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'Swedish Spine, Sports & Musculoskeletal Medicine' posts

Treating tennis elbow with platelet rich plasma

Platelet Rich Plasma (PRP) is concentrated blood plasma containing a large amount of platelets. This concentrate, which is derived from your whole blood, is rich in growth factors that help heal injured tendons, ligaments, muscles, and even cartilage.  PRP is injected into the affected region to stimulate and enhance healing. Unlike cortisone injections, PRP helps heal the injured tissue and improve its function.  One of the most common areas of treatment with PRP is tennis elbow. 

Recently, a large study on PRP for tennis elbow was published in the American Journal of Sports Medicine.  They found success rates for patients with 24 weeks of follow-up were 83.9% in the PRP group compared with 68.3% in the control group. No significant complications occurred in either group. 
 
In the news, New York Yankees pitcher Masahiro Tanaka sustained a partially torn ulnar collateral ligament in his pitching elbow. He was ...

How to Manage a Sports Related Concussion

What is a concussion?
A concussion is a mild brain injury that causes a change in mental status that can occur with direct insult to the head. A concussion may also occur with movement of the body that cause acceleration/deceleration forces to the head.
 
What are the symptoms of a concussion?
  • Headache
  • Dizziness
  • Loss of consciousness
  • Amnesia
  • Difficulty concentrating
  • Confusion
  • Nausea and/or vomiting
  • Difficulty balancing
  • Sensitivity to light
  • Sensitivity to noise
  • Ringing in the ears
  • Drowsiness
  • Irritability
  • Sadness
When should I seek medical attention for a concussion?
  • A healthcare provider should evaluate every child or adolescent suspected of a concussion. 
  • If this occurs during a sporting event, the child should sit out the rest of the game
  • Your provider may conduct a standardized neuropsych assessment to help guide return to activities/sports
What is the best treatment for a concussion?
  • Rest, rest and more rest!
  • Absence from school may initially be necessary until one can concentrate on a task without exacerbating symptoms
  • Avoid excessive time texting, on the computer, watching television, playing video games or listening to loud music
  • Return to activity too soon can lead to worsening and prolonged symptoms.  A second injury to the brain while the brain is healing can lead to severe brain injury that is life-threatening
When can a child return to sports after a concussion?
A person with a concussion should not return to play until they no longer have symptoms at rest for at least 24 hours.  Return to play should then be a step-wise progression.  The child/adolescent should be symptom free for 24 hours before progressing to the next level of play:
  • Light aerobic exercise (e.g.: walking)
  • Sport-specific exercise
  • Non-contact training drills
  • Full contact practice
  • Return to play (Must first be cleared by a provider)
What resources are there for concussions?
Swedish’s Spine, Sports and Musculoskeletal Medicine team has developed a Sports Concussion Clinic with the following resources:
  • Baseline neurocognitive testing with a computerized exam called ImPACT can be done prior to playing a sport to assess changes and recovery if a concussion occurs.
  • Comprehensive concussion management, including clearance for return-to-play
Click here to learn more about the Sports Concussion clinic.  The team includes sports medicine physicians, psychiatrists, an athletic trainer, physical therapists and a neuropsychologist that can deliver individualized care for every athlete

Think about injury prevention when returning to baseball season

Baseball season is finally here! As we watch our Major League Baseball heroes take the field this April, kids of all ages will be returning to the field after winter break and time off from practicing. 

It is important that our kids return safely to help prevent overuse injuries from occurring during the season. Common overuse injuries in baseball are injuries to the elbow (ulnar collateral ligament, UCL) and shoulder in the throwing arm. A proper warm up, maintaining an age appropriate pitch count and good throwing mechanics are essential to preventing overuse injuries. 
 
Here are some specifics to keep in mind:

Atlas of Ultrasound Guided Musculoskeletal Injections

The most comprehensive atlas of ultrasound guided musculoskeletal injections is now available!  I contributed a chapter to the hip section.   This book is considerably more comprehensive than another book just published with the same name and has contributions from many all-star sports medicine physicians. Click here to check it out.

Swedish Sports Concussion Clinic

The Sports Concussion Clinic at Swedish Spine, Sports & Musculoskeletal Medicine was developed to provide comprehensive concussion management and help guide return-to-play decisions for children and adults. We are a team of sports medicine physicians, physiatrists, physical therapists, and a neuropsychologist that deliver individual care for athletes. We provide physical evaluation, assessment of concussion severity, neuropsychological evaluation, ongoing monitoring and education for athletes, parents, coaches and school staff. We use clinical guidelines to implement the most appropriate treatment for return-to-play and return-to-school. Click here to learn more or to make an appointment.

4 tips to prevent injuries in sports

How do you prevent sports related injuries? Here are four tips:

Getting ready for Rhody Run

On Sunday April 7, several Swedish physicians participated in Jefferson Healthcare's Runner's Symposium in Port Townsend for the upcoming Rhody Run. Over 300 runners attended the event. Dr. Erik Brand gave a lecture on core strength in runners, Dr. Jeff Moo gave a lecture on the physiological benefits of running and aerobic exercise, and lastly I gave a lecture on sports nutrition for marathon runners. We also provided musculoskeletal ultrasound screenings for over 60 participants with our two portable ultrasound machines.

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