Hypertension in Athletes and Active Patients
Tailoring Treatment to the Patient

Blood pressure may rise dramatically during exercise, and this response can be more pronounced in people who have hypertension. But those who have hypertension can work out or compete in sports, and doing so may even help them control their condition.

John M. MacKnight, MD

Swimming Injuries and Illnesses

Competitive swimmers swim up to 15,000 yards daily in training, and shoulder pain is an all-too-common result. Swimmers also suffer from ear infections, folliculitis, asthma, and overtraining syndrome. Treatment includes emphasizing the importance of good swimming technique.

LT C. Scott Kammer, MD; Craig C. Young, MD; Mark W. Niedfeldt, MD

Exercise in Diabetes Management
Maximizing Benefits, Controlling Risks

Exercise offers multiple benefits for people who have either type 1 or type 2 diabetes, including improved insulin sensitivity, lower blood glucose, and enhanced self-esteem. Caution is necessary in pursuing these benefits, however. Attention to medication dosage, blood glucose levels, and the timing and amount of food intake will help patients get the most out of exercise.

Russell D. White, MD, with Carl Sherman

Patient Adviser
Exercising With Diabetes: Tips, Strategies, and Precautions
Russell D. White, MD, with Carl Sherman

Olecranon Fracture Sustained in Arm Wrestling

A young man was going all-out to win an arm wrestling match when he felt a "pop" and a stab of elbow pain. Radiographs revealed a very unusual injury: an olecranon fracture that apparently was caused by a violent triceps contraction.

MAJ Paul F. Pasquina, MC, USA; LTC Francis G. O'Connor, MC, USA

Snowboarding Injuries
General Patterns, With a Focus on Talus Fractures

Snowboarders are injured no more often than downhill skiers, but their injury profile differs in other ways. Clinicians need to watch for fractures of the lateral process of the talus, which are rare outside snowboarding and are easy to mistake for a lateral ankle sprain.

Snowboarders are injured no more often than downhill skiers, but their injury profile differs in other ways. Clinicians need to watch for fractures of the lateral process of the talus, which are rare outside snowboarding and are easy to mistake for a lateral ankle sprain. Andrea J. Boon, MD; Jay Smith, MD; Edward R. Laskowski, MD