The Physician and Sportsmedicine: November 2005 Table of Contents

November 2005 Table of Contents

THE PHYSICIAN AND SPORTSMEDICINE
VOL 33 - NO. 11 - NOVEMBER 2005

NEWS AND ANALYSIS
News Briefs Fitness-Focused Phys Ed Reaps Benefits • WADA Modifies Prohibited List • Step Counts Rise When Physicians Promote Pedometer Use
REVIEW ARTICLES
Practice Essentials Series Exertional Syncope and Presyncope Faint Signs of Underlying Problems Understanding the spectrum of exercise-related syncope and the physiologic processes that occur can help physicians make quick management decisions. Good background knowledge about syncope also enables practitioners to flag symptoms, such as fainting during activity rather than after, that should prompt a workup for a more serious arrhythmogenic or structural cause. Though most instances of presyncope and syncope are caused by benign neurocardiogenic causes, a focused physical exam and being aware of the benefits and pitfalls of various cardiac tests help streamline the diagnosis and assist with return-to-activity decisions. KEVIN J. MCAWARD, MD; JAMES M. MORIARITY, MD Sports Dermatology Series Ominous Skin Lesion or Benign Sports-Related Imposter? The Most Common 'Don't Miss' Diagnoses The skin is the first line of defense for any active patient, and environmental elements, friction, and other factors often contribute to dermatologic lesions. Some sports-related lesions, such as talon noir or tennis toe, mimic skin cancer or other medical conditions. A review of the most common look-alikes helps physicians efficiently rule out the serious lesions so that they and patients can enjoy peace of mind with their activities. KELLEY PAGLIAI REDBORD, MD; BRIAN B. ADAMS, MD, MPH Competing With Crohn's Disease Management Issues in Active Patients Though moderate activity seems to protect patients against Crohn's disease, active people--even competitive athletes--aren't immune to the condition. The symptoms of Crohn's disease present several uncomfortable exercise obstacles, including abdominal pain, bloating, and diarrhea. Helping patients manage the symptoms with diet, medication, activity modification, and other lifestyle changes can help them safely enjoy the benefits of physical activity. VICTOR K. NG, MSC; WANDA M. MILLARD, MD
CLINICAL PRACTICE
Pearls •Exercise Options for Knee OA •Layering Against the Cold
READER SERVICE
Staff Editorial Board Information for Authors CME Self Test Additional CME credit available at http://www.physsportsmed.com/cme.htm Classified Advertising Index to Advertisers Index 1990-2004

In an effort to provide information that is scientifically accurate and consistent with accepted standards of medical practice, the editors and publisher of The Physician and Sportsmedicine routinely consult sources believed to be reliable. However, readers are encouraged to confirm this information with other sources. For example and in particular, physicians are advised to consult the prescribing information in the manufacturer's package insert before prescribing any drug mentioned.

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