Stories about: Expert’s Corner

Concussions: Treatment and return-to-play guidelines

Dr. O'Brien concussions athletes lead image
PHOTO ILLUSTRATION: PATRICK BIBBINS/BOSTON CHILDREN’S HOSPITAL

The end of summer and beginning of fall marks a time when physicians and athletic trainers begin to see a rise in concussions from athletes competing in both soccer and football. Though the football-concussion link is well-known, soccer also carries a significant risk for athletes.

In soccer, concussions are often the result of head-to-head contact or head-to-ground contact after an awkward fall. With players constantly leaping into the air to compete for lofted balls, it’s not surprising that these types of concussions regularly occur. Michael O’Brien, MD, director of the Sports Concussion Clinic at Boston Children’s Hospital, details the updated protocols for return to play after concussion and what physicians and trainers should be aware of during the soccer season.

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Recurrent UTIs in boys

urinary tract infection in boys
PHOTO ILLUSTRATION: PATRICK BIBBINS/BOSTON CHILDREN’S HOSPITAL

Painful, frequent and urgent urination — they’re the telltale signs of a urinary tract infection, or UTI, something most pediatricians see on a regular basis. The approach to care is usually simple: urinalysis, a course of antibiotics, plenty of fluids and a discussion about proper hygiene. Most of the time, the infection clears up with no further issues. …Read More

Diagnosing and treating nerve injuries in children and adolescents

Dr. Andrea Bauer nerve injuries Notes blog
PHOTO ILLUSTRATION: PATRICK BIBBINS/BOSTON CHILDREN’S HOSPITAL

Nerve injuries in children and adolescents aren’t all that common, and may be difficult to diagnose. When these injuries do occur, the referral process can also present further complications.

“With peripheral nerve injuries, it’s common to think a patient needs a neurosurgeon or plastic surgeon,” says Andrea Bauer, MD, an orthopedic surgeon in the Hand & Orthopedic Upper Extremity Program at Boston Children’s Hospital. “But because of the legacy Dr. Peter Waters has built, the specialists in our Orthopedic Center actually have a great amount of experience with these injuries.”

Bauer’s experience treating a wide range of nerve injuries both surgically and non-surgically in pediatric populations has helped her understand the difficulties that often arise in both diagnosis and treatment. Here, she provides insight on what PCPs and pediatricians should be aware of when it comes to nerve injuries in children.

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Why breastfeeding matters for mothers and children (and families) everywhere

Baby touching mother's face while breastfeeding

The recent attempt by U.S. representatives to the World Health Assembly to reduce support for global infant nutrition guidelines represents a new low in promoting global public health. World Breastfeeding Week gives us reason to review hard facts and real news about how and why to support nursing mothers and their infants. …Read More