Sports Injuries in Girls

3 million girls now participate in high school sports. This is a 940% increase since the Title IX Equal Opportunity in Education Act was passed in 1972; how cool is that?

A recent study reveals some very interesting findings about injuries in our young female athletes.

The bottom line of the study is that girls have a higher risk of certain specific types of injuries than boys, but a lower overall injury rate than boys.

Specifically,

• The most popular high-school girls' sports are basketball, track, volleyball, softball and soccer.
• Overall, girls had half the injury rate of boys.
• In girls, injury rates were highest in soccer.
• The most common injuries were knee and ankle. These comprised 60% of all injuries in young female athletes (which is to say 99 injuries/100,000 athletes).
• This was a 30% higher rate of knee injury than in boys. ACL (anterior cruciate ligament) ruptures were seen to be three times more frequent in girl soccer and basketball players than in their boy counterparts. Girls also had higher rates of surgical repair than boys.

On the other hand,

• Traumatic brain injury involved only 11/100,000 girl athletes: a much lower rate than in boys.
• Basketball had the highest rate of concussion in girls, at a rate topped only by boy's football and boy's soccer. (Girl's track and girl's soccer were next highest.)

Interestingly, cheer-leading had the highest rate of catastrophic injury in girls. I guess I don't find this completely surprising as I do a lot of sports physicals for our local athletes.

Overall,

• There is no "injury epidemic" in girls' sports.
• The increased number of injuries seen corresponds to the greater number of girls competing.
• Other studies show that knee and ankle injury rates in girls improve with specific warm-up exercises and use of protective gear such as knee pads.

(Ed. If you are proud of your athletic potential-sports-scholarship daughter, niece, grand-daughter or neighbor, thank the federal government for Title IX.)

Discussing End of Life Care With Your Doctor

This article in the L.A. Times is pretty interesting, insofar as it's one of those studies where you would think the result would be obvious. Not.

The study, published online Jan. 11 in the journal Cancer, surveyed 4,188 physicians about how they would talk to a hypothetical cancer patient with four to six months to live. A majority of respondents (65%) said they would discuss prognosis, but only a minority said they would discuss do-not-resuscitate status (44%), hospice (26%) or preferred site of death (21%) at that time. Rather, they would wait until symptoms were present or until there were no more treatments to offer.

I must say, I'm pretty surprised about this. I think the time to have this discussion is before a crisis, and not at the time of crisis. Admittedly, these kinds of discussions are incredibly time-consuming but they are also necessary in order for everyone involved to have a chance to think and talk about what is wanted and what is not. Certainly, the time has to be right for the discussion. It's just that the right time is not at the end of the line.

For that matter, a cancer diagnosis is not the only kind of medical problem where this issue is relevant. It applies equally where a medical problem is very likely to be fatal in the near future, and where it is best for patients and their families to discuss their own preferences and choices for the future.

Does losing weight help with my blood pressure?

Yes; yes it does!

This is particularly nice to know at this time of the year when many people gain 7-8 pounds over the holidays. The trick is to lose this rather than gaining 7-8 pounds every year that you never lose.

On average, losing 10 pounds (no matter how much you presently weigh) results on an 8-10% reduction in you blood pressure.

This may not sound like much, but it's about what you would see with starting doses of prescription blood pressure pills.

Take home message: losing 10 pounds is as helpful as starting a blood pressure medication. Which one sounds better?

Holiday Schedule

We will be out of the office spending the holidays with our families during Thanksgiving (11/26 and 11/27), on Christamas (12/24 and 12/25) and on New Year (12/31 and 1/1)!

These happen to fall on Thursdays and Fridays, so we will be enjoying a few well-deserved long weekends during this season.

Please plan accordingly, particularly with respect to any medication refills or prescriptions you may need.

We wish you and your loved ones the best for the season and the new year!