Healio Rheumatology: Splinting After Intra-articular Injection

Healio Rheumatology: Splinting After Intra-articular Injection

Patients with juvenile idiopathic arthritis who were placed in a splint to encourage rest following intra-articular corticosteroid injection, or IACI, demonstrated no significant benefit against recurrent arthritis compared with those who were not given a splint, according to findings published in Pediatric Rheumatology.
 
Heather Benham, DNP, APRN, CPNP-PC, of Texas Scottish Rite Hospital for Children, recently spoke with Healio Rheumatology about her research and if different post-care regimens impact the outcome of the injection.
 
“Steroid injections are an important part of the treatment regimen for JIA, especially those with oligoarticular JIA,” Benham says. “We don’t know if the post-care regimen impacts the outcome of the injection — response of the joint to the steroid — or the risk for adverse events — local dermal atrophy.”
 
Read the full story here.
FOX 4: New guidelines changing how schools treat on-the-field injuries

FOX 4: New guidelines changing how schools treat on-the-field injuries

Sports medicine physician Dr. Shane Miller joined FOX 4 News  to share his expertise in keeping student-athletes safe as they return to sports in this Texas heat. Our team has joined forces with Irving Independent School District– FacebookIrving Fire Department and UT Southwestern Medical Center to create a comprehensive emergency plan for when these incidents happen.
 
New guidelines are changing how schools in North Texas respond to sports injuries, even saving lives. A new law was just signed into effect that will require school districts to have a bleeding control kit on each school campus, in addition to training school personnel that may need to “Stop the Bleed.”
 
Regulations are also now in place to help band members acclimate to the Texas heat. Pre-season physicals will be required for all students participating in marching band, due to the increased number of heat related incidents.  

Watch FOX 4’s feature or learn more about Stop the Bleed

Are You Ready for the Lights and Sounds of a Friday Night in Texas?

Are You Ready for the Lights and Sounds of a Friday Night in Texas?

Friday night lights – there is a lot that goes into preparing for these fun, competitive and spirited evenings. Football players, cheerleaders, band members, drill team and color guard start their preparation during the hottest summer months. These practices can be long, hot and physically demanding.

In recognition of these demands, the University Interscholastic League (UIL) recently added band and color guard to the list of sports and activities requiring a pre-participation physical exam (PPE).

Though not typically lumped in with “athletes,” they are expected to perform in similar ways. Marching and choreography requires all of these and more:

  • Coordination, balance and precision
  • Cardiovascular endurance
  • Muscle endurance for holding an instrument weighing as much as 20 pounds

After weeks of limited activity over the summer, many students try to jump back into their activity at full intensity. The rest and off-season time is important, but without proper preparation, the sudden start of long and intense pre-season practices can sideline a band member. As with many sports, injuries before and during marching season can be avoided with conditioning and using proper form. Each instrument has its own demands, but here are some general recommendations to consider:

Positioning

  • Maintain forearms in line with hands and avoid bending at the wrists. Flute and piccolo players should keep their instruments parallel to the ground.
  • Relax the shoulders.
  • Wear straps to distribute the weight of the instrument and allow free movement of the fingers.
  • Avoid locking knees when maintaining a static position.

Conditioning

  • Stretch the fingers, hands, wrists, forearms, shoulders and hamstrings before practices and performances.
  • Core and hip muscle strengthening improves hip and leg positioning and lowers the risk of back pain, especially with long periods of standing and carrying heavy instruments, such as drums.
  • Lower body strengthening helps to prevent knee hyperextension and anterior knee pain.

Hydration and Nutrition

  • Plan for hydration because uniforms tend to be made of heavy materials that trap heat. Strategies to stay hydrated and cool are important to prevent heat illness.
  • Pack fueling snacks for long days of training or competition.

Rest

  • A day of rest is recommended from each sport, this also applies to marching band and color guard.

Friday nights in Texas wouldn’t be the same without the marching band playing the fight songs and creating the energy in the stands. Parents, directors and students should take signs of injury seriously. As with any sport, proper preparation doesn’t prevent every injury. Pain during and after activity should be evaluated.

Check out sports medicine physician Shane M. Miller, M.D., in his recent interview with Fox 4 regarding this topic.

Learn more about our pediatric sports medicine practice.

Share Your Story: Dancing Queen

Share Your Story: Dancing Queen

Meet Leigha, a patient who is treated by the experts in our Pediatric Developmental Disabilities department. Learn more about her journey below.

Blog written by Leigha’s mother, Anjanette, of Rowlett. 

Leigha is a 12-year-old dancer that lives with spina bifida. At birth, she had a large tumor that had attached itself to her spinal cord and tethered it, causing nerve damage and multiple complications. When she was 3 months old, doctors decided to operate on her spine to untether the spinal cord. This started years of surgeries for Leigha.

We discovered Texas Scottish Rite Hospital for Children when she was about 9 months old. Our family feels blessed and thankful for the constant care, support and education we have and still receive from all the doctors and nurses. Through the years, Leigha has had numerous procedures. She has been taking multiple medications since she was 3 and lives with chronic pain and other complications.

Leigha’s story is not simply about her condition, but rather a story of triumph, hard work and determination.

Leigha is an inspiration to many and our family’s “Dancing Queen.” At the age of 6, Leigha decided that she no longer wanted to do her special needs cheer team and asked to dance at her sister’s dance studio, Beyond Belief Dance Company. Initially, we were apprehensive because this dance studio is very competitive and holds the dancers to high standards. In spite of our misgivings and doubts, we enrolled her in the new studio. Soon after, Leigha had to have another spinal surgery and we thought this may put a stop to her dancing, but we were proven wrong. Unbeknownst to myself and our family, a dance team jacket and costume had been ordered for Leigha and she was a part of her first competitive dance team! Since then, she has never looked back.

With the support of Scottish Rite Hospital, her dance instructors and her sister Kiana, Leigha now dances with the best of the best! She has lead team dances, won first place with high honors with her solos, received convention scholarships and has been a featured dancer on the Netflix original show, “Dancing Queen.” Leigha’s success is largely due to the amazing and thorough care she receives from the hospital.

We are eternally grateful to Dr. Adams. The team at Scottish Rite Hospital has given our family hope when we were scared. They are thorough with every aspect of her care and took the time to educate us as parents on how to best care for her at home. Leigha also has the confidence to take care of herself and can meet any challenge that comes her way.

Leigha has been able to attend spina bifida camp, which has been a life changer because she realizes she isn’t alone. There are not enough hours in the day for us to give praises to Scottish Rite Hospital. From the bottom of our hearts, we are thankful and appreciative.
 

DO YOU HAVE A STORY? WE WANT TO HEAR IT! SHARE YOUR STORY WITH US.

FOX 4: KidSwing Golf Tournament

FOX 4: KidSwing Golf Tournament

FOX 4 Good Day interviewed Korban Best, KidSwing Golf Tournament Junior Committee member and Stephanie Brigger, Vice President of Development for Texas Scottish Rite Hospital for Children, to talk about the upcoming golf tournament.
 
Founded in 2003 by former patient Ben Sater, KidSwing is all about kids helping kids.  To date, the annual event has raised more than $2 million for the patients at Scottish Rite Hospital and this year’s player fundraising will benefit the new inclusive playground at the Frisco facility. 
 
The golf tournament will take place on Monday, July 22 at Stonebriar Country Club, Frisco, Texas. 
 
Watch Fox 4’s feature or learn more about KidSwing