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>> Hello, and welcome back to the How You Move series presented by HSS.
I'm Michelle Shafiro, clinical manager of HSS Westchester Rehabilitation.
I'm joined here by two HSS physicians from the Westchester office
and a star athlete from Purchase, New York.
Today, we're talking about non-surgical management of sports injuries.
We'll begin by having each of our panelists introduce themselves.
>> I am Bailey Fisher, and I play soccer for Near Soccer Club.
>> Hi, I'm Dr. Warren Young.
I'm a primary care sports medicine physician here at HSS Westchester.
>> I'm Dr. Marci Goolsby.
I'm a primary care sports medicine physician here at HSS Westchester.
I work at the Women's Sports Medicine Center as well,
and I'm the physician for the New York Liberty.
>> So Bailey, are injuries something that you worry about or girls on your team talk
about being concerned about it all?
>> Yes, I think as a soccer player, any athlete the fear of injury is always on your mind.
But I think on our team, we train, and we work out specifically to avoid injuries.
So the fear of injury like decreased on our team.
>> And I'll often talk to my athletes about playing but also playing effectively.
So if somebody has an injury, let's say an ankle sprain, and they can get back on the field,
and they can play, they feel like the pain is controlled enough that they can play.
But then the second follow-up question is, "Can you play effectively?
Are you effective -- effectively be able to move in the way that you want to,
that doesn't set you up for injury for something else,
or compromise the performance of the team?"
So that's an important factor about when you're thinking about getting back
onto the -- into the field to play.
>> What was the toughest part about this injury for you?
>> I think the toughest part was hearing the news that I did have a stress fracture.
And then having the desire to then go out and train as hard as I can to get on the field,
even though I wasn't on the field with my team.
>> Let's talk about the female athlete triad and how that may play
into an injury like this, a stress fracture.
>> So when I see athletes with stress fractures, I think about not only this fracture itself
and how it happened and how we treat it, but also why it happened.
So thinking about components of their risks, and one of those is the female athlete triad.
So the female athlete triad refers to athletes who are exercising more
than they're getting from a nutrition perspective.
So there's an imbalance there.
And that leads to risk to the hormone system.
They get menstrual irregularities, and then it puts them at risk
of stress fractures and even early osteoporosis.
>> This is not an injury that just females get.
Is there any difference in managing or diagnosing these in men versus women?
>> Well, definitely young males get stress fractures as well.
But young females will get stress fractures at a rate about two times as often as young males.
The risk factors are typically the same except for the female athlete triad part of it,
but metabolic bone diseases and other things that can lead to decreased bone density
and more fragile bone can increase risk factors in everybody, in all age groups.
The types of stress fractures are typically the same as well.
In soccer, we see a lot of lower extremity stress fractures.
Metatarsal or foot stress fractures are very common too.
>> Thank you Bailey, Dr. Young, and Dr. Goolsby for sharing your insight
and experience in this episode of How You Move.
Please join us again next time for more in-depth talk on sports medicine.