Endurance sports medicine : a clinical guide / Edited by Timothy L. Miller.

Includes index.

Dedication; Preface; Contents; Contributors; Part I: Medical Conditions; 1: Cardiovascular Evaluation and Treatment of the Endurance Athlete; Introduction; Overview of Normal Physiological Adaptations to Endurance Training; Left Ventricular Adaptations to Endurance Exercise; Right Ventricular Adaptations to Endurance Exercise; Atrial Adaptation to Endurance Exercise; Variability of Exercise-Induced Cardiac Remodeling; Clinical Implications of Remodeling; Electrical Remodeling; Evaluation of the Symptomatic Endurance Athlete; Chest Pain; Syncope; Palpitations; Atrial Arrhythmias Long-Term Effect of Chronic Endurance Training Sudden Death During Endurance Competition; Conclusion; References; 2: Exercise-Induced Bronchoconstriction and Vocal Cord Dysfunction; Vocal Cord Dysfunction; References; 3: Evaluation and Treatment of Heat- and Altitude-Related Illness; References; 4: Pregnancy and the Endurance Athlete; Introduction; Pregnancy Physiology; Endurance Physiology; Physiological Concerns of Exercise During Pregnancy; Maternal Physiologic Concerns; Fetal Physiological Concerns; Risks/Benefits of Exercise During Pregnancy; Physical Activity in Pregnancy Exercise Prescriptions Exercise Prescription During Pregnancy; The Sedentary or Non-exercising Patient; The Regular Exercising Patient; The Elite Athlete; Conclusion; References; 5: Gender Differences: Considerations for the Female Endurance Athlete; Historical Perspective; Anatomical and Physiological Differences in the Female Endurance Athlete; VO2max; Other Sex Differences; Medical Conditions in the Female Endurance Athlete; Iron Deficiency Anemia and Iron Depletion; Stress Urinary Incontinence; Overtraining Syndrome; Exercise-Associated Collapse and Hyponatremia The Female Athlete Triad and the Relative Energy Deficiency in Sport Energy Availability; Menstrual Dysfunction; Poor Bone Health; Stress Fractures; References; 6: Considerations for the Pediatric Endurance Athlete; Background; Is Long-Distance Running Safe?; Endurance Training Physiology; Growth; Training; Cardiac Changes; References; Part II: Musculoskeletal Conditions; 7: Treatment of Stress Fractures; Pathophysiology; Risk Factors for Stress Fractures; Intrinsic Factors; Extrinsic Factors; Clinical Presentation; Imaging Evaluation; Radiography; Bone Scintigraphy Ultrasound SPECT Scan; Computed Tomography; MRI; Classification/Grading; High-Risk Stress Fractures Versus Low-Risk Stress Fractures; Rib and Upper Extremity Stress Fractures; General Treatment Principles; Management of High-Risk Stress Fractures; Return to Sports Participation; Prevention of Stress Injuries; Summary; References; 8: Evaluation and Treatment of Soft Tissue Overuse Injuries; Achilles Tendinosis; Introduction; Terminology; Anatomy; Pathophysiology of Tendinosis; Epidemiology; Etiology; Physical Exam; Imaging; Treatment; Medications; Rehabilitation.

Providing comprehensive discussion of this newly developing branch of sports medicine, this unique and up-to-date book focuses specifically on the treatment of athletes who train for and participate in endurance sporting events, including not only traditional endurance athletes such as runners, swimmers, bikers and triathletes, but also rowers, adventure racers, military personnel, and cross-fit athletes. Detailing strategies for not only treating and preventing injuries and conditions but also for optimizing an athlete's performance, it is divided into three thematic sections. The first section covers common medical conditions faced by the endurance athlete, including cardiovascular conditions, asthma, and heat- and altitude-related illnesses, while also discussing gender differences, pregnancy and the pediatric endurance athlete. Section two focuses on the management of common musculoskeletal conditions, such as stress fractures, overuse injuries of the soft tissue, compartment syndrome, shoulder and hip injuries, and exercise and osteoarthritis. The last section presents special considerations for the endurance athlete, including gait and swim-stroke analysis, bike fitting, mental preparation, optimizing nutrition, and how to organize medical coverage for events, as well as decision-making for return to play. A timely topic and one which has not been written about extensively in one concise collection of chapters, Endurance Sports Medicine is a valuable guide for sports medicine physicians, orthopedists, athletic trainers, physical therapists, coaches, officials, and athletes in understanding the needs of the determined individuals who participate in endurance sports.