ABSTRACT
Surgery is a circumstance in which we know that we will cause pain. Although most of our perioperative pain management interventions are symptomatic, several strategies can reduce and even prevent pain in the perioperative setting. Because the physiologic mechanisms of postoperative pain are understood, it is possible to interrupt these mechanisms before the patient actually becomes symptomatic. This article reviews the literature and presents these strategies with the hope of implementation of the readers.
Subject(s)
Analgesics/therapeutic use , Pain/drug therapy , Pain/prevention & control , Perioperative Care , Anesthesia, Local , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Humans , Pain, Postoperative/drug therapy , Pain, Postoperative/prevention & controlABSTRACT
Preseason preconditioning can be accomplished well over a 4-week period with a mandatory period of rest as we have discussed. Athletic participation must be guided by a gradual increase of skills performance in the child assessed after a responsible preconditioning program applying physiologic parameters as outlined. Clearly, designing a preconditioning program is a dynamic process when accounting for all the variables in training discussed so far. Despite the physiologic demands of sport and training, we still need to acknowledge the psychologic maturity and welfare of the child so as to ensure that the sport environment is a wholesome and emotionally rewarding experience.
Subject(s)
Athletic Injuries/prevention & control , Physical Education and Training , Adolescent , Child , Humans , Mass Screening/methods , Physical Endurance , Sports MedicineABSTRACT
Care of the youth athlete requires knowledge of developmental anatomy and specific injury patterns, which are acute or chronic in nature. We may expect that the incidence of overuse and acute foot and ankle injuries in this population is likely to increase in proportion to the number and intensity of competitive youth teams with demanding training schedules. We, as physicians, must exercise our best judgment in regard to recognizing these patterns early and instituting appropriate treatments. Return to play decisions should be based on objective criteria when available and always keeping the best interest of the athlete's future health in the forefront of our minds.
