Skip to content
My WebMD Sign In, Sign Up

Fitness & Exercise

Font Size

Avoid Sports Injuries: Tips From an Olympic Doctor

Medscape: Are there any other new treatments that you've learned about in your travels and think are useful? continued...

It takes about 60-70 seconds, all under local anesthesia. You don't even need a stitch because the incision is so small. The main indications for it now are patellar tendinitis, Achilles tendinitis, plantar fasciitis, tennis elbow, and golfer's elbow.

I have a great example of its use from the last Summer Olympics. A track-and-field athlete had had chronic patellar tendinitis for a year. Therapy had failed and he still had some muscle imbalances and hip weakness. I told him, "You know what? You need to do some hip strengthening." He came out to my clinic for a few weeks to work with my therapist and was maybe 60% better within about a year of therapy and conservative measures. At that point, he had an area of scarring embedded in his tendon that you could see on ultrasound and MRI. Because conservative measures were failing, this was an indication to surgically open up the tendon and clean out the scar -- open scar debridement of the tendon.

Fortunately I had learned about ultrasound-guided microtenotomy before this and had trained in it, so I performed it on this young man. He is currently, I think, 14 weeks out, and for the first time in 2 years he is absolutely pain-free and is doing great in his training. It is just miraculous.

Medscape: Is ultrasound-guided microtenotomy widely available now?

Beim: It was FDA-approved about a year and a half ago, and any surgeon can be trained to do it. However, you have to be a good ultrasonographer, which is, I think, the limiting step, because many orthopedists don't do ultrasound themselves. They might have their physician assistant or radiologist do it, but you really need to do it yourself to correctly perform this procedure. Once you are proficient at ultrasound, this procedure is quite simple. You just go in and take out the bad tissue and that's it. It just makes sense to use this approach rather than making a big incision and violating normal tissue to get to the diseased tissue.

This is another technique that I picked up through my travels and have taken into my practice. So, bottom line, being associated with these international Games has changed my practice for the better. It has been amazing.

1|2|3|4|5|6

Healthy Living Tools

Ditch Those Inches

Set goals, tally calorie intake, track workouts and more, all via WebMD’s free Food & Fitness Planner.

Get Started

Today on WebMD

Wet feet on shower floor tile
Slideshow
Flat Abs
Slideshow
 
Build a Better Butt Slideshow
Slideshow
woman using ice pack
Quiz
 

man exercising
Article
7 most effective exercises
Interactive
 
Man looking at watch before workout
Slideshow
Overweight man sitting on park bench
Video
 
6-Week Challenges
Want to know more?
Chill Out and Charge Up Challenge – How to help your tribe de-stress and energize.
Spark Change Challenge - Ready for a healthy change? Get some major motivation.
I have read and agreed to WebMD's Privacy Policy.
Enter cell phone number
- -
Entering your cell phone number and pressing submit indicates you agree to receive text messages from WebMD related to this challenge. WebMD is utilizing a 3rd party vendor, CellTrust, to provide the messages. You can opt out at any time.
Standard text rates apply

pilates instructor
Slideshow
jogger running among flowering plants
Video
 
woman walking
Article
Taylor Lautner
Article