Sienna Plantation News

July 2013

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Dear Doctor, how do we keep our youth athletes safe?

Formulating an emergency

action plan

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Join the Methodist Center for Sports Medicine – Sugar Land for

Student PhySicalSExtracurricular Pre-Participation Physicals

NOTE: According to the University Interscholastic League (UIL) guidelines, students participating in school sports must complete and pass a pre-participation physical screening. Students must bring the UIL physical evaluation medical history form and Methodist consent form filled out and signed by a parent or guardian.

Student Physicals & Health ExpoWhen: Saturday, August 3 • 9 a.m. – 1 p.m.Location: Wheeler Field House (across from First Colony Mall) 16403 Lexington Blvd. Sugar Land, TX 77479

Who: Ages 12-18 Cost: $20 (cash only)

RSVP: [email protected] or 281-340-6420

Plan Ahead! Print and fill out the UIL Physician Evaluation Form at MethodistOrthopedics.com/sl_studentphysicals.

Dear Doctor, how Do we keep our youth athletes safe?

New sports medicine fellowship

avoiding sports injuries

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Sienna Plantation News is an advertiser-supported publication wholly owned by Community Magazines LLC, publishers of custom publications for narrowly focused audiences. There is no affiliation with Sienna Plantation, Sienna Plantation Residential Association Inc. or Johnson Development.Send correspondence to: Community Magazines LLC, 2245 Texas Drive, Suite 300, Sugar Land, Texas 77479To advertise in Sienna Plantation News, contact Denise Williams: (281) 566-2527 or [email protected]

8

top: the national council of youth sports (NcYs) believes that it is equally important to maintain a healthy body both on and off the field. They have worked with some of the country’s leading out-of-school-time organizations on an initiative called healthy Kids out of school to create a set of unified guiding principles for healthy eating and physical activity in out-of-school-time (OST) programs. The principles are: drink right: According to the USDA, children ages 2 to 18 get an average of 400 calories per day from beverages, many of them from sugary drinks like soda and juice drinks. Choose water instead of sugar-sweetened beverages. move more: According to the American Academy of Pediatrics, children should get at least an hour of physical activity each day. However, less than half of children ages 6 to 11 meet that goal. Boost movement and physical activity in all out-of-school time programs. snack smart: Snacking on fruits and vegetables gives children an energy boost and supports healthy growth. Fuel up on fruits and vegetables. Visit www.ncys.org or www.healthykidshub.org for more information.BOTTOm: the national alliance for youth sports (NaYs) has joined forces with the Athletic Business Conference & Expo to present an exciting and informative 2013 youth sports track specifically designed for professional youth sports administrators. This year’s event will be held in San Diego, California from November 20 - 23, 2013. Visit www.nays.org for more information or to register.

The youth sports safety issue

1214

Join the Methodist Center for Sports Medicine – Sugar Land for

Student PhySicalSExtracurricular Pre-Participation Physicals

NOTE: According to the University Interscholastic League (UIL) guidelines, students participating in school sports must complete and pass a pre-participation physical screening. Students must bring the UIL physical evaluation medical history form and Methodist consent form filled out and signed by a parent or guardian.

Student Physicals & Health ExpoWhen: Saturday, August 3 • 9 a.m. – 1 p.m.Location: Wheeler Field House (across from First Colony Mall) 16403 Lexington Blvd. Sugar Land, TX 77479

Who: Ages 12-18 Cost: $20 (cash only)

RSVP: [email protected] or 281-340-6420

Plan Ahead! Print and fill out the UIL Physician Evaluation Form at MethodistOrthopedics.com/sl_studentphysicals.

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formulating an emergency Action PlanInformation provided by the National Alliance for Youth Sports

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Since athletic injuries may occur at any time and during any activity, when part of a

youth sports organization, you and your staff, as well as volunteer coaches, must be prepared.

emergency Action Plan Development tips• Have specific directions

to each venue as this information will reduce the amount of time it takes emergency personnel to locate your exact spot.

• Have the name, phone number and directions to the hospital on the EAP. It will alleviate confusion and assist parents in getting to the hospital if needed.

• Make sure the door you identify as the entrance for emergencies does not have special locks and can be easily accessed.

• Have a list of special medical conditions of athletes, but do not publish these.

• Have a list of the athletes along with their emergency contact names and numbers but do not publish this information.

• Post the basic EAPs near the emergency phones

• Designate specific individuals to open appropriate doors for emergency personnel; to flag down emergency personnel and help direct them to the scene; and to control the area and move bystanders away.

This content has been developed by Karen M. Lew, MEd., ATC, LAT for the National Alliance for Youth Sports. Visit www.nays.org for more information.

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In the summer, my daughter exercises to the point where she sometimes does not get enough rest/sleep. Is there a point where too much exercise hurts more than it

helps?The American Academy of Pediatrics as

well as the CDC recommends that children and adolescents get at least 60 minutes of moderate physical activity per day with three days of strength training. So, yes, too much exercise can be unhealthy for your child/teen. It is important to recognize that overuse can cause injury to joints, muscles and tendons. Additionally, over activity can and may cause hormonal imbalances in girls such as delayed or irregular menstrual cycles.

Excessive weight loss can also occur with over activity. It is vitally important to monitor the type of activity your child or adolescent is doing as well as the amount of time spent in that activity. While strength training is important to the overall physical health of your child/adolescent, the strength training should be supervised, done with proper form and not exceed three days per week. Those who participate in recreational or competitive sports should have a two to

three month hiatus from that activity allowing used muscles time to rest and recover, and prevent overuse injury.

It is also important to understand your child’s reasons for excessive exercise. This could potentially be a red flag for more serious problems like anorexia stemming from poor body image issues. More information regarding healthy exercise and recommended nutritional guidelines for children can be found by visiting www.cdc.gov/healhtyYouth/phyiscalactivity/guidlines.htm

Answer provided by Dr. Carman Whiting, Family Medicine Physician for the UT Health Science Center at Houston. Information provided by Uptodate.com (Overview of physical activity and strength training in children and adolescents)

My son sees summer as a time to relax and have fun. What should I tell him regarding the importance of year-round conditioning to maintain/improve performance and prevent future injuries?

Summer is the perfect time to relax. Sometimes rest from athletic activities is the best strategy to prevent future injuries. Physicians are seeing an increasing number of athletes that play sports all year round. This often results in overuse injuries that force them to miss time during their sports season. Summer offers an excellent opportunity to rest and recuperate from the rigors of organized sports during the school year as well as from any overuse injuries that may have been persistent through the most recent sports season.

The amount of rest required is very individualized and dependent on whether the athlete is recovering from an injury. Too much rest can be detrimental and can cause detraining from an athlete’s previous level of fitness. A certain level of conditioning should be maintained throughout the off season. Generally, if the frequency of training is reduced by as much as two-thirds while maintaining the intensity and duration of the workouts, detraining can be minimized and performance can be maintained at the start of the sports season. It is important to consult with the coaches, athletic trainers, personal trainers or even a sports medicine physician regarding this.

Answer provided by Dr. Pradeep Kodali, Orthopedic Surgeon at the UT Health Science Center at Houston. Dr. Kodali is affiliated with the Ironman Sports Medicine Institute.

keepyouth safe


My son participates in many summer sports. What do you recommend to prevent heat illness?

If your son is participating in an outdoor sports program in the summer, he should get acclimated to the heat practice for the first 1-2 weeks. Shorter and less intensity practice will allow him to adapt to the heat gradually. Schedule the practice sessions during the cooler parts of the day.

Make sure that he maintains good hydration before and d u r i n g his activity. The color of the morning

urine, can roughly give the athlete an idea about his hydration status. Lighter color urine, similar to the shade of lemonade indicates better hydration status than darker shades like apple juice. Availability of cold water or sports drinks as well as scheduling frequent water breaks is important. Athletes should be weighed before and after the sports activity. Weight loss of more than 3% indicates high risk for heat exhaustion. Athletes with more than 5% weight loss are in

the dangerous zone for heat related injuries.

Schedule frequent rest periods (at least 15 minute per one hour of practice) in cool shaded area. Wearing light weight shorts and fish net jerseys allow better evaporation of sweats. Sweat saturated t-shirts can retain heat and need to be changed often. Sport clothes that are made with CoolMax, Drymax, Smartwool or polypropylene facilitate evaporation.

Athletes who are overweight, in poor physical condition, or suffering from acute illnesses, diabetes or cystic fibrosis are more susceptible to heat related illnesses. Athletes with previous history of heat illness need to be monitored

closely during practices in hot weather. Look out for signs of dehydration or heat illnesses such as

fatigue, lethargy, headache, lack of attention, muscle cramps, trouble walking, passing out or seizure. Be an involved parent and bring any concerns about unsafe practice set up to the coach’s attention.

Answer provided by Dr. Pouran Yousefi, Family Medicine Physician for the UT Health Science Center at Houston

For more information or to schedule an appointment contact UT Physicians at Sienna Village by calling (713) 486-1200. ■

My child did not make the “A squad” for next year’s team and is having difficulty coping with it. What can I say to help improve the hit to their confidence and self-esteem?

We must all learn to cope with loss and disappointment. These experiences are an inevitable part of life. The key is to have gratitude even in difficult times. There is more to the present moment than what meets the eye. Even in the face of disappointment, we must learn to see the bigger picture. More than success is at stake. Character growth is one of the lessons.

So what can you as a parent do to encourage your teen in their moments of disappointment? Do your best to neither be overwhelmed nor underwhelmed by their disappointment. Of course, there are times when it is very appropriate for you to become involved in your teen’s situation. If genuine injustice has occurred or you feel your child is in danger, by all means, respond.

There are many times, however, when parents “run in to save the day,” and in doing so teens miss out on learning valuable life lessons. Instead of becoming overwhelmed by how your child was wronged, teach your teen to be gracious and to be an encourager to the one who was given the spot for which they had tried out. Encourage them to work hard and be prepared for the next try out. It is a fine balancing act --validating their sense of sorrow and encouraging their future accomplishments.

Be careful not to be underwhelmed by their disappointments. At any age, disappointment is real and painful. This is especially true in the teenage years, when even the seemingly smallest disappointments can lead to the biggest heartaches.

It is easy for adults to forget how we felt at our teen’s age, and to expect them to respond to disappointments as adults, or simply to say, “Get over it.” Rather than disregard their emotions, take a minute and put yourself in their shoes. Take their concerns seriously and be patient as they work through the moment.

The lesson is humility. By humbling ourselves, in time, we will become the victor. Moments of disappointment, for you and your teen, often provide perfect opportunities to demonstrate this kind of humility and to exercise trust that a different and better suited plan awaits. Keep in mind, sometimes your child doesn’t want an answer from you. They may simply want a listening heart to hear them out. Listen, Validate, Encourage.

Answer provided by Erica Bruce, LCSW Psychotherapist, UT Health.


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Methodist Orthopaedic Specialists of Texas (MOST) and Methodist

Sugar Land Hospital are now of-fering an accredited primary care sports medicine fellowship pro-gram, designed to provide new physicians with the in-depth train-ing needed to care for today’s ath-lete.

The program will begin this year with one fellow and is expected to grow in the future, said Dr. David Braunreiter, board certified primary care sports

medicine specialist, who will manage the fellowship for MOST.

Primary care sports medicine is a rapidly growing specialty, driven by the advance of highly competitive youth sports and an increase in the number of adults participating in physically demanding activities such as running, swimming, skiing and more.

“The need for sports medicine has grown beyond its roots in professional and college athletics,”

New Sports Medicine Fellowship Program at Methodist Sugar Land Hospital

said Dr. Braunreiter. “Primary care sports medicine physicians provide much more than or thopedic in jur y management, which is what most people think of when they hear ‘sports medicine.’ In addition to orthopedic injury management, primary care sports medicine physicians are

also involved in the management of a wide range of medical conditions as they pertain to the athletic environment, including concussions, asthma, blood pressure, diabetes, epilepsy, illness/infection and overall safety of participation. Our fellowship program will provide advanced training – beyond the regular medical training primary care physicians receive – to equip our trainees with knowledge needed to help active and athletic individuals recover from medical conditions and injuries and participate in good health.”

In addition to providing specialized training to participants, the fellowship program will enable MOST to extend its already extensive sports medicine services.

“The fellowship program will give us additional resources to see patients on a regular basis as well as improve our community outreach,” said Dr. Braunreiter. “For example, our fellow could conduct educational seminars on relevant topics, provide medical coverage for tournaments, games and practices, handle pre-participation physicals and even conduct field research.”

Dr. Braunreiter has directed sports medicine fellowship programs twice before, and he is excited about the opportunity to do so again on behalf of MOST and Methodist Sugar Land Hospital.

“This is an invaluable program for new physicians who are interested in primary care sports medicine,” he says. “But it’s also an important asset for MOST and for the patients we serve. MOST is well-known

David Braunreiter, M.D.

Continued on page 14


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Sports participation offers a host of benefits for children, including weight manage-ment, social skill development and team-

building skills. But there are downsides as well. Every year, millions of young athletes end up in the emergency room or doctor’s office with a sports-related injury. From sprains and strains to shin splints and Little League elbow, a variety of conditions can bring sports participation to a halt.

Acute injuries occur suddenly, often after a collision or other trauma. Examples include sprains, fractures, torn ligaments, eye injuries, concussions and spinal cord injuries. Contact sports such as football or basketball may spring to mind but baseball players may also suffer acute injuries from high-speed balls, mid-field collisions and improper sliding.

Overuse injuries occur when repetitive actions put too much stress on bones and muscles. Inadequate warm-up; increased duration, intensity or frequency of activity; improper technique or equipment; and playing the same sport year-round can all contribute to an overuse injury.

Reinjury can happen if a child returns to a sport before he or she has properly healed from an injury. Letting the body

fully recover from an injury is essential. Otherwise you’re placing extra stress on the injury and forcing the body to compensate for the weakness, which can lead to another injury.

Diagnosing and treating overuse injuries quickly can help ensure they don’t turn into larger chronic problems. The solution may be as simple as taking a break from the activity or modifying a technique.

The first step and perhaps the most important to prepare a young athlete for participation and to prevent injury is an annual student physical.

On August 3rd, Methodist Center for Sports Medicine Sugar Land will host Pre-Participation Physicals and Health Expo from 9 a.m. - 1 p.m. at Wheeler Field House, 16403 Lexington Blvd, Sugar Land, Texas, 77479. The clinic is open to Middle and High School students. There will also be a sports medicine physician on-site for EKG and cardiac screenings if indicated during exam.

The cost is only $20 cash. Be sure to also bring the UIL Physician Evaluation form which can be printed off our website, MethodistOrthopedics.com/sl_StudentPhysicals. Please RSVP to [email protected] or (281) 340-6420. ■

Avoiding Sports InjuriesPhoto Caption: D. Dean Dominy, III, M.D.; Kenneth M. Renney, M.D.; Jeffrey B. Wood, M.D.; Eddie T. Matsu, M.D.; Mark W. Maffet, M.D.; Timothy C. Sitter, M.D.; Vincent C. Phan, M.D.; Carl A. Hicks, M.D.; Christopher K. Smith, M.D.; David A. Braunreiter, M.D.; Ray R. Valdez, M.D. and Anthony J. Muffoletto, M.D.


I read an article that stated young children participating in sports during the summer are susceptible to heat stroke. What can I do to help prevent that from happening?

Exertional heat illness ranges from muscle cramps to life-threatening heat stroke. Although being physically active is important to maintain good health, we live in a hot, humid environment. There is, however, much that we can do to prevent heat illness in children.

Risk factors include recent or chronic illness, certain medications, obesity, poor fitness, excessive physical exertion without enough rest/recovery time, insufficient access to fluids, multiple same-day activities, as well as clothing and protective gear that contribute to heat retention.

Educate children about hydration, honest reporting, and the importance of rest and recovery. They should be allowed to adapt by gradually increasing intensity and duration. They should consume fluids at regular intervals. Water is generally sufficient for activities <1 hour; sports drinks with electrolytes for >1 hour. Those currently ill or recovering, particularly from gastrointestinal illness, dehydration, or fever, should avoid or limit exercise.

Coaches and parents should closely monitor for signs of heat illness, including significant deterioration of performance, changes in mental status, pallor, bright-red flushing, dizziness, headaches, excessive fatigue, vomiting, and feeling very cold or very hot. They should have an emergency plan and know when to call EMS. Let common sense prevail on extremely hot and humid days. Consider rescheduling activities and providing adequate rest and recovery between events.

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Cheerleading poses serious risk for concussion

According to the National Center for Sport Injury Research, cheerleading accounted for 65% of all direct catastrophic injuries to female high school athletes and non-athletes from 1982 to 2011. Of 128 female high school injuries, 83 were from cheerleading, more than nine times more than in gymnastics or track, the most concussion-plagued female sports. Fort Bend ISD has followed an established protocol for dealing with concussions in student athletes, including cheerleading, for years.


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fREE Summer Movies at the Sienna Branch Library. A different family movie will be shown each week

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All movies are free and open to the public. Refreshments will be served. Call the Sienna branch library at 281-238-2900 for a list of movies and show times.

for its commitment to the community and to athletes of all levels, and having a full-time fellow will enable us to do even more.”

The program at Methodist Sugar Land Hospital joins a similar fellowship program started recently at Methodist Willowbrook Hospital. Participants in both programs will work with physicians and orthopedic surgeons throughout Houston in treating all level of athletes, and will be involved in hands-on learning in training rooms and on the sidelines for a wide range of high school, college and professional sports teams.

“It’s important to remember that our fellows will already have completed fellowships in their primary specialty, so they are physicians who are undergoing additional training to improve their knowledge of the sports medicine specialty,” said Dr. Braunreiter. “MOST has highly experienced and skilled physicians with a wide range of sports medicine expertise, and working with them will be an extremely valuable experience for our fellows, which in turn will translate into even better care for patients.”

For an appointment with Dr. Braunreiter, or one of the MOST physicians, call (281) 494-MOST (6678). ■

New Sports Medicine fellowship Program at Methodist Sugar Land HospitalContinued from page 10


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