Welcome to our new Ask the Doc feature. We will be posting regular updates from Dr. Sean Cook with questions pertaining to outdoor injuries and basic health and fitness. Up first is a classic trail injury: the ankle sprain. Hey Doc,While skiing last winter I twisted my ankle. At a local ER I was diagnosed with a strained ankle. What is the difference between an ankle strain and sprain?———————————————————First, some basic anatomy: Ligaments are tissues that attach bone to bone whereas tendons are tissue connections between muscle and bone. The foot and ankle are connected by both. Ligamental stretching or tearing is called a sprain whereas the same injury on a tendon is a strain.Over-lifting or excessive usage are two of the most common causes of strain and are not frequently associated with ankle injuries. Sudden rolling of the foot is the cause of most ankle sprains. The amount of damage to ankle ligaments is measured by three increasing grades. Minor amounts of swelling and pain are common to minimally damaged ligaments and are classified as grade I injuries. Inability to bear weight, especially if the affected ankle moves more freely compared to the non-affected ankle, may indicate may indicate a higher grade injury and the need for a formal medical evaluation.Shoes with good ankle support that prevents ankle rolling are recommended whenever climbing or moving on uneven ground.When Sean Cook, M.D., is not tempting fate kayaking the Chattooga River, you can find him practicing infectious disease in Eastern Georgia and South Carolina.
CHAMPIONS LEAGUEAnother Mohamed Salah master-class helped Liverpool take control of their Champions League semi-final 5-2 but two late Roma away goals gave the Italian side a glimmer of hope for the second leg.Liverpool, who last reached the final in 2007, repeatedly breached the visitors’ naively high defensive line and scored five times in the opening 68 minutes at a raucous Anfield. Salah, who has now scored 43 goals since his summer move from Roma, scored twice and assisted two other goals.He curled his first into the top corner from the edge of the box – then clipped the ball over Alisson for a second.Salah then ran down the right and squared for Sadio Mane to make it 3-0 – before doing the same to set up Roberto Firmino.Firmino then headed in a fifth following James Milner’s corner.With his side leading 5-0, Reds boss Jurgen Klopp took off Salah – and Roma gave themselves a chance for next week’s return leg at the Stadio Olimpico.First Edin Dzeko lashed home from Radja Nainggolan’s pass, then Diego Perotti put a penalty into the top right corner after Milner handled Nainggolan’s shot.Roma need only look to the last round for inspiration, when they lost the first leg in Barcelona 4-1 before winning 3-0 in Roma. A repeat of the latter scoreline this time would take them into the final against Bayern Munich or Real Madrid who meet in the other semi final first leg clash at the Allianz Arena in Munich.Share this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegram
Wisconsin head football coach Gary Andersen waited just one sentence at the start of his Monday afternoon news conference to single out outside linebacker Vince Biegel.And deservedly so. Biegel had just been tabbed as the Big Ten Defensive Player of the Week after his seven tackle – four of which were tackles for loss – and three-sack performance against Purdue last Saturday.“Biegel had a tremendous game,” Andersen said in his opening comments of his news conference Monday. “[He] played very, very well. It’s great to see him have such an impact on the game in a positive way. Hopefully that can continue.”Biegel’s performance Saturday was just one example of the promise that the redshirt sophomore has shown in his first season as a starting outside linebacker. After missing the majority of his first season at Wisconsin with a foot injury, Biegel emerged as a potential future talent after last season when he played in all 13 games, recording 25 tackles with two sacks.But this season, Biegel has stepped up his game as the starting outside linebacker for UW. Through nine games this season, Biegel has the most sacks on the team (6.5) and is tied for the team-high in tackles for loss (12). His 39 tackles are also fifth on the team while he has recovered a team-high two fumbles.According to fellow outside linebacker and Biegel’s roommate off the field junior Joe Schobert, the improvement from Biegel this season can be attributed to him simply relaxing on the field.“I think [he’s] just playing more relaxed,” Schobert said. “Last year he had fast feet, always wants to go a hundred miles an hour. I think he’s been way more relaxed this year, diagnosing the play and then reacting to it. And then he can just use his athleticism to make plays.”Biegel has also been the beneficiary of a unique positional coach. Not only does Andersen head the Badgers, he also works with the Badgers’ outside linebackers, including Schobert and Biegel.Biegel admits that Andersen may put more pressure on him, but it has definitely paid off in the long run.“I would definitely say Gary [Andersen] has been more tough on me than other players,” Biegel said. “Coach Andersen is actually my position coach, so having him be my position coach, he’s definitely put a little extra pressure on me. But also he just lets me be myself out there. Lets me kind of go out there and be relaxed and kind of just play my game of football.”However, the pressure that Andersen has been putting on Biegel has made him arguably one of the best players on a Wisconsin defense that ranks in the top five of all major defense categories and is the top defense in the nation in terms of yards per game. This season, Biegel has cemented himself as a consistent playmaker on one of the best defenses in the country.“It’s all a credit to that kid,” Andersen said of Biegel’s improved performance this season. “He’s a big part of that defense now, and he’s a big-time playmaker.”But while Biegel has improved on his technique, pre-snap awareness and overall play this season, one thing has remained a constant throughout this football career, even going back to his Pop Warner days as a kid in Wisconsin Rapids, Wisconsin: his craziness on the field.For Biegel, this season he’s been able to control that craziness on the field, which he attributes to his increased success.“I would kind of say it’s controlled craziness,” Biegel said. “Maybe earlier in my career I wasn’t as controlled, but as the reps and as the more experience I’ve gotten, I’ve kind of been able to control my aggression and control my emotion, which I think is beneficial to me.”Even more so this season than last season, UW defensive coordinator Dave Aranda has seen Biegel’s intensity positively reflect on his teammates. Rather than being too crazy, it’s something that Biegel and the rest of the defense has used to their advantage.“I think it’s a very good thing,” Aranda said of Biegel’s self-proclaimed craziness. “I think it rubs off on our guys in a positive manner. I think they look to him to get big plays. They look to him to bring some juice out on the field, so it’s a much different huddle than what we’ve had in the past.”While this season’s linebackers may not have the name recognition or presumed talent of past linebackers at UW, Biegel certainly thinks their bond on the field makes up for any presumed lack of talent.“We don’t have necessarily the most skilled guys at all the positions as compared to last year, but I think our defense just clicks,” Biegel said. “I don’t like to go at numbers, but having the number one defense in the nation, I think our defense just clicks well with one another. We have great communication from the defensive line all the way through the secondary, and we hope to keep that going the rest of the season.”While Biegel may lead the Badgers in some major defensive categories, he knows his role is simple and one that hopefully can impact the game.“I consider myself a pass rusher, an outside linebacker and a playmaker,” Biegel said. “I expect myself to be that and moving forward the rest of my career.”