Major League Baseball: the All-Star game and more

July 16, 2013 by 1 Comment

799px-Citi_Field_2011

CitiField, Home of the New York Mets
and host to the 2013 MLB All-Star Game

Major League Baseball’s (MLB) All-Star game takes place tonight at CitiField, the home field of the New York Mets.  The All-Star game has a rich history and in the culture of MLB has always represented, at the very least, the mid-season pause where the collective baseball community could reflect on the game:  where it has been, and where it is going.

zack greinke at 2009 MLB all star game

Zack Greinke, pitching in the 2009 MLB All-Star game
(He will not play in the 2013 edition)

 

 

 

 

From the perspective of sports medicine, this baseball season has been a rich one already.  From Zack Greinke’s clavicle fracture and surgical repair, to Derek Jeter’s recovery from ankle surgery and quad strain, to the, er, inimitable ARod’s hip surgery and the ever growing issue of PEDs in MLB,  it’s been a very interesting spring and early summer.

In the spirit then of this mid-season pause, I wanted to sit back and review just a few baseball-related, clinical sports medicine issues before we all enjoy the game tonight. Read more of this post

Filed under General Interest, Injury Prevention, Technology in Sports Medicine Tagged with , , , ,

Biking in the Midwest

July 13, 2013 by

tour of grandview

Tour of Grandview Criterium

It’s mid July and the Tour de France is heading into the home stretch, but here in the Middle of America, biking events are heating up.  The famed Ragbrai–a traverse across the state of Iowa–begins in a week. The Hotter’N Hell Hundred Endurance Ride (a hundred mile ride during a month where the average daily high is 96 F) takes place in Wichita Falls on August 24…..

I’ve lived across the USA and across the world, but I’m a native Midwesterner, and proud of that fact:  born in Iowa, secondary school in Michigan, now rearing my children in Ohio.  I don’t know if many people realize what a ‘big deal’ long distance bike riding is here in the American Heartland.  The region has come a long way since the days of the movie  “Breaking Away,” the plot of which turns on the idea that an Indiana high schooler’s  devotion to long distance biking is quirky, and foreign; that in the 70’s a word like “Campagnolo” would be more apt to be identified as a pasta than a bicycle parts maker.

The Tour of Grandview and The Great Ohio Bicycle Adventure (GOBA) are just two of these festivals of Midwestern, mid-summer biking, both taking place in Central Ohio.  And I have the privilege of knowing and working with the Medical Director of both:  Dr. Tom Pommering.  I asked him to do a guest blog on his adventures in June covering the 25th annual GOBA, and the following is his report!

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Thomas L. Pommering, DO, FAAFP

with ice dr p

Dr. Tom Pommering enjoys the ice after an ‘optional’ 100 mile ride. Cool down, then time to get to the medical tent to care of some riders.

GOBA is a week-long bicycling tour that brings up to 3000 cyclists, ages 2-90, from 40 states and several countries on a daily 50 mile ride through the peaceful countryside of Ohio.   With such a large and diverse group of people performing this daily strenuous activity, there exists a need for a unique medical system to support this group for a week.  For almost 20 years, I have had the privilege of directing the GOBA Medical System.  There are many logistical challenges to providing medical coverage to a large participant group that is traveling to a different venue each day while being exposed to the elements, environment and each other.  Here are a few pointers I’d like to share with anyone else who may be tasked with this responsibility. Read more of this post

Filed under General Interest Tagged with , , , , ,

Ramadan

July 8, 2013 by 4 Comments

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The Crescent Moon rising at sunset, marking the start of the month of Ramadan

The month of Ramadan begins tomorrow, July 9, and lasts until August 7.  As many of this blog’s readers will know, observant Muslims will fast from dawn until sunset:  no food, no liquids…..no sports drinks or power bars.  The questions of ‘carb loading’ or ‘gluten free’, (‘should i drink some chocolate milk after my workout?‘) can all be put on the table until the evening.  The diet is one of pure abstinence, morning until night.

Muslim athletes are not unique in observing a fast: Catholic Christians will consume much less than usual if observing the prescribed tenets of Lent on Ash Wednesday and Good Friday, and Jewish athletes will go a full 24 hours consuming nothing on Yom Kippur: friends have told me they will be loath to brush their teeth or even shower, lest anything whatsoever pass into their mouths on that, the holiest day in the Jewish calendar.

And, of course, there are athletes who experiment with fasts, juices and cleanses that have nothing to do with religious observance (I’ve tried the “Master Cleanse” myself once).

What may be unique, however, to Islam  is the duration of the practice:  a full 30 days, where an observant Muslim will forego all food and drink from dawn (Sahur) to dusk (Iftar).

I admire the discipline the act of fasting requires.  As a sports medicine clinician, I have often wondered how athletes observing such fasts might be impacted.  Of course, I am  not alone in this, as the subject of the Ramadan fast and its effect on athletes was, for instance, a subject of considerable interest in the 2012 London Olympics, which took place during Ramadan.  The effects of Ramadan on sports performance have even been discussed in this blog in a 2011 post.  And now  the most recent issue of the CJSM, which rolls out today, highlights a study looking at this very practice of fasting and its impact on footballers:  “Does Ramadan Affect the Risk of Injury in Professional Football.” Read more of this post

Filed under General Interest, Injury Prevention, Nutrition and Supplements, Patient Education, Travel Medicine Tagged with

Novak Djokovic: Gluten-free and Gumbyesque

July 6, 2013 by 2 Comments

djokovic aussie open

Novak Djokovic at the Aussie Open

The Wimbledon Championships end tomorrow, with the Gentleman’s Singles Final pairing now set:  either Novak Djokovic or Andy Murray will raise the Championship Silver Cup by day’s end, barring rain delay or marathon tennis match…..

It has been another great fortnight of tennis, highlighted by Djokovic’s historic semi-final win over Juan Martin del Portro yesterday.  Djokovic seems to get involved in these epic five-set Grand Slam matches, having just been on the losing end of such a match at the French Open.  His opponent that day, Rafael Nadal, was quoted as saying:  “‘I learnt during all my career to enjoy suffering, and these kind of matches are very special….I really enjoy suffering.” This statement was given, mind you, by the victor!

I remain impressed with Djokovic’s supreme athleticism and his ability to inflict suffering on others on the tennis court!  It got me to thinking yesterday:  what are the sources of his talents?

There have been interesting discussions of at least two of his singular attributes:   his flexibility and his devotion to his gluten-free diet. Read more of this post

Filed under Clinical Examination, General Interest, Injury Prevention, Nutrition and Supplements Tagged with , , ,

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