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Q&A With Kate

Robert from San Diego:
QUESTION: I play competitive baseball and I have sprained my ankle many times. Ice or heat, what's the best?

ANSWER: Ice constricts the blood vessels and should be used right away. You can also elevate and use compression, i.e. wrap it with an Ace Bandage. Make sure you move the ankle and strengthen the other parts of the ankle, because the ligaments get stretched and take a long time to heal.

Sheryl from San Diego:
QUESTION: I have shoulder pain. Do I need an MRI?

ANSWER: Get an exam and a good diagnosis to find out what it is first. Then a radiologist can deterine the best test to use to llok at the problem. MRI's are time consuming and costly and can give false positives or negatives.

QUESTION: Sometimes in physical therapy or when I workout it makes my knee pain worse. Is this normal?

ANSWER: No. The old philosophy of no pain, no gain or "working through the pain" are not good ideas anymore. You may experience discomfort while the therapist is working on you if they have to relieve swelling or release tight structures, but this should not reproduce the pain you have been experiencing.

After therapy, you should feel a lot better. While working out, you should not do anything that makes your pain worse. You are just irritating your joint or the structures around it. Find an exercise that you can do pain free. Ask your physical therapist for advice and to modify your exercise program.

-Kate

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