From the category archives:

Sports Medicine

On Lance: Does The Testosterone:Epitestosterone Ratio Tell All?

by pribut on January 21, 2011

“The Case Against Lance Armstrong” is the title of an article in the January 24, 2011 issue of Sports Illustrated. The case that is made within this article is based on in large part on what a few people with gripes against Lance have said. The other “hard” evidence is based on several tests detailing [...]

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Overuse Injuries: All The Small Things

by pribut on October 7, 2010

Podiatry Management (October, 2010) has just published an article I’ve written titled  Overuse Injuries: All The Small Things . You are just another click away from the PDF version. This is a challenging article. It introduces mechanotransduction, a theory of cellular and tissue function, which is little known in the sports medicine community. The article [...]

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Let’s Standardize the Pre-participation Physical Evaluation

by pribut on May 13, 2010

PPE Coalition for Youth Sports and Safety
PPE Initiative Launch Event & Press Conference: May 13, 2010
Across the U.S. there is no formal standardization of the young athlete’s pre-participation medical evaluation (PPE or pre-participation evaluation). States have varying standards and requirements on what needs to be checked and who may perform the evaluation. These examinations are [...]

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Achilles Tendinopathy: PRP Disappoints in New Study

by pribut on January 14, 2010

A study published in the Journal of the American Medical Association, Jan. 13, 2010 gave disappointing results in using plasma rich protein to treat non-insertional Achilles tendinopathy. It showed no difference between using a sham injection of saline and combining it with a painful eccentric stretching protocol  in comparison with an injection of plasma rich [...]

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Tendinopathy – Yes; Tendinitis – No

by pribut on December 11, 2009

Tendinitis is often used incorrectly as a generic term for overuse tendon injuries. The term that should be used is tendinopathy. Tendinitis and tendinosis both refer to microscopic changes that are seen on biopsy. Even spelled as “tendonitis”, it is still incorrect. The current view is that long term overuse tendon injuries display little to [...]

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Aches, Pains, and Visits to The Doc

by pribut on October 29, 2009

After unusually persistent aches and pains during training or after your race, you may decide it’s time for a visit to your sports doc. Of course, we hope you’ve increased your training slowly, checked your shoes and done your best to  learn how to avoid the doctor’s office.
Now that you’ve decided it is time [...]

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Staying Alive: Marathon Day Tips (Part 2)

by pribut on October 23, 2009

Now that you’ve trained properly after having a medical exam and clearance to run, you are nearly ready for the big day. Prudence should keep you upright for the next 26.2 miles. Some have said “Start slow, and finish slower”. But that may not be your plan. Make sure you run within your means. Be [...]

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Clinic: Army Ten Miler on October 3

by pribut on September 28, 2009

I’ll be speaking this coming Saturday, October 3, 2009 at 9:45 am at the race expo in a clinic for the Army Ten Miler. The clinics are at the DC Armory and are free and open to all. There should be ample time for Q&A’s. I plan to touch on the following topics: “exercise [...]

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OCD and Your Ankle

by pribut on March 8, 2009

OCD is not always in your mind. It could be in your knee, elbow or ankle. And it can certainly be a pain to have. In many cases the injury is missed initially and under treated. What we are talking about is osteochondritis dissecans, also known as osteochondral fracture, defect, or  osteochondral injury. It is [...]

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The Answer for Severe Ankle Sprains: Put A Cast On It

by pribut on February 16, 2009

Dancing to the tune of “Put A Ring On It” you get carried away and find that you’ve tripped over an object lying on the carpet. Or more likely, you’ve stepped in a hole, stepped wrong coming down stairs or twisted your ankle on an uneven trail while running. Of course basketball is especially known [...]

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