/r/sportsmedicine

Photograph via snooOG

A forum to share and discuss websites, articles, and other important issues related to sports medicine and exercise science.

WE DO NOT ALLOW MEDICAL ADVICE POSTS, FOR YOURSELF OR YOUR FAMILY/FRIENDS.

Posting medical advice is against Reddit's user agreement. Further, internet medical advice is worthless clinically since a clinician can't understand an illness over the internet and because you can't verify their credentials. Health concerns should be evaluated in person, and posts of this type will be removed.

Related Reddit: r/athletictraining combo: r/athletictraining + r/sportsmedicine

/r/sportsmedicine

7,808 Subscribers

2

Need help understanding concussion return to play guidelines. If a concussion occurs 7 days ago with no LOC, no symptoms for a week but the person has a mild headache, would you need to be headache free for a week to return to play ?

or because it’s a mild headache and it responds to Tylenol , it would be okay to return to play? I thought you had to be headache free for 24-48 hours.

11 Comments
2024/10/27
17:51 UTC

1

Do hernias present like this?

I started feeling this odd pain in my lower abdomen, maybe like 2" to the right of my left hip bone ~ 2 weeks ago. Odd thing is that it doesn't hurt at all when I palpate it and the pain is only triggered by 1) lunging with my left leg being the one stretched, 2) ab workouts, and 3) sneezing.

There's no protrusion or mass when I cough, and coughing doesn't hurt. This combined with the fact that it doesn't hurt when palpating makes me think it's likely a deep hip flexor strain. But my knowledge of hernias is limited... I was wondering if it is possible for a hernia to present like this?

Note that I'm not asking for medical advice to stay consistent with this reddit's rules. Just asking if a hernia could present like this, which I suppose could be considered more of an academic question lol...

3 Comments
2024/10/24
12:46 UTC

0

Suggestions for my predicament?

Hey all, need help from lifters on how to approach a new routine, due to advice from my cardiologist to not strain too much on the weights, due to a defect which causes a tiny leak in the valve. This is NOT a request for  medical advice, but rather a request for advice or suggestions on how to lift and make progress without straining the body.

 I told my doctor that I usually gauge whether I want to progress to more reps or heavier weight by seeing when the last rep becomes challenging, and if I get used to the extra 1/2 reps which are a little more challenging after a few workouts, then I will continue doing them, and continuing making progress with more reps or weight. I think this is a very common approach, but he says, "just don't do that last rep." I actually am not sure on how to make progress by never doing any challenging reps. And since it's not the doctor's job to tell me what options I have, that's why I'm here.

 Wondering what other's thoughts or approach would be? Is it possible to gain strength without at least slightly increasing the challenge at a steady rate?

1 Comment
2024/10/16
13:54 UTC

1

Sports Med fellowships for IMs

Hello, need your kind advice as my son’s career office is non-existent.

He’s a 4th year (outta 5 years) US international med student in Malaysia. He’s been a jock (volleyball & basketball) all his life & wants to involve sports in his future med career. Initially he was planning on applying to match in IM in 2026, but now he sees that most Sports Med fellowships r for FM.

1 Comment
2024/10/16
06:25 UTC

1

IT band pain and race in two weeks

Hi all!

So I’m fairly new to distance running. I’ve done a lot of 5ks throughout my life. I’m a 31 year old female and I’m 16 months postpartum. I’ve been training for a 10k with a mom run club and it’s been going really well! I could easily do 3 miles before starting training and it’s an 8 week program. My race is on the 26th.

On Saturday, I did 5 miles straight and it felt good apart from my right knee starting to hurt halfway through. It’s on the outside and it seems to be IT band pain based on everything I’ve read and what the running coach thinks too.

Since then, it’s been a bit sore. I did a yoga class on Sunday night that focused on lower body and stretched some things out. I’m supposed to continue my training this week and keep up my mileage.

However, I’m worried that continuing running is going to hurt it. I’m guessing I need to strengthen muscles around the leg but obviously I can’t do that completely in two weeks.

I guess I’m just wondering what you all would recommend in my situation. I really want to do this race, it’s really important to me. It’s something I’ve worked on as a postpartum mom and I’ve never even ran 5 miles straight in my life without stopping and I’ve been so proud of my progress. What is the best way to ensure I can actually completely my race and not completely ruin myself? Lol

Thank you so much for your help!

2 Comments
2024/10/14
22:41 UTC

1

ACL and Lateral MeniscusTear- 13/M

My 13 year old had an MCL sprain 8/13/24. No MRI imaging was done. He had PT. Was cleared to return to sports (football) and had no pain. He practiced for one day. The next day at school he was playing on the blacktop. He stepped forward. Knee gave out completely had to be wheeled off the blacktop. So much pain and in a totally different area. MRI shows- bone bruising, effusions, ACL tear (he has no ACL now per the ortho) AND a lateral meniscus tear- bucket handle.

Apparently he needs surgery ASAP because of the meniscus tear. He’s on crutches to avoid impact and reduce further injury/ early arthritis.

Here are my questions/concerns- both surgeons are sports medicine/knee specialists and have lots of ACL experience

  1. I have an adult and pediatric ortho surgeon in process of consultation. The adult surgeon is concerned about doing an ACL because his bone age is 14.5 and that puts him out of the pediatric ACL repair + not quite in the range of the adult repair. He said without the meniscus he would brace him, wait 6 months until his growth plates show higher bone age and then do ACL. Can’t do that since he needs meniscus repair now.
  2. We see pediatric surgery Tuesday am- what questions should I be asking about long term recovery and the issue with his bone age?
  3. His recovery will be long. I get that. He loves sports/being physically fit. What can I give him to hold on to as far as options in the future? He really loves football and is entering freshman year next year.

Anything you can share- advice/ words of encouragement/what to ask. We are committed to making the best decision for a kid that has just had his world rocked

1 Comment
2024/10/13
01:53 UTC

3

Will Major in Kinesiology/Sports Medicine but are honors colleges worth it for my major?

I have almost finished all of my college applications, however many of the colleges I am applying too like, Uni of Washington, Uni of Florida, Uni of Oregon, Uni of Utah, etc have honors colleges I could apply too. I was wondering if there was any worth in these programs for someone like me? any help is appreciated thanks!

6 Comments
2024/10/12
22:12 UTC

0

Gym not just as performance

I like doing sport and going to the gym but whenever I tried having physical exercise in the gym side is that my physical experience is just a moment in which I always try to push myself to become always better until I can. This is why I think that I do not naturally want to go the gym as I take this time just as a stressful moment (that shouldn't be like that as I would like to go to the gym to help myself in the recovery especially from studying) as I just think about the fact that I should take the gym time as a moment in which I have to lose weight and find my equilibrium. How do I make exercising fun and how do I get outside of this limbo?

3 Comments
2024/10/12
16:56 UTC

1

Seeking guidance in selecting a doctor

Hi! I'm 28 and looking for a doctor for hip issues.

back ground: I was a child athlete (ballet 15-25h/week), had the female athlete triad and was very undernourished, had a stubborn stress fracture in a metatarsal age 15-18 that needed surgery but the doctor refused to operate due to the bones low likelihood of healing around the metal. I'm now doing jiu jitsu, starting to do it competitively, and my hips and left shoulder are becoming an issue. I have EDS (unsure which type, doctor confirmed at least the hypermobility type?) and am very loose in the joints, like almost all of them.

I got xrays and the doctor (orthopedist) said the neck of my femur is too wide and very possibly have a labral tear in both hips. He referred me to a local-ish university. I want to start working with a doctor that focuses in sports medicine, I want to rehabilitate my hips and address systemic issues to set my body up for long term success and health while being able to push my body to it's limit over and over again.

I have some minor underlying health issues that are being addressed with an immunologist and GP, and I've had a lot of physical trauma that has changed my body's functionality. I have had many experiences with doctors not listening or taking me seriously or assuming I don't know what I'm talking about. I'm too close to 30 and my body is too wonky to keep fucking around with doctors who don't care. I'm looking for a doctor who is a little closer to a functional medicine doctor in that they address the whole organism (me) and interconnectivity of it all and help me heal and stay healthy and high performing.

I'm not sure what to look for in a doctor like this or where to start. I can travel, so location isn't an issue. Washington DC/DMV area and NYC/generally the east coast is easiest, but I can and will go where I need to (domestically and internationally) to work with a doctor that is the right fit.

If you have any thoughts or input please let me know.

2 Comments
2024/10/10
17:56 UTC

5

Kim Test (for Glenoid Labrum)

0 Comments
2024/10/02
12:52 UTC

1

BPC-157 for stomach/muscle/joint issues/inflammation

Hey there! I have been recently told about peptides, specifically bpc-157. I have ibs (irritable bowel syndrome), lots of muscle inflammation which will give me muscle aches and achey joints. Can anyone help me better understand bpc-157 and if there are any studies on long term affects of using it. Is it safe and are there cons/disadvantages of taking it. Thanks

1 Comment
2024/10/02
05:54 UTC

1

QME for sports med

Overheard some ortho colleagues chatting about doing QME for moonlighting and looked into it.

https://www.dir.ca.gov/dwc/MedicalUnit/MD-DO-Scope-of-Practice.html

At least on CA’s website, doesn’t look like PCSM is recognized as a specialty. Anyone have experience doing QME in another state?

2 Comments
2024/10/02
04:18 UTC

3

Why do so many athletes go to Germany to receive leg treatments?

It was just announced NFL running back Christian McCaffrey went to Germany to seek treatment. I know this was something Kobe Bryant did back in the day as well. What’s going on over there??

5 Comments
2024/09/27
02:38 UTC

3

Introduction to Lower Extremity Anatomy

2 Comments
2024/09/24
18:31 UTC

2

Looking for Knee Brace/Pad Recommendations

(Let me know if you have a subreddit in mind where you think I might get better answers, please!)

Does anyone have any recommendations for lightweight knee braces that double as guards?

I have hypermobile Ehlers-Danlos syndrome and I'm looking for something to serve as a support with gentle compression, that also has a little bit of protective padding. I'll be wearing them under my jeans to shows/concerts and I'll be doing a good bit of jumping around and stuff, so I'll prefer them to be lightweight and breathable.

Not too compressing because that causes stress on my knees, but supporting enough to avoid hyper-extending my legs and protect my knees if I get knocked down.

Tldr; looking for lightweight knee braces with protective padding and gentle compression. Affordable is preferred.

0 Comments
2024/09/23
18:18 UTC

3

My sister(in law) wants to get into sports medicine

hey everyone. My sister(in law) is 16 and says she wants to be a sports physician. I don't know what that is, and i'm not convinced she knows what that is. What are some resources I can look into to get her on the right path, to make her, (and myself) more knowledgeable about this career choice?
I'm a video game developer, and I knew I wanted to be one since i was about 8 (i'm 34 now).

She's 16 and has wanted to go into sports medicine since she as 14. I say all this because, having atleast the smallest notion of where to go, in my case, helped me stay on the path to get to where I'm at now, and I want to be able to help her in the same way. It just seems like she doesnt know enough about the industry she wants to go into (just yet).

I also wanted to buy her some magazines, or some books, or maybe a subscription that are must reads for anyone in that wants to get into Sports Medicine. It's her birthday soon and I think this would be a great gift ( my family got me art supplies growing up, which helped me on my journey to work in games).

She's a very hardworking kid(wakes up at the crack of dawn to tend to some animals, I could never) so I have no doubt she'll succeed. I just want to get her some resources that can help.

6 Comments
2024/09/23
13:11 UTC

6

Oral BPC157 - thoughts, results or advice

Hey everyone,

Just wondering if anyone has any experience with BPC157 tablets?

The thought of injections doesn’t turn me on at the moment so thought the oral route would work.

Does anyone have any (good or bad) experiences using oral BPC157 where you could please give me some insights? What was your dose, what were the results, how long did you use it for, etc etc.

Currently have tissue damage between my ribs from a BJJ injury and I want to get back into training asap!

Anything is appreciated, TIA👌🏼

10 Comments
2024/09/21
17:58 UTC

2

Bone Spurs in Knee - Can I be rehabbed?

Hello! I (28F) have had an acl/meniscus repair (2019) and what was supposed to have been a simple scope ended in most of my meniscus being removed (2021) and now I am waiting to get an MRI but a recent XRAY showed that my knee is riddled with bone spurs. I was an athlete my entire life until the 2021 “scope” (I use quotes because I did not and would have not consented to the removal of the meniscus without trying other things first) and I haven’t been able to run or do any athletics of any kind ever since due to extreme pain. The constant aching pain impacts my daily life and has in time been extremely detrimental to my mental health/emotional wellbeing since I live like I’m 80 years old in my mid20s.

I’m trying to not google too much because it gets scary, but has anyone been in my position and been able to get some sort of treatment to rehab their knee enough to run and be active again?

6 Comments
2024/09/20
14:24 UTC

2

Introduction to Elbow, Wrist and Hand Anatomy

0 Comments
2024/09/12
14:56 UTC

1

Cold compression gel paks have lost their viscosity

In recent years, I have found cold compression gel paks to be far less viscous than in the past. I find that this makes them less effective, since the liquid easily squishes away from relatively pointy areas where the cold compression is applied. I know it's not a freezer problem, since I have older and newer gel paks and the newer ones have the very fluid consistency.

Has anyone had consistent and recent experience with a brand that hasn't become very fluid in recent years? I'm tired of buying gel paks just to find out.

0 Comments
2024/09/07
08:44 UTC

2

What are S strips when it comes to taping ankles?

I'm a student athletic aide, 15 M

An athletic trainer that I knew a few months back showed me a variation of horse shoes called S strips.

Basically, it was in the shape of a S, and I think it went from about 2 cms above the medial malleolus to the lateral malleolus. She said it provided extra support to the lateral ligaments

But I can't remember how to do them.

Does anyone know of this? Is this even a legitimate technique? If so can Anyone tell or show me how to do it?

I work with football players, soccer players, and track and field players, so sprains, especially those of the lateral ligaments are quite common and a threat, and I want to Include S strips into my taping technique.

2 Comments
2024/09/07
13:14 UTC

2

LTHR vs MaxHR for zones

Hi All,

while MaxHR can vary due to physical condition (hydration, sleep, Function/Non-Functional-Overreaching) Lactate threshold is not so prone to this effects.

My question here:
If one does a LTHR blood-test on a athlete and the LT is at - lets say 170bpm, then the athlete trains hard for a couple of days so the MaxHR temporarily gets supressed and changes from 200 to 190 due to Overreaching.
In that session were it can't reach the MaxHR of 200, should it be considered that the LTHR is 160bpm or would that still be 170bpm? Is there some data about this?

Thanks

4 Comments
2024/09/05
10:15 UTC

Back To Top