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All posts by Dr. Josh Sand

For pain: heat, ice or neither?

For pain: heat, ice or neither?

It’s one of our most frequently asked questions. For muscle and joint pain, what’s best—heat or ice? As in much of medicine, the answer—it depends.

First, it’s important to make the distinction between treating the problem and the symptoms. For the most part, heat and ice work on symptoms. It’s been studied and some research suggests a therapeutic benefit, but those results are very limited and not well established.

Neither will do much to mitigate the cause of the pain. But for a pulled muscle, back spasms, twisted ankle or soreness after intense activity—ice or heat can help you feel better. And there’s a third option: nothing. Sometimes it’s best to just leave it alone.

Let’s break it down.

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head to head trauma

Second impact syndrome: winning the game isn’t worth losing your head.

Getting a concussion is bad. But getting more than one can be significantly worse. Doctors use the term second impact syndrome to describe the aftereffects of multiple concussions in a short period of time. It can be deadly. 
Concussion happens when the brain moves beyond its normal limits. With a blow or jolt to the head or body, the head and brain move back and forth rapidly. These sudden movements can make the brain bounce or twist inside the skull.  It’s also known as mild traumatic brain injury. The new name came from recent efforts to make it sound as serious as it actually is.

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Runner's Knee

The runner’s nemesis: IT band

Runners love to hate their IT bands. Trouble there can keep you off the road, the runner’s worst nightmare.

Short for iliotibial, the IT is a long band of connective tissue on the outside of each leg, running from hip to knee. When it gets inflamed, it usually causes pain on the outside of the knee. But it can also cause pain at the hip or lower back.

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coronavirus

What’s a coronavirus, anyway? Our most frequently asked questions – and answers.

The global COVID-19 outbreak is dominating headlines and causing serious disruptions in daily life. Not surprisingly, like most healthcare providers, we are getting a lot of questions about the virus – and about viruses in general. Since the topic is on most everyone’s mind, here are some answers, based on current science and accepted guidelines.

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