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Sports Med Issues

spicoli

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Dude,

Thanks I'll definitly try it but I've ran out of pharmaceuticals and I'm left with the herbal garden, it's not helping. Got no time for healing so I'll tape it up. I'm used to that.

Here's another question, is there a web sight that teaches you how to tape injuries?
 

brum

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Your best bet is going to google.com type in sports medicine and hope it shows how to tape an ankle.
 

Sandman

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From BBC.COM

West Ham midfielder Don Hutchison has flown to Canada for an operation to repair his torn cruciate ligament.
Scottish international Hutchison has been ruled out for eight to 10 months with the knee injury, which he suffered during the 1-0 win over Middlesbrough.

Vancouver-based surgeon Brian Day will perform the operation and then Hammers physio John Green, who accompanied Hutchison to Canada, will oversee the rehabilitation programme.

I know Dr. Day is good but I am surprised Great Britain can't provide an adequate Surgeon for a professional footballer.

Sandman
 

knvb

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I had him as well. Top notch. He has a two year waiting list just to see him. I'm still on the list to get a scope. I guess I be pushed back another month.....:mad:
 

Ballbaby

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Dr. Day

He did my ACL surgery 8 years ago. Day's exact words: "God makes very good ACL's, but I make the best."

Pretty c.o.c.k.y but do you think I was complaining?
 

Keeper

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U.K. soccer star picks B.C. surgeon
$11-million player travels to Vancouver for knee surgery at private clinic

Jeremy Sandler, Vancouver Sun

Friday, March 08, 2002


An $11-million British soccer player is travelling to Vancouver to have a local orthopedic surgeon rebuild his knee in a private clinic here.

Don Hutchison, a midfielder with West Ham United of the English Premier League, elected to pass on European doctors and skip over the pond to have his ruptured anterior cruciate ligament repaired by Dr. Brian Day at the Cambie Surgery Centre.

A world-renowned surgeon, who will assume the presidency of the Arthroscopy Association of North America next year, Day has also treated American actor Sylvester Stallone. He has repaired countless other European soccer stars and used to look after the Vancouver Whitecaps when they were part of the old North American Soccer League.

Day said living in Vancouver since 1973 has given him years of experience dealing with injuries to anterior cruciate ligaments, the tissue behind the kneecap that holds the joint together.

"We have pretty well had a 25- or 30-year epidemic of anterior cruciate ligament injuries," he said. "I think a lot of people don't realize that in Vancouver we probably treat more injuries of this type than any other city in the world, partly because a large percentage of those are ski injuries. We have a major city right at the foot of ski mountains and one of the best and biggest ski resorts in North America."

West Ham acquired Hutchison, a Scottish international who played for that country in the Euro 2000 playoffs, from Sunderland last August for an $11.3-million transfer fee.

He injured his knee in a 1-0 win over Middlesbrough in late February. Day said the injury is common among high-level soccer players because of the stresses the sport places on the knee and the movements it requires.

"That's the whole core of soccer: land, rotate and pivot," he said, adding he was confident the surgery, as non-invasive as possible, would be successful.

Though Hutchison will likely be up and about soon after the operation, his rehabilitation program will keep him out of West Ham's lineup for eight to 10 months.

Vancouver-born Canadian international goalkeeper Craig Forrest, a West Ham teammate of Hutchison, played a role in leading the midfielder from England to Vancouver for his operation.

Forrest, while recovering from hernia surgery, introduced West Ham physiotherapist John Green to renowned Canadian pelvic specialist Diane Lee, of Delta. In turn, she recommended Green contact Vancouver physiotherapist Alex McKechnie, who has worked with the likes of NBA stars Shaquille O'Neal and Jamal Mashburn and NHL all-star Paul Kariya of the Anaheim Mighty Ducks.

McKechnie and Day are close associates, bringing the West Ham connection full circle.

The 55-year-old Day, who also works at the University of British Columbia hospital, is no stranger to soccer. Born in Liverpool, he grew up rooting for West Ham rival and Hutchison's former team, Everton, putting him somewhat in the enemy's camp when he goes to work on Hutchison's knee.

"I am afraid so," he said with a laugh before adding more seriously: "I don't look at it like that."

Still a fan who follows the game over the Internet, Day did inadvertently come out against his team when talking to Green about bringing Hutchison over.

"I was talking to the physiotherapist a week or so ago," Day said. "He said he's got a game on Wednesday and I said I hope you win."

Afterwards, Day realized that next game was against Everton, which fell 1-0 to the Hutchison-less and injury depleted West Hammers.

"So I kind of jinxed my own team," Day said, adding there might be a bright side for his patient. "It's better that he feels better for his operation, I think."

Day does does not consider it any kind of feather in his cap that he was chosen to repair the player's knee.

"I don't mean to toot my own horn," he said. "There are lots of well-qualified doctors all over the world."
 

Dude

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Dr. Day

Dr. Day is on CKNW right now w/ Raef Maier, discussing the dilemmas of having a private practice in a public system- specifically how it relates to the treatment of athletes. Pretty interesting stuff.
 

trece verde

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re the Norwegian headers study (backtracking a bit)

Saw this and all the fuss it created when it first came out (and all my softball playing neighbours razzed me about).

Folks, did any of you know that this study has been debunked? There are a few thing about it that are just plain bad science (like this sentence is just plain bad grammar):

1) the study group was nowhere big enough to be a good representative sample - you'd need at least a couple hundred people to be even close to reality (not 35);

2) the baseline they used was nowhere near long enough - if you are going to measure "cognitive degeneration" you need at least 5 years of data; not just samples the next Monday morning when we can't remember what we told the significant other last night. This is more to do with the number of wobbly pops consumed after the game than post-concussive responses from knocking down that booming goal kick. Although you meet the nicest people playing the beautiful game :rolleyes: , you also meet a lot of individuals who just aren't quite brain surgeons.

Yes, I have experienced the "stars" feeling after taking down a long punt; but that was also because I came back to playing a bit too soon after a grade 3 concussion due to a car accident (college ball; I was young and stupid and didn't want to lose my spot) and had to sub myself off the field due to dizzyness. Normally though, the only time I have seen damage due to a head contacting the ball is when somebody gets nailed by a shot or volley from close range.

Re kids: if you teach them how to do it properly, they don't get hurt. I am coaching a team of U8's right now; nearly all of them can do a proper header now. The other ones I am working with. It does take a lot to get over the reflex action of closing your eyes when something makes contact with your head (try explaining that to a softball player) but can be done. The kids love it when they know they can do it properly.

Cheers,

Stew:cool:
 

Keeper

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Bursitis

Has anyone ever had any first-hand experience with Bursitis? And in particular, bursitis in the elbow?

I'm curious about an expected rate of recuperation.

Aching,

Keeper.
 

Stepchild

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yes

Keeper, the recovery time depends on what type it is. Is it from trauma, is it from repetition or is systemic (infection)?
Bursitis, whether in elbow or hip, takes time depending on what it is from. If it is systemic, meds and drainage will run you around 2 weeks with tenderness to follow. If it is traumatic, then it needs time to heal with proper rehab. If it is from repetition (job task), then a number of underlying causes may need to be identified thus increasing recovery time.
Basically, what do you think caused it.
 

Dapotayto

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Constant wanking off to the official Bayern Munich yearbook I would guess. So, obviously it's a repetitive motion injury. Anyway advice for him on how to rehab it?
 

Keeper

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Strangely, I first felt some discomfort just having it rest on my desk as I was typing. Sharp pain, but no inflamation or fluid (can't see it as repetition, since I wasn't really doing anything with it -- inspite of what Mr. Potatohead might suggest).

However, it wasn't until after Sunday's game when I noticed swelling and greater pain -- so, whatever may have been originally there was obviously aggravated by trauma.

The doctor -- who, incidentally, asked me none of these hard-hitting questions -- simply said I could ice it and maybe take some Ibu to help reduce swelling. That was Monday, and it's been getting bigger ever since. She did mention draining the fluid at one point, but suggested there was enough to make it worthwhile then. I'm thinking I may need to go back.
 

Stepchild

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take note

Keeper
was Monday, and it's been getting bigger ever since
. Is the swelling general in size, is it hot to the touch and have you felt general malaise or "is it all in your head." If it is getting significantly larger with heat (even after icing it), then it could be systemic. Any abrassions?
 

Keeper

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Yes. It's got less of a tennis ball-sized swelling and more a hot-water-bottle type look to it. It is warm/hot to the touch, but there are no abrasions.

Have you ever thought of starting a medical advice column?
 

El Jefe

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Keeper:

First and foremost a proper diagnosis is necessary as in clinical practice, bursitis is generally overdiagnosed especially by health professionals who may not have a global orthopedic background.

Based on your history and description, it is imperative to rule out a systemic cause ie. infection, rheumatic disease. Generally speaking, the acute care plan of mangement of repetitive/traumatic inflammation indicates moist ice application on a regular basis in conjunction with antiinflammatory meds (ibu) and rest.

It may be wise, if as you are suggesting the inflammation has not subsided with rest/ice/ibu, to have the joint aspirated and the fluid examined by the lab. This will definitively rule out a systemic cause and you can get on with it.
 

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