Provides physicians with the signs, symptoms, and management of heel/sole pain in recreational runners (usually due to plantar fasciitis, Achilles tendinitis, and calcaneal stress fractures). Remedies involve palliative treatment of symptoms, correction of underlying biomechanical problems, and flexibility exercises. (SM)

Many growth center disorders may be associated with athletic activities like Little League baseball and year-round gymnastics. Osteochondroses are developmental disorders usually diagnosed in growing children and associated with anatomic sites undergoing transition from cartilage to bone. Radiographic methods of diagnosing these problems are…

Recreational watercraft paddlers are susceptible to problems ranging from simple contusions and blisters to drowning. Most of these problems can be prevented by simple precautions, such as proper technique, good warmup, carrying first-aid kits, wearing personal flotation devices, and respecting the environment. (Author/SM)

Discusses controversial issues that have arisen in children's sports, including infant exercise programs, trampolines, amenorrhea in the adolescent athlete, coed contact sports, and sport participation by children with Down Syndrome. Policy statements are included from the American Academy of Pediatrics. (JD)

Patients with chronic conditions such as coronary artery disease, hypertension, diabetes, and obesity might benefit from prescribed exercise. Although exercise does not reverse pathologic changes, it may play a role in disease management. (JD)

A leading cause of sudden death among young athletes, hypertrophic cardiomyopathy (HCM) does not always present cardiac signs and symptoms. Echocardiography offers the most effective means for diagnosis. Some patients require pharmaceutical or surgical intervention. Patients with HCM should not engage in organized competitive sports or…

Physicians who work with athletes play an important role in preventing sudden death related to physical activity in people who have Marfan syndrome. Flagging those who have the physical stigmata and listening for certain cardiac auscultation sounds are early diagnostic keys that can help prevent deaths. People with Marfan syndrome should be…

Use of anabolic steroids is believed to increase the odds of violent antisocial behavior, thus posing risks to consumers and the general public. Some research shows the danger of steroids in inducing severe adverse psychiatric effects. Certain lawyers use this abuse to plead insanity for their clients. (SM)

More male than female physicians practice sports medicine, though women are an increasing presence. The article examines reasons for the discrepancy (e.g., lack of interest or lack of opportunity) and discusses ways to work for change and create opportunities for women in the field. (SM)

Presents current information on exercise, immunity, and infection in athletes and active people, focusing on well-established immunologic changes and practical clinical aspects of common infections. The article also guides physicians on what to advise active and athletic patients. (SM)

Discusses chronic fatigue syndrome as it affects elite athletes, noting that overtraining may mimic it. In some cases, athletes who have it perform exceedingly well in the face of debilitating fatigue. Among athletes and nonathletes, the cause and the mind-body connection are areas of controversy and research. (Author/SM)

Examines whether prepubescents are trainable in competitive sports, noting trainability differences between prepubescents and older groups. Changes in maximal aerobic power, metabolic cost of walking and running, muscle strength and power, and local muscle endurance are examined. Strength training is recommended only for rehabilitation or…

Precamp physical examinations for children should be more than just cursory checks for routine problems. They should be complete health maintenance exams tailored to the needs of each child and to the rigors of the camp being attended. (Author/SM)

Discusses management of common overuse disorders, which are often a result of repetitive stress. Reducing inflammation through icing, rest, and use of nonsteroidal anti-inflammatory agents is the primary treatment goal. Patients taking anti-inflammatories must be cautioned against returning to activity too soon because the medication's analgesic…

Exercise can help decrease pain and improve function in people with rheumatoid arthritis or osteoarthritis. Physicians must provide individualized, realistic, enjoyable exercise programs that help affected joints, build fitness, and maximize patient compliance. Physicians must also provide appropriate follow-up care, adjusting the exercise program…