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    Welcome to the Sports Medicine Exchange
    David Berkoff, MD posted:
    Hello to message board users. I am excited to be a part of this community and I hope I can be a useful resource for you as you train and work through your sports medicine related issues.

    I look forward to your questions and concerns.

    David Berkoff, MD
    Louise_WebMD_Staff responded:
    Welcome Dr Berkoff. It is good to have you join us.
    downieb responded:
    Dr. B,
    question for you...i seem to have a toe injury that simply doesn't heal. i injured a couple years back playing basketball, pushed off my foot and something popped in my big toe. don't know if it's a sprain, torn ligament/tendon, turf toe. it gets better with rest, but any athletic activity that involves pushing off the ball of my foot seems to reaggrevate the injury...thoughts??
    eswaits1 responded:
    Roughly three years ago I was sidelined with a neck injury that revealed that Had 5 herniated discs in my neck, 3 of which are bulging. I want to start weight training again but I want to make sure it is safe for me to do so. Do you think weight training will have any adverse effects or do you think it may actually help me?
    buckeye07 responded:
    My son was playing 7-on-7 for football on Friday and stated he was kicked by another player in the upper thigh area. He thought he had a "charlie horse" took ibuprofen, stretched and returned to play. He has since been in a great deal of pain and continues to complain of the soreness, slight swelling. What other action should we take? He has football on Monday and another 7-on-7 on Tuesday.
    We obviuosly do not want to reinjure but are looking for advice on home care or physical therapy exercises he could do.
    An_227309 responded:
    Hello Dr. and welcome,
    I think my husband just tore his bicep muscle. He has acute pain on the front of his arm and also has a lump. Due to the economy and our health care, surgery is not a option. Dr. visits are almost null and void! What can I do to make him comfortable? Should he ice or heat? Any other helpful "home" remedies would be GREATLY appreciated.
    Thanks for taking the time to read this.
    tracylu responded:
    I was injured in July while riding a jet ski. Another jet ski ran into my glutious max at aroung 20 - 25 mph. there are no broken bones, and I am getting around well, but there is a crease in the muscle that is starting to worry me. It is exactly where the ski came into contact. I am wondering how long to expect the muscle damage and who would I see about this.. what kind of doctor?
    tfarmer52479 responded:
    Hi Dr. Berkoff,

    About two and a half weeks ago I was benchpressing and I experienced what felt like one of the muscles in the outer area of my pec either strained, tore, or severely stretched. For the first couple of days I had pain in the armpit - outer chest - upper arm area, and I had restricted movement. But after that I pretty much got my full range of motion back which I work on everyday now to keep it loose. I do have a bruise about halfway down my bicep....At first I thought I may have torn the pec or tendon but now I don't believe I tore any tendons b/c I have been feeling around the area on both sides and they feel pretty much the same. I think I may have damaged the muscle b/c I can feel somewhat of a bump on the outer portion of the pec. Is there any advice you can give me and rehab you would advise?? Do you think I would need surgery for something like this??

    Thanks Doc!
    PhillyDiego86 responded:
    Quadriceps Muscle Strain - Soccer

    Dear Dr. Berkoff,

    I recently injured myself playing soccer over the weekend. I had a individual hit me with his foot on the top left of my thigh. These are my symptoms at the moment.
    • A sudden sharp pain when running, jumping or kicking.
    • Pain affects walking, but still able to walk even though it does hurt.
    • There is bruising at the moment.
    • Pain the area.
    • Straightening the knee against resistance causes pain
    • Unable to fully bend the knee.
    Are there any products I could use to treat it or advice whether seeing a doctor is necessary would be helpful. Thank you in advance.
    dadcam responded:
    My 17yr old son is complaining that his thighs and just above his knees really hurt when stepping. He said they feel really tight. He finished tackle football about 2 weeks ago and is working out for baseball. He was doing some fielding drills where he is squatting for long periods while fielding ground balls. That night day after practice is when he started complaining. I took him to sports therapist who stretched him out lightly. He says it feels a bit better but still hurts when he walks. I just been giving him Advil. Should we use ice or heat?
    dob136 responded:
    Any suggestions on how a middle aged guy can cope w/tennis elbow.
    Zeke1964 responded:
    Dear Dr. Berkoff, My son recently had an elbow X-ray to determine the cause of his "chronic" elbow discomfort. We originally thought is was likely tendonitis from over use but even after shutting him down for about 5 weeks and then a gradual increase in throwing activity it flaired up again. the x-ray showed no tendonitis or other tears or inflamation however the bone showed something that could be a stress fracture so an MRI has been scheduled. If it is deternmined that it is indeed a stress fracture, What is the recommended rehab and timeline for an elbow stress fracture for a pitcher?
    runrjoe responded:
    Have Rt Knee discomfort. Would seem a case of arthritis but x-rays are negative for that. No evidence of recent fracture. Osseous hypertrophy at the inferior aspect of the patella suggests remote avulsion injury. Small joint effusuin is noted. Allignment is normal. What exactly does all that mean?
    atti_editor replied to runrjoe's response:
    Hi runrjoe,

    These results would be a good thing to discuss in detail with your doctor. He/she will be able to explain what exactly they mean and if you need to do anything for your knee based on them.

    Best wishes,
    gawdithurts responded:
    i'm 74 bike,swim and walk daily weather etc. permitting..over last few months i've experienced severe skeletal and muscular pain in both legs. it occurs only when i'm on my feet making it difficult just to walk. sometimes i can push through the pain but pay for it later' pain immediately subsides when i sit or lie down.

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