. Practice requires about 12 hours per week in addition to competitions. Some cheerleaders begin as young as age four.
A major factor contributing to the high rate of injury in cheerleading is the increased level of risk associated with the stunts performed. Since becoming more competitive and drawing national TV coverage, the performances have become more breathtaking and dangerous.
Some basic guidelines for parents and athletes:
• Make sure your cheerleading coach is certified and properly trained. This training should include first aid certification.
• Practice stunts in a gym with proper supervision and equipment.
• Get a physical before participating.
This weekend the best regional cheerleading squads will be competing at the Mohegan Sun Arena. Participants range from the very young to highly competitive collegians. It promises to be an exciting and safe performance.
If you want further information on cheerleading, listen to the podcast at Norwich Bulletin or Backus Hospital. Post any comments you have on this blog.
Cheerleading has become a performance that captures the attention of the entire audience. Tumbling, jumping and spectacular human formations are now the norm.
Participants consist of powerful men and women who provide a base for the formations, as well as petite “flyers.”
Cheerleading is a collegiate scholarship sport and not just a sideshow.
As the sport has become more athletic and spectacular, the frequency and severity of injuries related to cheerleading have also climbed.
A recent study in the medical journal Pediatrics documented over 200,000 emergency room visits for cheerleading injuries. This study covered a period of 13 years with most injuries involving teenage girls. Since the study only looked at injuries requiring hospital care, it is believed the injury rate is much higher when considering visits to physician offices and urgent care centers. The principal injuries are musculoskeletal but neurologic injuries like concussion and spinal trauma are increasingly common.
In some states, cheerleading is not a sanctioned sport. This often leaves cheerleaders without medical support and safety requirements like in other competitive sports.
Martha Davis is a cheerleading parent whose 11-year-old daughter, Morgan, has been competing for the past four years with the Impact All-Stars. Practice requires about 12 hours per week in addition to competitions. Some cheerleaders begin as young as age four.
A major factor contributing to the high rate of injury in cheerleading is the increased level of risk associated with the stunts performed. Since becoming more competitive and drawing national TV coverage, the performances have become more breathtaking and dangerous.
Some basic guidelines for parents and athletes:
• Make sure your cheerleading coach is certified and properly trained. This training should include first aid certification.
• Practice stunts in a gym with proper supervision and equipment.
• Get a physical before participating.
This weekend the best regional cheerleading squads will be competing at the Mohegan Sun Arena. Participants range from the very young to highly competitive collegians. It promises to be an exciting and safe performance.
If you want further information on cheerleading, listen to the podcast at Norwich Bulletin or Backus Hospital. Post any comments you have on this blog.
Carotid Laceration
Richard Zednik is a professional hockey player for the Florida Panthers. On February 10th, while competing against the Buffalo Sabres, he collided with a teammate whose skate accidentally cut Zednik’s right carotid artery.
All who have seen the video of this incident have been both horrified by the event and impressed by the medical response to this life-threatening injury. The fact that Zednik was discharged from Buffalo General Hospital in less than a week with no apparent permanent injury is amazing.
The carotid arteries are the two main arteries responsible for blood flow to their respective halves of the brain. Any prolonged deprivation of blood flow will result in a stroke with symptoms of weakness, numbness, and possible loss of speech. Anatomically, muscles protect the carotid artery. An injury requires great force and a very sharp blade.
Since Zednik was in superior general health, crucial minutes were added to the time frame during which a safe repair could be performed. The proximity of the arena to a hospital where an experienced surgeon was available also helped Zednik’s situation.
Locally, the Backus Hospital Trauma Center provides this service to sports venues including Mohegan Sun Arena, Foxwoods Casino, and Dodd Stadium.
This incident raises the issue of NHL players using more protective equipment.
Facial lacerations and eye injuries have steadily increased in frequency and severity. Hockey players have become bigger, faster, and stronger as compared to the “good old days” when no one would be seen wearing a now-required helmet. Protective collars are mandated by all junior hockey organizations. Some are made of lightweight Kevlar for maximum neck protection. Visors are also considered essential at the junior level and provide necessary eye protection without impeding performance.
Many professional athletes have come to the realization that by training harder and avoiding injury, they can extend their longevity in professional sports and earn more money. Hopefully, they will all soon realize that taking a more mature, business-like approach to sports includes the use of protective gear.
If you wish to learn more about carotid artery injuries or protective equipment in hockey, listen to the podcast or go to the Healthy Sports Blog at Norwich Bulletin or Backus Hospital.
All who have seen the video of this incident have been both horrified by the event and impressed by the medical response to this life-threatening injury. The fact that Zednik was discharged from Buffalo General Hospital in less than a week with no apparent permanent injury is amazing.
The carotid arteries are the two main arteries responsible for blood flow to their respective halves of the brain. Any prolonged deprivation of blood flow will result in a stroke with symptoms of weakness, numbness, and possible loss of speech. Anatomically, muscles protect the carotid artery. An injury requires great force and a very sharp blade.
Since Zednik was in superior general health, crucial minutes were added to the time frame during which a safe repair could be performed. The proximity of the arena to a hospital where an experienced surgeon was available also helped Zednik’s situation.
Locally, the Backus Hospital Trauma Center provides this service to sports venues including Mohegan Sun Arena, Foxwoods Casino, and Dodd Stadium.
This incident raises the issue of NHL players using more protective equipment.
Facial lacerations and eye injuries have steadily increased in frequency and severity. Hockey players have become bigger, faster, and stronger as compared to the “good old days” when no one would be seen wearing a now-required helmet. Protective collars are mandated by all junior hockey organizations. Some are made of lightweight Kevlar for maximum neck protection. Visors are also considered essential at the junior level and provide necessary eye protection without impeding performance.
Many professional athletes have come to the realization that by training harder and avoiding injury, they can extend their longevity in professional sports and earn more money. Hopefully, they will all soon realize that taking a more mature, business-like approach to sports includes the use of protective gear.
If you wish to learn more about carotid artery injuries or protective equipment in hockey, listen to the podcast or go to the Healthy Sports Blog at Norwich Bulletin or Backus Hospital.
A balanced diet is a key for athletes
Shopping catalogs advertising the latest swimwear are among the earliest signs of spring.
This automatically triggers intense fear that a body that may have put on several pounds during the holiday season needs to soon look presentable in swim attire. Following that is a feeling of confident resolve that the task of getting in shape before exposing ourselves to public scrutiny can be accomplished.
Current and former athletes typically face the dilemma of increased body weight by beginning a program of vigorous exercise. This may include running, fitness classes, or weight training. Any successful weight loss plan includes diet changes.
When engaging in an intense physical regimen, a balanced diet is essential to avoid serious health problems.
A nutritional plan for an athlete should be customized based on body type and size. Consulting a registered dietician is advised. Relying on someone you met at a gym or who happens to work in a vitamin store is a mistake. Online advice through sites that sell supplements could lead to trouble.
The basic human diet consists of three essential components:
• Carbohydrates are the main source of energy for muscle. They are broken down into sugars for immediate energy and stored in muscle as glycogen for later use.
• Proteins are essential for building and repairing muscle that breaks down during exercise. Proteins also help store glycogen in muscle. Proteins themselves are not easily stored and must be consumed daily for a healthy diet.
• Fats provide the highest concentration of energy. They are the main fuel source for any long duration (greater than 60 minutes) of sports activity.
Many weight-loss diets emphasize either carbohydrates or proteins as a foundation. While this may be effective for weight loss alone, it could lead to disaster for anyone engaging in intense workouts. Aerobic athletes taking a high-protein, low-carbohydrate diet are at risk for kidney failure.
Vegetarian athletes face the challenge of meeting nutritional demands without meat, fish, or eggs as a source of protein. Milk, tofu, yogurt, cheese, and peanut butter are great dietary alternatives.
Whitney Bundy, a registered dietician and Director of the Food and Nutrition Department at The William W. Backus Hospital, said that distance athletes must be sufficiently hydrated before, during, and after a workout. Peanut butter is an excellent pre-workout meal.
Isn’t it ironic that with so many commercially available energy bars, a childhood favorite like PB&J can sufficiently fuel a great athletic performance?
If you wish to learn more about sports nutrition, listen to the podcast at Norwich Bulletin or Backus Hospital.
Anthony G. Alessi, MD, is a member of The William W. Backus Hospital Medical Staff and a neurologist in private practice at NeuroDiagnostics, LLC in Norwich. This column should not replace advice or instruction from your personal physician. E-mail Dr. Alessi at aalessi@wwbh.org.
This automatically triggers intense fear that a body that may have put on several pounds during the holiday season needs to soon look presentable in swim attire. Following that is a feeling of confident resolve that the task of getting in shape before exposing ourselves to public scrutiny can be accomplished.
Current and former athletes typically face the dilemma of increased body weight by beginning a program of vigorous exercise. This may include running, fitness classes, or weight training. Any successful weight loss plan includes diet changes.
When engaging in an intense physical regimen, a balanced diet is essential to avoid serious health problems.
A nutritional plan for an athlete should be customized based on body type and size. Consulting a registered dietician is advised. Relying on someone you met at a gym or who happens to work in a vitamin store is a mistake. Online advice through sites that sell supplements could lead to trouble.
The basic human diet consists of three essential components:
• Carbohydrates are the main source of energy for muscle. They are broken down into sugars for immediate energy and stored in muscle as glycogen for later use.
• Proteins are essential for building and repairing muscle that breaks down during exercise. Proteins also help store glycogen in muscle. Proteins themselves are not easily stored and must be consumed daily for a healthy diet.
• Fats provide the highest concentration of energy. They are the main fuel source for any long duration (greater than 60 minutes) of sports activity.
Many weight-loss diets emphasize either carbohydrates or proteins as a foundation. While this may be effective for weight loss alone, it could lead to disaster for anyone engaging in intense workouts. Aerobic athletes taking a high-protein, low-carbohydrate diet are at risk for kidney failure.
Vegetarian athletes face the challenge of meeting nutritional demands without meat, fish, or eggs as a source of protein. Milk, tofu, yogurt, cheese, and peanut butter are great dietary alternatives.
Whitney Bundy, a registered dietician and Director of the Food and Nutrition Department at The William W. Backus Hospital, said that distance athletes must be sufficiently hydrated before, during, and after a workout. Peanut butter is an excellent pre-workout meal.
Isn’t it ironic that with so many commercially available energy bars, a childhood favorite like PB&J can sufficiently fuel a great athletic performance?
If you wish to learn more about sports nutrition, listen to the podcast at Norwich Bulletin or Backus Hospital.
Anthony G. Alessi, MD, is a member of The William W. Backus Hospital Medical Staff and a neurologist in private practice at NeuroDiagnostics, LLC in Norwich. This column should not replace advice or instruction from your personal physician. E-mail Dr. Alessi at aalessi@wwbh.org.
Fans can't forget their own health
Sports medicine professionals are responsible for the safety of athletes. Sometimes that obligation extends to sports fans.
A study published in this week's New England Journal of Medicine reported an increase in cardiac emergencies during the 2006 World Cup Soccer Championship at more than twice the normal rate. The study took place in Munich when the German national team was competing in the semi-finals.
Another study performed at the University of Maryland in 2006 showed a 50% rise in emergency department visits after professional football games as opposed to during the game.
Dr. Robert Sidman, Chief of Emergency Services at Backus Hospital, confirmed in an online article at Backus Hospital, that these patterns of behavior apply locally. Fans tend to delay getting emergency care despite the urgent nature of cardiac and stroke interventions.
All of these reports set off an avalanche of cautionary alerts throughout the media in preparation for the Super Bowl. These recommendations include:
• Avoid tobacco
• Don’t overeat
• Limit alcohol
• Take prescribed medications
• Try to stay calm
• If you have cardiac symptoms, get to a hospital immediately
Sports fans around the world consider the days on which major sporting events are held as holidays. Unfortunately, this changes their behavior to “holiday mode” similar to Christmas, Thanksgiving, and Easter where none of the recommendations listed above apply.
The typical scenario for disaster at a party or sporting event occurs when participants don’t take prescribed medications, especially diuretics that cause increased urination. This is followed by eating every food item available, drinking immoderately and getting caught up in the intense excitement of a competitive game.
Ignoring the signs of an apparent heart attack or stroke may further worsen the situation.
Many people who are not involved in sports consider the excitement over a game as craziness. However, passion for a sport or a team is a healthy outlet for stress. The way to avoid a catastrophe lies in moderation. Fans need to pace themselves and avoid this “holiday mode” mentality. As in all sports, safety is key and remember: your team needs you.
If you wish to learn more about spectator safety, listen to the podcast at Norwich Bulletin or Backus Hospital.
Originally published February 5, 2008.
A study published in this week's New England Journal of Medicine reported an increase in cardiac emergencies during the 2006 World Cup Soccer Championship at more than twice the normal rate. The study took place in Munich when the German national team was competing in the semi-finals.
Another study performed at the University of Maryland in 2006 showed a 50% rise in emergency department visits after professional football games as opposed to during the game.
Dr. Robert Sidman, Chief of Emergency Services at Backus Hospital, confirmed in an online article at Backus Hospital, that these patterns of behavior apply locally. Fans tend to delay getting emergency care despite the urgent nature of cardiac and stroke interventions.
All of these reports set off an avalanche of cautionary alerts throughout the media in preparation for the Super Bowl. These recommendations include:
• Avoid tobacco
• Don’t overeat
• Limit alcohol
• Take prescribed medications
• Try to stay calm
• If you have cardiac symptoms, get to a hospital immediately
Sports fans around the world consider the days on which major sporting events are held as holidays. Unfortunately, this changes their behavior to “holiday mode” similar to Christmas, Thanksgiving, and Easter where none of the recommendations listed above apply.
The typical scenario for disaster at a party or sporting event occurs when participants don’t take prescribed medications, especially diuretics that cause increased urination. This is followed by eating every food item available, drinking immoderately and getting caught up in the intense excitement of a competitive game.
Ignoring the signs of an apparent heart attack or stroke may further worsen the situation.
Many people who are not involved in sports consider the excitement over a game as craziness. However, passion for a sport or a team is a healthy outlet for stress. The way to avoid a catastrophe lies in moderation. Fans need to pace themselves and avoid this “holiday mode” mentality. As in all sports, safety is key and remember: your team needs you.
If you wish to learn more about spectator safety, listen to the podcast at Norwich Bulletin or Backus Hospital.
Originally published February 5, 2008.
Stay active this winter, but avoid frostbite
Winter activities are now in full swing. In frigid climates, they include skiing, snowshoeing, and snowboarding. Many will try to keep up with outdoor walking, running, or cycling programs.
These sports now add the challenge of staying warm while being active. The goal is to avoid the serious damage of frostbite.
Frostbite results when skin becomes exposed to extreme cold. Prolonged exposure leads to freezing the skin and tissue below. Typically, frostbite affects the hands, feet, nose and ears. These body parts are furthest from the heart and most vulnerable to cold.
Physiologic conditions that lead to impaired circulation increase susceptibility to frostbite. Peripheral vascular disease and diabetes as well as caffeine and tobacco use can make people vulnerable to frostbite.
A condition known as Raynaud Phenomenon can be particularly dangerous with exposure to cold. This condition causes vasospasm in the small blood vessels of hands and feet in those affected. Cold will precipitate the spasm, resulting in diminished blood supply to tissues involved.
Frostbite can appear in two forms: superficial and deep. The superficial form causes burning, tingling and numbness. The affected areas appear white and frozen. The tissues retain some elasticity when pressure is applied. In deep frostbite, blood-filled blisters are found over hard frozen skin.
Frostbite can be avoided by dressing in layers and being certain to cover all exposed surfaces. New devices such as heated gloves and socks are very effective. Activated charcoal heat packets can be placed in gloves and shoes.
Treatment consists of warming the affected area and keeping it elevated to avoid swelling. Never warm a limb if there is a chance it will freeze again. Do not rub the skin since friction can cause further tissue damage. Bathing the injured area in warm water is the most effective method of rewarming.
Before heading out for a cold weather workout, be sure attire is appropriate. Don’t be fooled by football linemen who wear short sleeves while playing in arctic cold. Even they retreat to heated benches in between series of plays.
If you wish to learn more about frostbite, listen to the podcast at Norwich Bulletin or Backus Hospital.
Originally published January 29, 2008.
These sports now add the challenge of staying warm while being active. The goal is to avoid the serious damage of frostbite.
Frostbite results when skin becomes exposed to extreme cold. Prolonged exposure leads to freezing the skin and tissue below. Typically, frostbite affects the hands, feet, nose and ears. These body parts are furthest from the heart and most vulnerable to cold.
Physiologic conditions that lead to impaired circulation increase susceptibility to frostbite. Peripheral vascular disease and diabetes as well as caffeine and tobacco use can make people vulnerable to frostbite.
A condition known as Raynaud Phenomenon can be particularly dangerous with exposure to cold. This condition causes vasospasm in the small blood vessels of hands and feet in those affected. Cold will precipitate the spasm, resulting in diminished blood supply to tissues involved.
Frostbite can appear in two forms: superficial and deep. The superficial form causes burning, tingling and numbness. The affected areas appear white and frozen. The tissues retain some elasticity when pressure is applied. In deep frostbite, blood-filled blisters are found over hard frozen skin.
Frostbite can be avoided by dressing in layers and being certain to cover all exposed surfaces. New devices such as heated gloves and socks are very effective. Activated charcoal heat packets can be placed in gloves and shoes.
Treatment consists of warming the affected area and keeping it elevated to avoid swelling. Never warm a limb if there is a chance it will freeze again. Do not rub the skin since friction can cause further tissue damage. Bathing the injured area in warm water is the most effective method of rewarming.
Before heading out for a cold weather workout, be sure attire is appropriate. Don’t be fooled by football linemen who wear short sleeves while playing in arctic cold. Even they retreat to heated benches in between series of plays.
If you wish to learn more about frostbite, listen to the podcast at Norwich Bulletin or Backus Hospital.
Originally published January 29, 2008.
Medicine plays role in strength contests
Historically, the earliest competitions among humans were feats of strength. Biblical and mythical figures are often admired for their physical prowess. George Costanza, of Seinfeld fame, popularized the “feats of strength” as part of his Festivus celebration.
Over the past 30 years, strength athletics has grown under the banner of World’s Strongest Man.
World’s Strongest Man and World’s Strongest Woman competitions are international events. Each competition consists of lifting, pulling, pushing, and running with tremendous amounts of weight. The weight is in the form of vehicles (usually buses or cars), large stones, tires, or concrete blocks.
There are approximately 400 active participants in strength events like those that appear annually at the Mohegan Sun Arena. They range from 22-56 years old. The youngest strength athlete is Massachusetts resident Kevin Nee, who began his career at the age of 18.
Liane Blyn is a certified athletic trainer and strength coach who works with many strength athletes.
“Principal injuries include torn tendons which result from overuse and the increased pressure on joints. Average active longevity is only 4-6 years,” Blyn said. “Training for these competitions consists of performing each event to gain strength and better technique.”
Strength athletics is very interesting from the standpoint of cardiovascular and cerebrovascular physiology, thanks to an Italian anatomist named Antonio Valsalva.
In the 18th century, he described what has come to be known as the “Valsalva maneuver.” It occurs when a person forcefully contracts their muscles against a closed airway. This increases pressure in the chest and middle ears. Due to the increase in pressure, blood flow to the heart is diminished and the pulse slows. Subsequently, blood flow to the brain also decreases, followed by a loss of consciousness. When the muscles involved relax, pressure diminishes and the heart rate speeds up, thus restoring adequate blood flow.
This maneuver can be seen sometimes during prolonged coughing or defecation, and in the case of strength athletes, when lifting large amounts of weight. Participants will try to divert blood flow from their muscles to their hearts and brains by wearing very tight neoprene suits during the dead-lift competition.
Since 1977, World’s Strongest Man competitions have attracted the attention of millions of fans around the world, including the watchful eye of the sports medicine physician in attendance.
If you wish to learn more about World’s Strongest Man events, listen to the podcast at Norwich Bulletin or Backus Hospital.
Originally published January 22, 2008.
Over the past 30 years, strength athletics has grown under the banner of World’s Strongest Man.
World’s Strongest Man and World’s Strongest Woman competitions are international events. Each competition consists of lifting, pulling, pushing, and running with tremendous amounts of weight. The weight is in the form of vehicles (usually buses or cars), large stones, tires, or concrete blocks.
There are approximately 400 active participants in strength events like those that appear annually at the Mohegan Sun Arena. They range from 22-56 years old. The youngest strength athlete is Massachusetts resident Kevin Nee, who began his career at the age of 18.
Liane Blyn is a certified athletic trainer and strength coach who works with many strength athletes.
“Principal injuries include torn tendons which result from overuse and the increased pressure on joints. Average active longevity is only 4-6 years,” Blyn said. “Training for these competitions consists of performing each event to gain strength and better technique.”
Strength athletics is very interesting from the standpoint of cardiovascular and cerebrovascular physiology, thanks to an Italian anatomist named Antonio Valsalva.
In the 18th century, he described what has come to be known as the “Valsalva maneuver.” It occurs when a person forcefully contracts their muscles against a closed airway. This increases pressure in the chest and middle ears. Due to the increase in pressure, blood flow to the heart is diminished and the pulse slows. Subsequently, blood flow to the brain also decreases, followed by a loss of consciousness. When the muscles involved relax, pressure diminishes and the heart rate speeds up, thus restoring adequate blood flow.
This maneuver can be seen sometimes during prolonged coughing or defecation, and in the case of strength athletes, when lifting large amounts of weight. Participants will try to divert blood flow from their muscles to their hearts and brains by wearing very tight neoprene suits during the dead-lift competition.
Since 1977, World’s Strongest Man competitions have attracted the attention of millions of fans around the world, including the watchful eye of the sports medicine physician in attendance.
If you wish to learn more about World’s Strongest Man events, listen to the podcast at Norwich Bulletin or Backus Hospital.
Originally published January 22, 2008.
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