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Do I have a mild form of asthma?

Expert Panel Question???

“When I run my chest burns like crazy. After a while I start to get light headed and dizzy. Do I have a mild form of asthma?”

(ask your questions to the UtahRunning.com Experts here)

Answer!!!

In addressing chest symptoms whether related to activity or not it is helpful to think of the 4 body areas in the chest that these symptoms may be coming from: the heart, the lungs, the esophagus or the chest wall. Of these four, a problem with the heart raises the most concern and should be addressed first (for obvious reasons). This is followed by the lungs, the esophagus and then the chest wall.

Any chest symptom associated with activity and especially those that include light headedness and dizziness as the run continues necessitates at least a basic cardiac evaluation i.e. a thorough history including family history, a listen to the heart with a stethoscope and an office EKG (electrocardiogram). If there is any concern based on these tests, additional tests may be needed. Once you are reassured that your heart is ok we move on to evaluating the lungs.

Exercise induced asthma (formally known as exercise induced bronchospam or EIB) is not uncommon in runners – up to 30% in some studies – and could explain your symptoms. EIB is defined as a reduction of 15% in your normal lung function at rest compared to after you exercise. People with exercise induced asthma may or may not have underlying asthma but people with asthma almost always have exercise induced symptoms.

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Dear Sore Muscles

Expert Panel Question???

Question: “I’m 60 yrs old and my muscles are always sore after or sometimes during the run. I run about 45 to 60 minutes four times a week and weight train twice a week. What causes the soreness?”

(ask your questions to the UtahRunning.com Experts here)

Answer!!!

Dear sore muscles – there are many causes of more noticeable muscle soreness (myalgias) that occur with or after activity – one of which, of course, is your age but let’s not go there yet. Questions I would ask are the following: are you taking any medications, particularly those for blood pressure, cholesterol, restless leg syndrome or prostate symptoms. Cholesterol lowering medications in particular have been known to cause myalgias even months after a person has been taking them.

The most common complaint is a sense of having done a hard workout even when that hasn’t been the case. The muscles are often sore to touch and seem to cramp easily. Many blood pressure medications have a mild diuretic (water pill) as a component of their formula and these can affect important electrolytes necessary for effective muscle contractions such as sodium, potassium and magnesium. Others contain medications that cause blood vessels to respond more slowly to changes in muscle blood flow needs. Aside from medications, proper hydration is always a concern with muscle cramps as is adequate dietary sodium intake especially if you sweat heavily during exercise.

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OVERUSE INJURIES: What They are and How to Prevent Them

What causes overuse injuries?

Injury occurs when the tissue is subjected to repetitive submaximal loading. The repetitive activity fatigues the tissue. Without sufficient time for recovery, micro areas of structural damage build, leading to pain and injury. With adequate recovery, the tissue adapts to the demand, becomes stronger and can sustain higher loads. Therefore, the major cause of overuse injuries is training errors! With training errors, the phrase “Too much, too fast, too soon, too bad” applies. When one does too much or too fast training before the body is ready, i.e. too soon, then too bad an injury occurs.

Also, intrinsic and extrinsic factors lead to injury. Intrinsic factors are abnormalities in anatomy or other factors with the person. Examples include flat foot deformity or over pronation, supination, joint laxity, inflexibility, muscle weakness, and anatomic malalignment. Prior injury and menstrual dysfunction, or lack of periods, that leads to weak bones are also intrinsic factors. Extrinsic factors include training equipment or surface, footwear, technique, training errors, and peer pressure.

How does one prevent overuse injuries?

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by on Mar.03, 2010, under Expert Answers, Sports Medicine

Steve Scharmann, MD – Utah Running Expert

Steve Scharmann       MD, Sports Medicine, Family Practice

Competitive Runner/Triathlete

Dr. Scharmann practices Sports Medicine and Family Practice in Ogden, Utah.  He has a Bachelors Degree in Chemistry/Math from Weber State University.  He attended graduate school at Rice University and medical school at the University of California in San Francisco.  He completed his residency/fellowship in San Francisco and Santa Rosa California.  In addition to being an MD, Dr. Scharmann is also Board Certified through the American Board of Family Medicine and has received a Certificate of Added Qualifications in Sports Medicine.  Dr Scharmann, through his service, has earned a reputation as a highly qualified physician who sincerely cares about those he works with.

Career Highlights:

Assistant Residency Director, McKay-Dee Family Medicine Residency Program

Primary Care Sports Medicine, Calton-Harrison Orthopedic & Sports Medicine Clinic

Team Physician – Weber State University, Ogden Raptors, Australian National Ski Jumping Team,  Ben Lomond High School

Medical Director, Department of Athletic Training, Weber State University

Medical Director, Ogden Marathon

Venue Medical Officer, 2002 Salt Lake City Winter Olympics – Curling

Medical Director Utah-Moscow Youth Games, Moscow, Russia – 2003

Dr. Scharmann uses his extensive medical background and his personal experiences in sports to advise people of all ages.  He had a successful running career while attending Weber State University and continues to compete competitively in both running races and triathlons.

Athletic Accomplishments:

Member 1973 & 1977 WSU Big Sky Conference Cross-Country Championship Teams

Big Sky Conference Scholar Athlete Award – 1977

WSU Track & Field/Cross-Country (1973, 1976, 1977): 3 mile – 14:06; 10,000m – 31:00

Utah Short Course Triathlon Series Champion – 1989

Ironman World Triathlon Championships, Kona, Hawaii – 2000 (finisher)

National Age-group Triathlon Championships, 4th place – 2002

USA Triathlon Age-group All-American – 2008

Dr. Scharmann and his wife Dana, who is also a former WSU Track & Field/Cross-Country athlete, currently reside in Ogden, Utah with their four children.

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by on Jan.01, 2010, under Utah Running Experts

Korryn Wiese – Utah Running Expert

Korryn Wiese              Physical Therapist, CMPT

Korryn Wiese has worked full time in orthopedics/sports medicine since June of 1988.  She has a Bachelor of Science Degree in Physical Therapy from the University of Utah and is certified as a Manual Physical Therapist through the North American Institute of Orthopedic Manual Therapists.  Korryn has worked in Colorado, Hawaii (Maui), and Utah.  She was part of McKay Dee Sports Medicine in Ogden, Utah for 15 years until she opened her own private practice, “Body Tune”, located in South Ogden, Utah.  For the past two years, Korryn has also taught manual therapy at the University of Utah PT School as an adjunct faculty member.

Korryn grew up in Layton, Utah where she was a part of the 1981 State Champion Layton High girls’ basketball team which went undefeated for 21 games.  Over the years, she has participated in short triathlons, 1/2 marathons, and many team sports.  Today she stays active and enjoys a variety of sports.  Korryn’s experience in athletics has brought her the deeper understanding needed to help the athletes she works with.

As a physical therapist, Korryn has helped a variety of people with a variety of backgrounds, but she enjoys working with runners and really understands the injuries and problems that many runners deal with.  Korryn has worked with runners since 1991 (including going to the US Olympic trials with Paul Pilkington and Ed Eyestone).  Korryn has been a part of the medical support for marathons, Xterra races, triathlons, world cup races, and the 2002 Olympics.  Korryn has a real passion for biomechanics and through this passion, along with her experience and knowledge in her field, she is able to help runners on a daily basis.

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by on Jan.01, 2010, under Utah Running Experts


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