Vail Health Magazine 2013 - page 8

Question:
I LOVE RUNNING BUT I’M
STARTING TO GET PRETTY BEAT UP. DO YOU
RECOMMEND A CERTAIN AMOUNT OF MILES
PER WEEK FOR A RECREATIONAL RUNNER?
Answer:
This is always a challenging question to
answer, especially when working with avid runners!
There is not a hard and fast number of weekly
miles that applies to all individuals regarding
the point at which an overuse injury may occur.
Through my nearly 20 years of experience, I have
appreciated an increase in overuse-type injuries
when recreational runners get beyond about 20
miles per week. The benefits of regular aerobic
exercise are too many to list, and here in the Vail
Valley we have a community dedicated to physical
activity and fitness, which I absolutely support!
The key to avoidance of overuse injuries is cross
training. Strive to achieve a balance between
stretching, strengthening, aerobic workouts and
interval-type training. Many athletes find success
by incorporating a number of different workout
routines, such as: swimming laps, cycling, weight
training, running and tennis or racquetball, for
example. By allowing the body to heal between
repetitive stress decreases the likelihood of
suffering an overuse injury.
Over the years of taking care of many runners’
knees, I have appreciated that once an individual
does have that first substantial injury, they are
significantly more predisposed to additional
knee problems. For example, once a runner has a
meniscus tear, the knee is at a much higher risk of
re-tearing the meniscus with continued extended
mileage running. We tend to counsel our runners
more towards cross training activities once they
have experienced that initial knee injury. Until then,
we don’t limit them!
William Sterett, MD
Vail-Summit Orthopaedics Surgeon and
Women’s US Ski Team Head Physician
ASK AN EXPERT
Question:
I’M SICK OF WEARING MY GLASSES. HOW CAN I SEE WITHOUT
THEM AND HOW DOES LIVING AT ELEVATION IMPACT THOSE OPTIONS?
Answer:
The goal for all of my surgical patients is to get them as independent or
free from glasses as possible, for as many of their tasks as possible: distance, sports,
computer and reading vision. For patients under age 43, LASIK can solve it all. As this
person ages, reading vision will require “over the counter” reading glasses. We can,
however, work around the reading vision problem as well, by using LASIK to correct
the patient’s dominant eye for distance, and their other eye for reading. We refer to
this strategy of vision correction as “monovision.”
As patients age, cataract surgery becomes the next frontier with wonderful high-
technology options. Multifocal intraocular lenses can be implanted at the time of
cataract surgery, which provide distance, intermediate and reading vision correction.
Living at elevation causes more problems with dry eyes, which makes contact lens
wear more difficult. The increased ultraviolet radiation also causes cataracts to occur
at a younger age than at sea level.
Matthew Ehrlich, M.D
Eye Center of the Rockies
Question:
WHENEVER I COME UP TO
THE MOUNTAINS I DON’T SLEEP
WELL ! ANY ADVICE?
Answer:
The reason you don’t sleep well
may be associated with low oxygen levels
at high altitude. Some suggestions that
may help you sleep better are;
Avoid alcohol for at least the first 24
hours and longer if poor sleep continues.
Keep hydrated, drinking plenty of water.
Coming from sea level to a much
higher altitude can be a shock to the
body. Spending even one day
acclimating at an intermediate
elevation may be helpful.
Eating regular meals with extra
carbs may help.
Sometimes low flow oxygen may be prescribed to help with sleep and/or
high altitude sickness.
In some cases a sleep study may be helpful in diagnosing and treating
sleep problems associated with altitude. For more information contact the
Cardiopulmonary Department (970) 479-7218 at Vail Valley Medical Center.
DavidW. Everett, BS, RRT, RPSGT, RPFT
Mobile Sleep Services, Inc (a contracted service of Vail Valley Medical Center)
LOCALSPECIALISTS
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