The Vikings lost a wild game to the Baltimore Ravens on Sunday, but their biggest concern has to be the health of running back Adrian Peterson, who left the game after suffering what appeared to be a painful ankle injury.
“I was trying to get the first down,” Peterson said of the play. “After [the tackle], I didn’t know what happened to the football. I was more worried about my ankle.”
You can see video of the play below.
As Peterson is tackled, his right foot gets caught at an awkward angle. The defender trying to make the tackle ends up putting all his weight on Peterson’s lower half, which is a recipe for disaster when combined with an ankle at an unstable angle.
Peterson was taken to the locker room on a cart. X-rays on the foot came back negative, but he’ll undergo an MRI on Monday afternoon to see if there is any underlying ligament damage.
Although he appeared to be in a lot of pain immediately after suffering the injury, Peterson believes we haven’t seen the last of him on the field this season.
“I’m just going to get the MRI done tomorrow, see what it says, and try to push to be ready to play.”
Dr. Silverman comments
Peterson may very well have suffered a Lisfranc injury. The picture displayed on the bottom of this page is eerily similar to what happened on the play Peterson. It is a classic injury that has been documented for decades.
When a person suffers a Lisfranc injury, the toes hyper-dorsiflex while the ankle locks as it continues to bend forward. The energy becomes focused on the midfoot (arch) and depending on whether the foot is twisting in or out at the time, certain fractures or dislocation patterns emerge.
That said, X-rays have the ability to reveal the presence of a Lisfranc injury. Since nothing was found, Peterson might have escaped the nasty Lisfranc injury, but that doesn’t mean he’s out of the woods yet. We should know more after the MRI results are made public, but it’s clear the former NFL MVP suffered some sort of midfoot injury. What type of injury, whether it will need surgery, and how long he will be out is still uncertain.
Based on my experience, if the midfoot injury is severe, Peterson’s best bet is to undergo a routine operation to address and stabilize the midfoot. That type of surgery would keep him off the field for about three months, but it would make him less likely to suffer a similar injury in the future.
I understand that Peterson wants to come back and finish out the season, but he needs to balance the risk with the reward. The Vikings are out of playoff contention, and the team has the best chance to win when he is healthy and on the field. We haven’t even mentioned that he came into the game with a groin injury and is less than two years removed from tearing the ACL in his left leg. Peterson is clearly one of the best running backs in football, but he needs to step away for the final three games to make sure he is as healthy as possible for next season. Why should the Vikings expose him to three more games of tackles when they don’t need to?
I hope the injury is nothing more than a sprain, but for the sake of his health I hope this is the last we’ve seen of Peterson this season. This guy is too special to have his career derailed by injury. Do the smart thing AP.
Related source: ESPN
Four days ago the Twin Cities didn’t have a speck of snow on the ground. Today, we’re literally knee deep in the stuff. We also experienced our first snow emergency, which slimmed the wallets of those residents who forgot the rather strict parking policies.
Now that the snow has ceased, we are tasked with moving it from driveways, porches and sidewalks. Clearing snow is something that comes with the territory in Minnesota, but strenuous activity in cold weather can be a recipe for disaster. Below, we talk about some ways to stay safe when shoveling this winter.
There are three main factors that elevate a person’s risk for a heart attack or stroke when shoveling snow in the winter. They are:
- Frigid temperatures
- Strenuous activity
- Just woke up
We’ll dissect each bullet point one at a time.
Frigid Temperatures: Cold temperatures take their toll on a person’s body. When you breathe in cold air, your coronary arteries and blood vessels contract. This can prevent blood and oxygen from circulating correctly. Always be sure to dress warm when heading out to shovel, and be sure to cover parts of your body that are home to smaller blood vessels, like your face, head and hands.
Strenuous Activity: Shoveling is no easy task, especially when we get a blizzard like we did over the last two days. Physical activity can be good for some people, but older individuals and anybody with a pre-existing heart condition should make sure they don’t overexert themselves. Also, smokers or anyone with a family history of heart problems should be wary of heavy lifting out in the cold. If you can, invest in a self-propelled snowblower to ease the process, or hire someone to shovel your driveway for you.
Just Woke Up: You let your car warm up before driving to work on cold winter days, but many people don’t realize their heart needs to go through a similar process. If you just woke up for the day, your heart has likely been at its resting heart rate for 7-9 hours. When you wake up and start moving, your hearts begins to beat more frequently. If you shower and eat breakfast, your heart has a smooth transition into getting you through your day. If you wake up, throw on your boots and begin shoveling, your heart goes from a long resting period to intense activity. This can put extra strain on your heart, and in some cases, it can be the straw that breaks the camel’s back. This is especially true when combined with the factors listed above. Always make sure to give yourself at least 10-15 minutes from the time you wake up to the time you head outside to give your mind and your body some extra time to get ready for the day ahead.
Americans experience 54 percent more heart attacks during the winter months than during the summer, so cut down on your risk by following the tips above. Also, don’t forget to wear an extra pair of socks. I don’t want to see any of you on my operating table because you got frostbite!
Related sources: MPR News, NRMI
An examination of hospital data revealed that patients who have low levels of Vitamin D in their system were much more likely to suffer from symptoms of a hospital-acquired infection following gastric bypass surgery.
Researchers examining the data found that there was an inverse association when looking at Vitamin D levels and infections after surgery. Among obese patients with Vitamin D levels below 30 ng/mL, there was a three-fold increase in the likelihood they would develop an infection following a gastric bypass operation compared to patients who were above levels of 30 ng/mL.
As a point of reference, 30 ng/mL once stood as the minimum recommended amount of Vitamin D a person should strive to attain, but recently, doctors and healthcare officials have revised the recommendation. Today, the recommended amount of Vitamin D to prevent diseases and infections is 50 ng/mL.
Authors of the study noted that many people in the United States do not get enough Vitamin D in their diet. They suggest that Vitamin D deficiency “may be as high as 70% to 80% in bariatric surgery patients,” which is extremely problematic when you consider surgical site infections among Roux-en-Y gastric bypass surgery patients can be as high as 10% in laparoscopic procedures and as high as 25% among open abdominal operations.
Because patients are at an increased risk for infection if they have an insufficient amount of Vitamin D in their system, Vitamin D levels “are routinely measured in individuals scheduled to undergo Roux-en-Y gastric bypass surgery,” the authors wrote.
Additionally, patients also are at a greater risk for acquiring a surgical site infection if they don’t have the proper levels of Vitamin D. Researchers found that surgical site infection rates jumped four-fold when patients had low levels of Vitamin D in their system before surgery.
“These results suggest that preoperative [Vitamin D] levels may be a modifiable risk factor for postoperative nosocomial infections,” the authors concluded. “Prospective studies must determine whether there is a potential benefit to preoperative optimization of vitamin D status.”
Dr. Silverman comments
This study highlights the reasons why looking at what was previously thought to be unimportant realm of alternative medicine is truly important for the health and safety of all patients. It also further supports the importance that I put up on maximizing a patient’s well-being prior to surgery.
Overall health isn’t always closely examined prior to surgery – Instead doctors usually check for the basics during a pre-operative physical, as well as for common complications based on your specific operation. Vitamin D screening is not a routine check yet. It is, however, routine for my patients to start a Vitamin D regimen before every single one of their surgeries.
I’m always searching for more ways to ensure their operation is a healthy and happy one.
Related source: MedPage Today. Lef.org
The Monday after Thanksgiving is celebrated as “Cyber Monday,” a day in which millions of shoppers retreat to the comfort of their sofa to buy holiday goods at discounted prices. While an hour or two online won’t kill you, extended hours at a computer can seriously impact your health. Below, we explore three health risks that can occur if you spend too much time on your Macbook.
Carpal Tunnel Syndrome – One of the most common ailments associated with extended computer time is carpal tunnel syndrome. CTS is a disorder caused by the repetitive movement of joints in the fingers and wrists. In fact, according to the Journal of American Medicine Association, 1 in 8 computer professionals suffers from carpal tunnel syndrome. If a person is subjected to long, repeated hours typing at a computer, they will be at an increased risk to develop CTS.
Recommendation: Take regular breaks when working on a computer for extended periods to give your joints some rest. If you’re working in a group or with co-workers on a project, switch tasks at certain intervals so that one person isn’t stuck typing for hours on end.
Computer Vision Syndrome – Computer Vision Syndrome is another ailment that affects individuals who spend long hours on a computer. CVS is a degenerative eye problem that can permanently affect a person’s eyesight. CVS can lead to:
- Blurred Vision
- Overall Eye Tiredness
- “Dry Eye”
Doctors recommend that a user be at least two feet from a computer screen while surfing the web, but many people are closer to the screen when using a laptop.
Recommendation: Take regular breaks from the computer while at work, and take a 15-minute break for every hour you spend on the computer at home. Use this time to preform a task that doesn’t involve a screen – Don’t text, play video games or watch TV. Read a book or go for a short walk. Also, do you best to keep at least two feet between your eyes and the monitor. The closer you are to the screen, the more strain you’ll put on your eyes.
Musculoskeletal Issues – Sitting at a computer for hours on end can cause back and posture problems because many people don’t sit in the proper position when browsing the Internet.
Hunching forward to see the screen can cause severe and acute pain in the upper back region, and it has also been linked to neck and shoulder problems. If you’re slouched in your favorite chair while on the computer, you may be putting additional strain on your lower back. Also, staying seated for extended periods can cause other health issues, like poor circulation and high blood pressure.
Recommendation: Practice good seated posture while on the computer, or better yet, transform your workstation so you have to stand to do your work. Extended periods of standing are much better for your health than hours on your bum. Stand up and walk around for 5-10 minutes for every hour you’re seated at your computer.
Related sources: JAMA, Wikipedia.
Many people will begin cross state or cross country journeys this week in preparation for the upcoming Thanksgiving weekend, but as sedentary time in a car or airplane increases, so too does a person’s risk for blood clots in their veins.
One condition that can be exacerbated due to long periods of inactivity is venous thrombosis; a disorder characterized by the formation of a blood clot inside a blood vessel. When the clot embolizes, or breaks off, it can have deadly consequences. This disruption is known as a venous thromboembolism.
VTE’s association with travel was first diagnosed by Dr. John Homans, who advised that patients should be alert to lameness or pain in their calf after long flights or particularly lengthy car rides. AAA recently projected that over 43 million Americans will travel at least 50 miles for Thanksgiving celebrations this holiday weekend, and they could be putting themselves at increased risk if they aren’t aware of the warning signs, which include:
- Pain in the lower leg or calf region
- Chest pain
- Swelling of one of the limbs
- A family history of VTE or pulmonary embolisms
In addition, a person can be at a greater risk for VTE if they have any of the following existing conditions:
- Acute Infections
- Active Cancers
- Long-Bone Fractures
- Above 75 Years Old
While doctors urge those at an elevated risk for VTE to be aware of the symptoms, they added that VTE events aren’t that common. In a recent study, a total of 22 VTE events occurred within 8 weeks of a patient riding on a flight that lasted four or more hours. The study tracked over 100,000 “long haul” flights, meaning a VTE event only occurred every 4,656 flights.
Dr. Lance Silverman said it’s important to stay active in order to fight the development of blood clots.
“An active life is a happy life,” said Silverman. “Whether you’re at a desk at the workplace or on a plane back home for Thanksgiving, make sure you get up and move around to help regulate normal blood flow. Too much sitting is bad for your body.”
Related source: MedPage Today
Thanksgiving is a holiday rich in tradition. Families travel from all over to be with one another and sit down to a hot turkey dinner. After the meal some families head outside to play the annual family football game, while others sit down in front of the fireplace to play Pictionary. For some, the post meal tradition involves sitting in their favorite spot on the couch and dozing off to the NFL games. Everyone has heard that turkey makes you sleepy, but do you know the science behind the reason? Below, we explore why your favorite holiday bird can cause you to feel tired.
Many people believe the amino acid tryptophan is to blame for their post meal drowsiness. Tryptophan is essential in helping your body create the B-vitamin niacin. In turn, niacin helps your body produce serotonin, a chemical that puts your brain a more relaxed state. Your body releases serotonin during the evening to help you fall asleep. You might think an excess of tryptophan means there will be large amounts serotonin in your brain after your meal, but that’s not really the case.
See, tryptophan works best on an empty stomach, and if you’re like the average American on Thanksgiving, your stomach will be anything but empty following Thanksgiving dinner. The tryptophan that is produced from the turkey has to vie with other amino acids harvested from the potatoes, green beans, and pumpkin pie you ate, so their isn’t going to be an excess amount of tryptophan compared to other amino acids in your body. Nutritionists do not believe tryptophan is the reason Uncle Bob ends up snoring on the couch every Thanksgiving.
Instead, researchers believe the post meal crash is due in large part to overconsumption. According to MSNBC, the average person consumes 3,000 calories during Thanksgiving dinner, much of which comes from foods rich in carbohydrates. Your body is hard at work trying to digest all that food after the meal, which means people will be less inclined to move around after dinner. A full belly and a comfy seat on the couch are the perfect recipe for a post Thanksgiving nap.
Finally, researchers say that turkey could help the restless mind fall asleep in the days after Thanksgiving. As it was noted above, the effects of tryptophan work best on an empty stomach. If you’re having a hard time falling asleep, head to the kitchen and eat a little bit of leftover turkey. The tryptophan will aid in the production of serotonin, which will help you fall asleep quicker.
Related source: HowStuffWorks, MSNBC