Q: I sprained my right ankle several times when I was a teenager. Recently I have gotten into running and now am experiencing increasing pain in the front part of my ankle. I also have less motion in the right ankle joint than the left. A doctor told me I had bone spurs and needed surgery. Why do bone spurs occur and what are my other treatment options?
Q: My son is a 14-year-old basketball player who has developed pain over the last month on the outside of his foot. Originally he was able to keep playing but over the last week the pain has gotten bad enough that whenever he runs or jumps he has to stop playing. My family doctor took X-rays, which showed no fracture. He was told to rest it for a couple of weeks, as it might be a sprain.
Q: I was doing biceps curls in the gym last week and felt a pop near my shoulder. I noticed a deformity above my elbow that made my arm look like Popeye's, and I also noticed some bruising and swelling in my arm. It is my left arm and I am right-handed. After researching it online, I think I probably have a biceps injury. Does it need to be fixed?
Q: I have had tennis elbow for the better part of one year. I am not sure if I hurt it playing tennis or working out with weights. I have tried to rest it, take an anti-inflam-matory medication, done physical therapy, and had two cortisone shots.
Q: I like to golf and usually play three to four times per week. About three months ago I hurt my lower back while playing. I had to rest for about two months until it went away.
Q: I would like to get back into running but do not want to get hurt and would like your recommendations as to how to go back to do this safely. I used to run a lot when I was a teenager and in my early 20s but now I am about 40.
Q: I am 29 and tore my ACL skiing. My orthopedic surgeon is recommending surgery. I went through physical therapy to get my thigh muscles strong and since I have done that my knee feels good. Do I have to have surgery and what are the possible complications if I do get it?
Q: My son is a 16-year-old who was water-skiing last weekend and fell, fracturing his clavicle. At the emergency room, he was put in a sling and told to see an orthopedic surgeon. The orthopedic surgeon suggested surgery as the best chance of achieving normal function and strength in the shoulder. I went online and saw that most clavicle fractures will heal without surgery. What he should do?
Q: I am a 16-year-old tennis player who has had pain in my lower back for the last six months. The pain was initially intermittent, but now it bothers me whenever I serve or hit an overhead.
Q: Thirty years ago I had torn cartilage in my knee and I had the old-time surgery with a big scar and they removed the cartilage. I did really well for about 25 years, but over the last five years I have developed a lot of pain and it has begun to limit my ability to get around.
Q: I love playing tennis and over the last few weeks I have had pain in my wrist. It particularly hurts when I hit a backhand. I have no swelling and I went to the emergency room and they took X-rays and nothing was broken. However, I cannot play tennis without it hurting and wonder what it could be.
Q: What is the difference between a stress reaction and a stress fracture in an athlete? A: This is a controversial question: when does a stress reaction become a stress fracture?
Q: Last week I was doing squats in the gym and felt a pain on the inside part of my left knee. I was able to finish my workout and later that night it swelled a little bit. I rested it for a couple of days and then returned to my workouts in the gym.
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