In California approximately 95% of teens and young adults participate in some sort of sport, either on a team or simply recreationally. While major injuries are the purview of orthopedists, many of the problems that face athletes should be treated and monitored by a primary care physician. For example, even teens should consult with a physician before engaging in strenuous sports to screen for possible risk factors.

For those engaged in sports, overuse injuries are common and should be evaluated at the first sign of pain to determine the cause and appropriate treatment or change in technique. Nutrition is also an important factor and should be addressed with the serious athlete. There is a high incidence of eating disorders or poor nutrition in runners, rowers, wrestlers and gymnasts where weight and body mass are factors in performance or even eligibility. Performance enhancing drugs, particularly steroids are still in common use and athletes will often disclose use to their physician who can then monitor for side effects and counsel regarding the danger of using the drugs. Athletes in contact sports are also subject to concussions and need to be evaluated and counseled about the dangers of returning to the sport too soon and monitored for post concussion symptoms.

Even without eating disorders, many young women stop having periods because of lack of body fat and intensive exercise. These women are at risk for osteoporosis and are usually started on oral contraceptives to increase hormone levels and screened for bone density if stress fractures occur. Dr. Bowers is experienced and available to work with this population.