How I Manage Athlete's Foot.

Athlete's foot, or tinea pedis, is a fungal infection that commonly affects active individuals. Intense itching is the primary symptom. Rash distribution, degree of redness, type of scaling, and presence of vesicles can distinguish athlete's foot from inflammatory conditions, but there is much overlap in presentation. Antifungal creams, used consistently for a period of weeks, are generally effective; in certain cases, keratolytics or oral antifungals are necessary. Educating patients about medication use, appropriate footwear, and avoiding excessive heat and moisture can help keep the condition in tow.

Practical Management of Carpal Tunnel Syndrome.

Carpal tunnel syndrome can result from occupational or recreational overuse. Cycling, rowing, and weight lifting are examples of sports that can provoke or exacerbate the syndrome. A detailed sensory examination, motor testing, and provocative tests such as Phalen's maneuver are essential. Nerve conduction studies may also be useful. Conservative treatment is usually attempted first. Modification of technique and equipment, together with use of a splint, often allows patients to continue their desired activities. In selected cases, carpal tunnel release is effective, but complication rates are high.

Immunization Strategies for Active Adults.

Healthy, active adults are often overlooked when it comes to simple disease-prevention practices like vaccination. Yet when compared to inactive adults, some recreational athletes face a higher risk of exposure to diseases, such as hepatitis B, tetanus, and influenza, often without realizing it. Physicians need to identify patients at risk and help them understand that "getting your shots" can be as important on the court as it is off.

Treating Overweight Patients.

Many psychological barriers keep overweight people from being physically active. Too often, these patients think being large and being athletic simply don't mix. But with the right approach, physicians can help sedentary overweight patients overcome barriers and start enjoying the many benefits that regular exercise offers- regardless of whether the patients lose weight.

Cross-Country Skiing.

Lighter-weight equipment, better groomed trails, and the increasing popularity of ski-skating techniques have introduced a new element to cross-country skiing: speed. Although the overall injury rate remains low, the number of traumatic injuries in cross-country skiers appears to be increasing. Most ski injuries, however, are still caused by overuse and can be easily prevented with proper conditioning.