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.
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Paul Ryan claimed a 2-7 haul and Conal Keaney put in a massive shift as the Dubs pulled off a massive result. Now they are gearing up for a crack at the All-Ireland title, and their form would suggest that they can give it a real rattle. Dazzling Dublin bridged a 52-year gap in spectacular fashion at Croke Park, winning a first Leinster Senior Hurling title since 1961 with a 2-25 to 2-13 win over holders Galway. Galway made a game of it with two second half goals, from Joe Canning and David Burke, but they never looked like getting the better of a fired-up Dublin side. Kerry were crowned Munster football champions following their 1-16 to 0-17 win over Cork at Killarney. Kerry dominated midfield through Anthony Maher and Johnny Buckley, and forged ahead with points from Colm Cooper, Declan O’Sullivan, James O’Donoghue and Buckley. Daniel Goulding kept Cork in touch with a handful of frees, but the Kingdom struck for a 29th minute goal, expertly finished by skipper Cooper. They led by 1-10 to 0-6 at the interval, but Cork kicked six points on the spin to close the gap to two, with Goulding bringing his tally to seven. But the Kingdom held on to resist the defending champions in front of a crowd of 36,370. Press Association
Fenton was called before officials after being found guilty of possessing anabolic steroids and other banned substances at a district court hearing last month. A cardboard box packed with 25 bottles and containers of animal remedies was found hidden in the horse spa in his yard in County Tipperary during a search by officials from the Department of Agriculture in January 2012. The Tullow Tank was another flag-bearer for the yard, but he has already been transferred from Fenton’s stables by owner Barry Connell. Powerful owners Gigginstown House Stud also removed the three horses they had in training with Fenton, including the Grade Two-winning Real Steel. Fenton had a runner at Gowran on Saturday when Ange D’Or Javilex finished third in a two-mile novice hurdle. Philip Fenton has been disqualified from holding a trainer’s licence for three years following an Irish Turf Club hearing. Press Association Among them was one kilo of the anabolic steroid Nitrotain in a paste form in a black tub – enough for 250 doses – and a 20ml bottle of a second performance-enhancing drug Ilium Stanabolic. Fenton was fined 6,000 euro as well as being ordered to pay a further 4,200 euro in costs following the case. The Cheltenham Festival-winning trainer did not give evidence in the one-day hearing in Carrick-on-Suir District Court and refused to explain afterwards why he had the steroids in his yard. Fenton’s disqualification period from training horses will begin from midnight on Friday, November 28. On March 1 next year he will be disqualified entirely from any horseracing environment. Fenton’s solicitor pleaded for a financial punishment, rather than disqualification, but a Turf Club panel felt the severity of the offence was of sufficient gravity to hand out a three-year suspension. Head of the panel Tony Hunt said Fenton would still have the right to appeal. The 49-year-old trainer enjoyed great success with Dunguib, who won the 2009 Champion Bumper at Cheltenham, and Last Instalment, but those two horses have since been retired.
Dear Editor,The CCJ, in its consequential orders, has challenged Guyana’s political leaders to act in accordance with the Constitution and within the requirements of what it has ruled to be a valid NCM. Our leaders must act at this stage, not in the interest of winning the next election, but in the interest of a free, fair and credible election in the shortest possible time.After putting in place arrangements for a credible election, their political campaigns must be designed to win the next election.It is their political campaigns, not the electoral process that must be designed to win elections.Regards,Wesley Kirton