[Thomas Summer, MD]

Thomas Summer, MD on November 30, 2022 at 2:09 am · in reply to: Covid? #73184

Hi Mike,

Do you regularly check you oxygen saturation? If not I would recommend to do that. At rest and also while exercising. There are these small devices for the finger: https://www.amazon.de/Pulsoximeter-Fingeroximeter-Sauerstoffs%C3%A4ttigung-Fingerpulsoximeter-Pulsmessung/dp/B086MBRPT8/ref=asc_df_B086MBRPT8?tag=bingshoppin0b-21&linkCode=df0&hvadid=80882935787499&hvnetw=o&hvqmt=e&hvbmt=be&hvdev=c&hvlocint=&hvlocphy=&hvtargid=pla-4584482466451125&psc=1
Maybe you still have, what is called “silent hypoxia”!?

I hope I can help you in solving this!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on November 28, 2022 at 3:44 am · in reply to: Elevated HR 12 months later #73040

Some more playful things: climbing, dancing, ball games (tennis…) True endurance training only if you feel healthy and it don’t creates more than “normal” fatigue.
I wouldn’t recommend buying an ECG. Only if you can really read it and don’t drive yourself crazy with it;-)

[Thomas Summer, MD]

Thomas Summer, MD on November 24, 2022 at 7:29 am · in reply to: Elevated HR 12 months later #72886

Overtraining is not the result of just one or two big efforts. But that can push you over the edge, if you were close before. It can take quite a while to get back to normal. How is your fatigue improving? You should really keep the intensity below AeT as long as you don’t feel truly healthy. Are you training anything else than endurance? Sometimes a change in the routine brings good improvements. I would also recommend to do a stress ECG while cycling, or running on the treadmill. Just to see if there is any problem when your heart is at it’s maximum.

[Thomas Summer, MD]

Thomas Summer, MD on November 24, 2022 at 3:28 am · in reply to: Elevated HR 12 months later #72880

How much did you train in the last year? And before? Maybe overtraining is something to consider? Any other illnesses? Covid seems to be an unlikely cause, if you never had it;-) if you want to get totally sure about that you could do a blood test for antibodies.

[Thomas Summer, MD]

Thomas Summer, MD on November 23, 2022 at 11:59 am · in reply to: Meet Thomas Summer, doctor and UA athlete #72841

Hi Kateri,

Sorry for the late reply. I don’t know of anyone who is specializing in athletes with EDS. But I think a good coach who has some experience about the disease would be a great help for you. With Pete Dickinson we also have a great PT with lot’s of experience. I have some experience with patients… if you are interested into coaching I would recommend to write us an email. Or get a phone consultation with Pete or me. You can also write me at thomas@uphillathlete.com
Hope that helps?!

[Thomas Summer, MD]

Thomas Summer, MD on November 23, 2022 at 2:26 am · in reply to: Elevated HR 12 months later #72814

Hi Dave!
Elevated HR (especially during exercise) is seen quite often after Covid. You were sick one year ago!? That’s quite some time! Any other symptoms? What about the ectopics? How often? How do you feel them? Is it restricting your training?
Have you seen a cardiologist? ultrasound of the heart? bloodwork? ECG? ECG while exercising? …
again more questions than answers;-)
hope it helps anyway!

[Thomas Summer, MD]

Thomas Summer, MD on November 12, 2022 at 7:47 am · in reply to: Covid? #72592

Hi Mike!

Sorry for the late reply. I just came back from Nepal myself.
You where sick for 3,5 months?! ICU? What do you doctors say?
The stents must be a separate thing?!
Lot’s of things to consider here. The higher elevation will slow you down even if acclimatized. Also detraining is an issue.
Maybe you could share a bit more details about your medical history?!

Tashi delek!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on July 4, 2022 at 6:00 am · in reply to: Hip pain when mountaineering #68822

Maybe it’s a balance and coordination issue when moving on unstable/loose/snowy ground? Are you doing anything to train your balance and coordination?

[Thomas Summer, MD]

Thomas Summer, MD on June 24, 2022 at 11:06 pm · in reply to: Training activities while ankle is contraindicated #68520

Matthew,

it’s always a good idea to switch between activities when recovering from an overuse injury. Different load on the body and especially less load on your injury. Cycling, aqua jogging, and elliptical are good options for that purpose.

[Thomas Summer, MD]

Thomas Summer, MD on June 19, 2022 at 7:46 am · in reply to: Training activities while ankle is contraindicated #68360

I would use the K-Tape up to the knee. And also combine it with normal tape on the foot, to limit pronation a bit. Ask your PT for that

[Thomas Summer, MD]

Thomas Summer, MD on June 17, 2022 at 9:14 am · in reply to: Training activities while ankle is contraindicated #68311

I would have also recommended higher arched insoles. Try compression socks. You can also tape your arch to get some tension off the tendon. And you can combine that with kinesio tape. Streching of the calves (flexed and straight knee) and hamstrings and plantar fascia. Foot mobility and strength. Tibialis anterior training…

[Thomas Summer, MD]

Thomas Summer, MD on June 16, 2022 at 3:27 am · in reply to: Training activities while ankle is contraindicated #68281

Hi Matthew!

Elliptical is good, aqua jogging is good, Elliptigo is good, and everything, where you don’t have pain, is good to keep you fit.
BUT that will probably not solve the problem. Have you ever tried insoles? Different shoes? Adjustments to your shoes? Compression socks? Taping? My approach to this would be to find a way that allows you to do what you want to do. You’ll have to be creative, but most likely there is a way.

Maybe we can figure out a way together?

lg!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on June 6, 2022 at 6:04 am · in reply to: KNEE TENDON AND BURSA INJURY ??? #68042

Hi Erin!

How does it feel while and after doing the physio exercises? I would be careful to load it too much too early. These exercises are great, but also very demanding on the hamstring tendons.
If you don’t have pain during and after, I would also recommend continuing with the cardio. Swimming is great!

You have a coach from UA?! We usually know quite well what we are doing;-) good that you learned that lesson;-)

Have a good recovery!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on June 5, 2022 at 9:33 am · in reply to: KNEE TENDON AND BURSA INJURY ??? #68007

Hi Erin(!?)

Did you give it any rest? What exercises are you doing to load the tendon? Usually, it’s better to give an overuse injury some rest before you load it again.
What did the physios tell you what the problem is? Any chance of seeing an Orthopedic doc? But it really looks like there is an issue with the tendon (biceps tendon).

I’m sure we can find a way for you to solve this!

cheers!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on June 4, 2022 at 12:03 am · in reply to: Fixing Assymetry – expected pain on underused side? #67980

Hi Michelle!

Lots of information, but still more questions: is the difference in leg length just a functional one (based on your SI joint dysfunction) or a real anatomical problem? If so, how big is the difference? Are you running on the roads or trails? Maybe trails are better because you have more variance in your step length and direction. Where do you live in Germany?
I agree with Pete about the exercises for getting stronger.

lg!
Thomas