Tuesday, December 21, 2010

What is Turf Toe?

Turf Toe is a sprain injury to the big toe joint (also known as the 1st MPJ, hallux or great toe). The incidence of this injury has increased over the years secondary to athletic fields being covered by artificial turf and also by increased flexibility of the toe box in athletic shoes.
The rough nature of many contact sports is a factor involving abnormal extension, flexion and rotational movements that cause injury to joints and soft tissue structures. One such injury is a sprain to the big toe joint, commonly referred to as turf toe. Turf toe is seen most common in football, but it can occur in any activity, such as soccer, tennis, volleyball, wrestling and even dancing.
The big toe joint is composed of 4 bones, 9 ligaments, 3 muscular attachments and the joint capsule (which is considered a ligament). Two of the bones are called sesmoids, which are encapsulated inside a tendon and the other are two are 1stmetatarsal bone and the proximal phalanx (your toe, which moves up and down). Your big toe joint has a large range of motion in two main directions: dorsiflexion (toe going up) and plantarflexion (toe going down). This is required for normal ambulation, however when this range of motion is exceeded, you get turf toe.
The most common example of turf toe is in a football player. If you can imagine a football player at the start of a play, you will notice that the athlete has their foot planted on the ground, the big toe joint hyperdorsiflexes (bending more than it should) and the heel is raised up off the ground. During an applied downward force (up to 8 times his/her body weight), the big toe is dorsiflexed beyond its biomechanical limits, resulting in tear of the joint capsule.
The initial treatment of turf toe is RICE: rest, ice, compression and elevation. In the initial stages of suspected turf toe, taping is not recommended due to the swelling that occurs and the possibility of neurovascular compromise. Is you suspect that you may have a turf toe injury, call your podiatrist and have them take x-rays to rule out a possible fracture. 

By David Hunnicutt

Wednesday, December 8, 2010

$8m device saving life and limb

A DEVICE produced by a small company in St Leonards offers hope for people who face losing a limb due to peripheral vascular disease.

After six years and $8 million of research and development, the product has already saved, in a pilor study, seven legs and a hand from being amputated.

Worldwide, 1000 legs are amputated each day - and 40 per cent of those amputees die within a year of surgery. Smoking and diabetes are the primary causes.

But those statistics could change dramatically due to the peripheral access device made by Australian Surgical Design and Manufacture in collaboration with North Shore vascular surgeon Professor Rodney Lane.

The device, implanted into an artery and connected to a high pressure pump, has been shown to stimulate the growth of new blood vessels.

ASDM chief executive Greg Roger said the product, approved by the Therapeutic Goods Administration for an unassociated use - isolated organ chemotherapy - was being trialled on vascular patients as part of a pilot study.

Its success rate had been about 50 per cent on 15 patients who all had serious health issues. “We know it works and once we have done thousands, patterns will appear to produce an even higher success rate,” Dr Roger said on a tour of his plant. The company also makes orthopaedic devices such as artificial knees.

The device is availabe only for those with no other options outside amputation.

Professor Lane, who invented the hypertensive extracorporeal limb perfusion procedure, said he developed it because he was “sick and tired of amputating legs” and that he was pleased with the trial results.

Wednesday, December 1, 2010

Shoes and knee pain

A Chicago hospital is recruiting people with knee pain to test a shoe designed to mimic the mechanics of barefoot walking. 

Dr. Najia Shakoor of Rush University Medical Center is researching how footwear changes forces on the knee joints. She's designed a shoe that's flat and lightweight with flexible soles. 

Study participants will wear the shoes for six hours each day, six days a week, for six months. They must be older than 35 and have knee pain caused by mild or moderate osteoarthritis. They also must be able to walk without assistive devices. 

Shakoor's prior research has shown that barefoot walking puts less of a load on the knees than does walking in conventional shoes. 

Friday, November 19, 2010

Diabetic foot ulcers in underinsured patients

According to the CDC, almost 24 million Americans have diabetes, and it is estimated that six million of those individuals are undiagnosed.1 In 2007, financial costs attributed to diabetes totaled $174 billion.2 Additionally, comorbidities linked with diabetes may lead to serious complications and create additional economic and individual burdens. The development of diabetic foot ulcers (DFUs) is one such complication.
DFU treatment utilizes a considerable portion of health-care dollars and may also lead to significant disability and a decrease in quality of life. Patients with diabetes have a 15%-25% lifetime risk for developing a foot ulcer.3,4 When ulceration occurs, the risk for infection is present and may range in severity from a superficial area to one that pervades the bone. About 25% of diabetic foot infections will extend to deeper subcutaneous tissue or bone, and up to 50% of those individuals will have a recurrent ulcer within the next few years.5 Infection is the leading risk factor for amputation among those with DFUs.6
Considering the prevalence of diabetes, it is conceivable that most primary-care providers (PCPs) will encounter patients with foot ulcers. Practitioners treating patients with diabetes must focus on prevention of ulcerations, prompt diagnosis, treatment initiation, and appropriate referrals to preserve optimal functioning. Given the number of uninsured or underinsured individuals, adhering to this seemingly straightforward strategy can prove difficult. Lack of access to primary care leads many patients to delay care, which prevents detection or delays diagnosis until the advanced stages of disease.
The following case illustrates the challenges faced by many PCPs when caring for an underinsured patient with type 2 diabetes mellitus (DM) and a DFU.


Mr. J, aged 45 years, was hospitalized for two weeks with cellulitis and a left plantar foot ulcer. Incision and drainage (I & D) revealed three purulent sinus tracts extending from the superficial to the deep space of the left foot involving the first and second metatarsal heads. An MRI established the presence of osteomyelitis, but fortunately the bone was viable, and amputation was avoided. Culture was positive for group B Streptococcus and methicillin-susceptible Staphylococcus aureus, and the patient was treated with antibiotics for six weeks. Ankle-brachial indexes (ABIs) and toe waveforms were within normal limits. On admission, Mr. J's blood sugar was 312 mg/dL and hemoglobin (Hb) A1c was 12.9%. He was diagnosed with type 2 DM and started on insulin therapy. Mr. J achieved good glycemic control, extensive diabetes education was provided, and he was discharged to follow-up in the primary-care setting.


Fig. 1 The patient was initially hospitalized for treatment of cellulitis and a left plantar foot ulcer.Over the next six months, Mr. J lost 83 lbs, his HbA1c dropped to 5.5%, and his foot ulcer healed. He kept regular appointments with a podiatrist and maintained routine foot care. A small blister was discovered near the site of the previous left plantar DFU (Figure 1). Antibiotic therapy was ordered along with an OTC antimicrobial ointment to be applied to the wound site. While the culture showed no infection and x-ray did not reveal osteomyelitis, the ulcer continued to extrude a small amount of nonodorous serosanguinous drainage. After caring for Mr. J for two months, the PCP referred him to a hospital outpatient wound-care clinic.

Monday, November 15, 2010

Taking Care of Your Skin

What Can I Do to Take Care of My Skin?

After you wash with a mild soap, make sure you rinse and dry yourself well. Check places where water can hide, such as under the arms, under the breasts, between the legs, and between the toes.

Keep your skin moist by washing with a mild soap and using lotion or cream after you wash.

Keep your skin moist by using a lotion or cream after you wash. Ask your doctor to suggest one.

Drink lots of fluids, such as water, to keep your skin moist and healthy. Wear all-cotton socks. Cotton allows air to your feet and can help to absorb moisture.

Check your skin after you wash. Make sure you have no dry, red, or sore spots that might lead to an infection. Always check between your toes for trouble spots. Be sure that you dry well after bathing and do not use moisturizers between your toes unless specifically directed to do so by your doctor.

Tell your doctor about any skin problems.

For More Information about diabetes and diabetic foot problems in particular, just ask your doctor or health care provider. Remember, you must be involved in your own diabetic foot care to prevent problems and maintain proper foot health!

Tuesday, October 26, 2010

If The Shoe Hurts, There May Be A Remedy

If The Shoe Hurts, There May Be A Remedy

by Patti Neighmond

Many people figure foot pain is just another problematic part of aging, and they'll just have to live with it and get used to the pain. Hannan says nothing could be further from the truth. If you have foot pain, she says, go see someone who specializes in feet. That would be either a podiatrist or a physical therapist with foot expertise. The pain can often be treated successfully and further problems prevented.

Foot pain in Hannan's study most commonly came from bunions, but people also had hammertoes, corns, calluses, flat feet and a very painful condition called plantar fasciitis. All of these conditions get worse with age, Hannan says.

The problem is also exacerbated by the obvious: Shoes — heels, pointy and narrow — that just don't fit. Men tend to buy ill-fitting shoes that are too big, which can present support problems.

But for women, the problems are more varied. Toes squished into pointy shoes. Foot bones crunched into shoes that are too narrow. And feet smooshed into shoes that are just too small. Heels, of course, put added pressure on the ball of the foot, and if the ball of the foot is squished into a pointy toe box, the problem is even worse.

And, unfortunately as we age, our feet can feel the brunt.

"Our feet can actually get wider, and they can change shape," says Emily Cook, the podiatrist. "They can change size. You can lose flexibility within your joints. Certain foot deformities — bunions, hammertoes" — can worsen over time. Weakened ligaments and joints, arthritis and a thinning of the fatty pads on the bottom of our feet can also cause complications.

And men aren't exactly off the hook. The same things happen to the aging male foot. But because of the shoes women tend to wear, foot problems are far more common among women.

The New Shoe Remedy

Cook says there can be remedies. Many problems, she says, can be diminished by simply buying more appropriate shoes. And she offers a number of suggestions: First off, shoes should fit properly. It's best to buy shoes at the end of the day, as feet can swell as the day wears on. Also, get your feet measured routinely. Aging feet can get wider and longer. You may no longer be that size 6 at age 55.

You should be able to wiggle your toes in the shoe. They should not be crunched. The heel should offer support and shouldn't collapse when you squeeze the heel-box portion of the shoe. If shoes don't feel comfortable right away, don't buy them. And don't be fooled by the you-just-have-to-break-them-in argument. There's no such thing as a break-in period.

If you feel you have to wear dressy shoes or heels for work, try wearing different pairs on different days.

"What I tell women in this particular situation is that you need to think of different types of shoes for different types of purposes," Cook says. "For example, when you're traveling, you don't want to wear a dressy type of shoe. You need something like a sneaker, something very supportive that's comfortable so you're not beating up your foot before you even make it to the event."

Cook also encourages patients to minimize the amount of pressure placed on their foot by wearing lower heels.

"If you must wear heels, try to change the heel height and use different-size heels on different days," she says. Cook appreciates women's need to appear stylish on the job, adding that it's frustrating for women in particular because the shoe industry is driven by fashion — not comfort and fit.

The Next Step

For some patients, new, more comfortable shoes may not be adequate enough to relieve and even treat foot pain. They may need orthotics, which are plastic inserts that fit directly into the shoe for cushioning and support. Some over-the-counter products are fine. Cook says patients often try these less expensive options first.

Some foot doctors think custom orthotics are too expensive, especially since they are typically not covered by health insurance. But for particularly complex problems, Cook says custom orthotics may be exactly what's needed.

For 62-year-old Robin Bentz, just putting her foot on the ground and standing up had become excruciating. Early on, she thought the pain would just go away. It didn't. As a retired nurse, Bentz suspected plantar fasciitis. She was right.

"It got so bad that I would get up in the middle of the night and go to the bathroom, and my feet would ache so badly by the time I went to the bathroom and came back to bed," Bentz says. "The pain would just literally keep me awake for the rest of the night."

Bentz tried to adjust how she walked to compensate for the pain. But then, her knees started to hurt. She went to an orthopedic surgeon and had cortisone injections, but the pain continued.

Finally, she went to see Cook. After an examination, Cook suggested custom-made orthotics. Bentz has two pairs of orthotics that she alternates.

"It's been like a miracle," Bentz says. "My feet never touch the ground unless I have my orthotics."

Bentz says she was astounded that something so simple would cure such a huge problem, and she's forever grateful. But things don't always work out this way. Cook says some patients eventually require surgery, particularly for bunions. But often surgery can be put off for years with good shoes — and, possibly, orthotics.

Possible Causes Of Smarting Feet

Stiff Shoes: Shoes should be stable, but flexibility is also key. They should bend in the spot where the toes bend.

Shoes That Don't Fit Properly: Shoes that are too big or too small can pinch or strain feet. As you age, your feet may grow wider and longer, and your shoe size may change, so measure your feet regularly.

High Heels: If you have to wear high heels, try varying the shoe and the heel height during the week.

Same Shoes Every Day: Alternating shoes on different days can help keep feet limber.

—Eliza Barclay

Reggie Bush fractures fibula

Reggie Bush Injury: Injured Saint Has Broken Fibula
BRETT MARTEL 09/21/10 10:13 PM

NEW ORLEANS — Reggie Bush's broken leg likely will sideline him about six weeks but not the rest of the season, a person familiar with the injury said.

Bush was expected to be examined again Tuesday, according to the person who spoke to The Associated Press on condition of anonymity because the team has not officially updated Bush's condition.

The Saints had the day off after returning early in the morning from their 25-22 Monday night victory at San Francisco. Saints spokesman Greg Bensel said there were no planned updates on Bush's injury.

The bone in Bush's lower right leg was broken when recovered his muffed punt with 6:58 remaining. He had trouble catching the ball at windy Candlestick Park and was injured during the scrum after he dove for the ball and players landed on him.

"Last second it kind of shifted a little bit, just enough for me to drop it," he said. "I tried to recover it and somebody took my leg out. I don't know who it was, what happened or how it happened. I just know my leg got taken out. That's it.

"It hurt like hell," Bush said. "When I got back up and tried to walk on it, it felt terrible."

The injury capped a difficult past few days for Bush, who gave back his Heisman Trophy last week. The NCAA punished USC after concluding that Bush and his family improperly accepted money and gifts from sports agents while Bush played for the Trojans. Bush said he returned the award to end the controversy.

"It's been a pretty tough week," he said. "It's just the way life goes.

"I'm just trying not to think the worst and just try to stay as positive as I can in this situation," Bush said. "That's all you can do, hope for the best."

Brett Favre injures ankle again

Avulsion Fracture: Brett Favre's Injury Could Snap Snap Viking QB's Streak

By Adam Lazarus (Correspondent) on October 26, 2010 2,967

An avulsion fracture (broken bones in his ankle) caused Favre to limp during the end of the Vikings 28-24 loss Sunday Night against Green Bay.

Favre's ankle was a major issue this offseason--he injured it late last year--and surgery was required. The elbow tendonitis that bothered him and the Jenn Sterger scandal set the ankle issue on the backburner for a while. Now it has returned.

Favre was noticeably limping throughout the second half of the Vikings game against the Packers on Sunday night. Still, he continued to play and nearly led the team to an incredible last-second comeback.

When the game was over, Favre hobbled into the locker room. Team officials confirmed the injury on Monday but have not yet ruled him out. Favre has started 291 consecutive games, dating back to the 1992 season.

Tuesday, October 19, 2010

Antonio Gates injures toe

Injury Spin Cycle: Chargers Optimistic About Antonio Gates' Toe

.10/19/2010 9:00 AM ET By Tom Lorenzo

There was some good news out of San Diego on Monday, as the Chargers said they were optimistic about Antonio Gates suiting up in Week 7 against the Patriots, according to the San Diego Union-Tribune. Gates left Sunday's game against the Rams in the second quarter, having suffered a toe injury on his left foot. It's on the same foot he was forced to have surgery on back in 2007, but the Chargers are saying that the two injuries are not related.

This is promising for fantasy owners relying on the game's top tight end who had 29 catches and seven touchdowns heading into Week 6. There's absolutely no way to replace Gates' production at the tight end position, so keep those fingers crossed and hope that the news only gets better as we get closer to Sunday.

Willis out with broken foot

WR Willis lost for season

October 18th, 2010 6:05 pm MT.
The Broncos will once again be a man down as wide receiver Matthew Willis will miss the rest of the season with a broken foot, the Denver Post is reporting.

Willis left Sunday’s game with the Jets with a foot injury sustained on a special teams play. His foot will require season-ending surgery and he will be placed on injured reserve by the team.

It is not yet clear how the Broncos will fill his spot, but they do have another wide receiver, Britt Davis, on the practice squad. However, with the strong play of Brandon Lloyd, Jabar Gaffney, Eddie Royal and rookie Demaryius Thomas and with fellow rookie Eric Decker still in the mix, they may choose to fill another need with that spot.

Royal’s status is still unknown after he left Sunday’s game with a groin injury after a big hit from Jets cornerback Darrelle Revis.

Botox for foot problems

Botox Now Being Used to Treat Foot Problems

LAKE CHARLES, La. -- You've heard of botox to reduce the appearance of fine lines and wrinkles, but how about problems with the feet?

That's just what one local group of doctors is using to get patients on their feet without pain.

At Center for Orthopaedics in Lake Charles, Drs. Craig Morton and Tyson Green are using botox injections to treat a wide range of foot problems.

"If there's damage to the brain or spinal cord," said Dr. Morton, "such as what you'd see in a spinal cord injury, head injury, stroke, multiple sclerosis, cerebral palsy - it can result in an abnormal posturing of the muscles of the hands and feet."

For the feet, Dr. Green said the muscle spasticities can cause the feet to remain contracted in a position which makes it difficult or impossible for the patient to walk comfortably.

"That's when the botox will come into play to relax a contracture," said Dr. Green, "so that we can either brace the foot or provide casting to provide stability and flexibility within that foot."

Botox weakens the targeted muscle, keeping it from contracting. Dr. Morton said by paralyzing one muscle or muscle group, the foot can relax enough to no longer overpower the surrounding muscles.

"It takes about two or three days from the initial injection into the spastic muscle to start to see results," said Dr. Morton, "and about two weeks after the injections, we see a peak effect - that can last about three months before slowly wearing off."

Dr. Green said many of the patients he treats in wound care have painful lesions resulting from the inability to move their feet in bed - reducing circulation. Botox has helped with this.

"When you relax the tension on the foot, you give it a more stable position," said Dr. Green, "that way the wound can heal and it will have adequate offloading, so that you're not having added pressure on the wound."

This pair says young children with cerebral palsy - all the way up to the elderly with muscle spasms can benefit from botox for the feet.

*Most insurance plans will cover botox treatments for foot problems.

Dont ignore your foot problems

Health Tip: Alert a Podiatrist to Foot Problems

Don't just ignore them
Posted: October 12, 2010

(HealthDay News) -- Problems with your feet shouldn't be ignored. They can get worse over time, and can signal trouble elsewhere.

The American Podiatric Medical Association mentions these issues that should be discussed with a podiatrist:

•An open sore or ulcer on the feet, as they can indicate problems such as high blood pressure, sickle cell disease or a blood vessel condition.

•Swelling of the feet, which can indicate problems with the heart, circulatory system or kidneys.

•A burning sensation in the feet, which may indicate poor circulation.

These underlying medical issues also should be discussed with a podiatrist:

•Cardiovascular disease or high blood pressure, which could lead to insufficient blood flow to the feet.

•Rheumatic heart disease, as medications used to treat it may interfere with some medications used to treat foot problems.

•Diabetes, as it may affect sensation and circulation in the feet.

Monday, October 18, 2010

Greek Health System Opts for Amputation as Money-Saver

Greek Health System Opts for Amputation as Money-Saver

This Saturday, one of Greece’s most respected newspapers, To Vima, reported that the nation’s largest government health insurance provider would no longer pay for special footwear for diabetes patients. Amputation is cheaper, says the Benefits Division of the state insurance provider.

The new policy was announced in a letter to the Pan-Hellenic Federation of People with Diabetes. The Federation disputes the science behind the decision of the Benefits Division. In a statement, the group argues that the decision is contrary to evidence as presented in the international scientific literature.

Greece’s National Healthcare System was created in the early 1980s, during the tenure of Prime Minister Andreas Papandreou. Papandreou, an academic, won election under the slogan, Αλλαγή, which is the Greek word for Change.

Thursday, October 7, 2010

NFL players sporting pink cleats

NFL Pink For Breast Cancer Awareness: NFL's Pink Shoes & Gloves

Share: by Jon Azpiri
October 1, 2009 at 01:27 pm

Pink is a color not normally associated with the NFL, but Week 4 of the NFL will see a wave of pink to honor Breast Cancer Awareness Month. All 30 NFL teams will be hosting several pregame and in-stadium initiatives to raise awareness about breast cancer. Many NFL players will be getting in on the act as the league has allowed players to wear pink accessories during games.

Several NFL players will wear pink shoes, tapes or other accessories to remind viewers that October is Breast Cancer Awareness Month. Players will wear a pink ribbon sticker on the back of their helmets.

At least 100 players are expected to wear pink shoes during this weekend's games. Perhaps the most prominent players wearing pink is Cincinnati Bengals wide receiver Chad Ochocinco, who will wear pink shoes during Sunday's game against the Cleveland Browns.

Chad Ochocinco has been twittering non-stop about his pink shoes.

While Ochocinco has been the most vocal supporter of the NFL's pink football shoes, the campaign was spearheaded by Carolina Panthers running back DeAngelo Williams. Williams had heard about the idea of NFL players wearing pink accessories and suggested that players wear pink cleats. The issue of breast cancer is a very personal one: his mother is a breast cancer survivor and three of his aunts died from the disease.

Military Boot Technology Improved

GORE-TEX Footwear Technology Improves Comfort in Military Boots

W. L. Gore & Associates, Inc., has introduced a footwear technology for the U.S. military with optimized breathability in extended climate ranges. Specifically designed for hot climate conditions, GORE-TEX® Extended Comfort Footwear protects feet from exposure to rain and inclement weather, while allowing moisture vapor to escape from the boot, keeping feet dry and more comfortable. Boots made of this construction also pick up less water and dry out faster, in addition to reducing boot weight.

With a single-wall construction, GORE-TEX® Extended Comfort Footwear has been engineered specifically to ensure maximum breathability without compromising durable waterproof performance. Unlike other jungle or hot weather footwear, boots with this new technology have proven to provide waterproof protection and breathable comfort. Lab tests showed that these new boots retained 90 percent less water than comparable boots and that breathability over time was excellent. In field tests, participants perceived that these boots kept feet as cool as both the current desert boot and the temperate weather boot.

This new technology provides the opportunity to have one pair of boots for the widest range of climate conditions. According to Bill Candy, Gore’s North American footwear product specialist, Gore works closely with each manufacturer as each new boot design is developed. Candy explains, “We work with our customers to deliver the best product for their intended application, which in this case was to increase the comfortable climate range, particularly on the warm to hot side, of waterproof boots. We also work with customers to understand their requirements, develop a solution, and test the final designs to ensure that each product meets the unique environmental challenges that the military is faced with today.”

W. L. Gore & Associates

Gore is a leading manufacturer of thousands of advanced technology products for the electronics, fabrics, industrial and medical markets. Perhaps best known for its waterproof and breathable GORE-TEX® fabric, the company’s portfolio features a diverse array of innovations, including everything from guitar strings to life-saving cardiovascular devices. Gore is headquartered in Newark, Del., and employs 9,000 associates in 30 countries worldwide. It is one of a select few companies to appear on all of the U.S. “100 Best Companies to Work For” lists since the rankings were introduced in 1984. Visit www.GoreMilitary.com to learn more.

Thursday, September 23, 2010

Padres' Hairston on DL with stress fracture of tibia

Padres' Hairston back on DL with leg injury
Associated Press 0 Published: September 21, 2010

LOS ANGELES (AP) — San Diego Padres infielder Jerry Hairston Jr. is going back on the disabled list, barely a week after he came off it.

Hairston, a key contributor for the Padres in their bid to win the NL West title, has a stress fracture of his right tibia and he will be out four-to-six weeks.

Hairston came off the 15-day DL on Sept. 12 after having a strained right elbow.

He said if the Padres advance to the NL championship series he might try to play.

Hairston is hitting .249 with a career high-tying 10 home runs and a career-best 50 RBIs. He filled in while shortstop Everth Cabrera and then second baseman David Eckstein served stints on the DL.

Tuesday, September 21, 2010

Taylor Hashman released from hospital

Naples baseball standout Taylor Hashman released from hospital

Published Tuesday, August 31, 2010

NAPLES — A former Naples High baseball standout has been released from the hospital after being severely injured in an altercation a month ago. Meanwhile, Taylor Hashman’s assailant has yet to be charged.

Hashman, a 2006 graduate and former baseball player at the University of Mississippi, was discharged from the Regional Medical Center in Memphis on Saturday. Hashman, 22, had been in the hospital since July 31 when he was struck in the face following an argument and injured his head when he fell to the ground.

The incident happened in front of Hashman’s apartment in Oxford, Miss., where the he had recently completed his senior season playing for the Ole Miss baseball team.

Hashman had surgery to remove part of his skull to reduce pressure on his brain. He was listed in critical condition by the hospital for more than a week. Hashman’s father, Don Hashman, told WMC-TV 5 in Memphis that his son was in a medically-induced coma for almost two weeks.

Attempts to reach the Hashman family Tuesday were unsuccessful.

While Hashman recovered, investigators in Oxford were waiting to press charges against the baseball player’s attacker. Oxford police chief Mike Martin said the department knows who hit Hashman and could charge him with a misdemeanor right now.

Police are waiting to see the extent of Hashman’s injuries, Martin said, to see if they should pursue felony charges.

Martin said a police investigator and an assistant district attorney went to Memphis to interview the Hashmans last week. The police chief said he expects the district attorney to present the case to a grand jury to see if felony charges can be made against Hashman’s assailant.

“I think they will go ahead and present the grand jury with the whole case to see what the grand jury says,” Martin said. “That should be upcoming within the next month.”

Naples High Grad called up to the Big Leagues

MLB: Naples High grad Jeff Smith called up to big leagues for Twins' playoff push

Updated Wednesday, September 15, 2010

During his days as a minor leaguer in the Minnesota Twins organization, former Naples High baseball star Jeff Smith never got a shot at playing in the major leagues.

Despite reaching Triple-A in parts of six different seasons with the Twins and Texas Rangers, the call never came, and after an injury ended his career in 2004, Smith put his major league dreams on hold.

Earlier this week, Smith finally got his shot to put on a major league uniform, but not as a player — as a coach. That small fact didn’t diminish the accomplishment for Smith, the manager of the Twins’ Double-A affiliate who was invited to join the Minnesota coaching staff for a 10-game stretch this month.

“The last three days have probably been three of the best baseball days of my career either as a coach or player,” said Smith, who joined the Twins in Cleveland for their recent three-game series with the Indians, on Tuesday. “Just getting to be around a playoff atmosphere where our major league team is making a playoff push, and getting to spend time with the players and coaches is incredible.”

Each year, the Twins pick one staff member from the minor leagues to join the team’s coaching staff following the conclusion of the minor league season. Smith, who managed the Twins’ Single-A affiliate Fort Myers Miracle during the 2008 and 2009 seasons, recently finished his first year as the manager of New Britain Rock Cats.

Smith started with the organization as a hitting instructor for the Gulf Coast League Twins in 2005, and has continued to impress as he’s been promoted from level to level.

“Jeff has a high ceiling, and this gives him an opportunity to see how things are done at the major league level,” Twins minor league director Jim Rantz said. “It’s a chance to see what it’s like, and it’s a good experience for him.”

While Smith is making his first appearance in the Twins’ major league clubhouse, he’s not exactly a stranger to many of the players on Minnesota’s roster.

“It’s kind of a unique situation because it’s a combination of players that I coached at the minor league level and guys that I played with during my minor league days,” Smith said. “That’s a unique combination and a pretty special thing for me.”

Smith will stay with the team for a total of 10 games, including a key three-game series against the Chicago White Sox, which started Tuesday night. His family, which still resides in Naples, will fly to Minnesota on Friday to watch the Twins play a three-game series with the Oakland Athletics.

“You never know when you’re going to get this opportunity, so I’m going to fly them up for the weekend series before I have to head back,” Smith said.

During his time with the team, Smith will perform the duties of a regular staff member, including throwing batting practice, and working one-on-one with players.

After his 10-game stint as a major league coach is over, Smith won’t get much of a break as he prepares to coach in the instructional league, which starts up today

Scholarships offered to Collier County high school students

Three local businesses offer scholarships for Collier County high school athletes

By Naples Daily News staff report
Published Monday, March 8, 2010

Gulfcoast Foot & Ankle Center, Bank of Florida-Southwest and Physicians Regional Medical Center are recognizing Collier County student athletes through a new scholarship program. Each season, two male and two female graduating seniors from each of Collier County’s public high schools are being recognized. The students are awarded certificates and sports medals and become eligible for one of three $2,500 scholarships awarded in late spring.

Students recognized for the winter season include, from Barron Collier High School: Carter Mack, soccer, cross country and swimming; Gabriella Paisan, cross country, track, soccer and swimming; Jenna Tinney, swimming; and Jon Coulter, swimming; from Gulf Coast High School: Kristine Ma, soccer and track; Riki Carach, basketball, track and softball; and Mackenson Timothee, track and field and cross country; from Immokalee High School: Samantha Molina, volleyball, soccer and softball; and Stephen Herrera, wrestling and cross country; from Lely High School: Cody Mendel, golf, basketball and tennis; Da-Anna Paul, basketball and track and field: Kayla Douglas, swimming and soccer; and Paul Tateo, cross country, basketball and golf; from Naples High School: Jordan Leach, basketball; Kimberly Loewel, basketball and softball: Kyle Zech, football and baseball; and Ryan Iamurri, golf, soccer and softball; and from Palmetto Ridge High School: Dylan Gamret, wrestling and football.

The student-athletes recognized for the fall season were, from Gulf Coast High School: John Shelton, golf; and Rachel Elliott, track and swimming; and from Immokalee High School: Argeo Cruz, cross country and track.

Dr. Mickey E. Gordon, a Naples podiatrist with Gulfcoast Foot & Ankle Center, created the program after hearing of the difficult times his patients’ children and grandchildren were having with increased expenses of a college education. During his 31-year career as a podiatric physician and surgeon, Gordon has treated many athletic and sports injuries and has become well aware that lower extremity injuries are all too common in high school sports.

Gordon recruited his bank, Bank of Florida-Southwest and hospital Physicians Regional Medical Center to jointly pledge three $2,500 scholarships for student athletes.

“It is a pleasure to recognize these student-athletes for their hard work and accomplishments both in the classroom and on the field, court, pool or track,” Gordon said.

FGCU cross country team has a record setting day

Record-setting day in Gainesville for FGCU cross country teams; Immokalee's Pierre breaks record

By Naples Daily News staff report
Updated Sunday, September 19, 2010

Florida Gulf Coast University freshman and Immokalee High graduate Argeo Cruz set an FGCU record Saturday as the Eagles men’s cross country team finished in sixth place of 19 Florida schools at the Mountain Dew Invitational in Gainesville.

And another Immokalee High graduate, Jacksonville's Joane Pierre, was the overall women's winner. In doing so, she broke a 17-year-old school record by finishing in 17 minutes, 33.50 seconds.

University of Florida runners grabbed eight of the top 11 spots to claim the men's team title. Former Estero High standout and UF freshman Erick Montoya finished the 8K course in 83rd in 28:02.

As for FGCU, Cruz crossed the finish line in 20th in 26:09, which set a school freshman record for an 8K, and was only 42 seconds shy of the overall school mark.

Eagles sophomore Jonathan Lanning finished 36th, and his time of 26:40 set the school’s sophomore record.

Representing Ave Maria University, which finished 18th as a team, St. John Neumann graduate Taylor Peliska finished 103th in 28:26.

In the women’s race, FGCU finished seventh out of 22 teams, with two runners breaking the school 5K mark.

Eagles sophomore Barrie Cohen (25th, 18:42) and Kelly Perzanowski (28th, 18:49) broke the record set by teammate Megan Thies at last year’s Atlantic Sun Conference meet. Thies finished 50th in 19:30.

The area’s top finisher was Ave Maria freshman Marya Haegler, who was 13th in 18:14.

Monday, September 13, 2010

Giants Aaron Ross waiting for plantar fasciitis to heal

Giants CB Aaron Ross waiting on foot injury
Associated Press
Posted September 10, 2010 at 11:59 a.m., updated September 10, 2010 at 12:43 p.m.

EAST RUTHERFORD, N.J. (AP) — New York Giants cornerback Aaron Ross is starting another season waiting for an injury to heal.

A year ago, a hamstring injury late in training camp caused Ross to miss the first nine games of the season and limited him to four for the season. His right foot is the issue this year, and it has left the former first-round pick doubtful for Sunday's opener against the Carolina Panthers.

Ross has plantar fasciitis, sustained in a preseason game against the Pittsburgh Steelers on Aug. 21. He only returned to practice this week.

While coach Tom Coughlin says the four-year veteran is making progress, he refused to say on Friday whether he would be in the lineup in the first regular-season game in the new $1.6 billion New Meadowlands Stadium.
Ross, who is married to Olympic track gold medalist Sanya Richards, hopes to play.

"In the beginning it was really difficult," Ross said. "I couldn't put my heel down, couldn't plant. But this week, I have been doing a lot, 50 percent the first day, 75 percent the next and the whole thing today, and I felt really good. It is getting better and better. I still have two more days, so don't count me out."

The Panthers are predominantly a run-orientated offense, so it might be better for the Giants to give Ross another week to rest. That would get him back in the lineup for Week 2 against Peyton Manning and the pass-heavy Colts in Indianapolis.

If Ross can't play this week, second-year cornerback Bruce Johnson will get more time in nickel and dime formations.

"It feels good," said Ross, who had to wear a cast on his foot for about a week after the injury was diagnosed. "I practiced a lot today, jumping, sprinting, everything, and I felt pretty good."

The injuries the past two seasons have been a concern for the Giants' first-round draft pick in 2007. The length of the injury last season cost him his starting job, and the one this year also took away the punt returner's role that he had picked up after Domenik Hixon was hurt in June.

"The first couple of days I was down," Ross said of the most recent injury. "But talking to the guys, coaches, my family, they picked my spirits up. It is nothing compared to the hamstring. The hamstring, I was sitting here pouting the whole time. With this, I can get out there and practice a little bit."

Ross said the injury happened in the second quarter against the Steelers. The only indication that he had was the tape on his foot suddenly felt too tight.

"I cut off the tape and that's when I realized that my heel was a little painful," Ross said.

Ross wasn't sure what caused the injury, but he speculated it might have happened when he planted his foot.

An examination revealed a partial tear of the plantar fascia, the flat band of tissue along the bottom of a foot that connects the heel bone to the toes. Besides the cast, Ross now wears orthotics, gets a different tape job and has a cushion placed under his heel.

"As a football player, we play in pain all the time," Ross said. "If it's just pain, I will be ready for Week 1. But if it's still injured and I hurt the team, once again, I can't make that decision."

Ross really doesn't want to wait.

"I have never been a cautious guy," he said. "I missed all of last year so I am anxious to play. I love the game so if I have to play with a little pain I am willing to do that, as long as I don't hurt the team."

Broncos lose LenDale White to an achilles tendon tear

Report: Broncos RB White out for year with torn Achilles tendon

The Broncos lost RB insurance behind starter Knowshon Moreno(notes) on Friday as LenDale White(notes) will miss the entire 2010 season with a torn Achilles tendon.

ESPN's Adam Schefter reported that White, who left Thursday's preseason finale after a nine-yard run with an injured ankle, tore his Achilles tendon. The Broncos signed White this summer after he was released by the Seahawks. Moreno just returned to practice at what he called "80 percent."
White had to sit out the first four games of 2010 as it was for violating the league's substance-abuse policy. Now, the five-year veteran out of USC will miss the entire season. White's best year came in 2007 when he started all 16 games with the Titans and rushed for 1,110 yards with seven touchdowns.
White, a native of Denver, only ran for 222 yards and zero touchdowns last season with the Titans. Injuries to Moreno and RB Correll Buckhalter(notes) have hurt the Broncos' depth at that position; Buckhalter made his preseason debut Thursday night.

Monday, August 30, 2010

Dr. Adarve performs a PRP

Patients blood ready to be spun in the centrifuge
The blood will be spun for 5 minutes
Clear separation of plasma and red blood cells
PRP ready for ultrasound guided injection
Dr. Adarve ready to inject PRP
Appropriate ultrasound visualization
PRP ulttrasound guided injection to heel
Continuing to inject PRP
Close-up of PRP injection

NY Jets Calvin Pace is having foot surgery today!

Sources: Calvin Pace out 4-6 weeks
Rich Cimini covers the Jets for ESPNNewYork.com

NEW YORK -- Outside linebacker Calvin Pace is headed to a North Carolina surgeon to have his broken right foot repaired.
Pace's injury, coupled with the absence of star cornerback Darrelle Revis, has created major questions for the New York Jets vaunted defense -- a brash unit that describes itself as "swagger-licious."
"I'm not nearly as concerned as maybe other people are," Jets coach Rex Ryan said Sunday with a hint of defiance.
Amid league sources telling ESPN NFL Insider Adam Schefter that Pace was expected to miss four to six weeks, Ryan said he reached out to free-agent linebacker Adalius Thomas, confirming an ESPNNewYork.com report from earlier Sunday.
Jets blog
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Thomas, 33, released April 26 by the New England Patriots, spent seven seasons under Ryan with the Baltimore Ravens. The Jets envision Thomas as the third outside linebacker, behind Bryan Thomas and Jason Taylor, and were working Sunday night to hammer out a deal.
"I would say it would be a possibility," Ryan said. "I'm not going to rule that out."
Curiously, the Jets refused to give a timetable on Pace's injury. Pace, speaking on a conference call with reporters, conceded only that he won't play against the Ravens in the season opener.
"Hopefully, it will be somewhat of a speedy recovery," said Pace, who was injured Friday night when Washington Redskins tackle Stephon Heyer banged his helmet into the linebacker's foot on a cut block. "I'll probably definitely miss the first game. I think that's safe to say. Beyond that, I don't have any idea."
Ryan echoed that sentiment, saying there are "differences of opinion" on how long Pace will be sidelined. The Jets say they will have a better idea once the surgery is complete. It will be performed Monday by foot specialist Robert Anderson, as first reported by ESPN's Schefter.
Because his position requires him to push off with his feet, Pace may need even more time than the month-and-a-half before he's 100 percent, according to an NFL personnel executive. Evidently, the Jets are approaching it as a long-term injury. Othewise, they likely wouldn't have called Thomas, who apparently hasn't drawn serious interest from other teams.
Taylor, who turns 36 on Tuesday, will replace Pace in the starting lineup. The Jets envisioned Taylor as a situational pass rusher when they signed him as a free agent, but he will be an every-down player until Pace returns.
Thomas was a Pro Bowl player in his heyday, but his production declined steadily in three seasons with the Patriots. In 14 games last season, he recorded only 34 tackles and three sacks. He also fell out of favor with coach Bill Belichick.
Ryan said the best-case scenario would be to sign Thomas immediately and let him play in the final preseason game, and "see if he's the same guy you remember."
Bu that's a lot to live up to.
"A lot of the defenses we came up with, that are looked upon as maybe unique in the league, were due to his physical abilities and his mental abilities," Ryan said.
The Jets also can use Vernon Gholston at outside linebacker, his old position. Even though he has switched to defensive end, where he's starting to show signs of life, Gholston still is getting reps at linebacker. He saw fourth-quarter action against the Redskins, and he will play both positions in the preseason finale.
But with Pace out and Revis' contract holdout reaching 29 days, the Jets' defense is clearly back on its heels.
"It's going to be tremendously difficult to stay at the same level," linebacker Bart Scott said, "but we have to adjust the way we attack."
The Jets went 3-1 last season when Pace served a four-game suspension for violating the league's policy of performance-enhancing drugs. Of course, they had Revis for that stretch. Pace wound up leading the team with eight sacks.
"I'm still upbeat, I really am," Pace said of his situation. "Stuff happens in football. I'll say this: It's better to get injured playing rather than having to sit out four games because of a silly mistake as far as supplements."

Giants center O'Hara could miss rest of preseason

Giants center O’Hara may miss remainder of preseason
NFL Aug 26, 2010

New York, NY (Sports Network) – New York Giants center Shaun O’Hara is likely to miss the remainder of the preseason with a nagging ankle injury.
The New York Post reported Thursday that O’Hara, who was suffering from a sprain, tendinitis and a sore Achilles on his left ankle, was put in a cast to aid in healing the area.
The hope is once O’Hara is rested and kept out of the final two preseason games — against the Ravens this Saturday and with New England on September 2 — that he’ll be ready for the Giants’ season-opener September 12 against Carolina. O’Hara was quoted as saying he’d only wear the boot for five days.
Guard Rich Seubert will take the first 25 snaps in the Baltimore contest, with backup center Adam Koets taking the rest, according to the paper.

Thursday, August 26, 2010

MRI confirms 76ers Andres Nocioni's ankle injury

Sixers G/F Nocioni slowed by ankle injury

Philadelphia, PA (Sports Network) - Philadelphia 76ers newly acquired swingman Andres Nocioni is suffering from a left ankle sprain and no timetable was given for his return, the club announced on Tuesday.
The injury was confirmed following an MRI and examination by Dr. Dave Rubenstein.
The 30-year-old came to Philadelphia along with center Spencer Hawes in a trade with Sacramento on June 17, which shipped center Samuel Dalembert to the Kings.
Over 449 career games, 185 of those starts, Nocioni is averaging 11.3 points, 4.7 boards and 1.3 assists while shooting 37.5 percent from three-point range.
The Sports Network

Giants Aaron Ross suffers from plantar fasciitis

Giants' Aaron Ross would have been better off if he completely tore his plantar fascia
Published: 07:54 p.m., Wednesday, August 25, 2010
By Vinny DiTrani
The Record (Hackensack N.J.)

EAST RUTHERFORD, N.J. — Tom Coughlin became a little sensitive Wednesday during his post-practice news conference when question after question centered on injured Giants.
"Do the guys who practice ever get a question?" he said as he gazed to the roof of the Timex Center's indoor practice facility.
Unfortunately, this time of year, with the regular season looming, training camp injuries take on greater importance. The timetables for a return become more meaningful as the opener nears.
Take cornerback Aaron Ross, suffering from plantar fasciitis. Coughlin said Wednesday that Ross probably will have his right foot in a cast for about 10 days. That would leave him about a week to get ready for Carolina on Sept. 12, if everything goes right.
The injury was not discovered until after the team played Pittsburgh last weekend. It's still uncertain how it occurred, although Coughlin said Ross complained about his tape job during the game.
Ross missed almost all of last season because of a lingering hamstring problem. He worked hard during the off-season to make sure there would be no recurrence, and wore a big smile throughout camp as practice after practice went by with no hint of its return.
This new problem has hit him hard. He was so bummed out Wednesday he didn't want to talk to reporters about the injury. He knows his availability for the Panthers will be a question, and after what he went through in 2009, this is not the way he wants to begin the 2010 season.
Ross went to Charlotte, N.C., on Tuesday to get a second opinion from foot specialist Dr. Robert Anderson. The second opinion mirrored the first: Ross has the same injury that bothered quarterback Eli Manning for a while last season.
But Ross plays a position where there's more starting and stopping, cutting and backpedaling, all things that could irritate the injury. Safety Antrel Rolle knows all about it: He suffered a complete tear of the planter fascia while playing for Arizona last season against the Giants at Giants Stadium.
"I was backpedaling and it felt like a rock hit the bottom of my shoe," he recalled. "I thought maybe I stepped on something or someone threw something. I felt like a pop at the bottom of my shoe. It didn't hurt at first, but once I started running, it grabbed my toes and everything started pulling together."
Rolle, like Manning, did not miss any playing time because of the injury. Ross will not be that lucky.
"Actually, his is a little bit different than mine," said Rolle. "He has plantar fasciitis, which is a partial tear. I tore my plantar fascia completely.
"To tear it completely is actually better than to tear it partially. Once you tear it completely, it pretty much takes care of itself. It's a matter of much pain you can play on."
Plantar fasciitis is a swelling of the band of muscles at the bottom of the foot. And Coughlin was adamant Wednesday that in Ross' case, "There's no tear."
Rolle has counseled Ross on how the injury might affect a defensive back.
"I wouldn't say it was a lot of trouble; it's a matter of how much pain you can take while playing," he said. "For the first three games, I felt like it was pretty tough. After that, it was pretty much downhill and I got used to it.
"Just pretty much treatment, that's all you can do for it. It's not anything you can surgically repair or speed up the process with. They just do treatment, ice and (stimulation), and things of that nature."
Rolle said he still has some flashbacks to the injury.
"Trust me, it was painful," he said. "Even to this day, when I wake up, it's still, very, very stiff and very sore on the bottom (of the foot). It's going to be something that you have to deal with for a long time.
"Once it warms up, it's fine. When I wake in the morning, it's still sore and it still gets tight. Once you've walked on it and it's loosened up, it's fine."

Monday, August 23, 2010

Dustin Pedroia returning to disabled list

Dustin Pedroia's Injury Requires Two More Weeks in a Boot, Jason Varitek Still on Crutches
by Tony Lee on Jul 16, 2010 8:49:08 PM

Since he is sidelined with a broken left foot, Dustin Pedroia has to find competition any way he can. For now, it is beating the doctors' timetable of six weeks to return to action.
After a CT scan taken Friday afternoon showed some good healing in the foot, he still has a chance. However, Pedroia, who is off crutches and can put weight on the foot, will wear a boot on the foot for up to two more weeks.
"They said my bone is healing good," Pedroia said. "There already is some of it forming back together. But I'll have to be in the boot for a couple of weeks, which stinks, and they kinda of told me I can't play until I don't feel anything because I guess that bone can break off."
Therein lies the issue. If Pedroia pushes anything too hard he runs the risk of causing the bone to break again, which would end his season. That threat will cause him to pull back the reins once in awhile, despite his desire to get going.
"That's the thing that I'm gonna have a problem with is lying to [the doctors]," he added. "I'll be honest about it. I don't want to come back too soon and play three games and then be out for the rest of the year. That would be stupid and it wouldn't really help us in the long run."
Pedroia went on the 15-day disabled list on June 26. Six weeks off would put him back in the lineup during a series in New York the first weekend of August.
He will be fitted with a protective shoe and has a shin guard he will wear when he does return.
Until then, team officials just hope Pedroia curbs his competitive spirit just a bit.
"What I'm worried about is he'll try to do too much," manager Terry Francona said. "Listening to the doctors, they're relying on him a little bit, which scares everybody.
"If he's sore he'll back off, and getting an honest answer out of him is tough. All the qualities that we love in him, we don't want him to hurt himself."
Catcher Jason Varitek also had his broken left foot scanned Friday. He is "probably a couple of weeks behind" Pedroia, Francona said. Varitek remains on crutches and has yet to see any significant healing in the foot.

Truckee climber benefits from platelet rich plasma treatments

This climber had prp treatments done to his wrist but the Doctors at Gulfcoast Foot and Ankle can perform the same procedure on your ankles.

Truckee climber benefits from platelet rich plasma treatments

TRUCKEE — After two years of wrist pain and a forced hyatis from his favorite outdoor pursuit, 29-year-old Truckee rock climber Max Rodatz was getting cranky.In a search of relief, Rodatz made the medical rounds, visiting more than a dozen doctors ranging from orthopedic specialists to a hand surgeon. "The pain was keeping me up at night," Rodatz recalled, noting that doctors originally thought it was a result of a scaphoid bone injury, which is common with skateboarders.However, after "a million X-rays" Rodatz's doctors concluded that the bone was not injured. Later an MRI scan revealed the source of the pain: an injured ligament. A hand specialist suggested surgery, but the youthful Rotatz opted out. When Rodatz was at wits end, fellow climbing buddy Dr. Dennis Chez, of Gateway Urgent Care, suggested an alternative: Platelet Rich Plasma treatment, a procedure that consists of drawing a patient's blood, concentrating the growth factors and platelets and then injecting into the injury site."The MRI scan showed exactly where the injured ligament was, and in turn I was able to inject the medicine in the precise location," explained Chez, adding the hand/wrist joint is more complex than other joints, such as the knee.Rodatz said Chez told him that he could offer a "no-risk chance to change things." The entire procedure took approximately 40 minutes."After the injections I felt discomfort for a week," Rodatz recalled. "Four weeks after the procedure my hand felt close to 100 percent and the healing continues."After two years of pain, Rodatz, a manager at the Sports Exchange in Truckee, has returned to climbing."I'm taking it really easy," Rodatz said. "But still, I'm doing stuff that I haven't been doing in years and I love that fact that there was not surgery, no scars, no cuts."Platelet Rich Plasma (PRP) treatment has been used in musculoskeletal medicine as early as the 1990s, and since the 1980s in surgical and dental procedures. The treatment helps regenerate tendon and ligament fibers and because it is comprised of one's own blood there is no chance of rejection from the body. Basically, it accelerates the body's natural healing process. Not surprisingly, PRP is popular with professional athletes who desire a speedy healing process.According to Chez the treatment is virtually painless and risk-free. "There's absolutely no downside because you are never allergic to your own blood," he noted.To obtain more information about PRP or to schedule an appointment, call Dr. Chez at 582-2070.Dr. Chez has practiced emergency medicine in the North Lake Tahoe area for over thirty years. He is the founder and Medical Director of Gateway Urgent Care in Truckee, which he opened in 1995. Gateway Urgent Care is located at 11105 Donner Pass Road in Truckee.— Submitted via aedgett@sierrasun.com

UCLA center Kai Maiava out for season with fractured ankle

Center Kai Maiava fractures ankle, is out for season

LOS ANGELES -- UCLA offensive line coach Bob Palcic shook his head, with hands almost trembling, and said, "I am sick to my stomach," after having seen center Kai Maiava go down with a fractured left ankle on the third play of the Bruins' scrimmage Saturday night.
Maiava, who started 12 regular-season games last season, will undergo surgery once the swelling goes down and could have a screw put on the bone to help it heal. He will be lost for the season.
The injury overshadowed some bright spots for the offense, as players and coaches were concerned about losing the rock on which the offensive line is built.
"He's a leader, and one of our best front guys," Coach Rick Neuheisel said. "That's a blow. That's always the fear with a scrimmage, and it was the third play. It's not like we went too long."
Redshirt freshman Greg Capella played center with the first team after Maiava was injured. But Palcic said that left guard Ryan Taylor will move to the center, with Darius Savage likely filling the left guard spot.
"The reason I didn't move Taylor to center tonight is because he hasn't played the position in training camp," Palcic said. "I told Rick that I have two weeks to get Ryan ready."
But the domino effect will be felt. The Bruins, at the moment, are without the five players on the offensive line that started the 2009 season.
That will change when guard Eddie Williams returns from a concussion. Williams is expected to be back Monday, but only for non-contact drills, Neuheisel said.
The offensive line has lost Xavier Su'a-Filo, who is on a two-year Mormon mission; Jeff Baca, who is out because of a stress fracture in his right leg, and Mike Harris, who is suspended for the season opener.
"You get guys beat up and hurt, and you've just have to find guys who can play," offensive coordinator Norm Chow said. "I think the difference between a real good program and the program that we want to become is depth, the depth of a team, because you're going to get injuries."
This, though, seemed to go beyond a numbers game. Maiava was a key leader, not only on the line, but on the offense.
Last season, when quarterback Kevin Prince was leveled by what the Bruins felt was a cheap shot by Washington's Donald Butler, it was Maiava who walked halfway to the Huskies huddle hurling obscenities.
"It's a tremendous loss," tackle Micah Kia said. "Kai is a tremendous leader, tremendous offensive lineman, and the spirit he brings to the game is irreplaceable."

Seahawks Russell Okung suffers high right ankle sprain

Seahawks lose LT Okung to ankle injury
By GREGG BELL / AP Sports Writer
Published: August 21st, 2010 10:22 PM

Last Modified: August 21st, 2010 10:47 PM

SEATTLE - The Seahawks could be without sixth-overall draft choice Russell Okung for a while after he left Seattle's second preseason game with an ankle injury.
Coach Pete Carroll said after Green Bay beat Seattle 27-24 on Saturday night that the left tackle to whom Seattle just guaranteed $29 million to replace retired All-Pro Walter Jones could have a high right ankle sprain, pending an MRI exam Sunday. Those sometimes take two months or more to heal.
"It's pretty significant," Carroll said of the loss of the foundation to his changing offensive line. "Obviously we made it as big a priority as we could make it to get him."
Carroll said he didn't know how Okung got injured, only that it stings the entire team that is banking on improved offensive line play to lead a comeback season from 9-23 the last two years.
He sprained the same ankle in Oklahoma State's opener against Georgia last season but missed only a few plays. The 6-foot-5, 310-pound stalwart started all 13 games for those college Cowboys last season, though the ankle continued to bother him late into the year.
Mansfield Wrotto, normally a guard, replaced him. Seattle is already without backup tackle Ray Willis for an indefinite time because he is facing knee surgery.
After Okung missed the first eight days of training camp because of a contract impasse, the Seahawks gave him a six-year deal earlier this month that has a maximum value of $58 million.
"That's a big loss if he can't come back. We put a lot of time and effort to get this guy right and he's done everything we've asked of him," Carroll said. "We'll see what it is. I don't know how long it's going to take."
Asked if it could be more than a couple of weeks that a more conventional, lower ankle sprain sometimes needs to heal, Carroll said: "It could be. We don't know that yet. We'll figure him out. We don't know him as a healer, either."
For a point of reference at the same position, Seattle was without fill-in left tackle Sean Locklear for six games last season because of a high ankle sprain. Locklear is now starting on the right side but could be headed back to left tackle with Okung's injury.
Okung was not in the Seahawks' locker room following the game.

Read more: http://www.adn.com/2010/08/21/1419467/seahawks-lose-lt-okung-to-ankle.html#ixzz0xq4sCYDL

Boston Bruins Trent Whitfield ruptures his achilles tendon

Whitfield Injured, Door Open
August 22, 2010

It looks as if the injury bug that hung around Boston last year hasn't moved on yet. It has been reported that veteran centerman Trent Whitfield has ruptured his achilles' tendon while training for the upcoming season. Whitfield played a majority of last year with the P-Bruins but was called up at times to Boston when there were injuries to both Savard and Bergeron. Whitfield would have been counted on to provide leadership and guidance to the younger players in Providence this year. He has a lot of NHL and AHL miles, and from everything I have heard, is a great influence and professional when it comes to hockey. It is going to be hard to replace that influence in Providence. So now that you have heard the bad news, what does this mean for the roster in the upcoming season? Most likely, Whitfield was going to be the 5th center in the organization once again this year. His injury may give Joe Colbourne the oppourtunity to either become the top line center in Providence or even battle for the last spot on the Boston Roster. The injury also leaves Reich as one of the only vets in Providece, so that signing is looking to be more important than originally thought. I think you will see Boston go out and sign an AHL veteran or journeyman that can fill the void left if Whitfield is going to miss the season.

Brian Urlacher injures calf in Saturdays game against the Oakland Raiders

Bears’ Brian Urlacher injures leg in exhibition
SportingNews Aug 22, 11:08 am EDT

Brian Urlacher's woes continued Saturday when the middle linebacker was removed from the Chicago Bears' exhibition against the Oakland Raiders. Reports indicate Urlacher injured his left calf.Urlacher missed all but one game last season with a broken wrist.Saturday's injury occurred on the fourth play from scrimmage. He came off the field and was seen on the bench with an ice pack on his left, the Associated Press reports.The extent of Urlacher's injury was not immediately known, but it was not believed serious. Team officials decided to play it safe and kept him out the remainder of the game.

Dolphins Nate Garner has foot surgery

Breaking News: Nate Garner out 4-6 weeks
Found 10 days ago on Phin Phanatic:

Injuries continue to mount for the Miami Dolphins in the pre-season. Omar Kelley tweeted that in Tony Sparano’s presser today that he announced Nate Garner had surgery on his foot five days ago and will be out 4-6 weeks. This is purely speculation but chances are Garner could be placed on the PUP list to start the season and not available until week 7. Last year Garner became extremely valuable to the Dolphins for his ability to play multiple positions along the line. This year is going to be no different and Garner is the swing man that will be the back up at 4 or the 5 positions along the line. His loss just adds to the injuries that have been mounting throughout camp. According to Kelly, Sparano also expressed concern about John Jerry’s knee and the continued soreness that has held him out of practice.

Friday, August 20, 2010

A's Rosales on DL due to ankle injury

Ankle injury forces A's Rosales to DLOakland calls up Tolleson to replace ailing infielder
08/13/10 7:39 PM ET

MINNEAPOLIS -- Adam Rosales isn't one to ever really slow down, but Oakland's ultra utility man will have to do just that for the next month after learning he has a stress fracture in his right ankle.
A's assistant general manager David Forst confirmed the diagnosis Friday, when the club placed Rosales on the 15-day disabled list and recalled infielder Steve Tolleson from Triple-A Sacramento.
According to Forst, Rosales initially had an MRI last week that showed his old stress fracture, first suffered during his time with the Reds nearly a year ago.
"All indications were that it was an old fracture," Forst said, "so it was hard to tell if the pain in his ankle was really stemming from that. The pain he was feeling was in a different spot."
Thus, Rosales was simply given a couple days to rest before being inserted into the starting shortstop spot Wednesday in Seattle, where he played just one inning before the ankle forced him to exit the game. The 26-year-old Rosales was subsequently sent to Oakland to see a specialist, who finally determined the pain he was enduring was, in fact, the result of his old stress fracture.
"The only way to treat that is really to rest," Forst said. "Our best guess, at least from what the doctor said, is that we should assume he'll need four weeks or less."
The move represented the 22nd time the A's have used the disabled list this season, which is tied for second most in Oakland history only to the mark of 25 set in 2008. The club currently has a season-high-tying 11 players on the DL.
"It's frustrating," Forst said. "Obviously, there are some injuries that are more frustrating than others. With Rosales, this is just an overuse injury. There's no way to prevent something like this. So this is something he'll be able to deal with and then move on."
In the meantime, Tolleson will likely be given a longer look than was given during his first stint with the A's this year, which saw him appear in just three games. He collected one hit -- his first one as a Major Leaguer -- in four at-bats during that time.
The 26-year-old utility player was batting .332 with nine home runs and 43 RBIs in 80 games with Sacramento. Furthermore, he left the River Cats having hit safely in each of his last nine games, going 17-for-39 (.436) over that stretch.
"He's swung the bat great, and he's been a big part of the offense down there," Forst said. "We're hopeful he comes in and can give some guys a day off here and there, because we know he can play all the infield positions. That's something we'll need as we get down to the grind of the last couple months of the season."
"He's done a fine job with Triple-A," manager Bob Geren added. "We'll get him some action."

A promising treatment for athletes, in blood PRP

A Promising Treatment for Athletes, in Blood
Published: February 16, 2009

Two of the Pittsburgh Steelers’ biggest stars, Hines Ward and Troy Polamalu, used their own blood in an innovative injury treatment before winning the Super Bowl. At least one major league pitcher, about 20 professional soccer players and perhaps hundreds of recreational athletes have also undergone the procedure, commonly called platelet-rich plasma therapy.
Experts in sports medicine say that if the technique’s early promise is fulfilled, it could eventually improve the treatment of stubborn injuries like tennis elbow and knee tendinitis for athletes of all types.
The method, which is strikingly straightforward and easy to perform, centers on injecting portions of a patient’s blood directly into the injured area, which catalyzes the body’s instincts to repair muscle, bone and other tissue. Most enticing, many doctors said, is that the technique appears to help regenerate ligament and tendon fibers, which could shorten rehabilitation time and possibly obviate surgery.
Research into the effects of platelet-rich plasma therapy has accelerated in recent months, with most doctors cautioning that more rigorous studies are necessary before the therapy can emerge as scientifically proven. But many researchers suspect that the procedure could become an increasingly attractive course of treatment for reasons medical and financial.
“It’s a better option for problems that don’t have a great solution — it’s nonsurgical and uses the body’s own cells to help it heal,” said Dr. Allan Mishra, an assistant professor of orthopedics at Stanford University Medical Center and one of the primary researchers in the field. “I think it’s fair to say that platelet-rich plasma has the potential to revolutionize not just sports medicine but all of orthopedics. It needs a lot more study, but we are obligated to pursue this.”
Dr. Neal ElAttrache, the Los Angeles Dodgers’ team physician, used platelet-rich plasma therapy in July on a partially torn ulnar collateral ligament in the throwing elbow of pitcher Takashi Saito. Surgery would have ended Mr. Saito’s season and shelved him for about 10 to 14 months; he instead returned to pitch in the September pennant race without pain.
Dr. ElAttrache said he could not be certain that the procedure caused the pitcher’s recovery — about 25 percent of such cases heal on their own, he said — but it was another encouraging sign for the nascent technique, which doctors in the field said could help not just injuries to professional athletes but the tendinitis and similar ailments found in the general population.
“For the last several decades, we’ve been working on the mechanical effects of healing — the strongest suture constructs, can we put strong anchors in?” Dr. ElAttrache said. “But we’ve never been able to modulate the biology of healing. This is addressing that issue. It deserves a lot more study before we can say that it works with proper definitiveness. The word I would use is promising.”
Platelet-rich plasma is derived by placing a small amount of the patient’s blood in a filtration system or centrifuge that rotates at high speed, separating red blood cells from the platelets that release proteins and other particles involved in the body’s self-healing process, doctors said. A teaspoon or two of the remaining substance is then injected into the damaged area. The high concentration of platelets — from 3 to 10 times that of normal blood — often catalyzes the growth of new soft-tissue or bone cells. Because the substance is injected where blood would rarely go otherwise, it can deliver the healing instincts of platelets without triggering the clotting response for which platelets are typically known.
“This could be a method to stimulate wound healing in areas that are not well-vascularized, like ligaments and tendons,” said Dr. Gerjo van Osch, a researcher in the department of orthopedics at Erasmus University Medical Center in the Netherlands. “I call it a growth-factor cocktail — that’s how I explain it.”
Dr. van Osch and several other experts said they had used the procedure as a first option before surgery for reasons beyond its early results. There is little chance for rejection or allergic reaction because the substance is autologous, meaning it comes from the patient’s own body; the injection carries far less chance for infection than an incision and leaves no scar, and it takes only about 20 minutes, with a considerably shorter recovery time than after surgery.
Because of those apparent benefits, the consensus among doctors is that the procedure is worth pursuing. However, several doctors emphasized that platelet-rich plasma therapy as it stands now appeared ineffective in about 20 to 40 percent of cases, depending on the injury. But they added that because the procedure costs about $2,000 — compared with $10,000 to $15,000 for surgery — they expected that with more refinement, insurance companies would eventually not only authorize the use of PRP therapy but even require it as a first course of treatment.