Doctor insights on:
Sport Medicine Physician
Team physician: Lots of different docs can subspecialize in sports medicine... While orthopaedics is common, pediatrics, family practice, internal medicine, physical medicine and rehab, and er all can do fellowships in sports medicine. If you are looking for a good one...Make sure they are fellowship trained. If you really want to make sure they are good with athletes...Check to see if they are a team physician. ...Read more
Training: Most who choose this pathway start with meaningful training such as orthopedic surgery and physiatry. You can then present your skills to local sports teams as a volunteer for high schools and colleges. As your reputation grows, your identity in this area will grow and eventually you can become known as a 'sports medicine physician'. ...Read more
Not just one: To be a sports medicine physician, a physician must complete a 1 year fellowship after residency in sports medicine. Doctors who trained in family practice, physiatry (physical medicine and rehabilitation), emergency medicine, pediatrics, and internal medicine are all elligible to sit for the sports medicine board exam. Orthopedic surgeons can do a fellowship and sit for a surgical sport exam. ...Read more
Competitive: Another physician implied that because it was not surgical it was easy to get a sports medicine position. I am really not sure what was meant by that comment. Please know that the primary care sports medicine training programs that are accredited and what you want to go to are competitive. The advantage you do have over orthopedics is that there are 112 accredited fp sports programs vs. 95 ortho. ...Read more
I'm looking into studying this field in college and becoming a nonsurgical sports medicine physician. How did you get here? And what was your major?
Physician training: I trained as a physicist both in college and graduate school. Do what you love and then you won't have to work a day in your life. ...Read more
Prescribing..: A sports medicine physician had graduated from 4 years of medical school, 3-5 years of residency, 1-2 years of fellowship, and has an md or do degree who can order studies, prescribe pt, prescribe medications, etc. A physical therapist is skilled in hands on physical treatment. If a physical therapist is on health tap they can further comment on the educational duration and background. ...Read more
One Is a doctor: Sports medicine physicians are md or do and have, on average, gone to 4 years of med school, 4-5 years of residency and one year of fellowship. They have the ability to diagnose, treat, perform injections, provide manual therapy, prescribe medication and perform surgery. Physical therapists help with rehab by doing/teaching exercises, manual therapy, modalities, but usually require an rx from md. ...Read more
Please explain to me the difference between a sports medicine physician and a physical therapist.?
Physician is a M.D.: A sports medicine physician completes medical school or osteopathic school, an internship/ residency and additional fellowship training in sports medicine. A physical therapist attends physical therapy school following college which is, like medical school, highly competitive. Some will continue training to receive their doctorate in physical therapy. Both are essential to the care of athletes. ...Read more
What's the difference between a sports medicine physician and a sports-centered physical therapist?
Different training: A sports medicine physician completed medical school (4 years), residency (3-5 years), and sports medicine fellowship (1-2 years) and is a doctor who can order tests, prescribe medications, prescribe physical therapy, some give injections, some are surgeons. A physical therapist treats patients with hands on treatments. ...Read more
Should I see a sports medicine md or a chiropratic physician to increase the degree of horizontal head turning when the cause is not accident related?
Orthopedist: There are sport medicine specialist. Orthopedist that are sport medicine specialist. Physical medicine specialist. ...Read more
Yes: There are many good training programs in primary care sports medicine in which a family medicine doctor, emergency medicine doctor, or a pediatrician interested in athletic injuries and conditions can train. Despite the publicity of professional athletes getting surgery, the majority of sports medicine issues do not require an operation and can be managed by nonsurgical specialists. ...Read more
They're Competitive: There are typically 10-20 applicants per spot for most fellowships. Really depends on the merits of the program. My best advice for someone trying to get one is to do a rotation with the program your interested in an then continue to show up at event coverage, mass physicals etc. Make sure they know your serious and dedicated. As a fellowship director I always found dedication impressive. ...Read more
Fellowship: After med school/ residency a 1-2 year fellowship is required. There are 2 distinct categories: surgical/ non-surgical. Surgical is orthopedics specializing in repair of ligaments/ cartilage/ broken bones. Non-surgical has a broader scope including the treatment of musculoskeletal injuries, concussions, heat related disorders, cardiac conditions and other medical conditions related to athletes. ...Read more
Balanced approach: We try to take each individual patient as a whole. We take the history of the injury as well as overall conditioning very seriously, this goes along with the examination of the ligaments, areas or pain/tenderness, and ability to illicit pain (making it hurt in the office). Together, we take this information and apply it to your individual life situation to formulate a treatment plan. ...Read more
Yes: Yes, there is a board certification for sports medicine, available to many specialties (family practice, physiatry/rehabilitation medicine, etc). There is a separate subspecialty certification for orthopedic sports medicine available to orthopedic surgeons who complete a sports fellowship program. ...Read more
Do doctors usually perform ultrasounds to diagnose muscle strains as part of the diagnosis in sports medicine?
U/S IN SPORTS: U/S modalities are becoming more popular through medicine & sports medicine is no different, particularly with the increased optics (resolution) of U/S probes. A skilled ultrasound operator & U/S interpreter may be able to identify edema associated with muscle injuries but it would require a level of training that many providers don't have. Image shows U/S of rotator tendon injury w/ edema. ...Read more
Should I wait till the cortisone wears out before seeing a sport medicine doctor for my patellar tendonitis? I don't feel the pain, that's why.
May wait: If don't currently have symptoms then you may wait. ...Read more
Sports Med v Ortho:
A sports med doctor does not have to be an orthopedic surgeon. Anyone can put that name on their door, even a chiropractor. An orthopedic surgeon goes through a 5 year residency and most of us have also done a fellowship. I did a one year sports medicine fellowship after my residency.
Be wary of titles. ...Read more
Should I take my daughter to her regular doctor or to the sports medicine clinic for her sprained ankle?
Ankle Sprain: A well trained foot and ankle specialist can assist you with this. This can be a podiatric physician or a foot and ankle orthopedist. Look for board certified status and the recommendation of a family member or friend or your pcp. ...Read more
How long till I can play rugby and figure skate I have a second degree MCL and meniscus sprain I have to see a sports medicine doctor when can I play?
Return-to-play: Mcl sprains are routinely successfully treated conservatively with hinged bracing.Some meniscal tears can be treated conservatively as well depending upon the tear location/blood supply. Regardless, return-to-play criteria are met when your pain resolves, and motion+strength are restored (graduated process). May consider bracing initially upon returning as well if any laxity persists. ...Read more
My sports medicine doctor gave me a script for Tylenol (acetaminophen) 3 for knee pain. & I take phenergan 25mg. Can I take this together or wait 2 hours apart.
Timing: You can take them together but fatigue will be the biggest issue. Even with a two hour difference, the sedation could be noticeable. Likely smarter to separate them a bit. ...Read more
Can a parent legally override a team physician's decision to not allow a child to return to sports?
No: The team physician is a representative of the school district and follows their guidelines. It is a privilege to play on a school team and not a right. The point though is answering the question as to why you would let them play if the doctor thinkes there is a problem! Why risk their health? ...Read more
I took my daughter to get a sports physical today. The physician noticed a swollen lymph node on her neck.?
Most are fine: Lymph nodes are small organs (many people describe them as swollen "glands"). They work by giving a convenient place for the immune system to interact with invaders such as viruses and bacteria in order to fight them. I think of them as the local "battlefields" of the immune system and the nodes closest to the area swell. Have her see her doctor to make sure it is going away, but it is likely ok. ...Read more
Hi there. I have a large lump on my inner knee that my sports physician noticed and sent me for an MRI for this week. Wanted a second opinion please?
Imaging: A lump in a knee could be due to many reasons. It could be due to fatty tissue deposits called a Lipoma. Or it could be a Bakers cyst or it could be arising from your ligaments or cartilage. In any case, further imaging such as an MRI would give you the answer to what's causing this. Once your MRI has been done, your sports physician will guide you to the next step based on the results ...Read more
I need to find a podiatrist to heat adjust my orthotics. My physician of 20 years suddenly became ill 2 weeks ago and closed his practice, and passed away this week. I have 2 pair of casted orthotics - they are labeled 3.0 sport system from pal health
I have a lump on my inner knee that's been growing for around 3 months. Sports physician ordered an MRI, but came back normal apart from minor joint effusion. The lump is still growing though and starting to cause me some discomfort. Concerning?
Suggest GP review: Might need re-examination here. If the MRI was largely unremarkable it may well be some sort of skin issue. In which case an examination will help and then if needed referral on. If appears to be related to the knee your GP could then get a radiologist to relook at the MRI and provide an opinion re likely cause, or refer you on to another specialist perhaps orthopaedic surgeon if needed. ...Read more