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With proper rehabilitation, most children and adolescents recover from ankle sprains and resume playing sports without complications or chronic symptoms. Effective management encompasses appropriate treatment at the time of injury [...]

The ankle is the anatomic structure most often injured in sports; ankle sprains account for 20% to 30% of all sports-related musculoskeletal injuries, including injuries to high-school and collegiate athletes. [...]

As more children participate in recreational and competitive sports, primary care physicians must be able to recognize and treat infectious diseases that commonly plague athletes and make sound decisions on [...]

Physical complaints are only the tip of the iceberg when treating young athletes. You must also be prepared to address a variety of psychosocial concerns, such as developmental readiness for [...]

As more and more kids participate in recreational and competitive sports, pediatricians must be able to recognize and treat infectious diseases that commonly plague athletes and to make sound decisions [...]

Background: Selective serotonin reuptake inhibitors are the recommended and most commonly used antidepressant medications for children and adolescents. This class of medications has been considered generally safe with few significant treatment emergent adverse reactions that generally abate over time. All antidepressants carry the precautionary warning for potential increase in suicidal ideation and close monitoring is recommended. Management of side effects of this widely used class of drugs is an important aspect of any medical practice that cares for children and adolescents. Objective: To provide a succinct and clinically relevant review of side effects of SSRIs and their management in clinical practice. Method: A literature search was done of relevant published articles in English language in the Medline database. Results and Conclusion: Gastrointestinal side effects are most common with the use of SSRIs and generally are tolerable and do not need discontinuation of the medication. Cardiovascular side effects are uncommon; however, prolonged QT syndrome has been reported. In utero exposure results in a constellation of signs and symptoms in the newborn called poor neonatal adaptation syndrome. In utero exposure also is associated with teratogenicity. Although less frequent, symptoms suggesting behavioral activation, switching, serotonin syndrome and discontinuation or withdrawal syndrome need careful evaluation and management.

AbstractThe current recommendation of the American College of Sports Medicine for proteins is 1.2–1.7 g/kg/day. This recommended protein intake is actually greater than the recommended dietary allowance (RDA) for protein, which is around 0.8 g/kg/day, and is based on several studies that documented increased protein requirement in athletes. Most athletes generally consume more than the recommended protein intake of 1.7 g/kg/day apart from taking amino acid and protein supplements. The current review analyses if the increased protein intake has any beneficial effect on muscle building and performance of athletes, and if there is an optimal time and type of protein for ingestion if this is the case. Studies have shown that high protein intake accentuates renal insufficiency in patients with chronic kidney disease (CKD). We also review if the high protein intake predisposes healthy athletes with normal kidneys and kidney function to any renal problems in the future.

OverviewOverview This article discusses chronic illness in adolescents and suicide risk. The health professional's role in recognising the association will be explored. The article includes some self-assessment to test the reader's knowledge

Young athletes face a unique set of stressors from non-athletes that require careful screening and management. Internalizing disorders, substance use, overtraining, eating disorders, the female athlete triad, and sport-related injury are some psychological issues related to sports participation. Young athletes experiencing these conditions may experience functional impairment and distress on and off the field, and management of these concerns includes routine screening and intervention. Embedding a psychologist within a pediatric sports medicine clinic improves patient’s access to psychological screenings, early identification, and early intervention for these concerns athletes face.

Most children and adolescents with behavioral and mental health concerns first present to their pediatricians. Although, pediatricians are fully cognizant of the importance of addressing behavioral and mental health concerns, they often find it difficult to deliver such care effectively and efficiently within a typical practice setting. Integration of medical and behavioral health care has emerged as a model to deliver such care. In the pediatric primary care practice, integrated behavioral health (IBH) has been shown to be a cost-effective way to deliver high quality care. This article describes basic definitions and contexts of integrated pediatric behavioral health.