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Ask Dr. Vieder

I read the article about how more kids than ever are getting soccer-related injuries.
Are you seeing more of these types of injuries at Lakes Urgent Care? And is it just with soccer players?

We see and treat a large number of injuries like joint sprains and fractures, in addition to closed head injuries and mild concussions at Lakes Urgent Care.
As the rates of participation increase across all pediatric populations, the total number of injuries we see is increasing as well. In general, it seems that the level
of competition has become more intense. Many parents and students recognize the opportunities for scholarship dollars if they can elevate their skills to that
“next level” for collegiate play. As a result, kids no longer play for a season, but frequently play year-round and that really increases the risk of injury.

Each sport brings its own particular types of injuries. Specifi c to soccer, we most commonly see lower extremity problems like foot, ankle and knee injuries.
They can range from minor sprains and strains of soft tissue and muscle to more serious fractures or ligamentous ruptures requiring surgical repair.

What can parents do to help their kids stay safe on the playing fi eld?

Adequate stretching and conditioning prior to competitive play is the most important thing for parents and student athletes to keep in mind! These
are good practices regardless of the level of competition and can often play a signifi cant role in preventing more serious injuries once the whistle blows.

How do I know when it’s serious enough to see a doctor?

With any type of head injury, if there has been a loss of consciousness or there is evidence that your athlete has confusion, nausea/
vomiting, visual disturbances or has a headache that will not resolve with a simple dose of Tylenol or Advil, they should be seen
by a physician experienced with concussion evaluations. Depending upon the outcome of that evaluation, advanced imaging like
a CT scan of the brain may be required.

With extremity injuries, a good role of thumb is if they cannot reliably bear weight on a lower extremity or use their upper extremity
for simple tasks like opening a door or carrying a book, it is best to have a physician evaluate that injury and take diagnostic x-rays
to rule out the possibility of a fracture. Keep in mind that even though somebody may be able to move a joint, there may still be
an underlying fracture and the only reliable method to determine this is with an x-ray and a physician evaluation.

For more health information, visit the Ask Dr. Vieder page at LakesUrgentCare.com
Dr. Sanford Vieder, DO, FACOEP, Medical Director at Lakes Urgent Care, West Bloomfi eld / Livonia

2105890

September 29 • 2016

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