14er Fan Club by Jerry Funk

By Jerry Funk

Born and raised in a small city in Minnesota, Jerry Funk moved to Texas while he was once 30-years-old and there met his spouse, Gayle. With their son, Travis, the threesome moved to Colorado Springs, Colorado in 1994 to be in the direction of the mountains that they enjoyed to ski. Jerry realized that the mountains provided even more than snowboarding. Having chanced on the enjoyment of mountaineering 14,000-foot peaks, he has develop into an avid hiker and climber. Jerry has labored for the U.S. Postal provider for the prior thirty years and is a member of the Colorado Mountain membership.

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Imaging may be a useful adjunct to rule out such complications. 261 In that situation, arteriography or CT may be used to rule out arterial bleeding. 252 In the acute phase of conservative treatment, the goal is to limit hematoma formation in the affected muscle. To that end, the RICE regimen is the mainstay of acute treatment for muscle contusion injuries. 262 Studies have shown that prolonged immobilization leads to decreased muscle mass over time and should be avoided. Cryotherapy is a ubiquitous and well-accepted treatment modality in sports medicine, as discussed previously.

266 Broadly, there are two categories of causes of rhabdomyolysis: nonexertional and exertional. , hepatic hydroxymethylglutaryl coenzyme A [HMG CoA] reductase inhibitors). The exertional form of rhabdomyolysis is addressed here, as it is more common in sports medicine. Exertional rhabdomyolysis is caused by overexertion of large muscle groups leading to disruption of cellular membranes and subsequent release of intracellular contents into the circulation. Although exertional rhabdomyolysis has been observed in well-trained athletes, untrained athletes taking part in strenuous exercise are at higher risk for this condition.

In this setting, the exquisite anatomic detail afforded by MRI is invaluable in planning the proper approach and repair. The goal of surgery is to preserve the length of the muscle, thereby preserving force generation. Magnetic resonance imaging is increasingly utilized in the evaluation of high-level and professional athletes as a prognostic tool. In this special population, accurate prognosis is important in team dynamics and in preventing future injury that may shorten a player’s career. Studies in this area have investigated whether MRI is superior to clinical examination in prognosticating the duration of disability due to strain injury.

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