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Ankle Injuries: When Do You Need An Xray?

Whether you play football, basketball, volleyball, or soccer, ankle injuries are common in sports. Our first priority as sports medicine physicians is avoiding further injury.

This often means not being able to return to the game immediately. One question that comes up often, usually after the injured athlete has gotten home and the initial efforts – Rest, Ice, Compression and Elevation, have not completely eliminated the pain and swelling, is whether an X-ray is necessary. The two benefits of an X-ray are to evaluate for a broken bone and to elevate the alignment of the ankle joint. Sprains can cause just as much pain and swelling as a broken bone so it is not easy to tell the difference by just looking at the ankle. There are a few simple rules that have been identified to help determine when an X-ray is helpful. There are known as the Ottawa rules, developed in Canada by emergency room physicians to help them reduce the number of X-rays performed when evaluating this...

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Concussion and Return to Sports

injury sports medicine Sep 16, 2019

As a sports oriented specialist, I hear a lot of discussion about concussions from patients, parents, and coaches. There are some high profile stories in the news that draw people’s attention and make people start thinking about these issues more.


Understanding what a concussion is, how it should be treated, and when it is safe to return to activities are important for the athlete, parent, and treating physician. Below is a brief outline of the guidelines for returning to athletics after a concussion and some links to additional information.

Return to Play

Baseline (Step 0): After a concussion is diagnosed, or suspected, the athlete should be immediately removed from participation in athletic activities. The athlete needs to symptom-free for a minimum of 24 hours before starting this phased recovery. Keep in mind, the younger the athlete, the more conservative the treatment.

Step 1: Light Aerobic Exercise

The Goal: only to increase an athlete’s heart...

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