[net-gold] SPORTS MEDICINE : MEDICAL: TREATMENTS : MEDICAL: ALTERNATIVE MEDICINE: As Sports Medicine Surges, Hope and Hype Outpace Proven Treatments
- From: "David P. Dillard" <jwne@xxxxxxxxxx>
- To: Net-Gold -- Educator Gold <Educator-Gold@xxxxxxxxxxxxxxx>, Educator Gold <Educator-Gold@xxxxxxxxxxxxxxxx>, net-gold@xxxxxxxxxxxxx, Net-Gold <Net-Gold@xxxxxxxxxxxxxxx>, NetGold <netgold@xxxxxxxxxxxxxxx>, Net-Gold <net-gold@xxxxxxxxxxxxxxxx>, K-12ADMINLIFE <K12ADMIN@xxxxxxxxxxxxxxxxxxx>, K12AdminLIFE <K12AdminLIFE@xxxxxxxxxxxxxxx>, MediaMentor <mediamentor@xxxxxxxxxxxxxxx>, Digital Divide Diversity MLS <mls-digitaldivide@xxxxxxxxxxxxxxx>, NetGold <netgold@xxxxxxxxxxxxxxxx>, Net-Platinum <net-platinum@xxxxxxxxxxxxxxx>, Sean Grigsby <myarchives1@xxxxxxxxxxxxxxx>, Net-Gold <NetGold_general@xxxxxxxxxxxxxxxxx>, Temple Gold Discussion Group <TEMPLE-GOLD@xxxxxxxxxxxxxxxxxxx>, Temple University Net-Gold Archive <net-gold@xxxxxxxxxxxxxxxxxxx>, Health Lists -- Health Diet Fitness Recreation Sports Tourism <healthrecsport@xxxxxxxxxxxxxxxx>, Health Diet Fitness Recreation Sports <healthrecsport@xxxxxxxxxxxxxxx>, HEALTH-RECREATION-SPORTS-TOURISM@xxxxxxxxxxxxxxxxxxx, Sport-Med <SPORT-MED@xxxxxxxxxxxxxx>, sport-med@xxxxxxxxxxxxxxxx, sports-med@xxxxxxxxxxxxxxx, sport-med@xxxxxxxxxxxxxxxxxxx
- Date: Sat, 10 Sep 2011 10:19:16 -0400 (EDT)
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SPORTS MEDICINE :
MEDICAL: TREATMENTS :
MEDICAL: ALTERNATIVE MEDICINE:
As Sports Medicine Surges, Hope and Hype Outpace Proven Treatments
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As Sports Medicine Surges, Hope and Hype Outpace Proven Treatments
By GINA KOLATA
Published: September 4, 2011
New York Times
http://www.nytimes.com/2011/09/05/health/05treatment.html
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Medical experts say her tale of multiple futile treatments is all too
familiar and points to growing problems in sports medicine, a medical
subspecialty that has been experiencing explosive growth. Part of the
fields popularity, among patients and doctors alike, stems from the fact
that celebrity athletes, desperate to get back to playing after an injury,
have been trying unproven treatments, giving the procedures a sort of star
appeal.
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But now researchers are questioning many of the procedures, including new
ones that often have no rigorous studies to back them up. Everyone wants
to get into sports medicine, said Dr. James Andrews, a sports medicine
orthopedist in Gulf Breeze, Fla., and president-elect of the American
Orthopaedic Society for Sports Medicine.
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Doctors love the specialty and can join it with as little as a year of
training after their residency, as compared with the more typical two to
four years for other specialty training. They see a large group of
patients eager for treatment, ranging from competitive athletes to casual
exercisers to retirees spending their time on the golf course or tennis
court.
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The problem is that most sports injuries, including tears of the hamstring
ligament like Ms. Basles, have no established treatments.
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Of course, some remedies for certain injuries do work: putting a cast on a
broken bone or operating to repair a torn Achilles tendon. But patients
whose injuries have no effective treatment often do not know that medicine
has nothing to offer. And many expect cures.
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They watch Greys Anatomy and think we can do anything, said Dr. Raymond
Monto, a sports medicine orthopedist in West Tisbury, Mass. And to a
certain extent, we allow that.
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Added to that is the effect of sports stars and their doctors. Patients
see a high-profile athlete and say, I want you to do it exactly the same
way their doctor did it, said Dr. Edward McDevitt, an orthopedist in
Arnold, Md., who specializes in sports medicine.
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The result is therapies that are unproven, possibly worthless or even
harmful. There is surgery, like a popular operation that shaves the hip
bone to prevent arthritis, that may not work. There are treatments, like
steroid injections for injured tendons or taping a sprained ankle, that
can slow the healing process. And there are fads, like one of Ms. Basles
treatments, P.R.P., that soar in popularity while experts debate whether
they help.
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All this leads Dr. Andrew Green, a shoulder orthopedist at Brown
University, to ask, Is sports medicine a science, something that really
pays attention to evidence? Or is it a boutique industry where you have a
product and sell it?
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For a lot of people it is a boutique business, he said. But are you still
a doctor if you do that?
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The complete article may be read at the URL above.
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
http://daviddillard.businesscard2.com
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