[Thomas Summer, MD]

Thomas Summer, MD on February 24, 2021 at 5:51 am · in reply to: Long term covid chest pain with exercise #51180

Hi Diana!

I would continue with easy exercise. Only what feels comfortable. And I would recommend starting some relaxing breathing meditation.
Can your cardiologist perform a spiroergometry with ecg? That would be good for further examination.

have a quick recovery!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on February 22, 2021 at 1:37 am · in reply to: Anti-inflammatories/Pain-relievers #51105

Hi Brett,

thank you for this question! I think it’s an important one because the use of these drugs is quite common.

Anti-inflammatory drugs like Ibuprofen are good in treating muscle and joint pain (but they don’t cure it), but they also have lots of side effects:
– they damage the kidneys (I know several athletes with acute kidney failure after a race, when taking ibuprofen),
– they cause bleeding in your stomach (this can lead to many chronic problems, including low iron)
– they can hinder the training adaptation
– they can make an injury worse if you train through it when the pain is reduced
and many more.

Acetaminophen acts a bit differently, with the main side effect of liver damage.

So the recommendation is to only take it when you need it. Take it to relieve the pain of an injury (but then stop training and don’t push through it with the drugs). I would not recommend taking it post workout, because you could hinder the adaptation. And you probably want to know how your body reacts to the training, so you can tell what was too much!? Don’t take it before competitions, because that can bring some serious risks. If you take this medication before a big goal or objective you should be aware of the risks and decide if it’s actually needed and/or appropriate.

I hope that helps!?
enjoy the pain after a good training session in the mountains!;-)
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on February 19, 2021 at 6:02 am · in reply to: Iron Infusions #51012

Hi Shannon!

At first, it seems to be most important to look for the cause of your low iron. If you have already sorted out the obvious ones like bleeding or poor nutrition, a hematologist should be best for that. It’s probably not so important that the doc has lots of experience with athletes. But he/she should be aware of things like “runners anemia”. If any special condition is found that causes your low iron, then you can think about the right therapy. But it’s also important to know that low iron is often a result of more than one factor. The first step would be to do extensive bloodwork (your PCP has probably already done that?) and then look from there.
I hope that helps. Without more information, I can’t say much more.

[Thomas Summer, MD]

Thomas Summer, MD on February 18, 2021 at 1:17 am · in reply to: Iron Infusions #50965

I totally agree with Lindsay. Without more details it’s hard to give more recommendations. To ask your PCP for a referral to a specialist, is probably the best way to go.

[Thomas Summer, MD]

Thomas Summer, MD on February 9, 2021 at 8:28 am · in reply to: Leg paralysis when hinging the hip #50623

Tegernseer and Augustiner, please;-) but now we are getting far away from medical topics. …but probably as important!?;-)

zum Wohl und
gute Besserung!

[Thomas Summer, MD]

Thomas Summer, MD on February 6, 2021 at 6:57 am · in reply to: Leg paralysis when hinging the hip #50500

Servus Dada!

happy to hear that your symptoms are improving.
Do you know Mohrenbräu? The name is a little bit politically incorrect;-) But it’s the beer from my home.

Zum Wohl!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on February 3, 2021 at 3:37 am · in reply to: Leg paralysis when hinging the hip #50361

Servus Dada!

I would count the moving as a good sign. But many different possible reasons and hard to tell from far away.

[Thomas Summer, MD]

Thomas Summer, MD on February 2, 2021 at 4:16 am · in reply to: Leg paralysis when hinging the hip #50310

Hi Dada!

very difficult to tell what’s the exact problem.
Where exactly does your doc place the PRT?
As a neurologist, your doc should/could measure nerve conduction velocity. This would give more information, about where the problem could be.

lg!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on January 29, 2021 at 7:41 am · in reply to: Leg paralysis when hinging the hip #50046

Hi Dada!

Do you have the symptoms with all movements? Is it getting better or worse? Did you have anything like that before?

A good clinical examination should be done. A neurologist would be optimal for that. “Narcissist” is a problem.

[Thomas Summer, MD]

Thomas Summer, MD on January 27, 2021 at 7:48 am · in reply to: Leg paralysis when hinging the hip #49822

Hi Dada!

Have you tried what Reed suggested?
Do you feel any pain or numbness?
What does your doc (or/and physio) think about your symptoms?
Difficult to tell without an examination. But try what Reed suggests and continue with the physio exercises and core work.

lg!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on January 19, 2021 at 8:42 am · in reply to: Returning to Exercise after Covid-19 #49504

Thank you for sharing your experience, Zach!

[Thomas Summer, MD]

Thomas Summer, MD on December 8, 2020 at 1:07 am · in reply to: Returning to Exercise after Covid-19 #47967

Hi Katalina!

Every infection and every virus is a bit different. But I would recommend a gradual recovery after every infection. If, by “clean our lungs” you mean to jump right back into heavy exercise, you should be carefull. Only start training, if you are fully recovered. Otherwise you risk a relapse.
(That’s the concerned doc speaking;-) but also the athlete)

Zach, how are you doing?

lg!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on November 16, 2020 at 12:44 pm · in reply to: cardio or funtional works? #46897

Hi Cinthia!

Thank you for your question.
Although I’m not sure, if you wanted to post it in the medical section, I have an interesting option for staying safe, when training indoors:
https://www.phantom-athletics.com/
They also have a special filter for the mask. This way you can train indoors and with others, with less risk of getting infected. And you have the additional benefit of training your respiratory muscles.

stay safe and healthy!
Thomas

[Thomas Summer, MD]

Thomas Summer, MD on November 5, 2020 at 5:51 am · in reply to: No symptoms, good chance of exposure, awaiting test results. Stop training? #46548

…if you get a positive result from the test, I would continue with only easy training for 2 weeks. Of course only, if you don’t have any symptoms!

[Thomas Summer, MD]

Thomas Summer, MD on November 4, 2020 at 11:48 pm · in reply to: No symptoms, good chance of exposure, awaiting test results. Stop training? #46545

Hi dcgm!

when was the contact?
I would continue with the training, but not do big workouts for a week after the contact. And be extra carefull and stop as soon as you have any symptoms.

Thomas