- Men's Health, Women's Health, WellnessGeneral Page Tier 3BlogIf you play a sport or follow an exercise routine, injuries are possible. You may be tempted to keep playing through the pain. But that can lead to further problems down the road, especially if you don’t follow your doctor’s advice. A broken bone can take anywhere from two months to an entire year to fully heal, depending on the bone and the patient. It’s crucial to allow time for that healing process. Would you rather give yourself six weeks off to perform at 100 percent, or suffer for many months or the rest of your life because your injury didn’t heal properly? Your level of activity post-injury depends on its severity. Here’s a general guide to help. Sprains and strains Mild sprains and strains can be treated quickly, and exercise can continue. If your pain or symptoms associated with a sprain persist for more than a few weeks, seek medical attention. Warning signs of a more severe injury include significant bruising, swelling or significant dysfunction of a joint or body part. Broken toes Broken toes, too, can vary in terms of treatment. An injured big toe often needs treatment, while just taping the fourth or fifth toe provides support, protection and helps realign joints. If you have a deformity, such as a toe pointing the wrong way, seek medical attention. Any potential broken bone, even a small one, needs medical attention. Back injuries If you have back pain and/or a back injury, start by focusing on core stability exercises and flexibility. You should work with a physical therapist for a while before returning to unsupervised exercise. Once you start exercising again, start with low-impact activities, such as the elliptical or cycling. A return to higher-impact or contact sports should happen slowly over time. Get your doctor’s clearance first. Modifications when you have pain An injury doesn’t necessarily mean an end to all activity. You may be able to make modifications to your routine. For example, if you break your leg and you can’t walk, you might still be able to swim laps with a pull buoy without pushing off the wall during turns to get a cardiovascular and upper body workout. Or, if you have a severe injury to the upper body, you might still be able to do moderate exercise using a stationary bike. Author By Benjamin Petre, MD, an orthopedic surgeon with AAMC Orthopedics. To reach his practice, call 410-268-8862. Originally published June 26, 2017. Last updated July 22, 2019.0
- Orthopedics, Infectious DiseaseGeneral Page Tier 3BlogI was concerned about going to a doctor since I’m in a high-risk group for COVID-19, but the pain in my shoulder was intense, movement was limited and my symptoms kept getting worse. In 2016, I had surgery on my left hand to repair an artery. After the surgery, my activities were restricted for several months to allow complete healing of the artery. It was during this time that some of my muscles atrophied and my left shoulder froze. However, after several months of rehabilitation, I was able to return to the gym and exercise. Once gyms closed because of COVID-19, I really lost the ability to continue exercising and started to experience problems with my left shoulder again. I contacted my physician at AAMG Orthopedics and Sports Medicine Specialists. My physician explained the safety protocols they had put in place to keep patients safe and I made an appointment. Once I got to the office, I called the receptionist to let her know that I had arrived. She told me to wait in the lobby where I could safely distance while keeping comfortable. When the doctor was ready for me, the receptionist called and instructed me to go directly to the appropriate waiting area without needing to otherwise sign in. Next, a nurse took my temperature. No one else was in the waiting room. A staff member directed me to an exam room where I met the doctor. The whole experience was professional, efficient and safe. I’m so happy that I did not postpone my visit. My shoulder would have continued to deteriorate and the pain would have gotten worse. Now I am improving my flexibility. The pain in my shoulder is subsiding. I will no longer hesitate to return for follow-up appointments knowing that AAMC has established protocols to keep patients safe. Author Tony R. is a resident of Millersville, Maryland.0
- PediatricsGeneral Page Tier 3BlogStrep throat is a throat infection caused by a bacteria called group A Streptococcus bacteria (group A strep). The bacteria live in the nose and throat. Strep throat is contagious and spreads easily from person to person through airborne droplets when an infected person coughs, sneezes, or talks. Good hand washing is important to help prevent the spread of this illness. Children diagnosed with strep throat should not attend school or daycare until they have been taking antibiotics and had no fever for 24 hours. Strep throat mainly affects school-aged children between 5 and 15 years of age, but can affect adults too. When it isn’t treated, it can lead to serious problems including rheumatic fever (an inflammation of the joints and heart) and kidney damage. How is strep throat spread? Strep throat can be easily spread from an infected person’s saliva by: Drinking and eating after them. Sharing a straw, cup, toothbrushes, and eating utensils. When to go to the emergency room Call 911 if your child has trouble breathing or swallowing. Call your health care provider about other symptoms of strep throat, such as: Throat pain, especially when swallowing. Red, swollen tonsils. Swollen lymph glands. Stomachache; sometimes, vomiting in younger children. Pus in the back of the throat. What to expect in the ER Your child will be examined and the health care provider will ask about his or her health history. The child’s tonsils will be examined. A sample of fluid may be taken from the back of the throat using a soft swab. The sample can be checked right away for the bacteria that cause strep throat. Another sample may also be sent to a lab for testing. Your provider will usually prescribe an antibiotic to kill the bacteria. Be sure your child takes all the medicine, even if he or she starts to feel better. Antibiotics will not help a viral throat infection. If swallowing is very painful, your provider may also prescribe painkilling medicine. When to call your health care provider Call your health care provider if your otherwise healthy child has finished the treatment for strep throat and has: Joint pain or swelling. Shortness of breath. Signs of dehydration (no tears when crying and not urinating for more than 8 hours). Ear pain or pressure. Headaches. Rash. Fever (see Fever and children, below). Easing strep throat symptoms These tips can help ease your child’s symptoms: Offer easy-to-swallow foods, such as soup, applesauce, popsicles, cold drinks, milk shakes, and yogurt. Provide a soft diet and avoid spicy or acidic foods. Use a cool-mist humidifier in the child’s bedroom. Gargle with saltwater (for older children and adults only). Mix 1/4 teaspoon salt in 1 cup (8 oz) of warm water. Are you looking for a primary care doctor? Search our Find A Doc directory. Originally published Jan. 31, 2018. Last updated Jan. 10, 2020.0
- Men's Health, Women's Health, PediatricsGeneral Page Tier 3BlogOur children are our most precious gift, so let’s be sure to give them every health advantage good nutrition can provide. As parents we are role models in all the behaviors we exhibit, making what we eat, how we plan and how we prepare our meals vital to our children’s health. We need to teach kids about healthful foods and make sure they get regular daily exercise, but remember our actions speak louder than words. More than a third of children and teens are overweight or obese, according to recent Centers for Disease Control and Prevention statistics. Childhood obesity can lead to elevated risks of high cholesterol, high blood pressure, bone and joint problems, sleep apnea, and other health issues, and the reality is it can usually be prevented. Here are tips to keep your kids healthy: Plan Shop smart and get your children involved in selecting the food that will be available at breakfast, lunch and dinner. Go to the grocery store with a list, and stick to the list. Be adventurous and pick a new fruit or vegetable every week, or prepare a familiar one in a new way. Cook Excuses aside, we have more control over what is in our food and how it is cooked if we prepare it ourselves. For instance, use plain yogurt when you are accustomed to using mayo or—to reduce fat—try a tablespoon of any juice in place of a tablespoon of oil in a recipe. Ask for help from your children with age-appropriate tasks. Plus, teach them about the food, such as orange vegetables have a lot of beta-carotene, which helps our vision, or greens provide calcium, which helps us grow tall. The goal is to encourage them to try new foods they helped to prepare. Set the Example by Eating Right Breakfast is a critical meal, so make sure no one in the family skips it. In the evening sit down as a family to enjoy dinner and conversation about everyone’s day. Research indicates families who eat together have a stronger bond, and children have higher self-confidence and perform better in school. Use “My Plate” to Guide Portions When serving meals, start by filling half the plate with fruits and vegetables. Make sure the grains are whole grains, which deliver 3 grams of fiber or more per serving. For beverages, choose water over sugary drinks, and opt for fat-free or low-fat milk. Keep portion sizes in check by eating protein about the size of a deck of cards at lunch and dinner, plus a half cup of pasta/rice or small sweet or white potato. All snacks are fruits and vegetables. Get Moving Regular physical activity strengthens muscle and bones and is a great way to spend time together. Family hikes, bike rides or a walk to the playground are all activities that provide an opportunity for children to have parents’ undivided attention while still engaging in physical activity. As parents, we are highly influential over the habits our children form early, and they can last a lifetime. Take steps to lead kids down a path of good nutrition. For additional tips and kid-friendly fruit and vegetable options, visit www.choosemyplate.gov. Author By Ann Caldwell and Maureen Shackelford, nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them call 443-481-5555.0
- Weight Loss, PediatricsGeneral Page Tier 3BlogChildhood obesity is a debilitating disease that can affect children physically and mentally. As a child, it’s easy to gravitate toward snacks that come in bright, colorful wrapping or grab a tasty, sugary drink without thinking much of the long-term effects. But, if your child combines consistent poor diet choices with other factors, this can lead to childhood obesity. Childhood obesity is a growing epidemic in the U.S., with the percentage of children and adolescents affected by obesity tripling since the 1970s. Data shows one in five school age children and young people in the U.S. has obesity, making it the most common chronic disease of childhood, according to the Centers for Disease Control and Prevention. Parents should be aware of factors that contribute to childhood obesity. These include genetics, metabolism, eating behaviors and physical activity, sleep schedule and negative events that a child might have experienced. There are health risks linked to childhood obesity that can have a harmful effect on the body in more than one way. Obese children can experience high blood pressure and cholesterol, diabetes, breathing problems and joint discomfort, among other conditions. Obese children are also susceptible to psychological problems, such as depression, anxiety and low self-esteem. It’s important that you help your child develop a healthy relationship with food from the very beginning. My best advice for parents and guardians is to keep it practical, primarily focusing on nutrition and physical activity. Here are some steps in preventing childhood obesity: Develop a healthy relationship between a child and food. Focus on the health factor, not the body factor to prevent developing a negative relationship between a child and food. Be careful how you talk about weight. Tell your child you want to help them focus on eating foods that are healthy. Eat healthy. Eating five or more servings of fruits and veggies per day can reduce the risk of heart attack, stroke, cancer and early death. Get more hours of exercise per day. I recommend 60 minutes every day. This includes walking or any other aerobic activity. An easy way to make exercise fun is for your child to get involved in a team sport, play with other children in the park or go biking. If you yourself practice this, your child will be more likely to do it and develop it as a habit. Remember, they look up to you! Stay away from sugary drinks and snacks. Focus more on the produce aisle and stay away from high sugar drinks and high calorie snacks. Limit these to special occasions so your child begins to develop the habit of having these every once in a while and not as frequently. Instead, try a new fruit or vegetable every month. Practice mindful eating. We tend to eat more when we’re distracted. Instead of watching TV, practice mindful eating and being present. This also allows for more family time and having conversations with each other. Sleep. This is very important. If your child sleeps less than nine hours a night, he or she is more likely to be obese. Make sure your child has a regular sleep schedule. This will also help your child have the energy he or she needs to get through the day. If needed, consider seeing a nutritionist. It won’t be an overnight change, but you can start by changing your child’s diet and encouraging healthy weight loss (no more than two pounds a week if they’re a child or adolescent, and no more than one pound per month if they’re between two and five to make sure they get the nutrition they need to grow). When you make these little changes, you’re setting them up to make good decisions for the rest of their lives. Author Deon Edgerson-George, MD, is an internal medicine physician and pediatrician at Luminis Health Primary Care.0
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