Physicians Grand Island NE
Grand Island, NE
Physical Therapist, MPTSports Medicine
Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 6:00 PM
Manual Therapy, Orthopedic Care, Physical Therapists, Sports Medicine, TMJ Dysfunction Program, Workers Comp/Rehabilitation
Monday 12:00 AM - 12:00 AM
Tuesday 12:00 AM - 12:00 AM
Wednesday 12:00 AM - 12:00 AM
Thursday 12:00 AM - 12:00 AM
Friday 12:00 AM - 12:00 AM
Geriatrics, Manual Therapy, Orthopedic Care, Physical Therapists, Sports Medicine, Workers Comp/Rehabilitation
Emergency Medicine, Sports Medicine
Physical Medicine and Rehabilitation
Free consultations with an appointment. Receive a gift certificate when you refer a friend.
Monday 7:00 AM - 4:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 7:00 AM - 4:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 7:00 AM - 4:00 PM
Manual Therapy, Orthopedic Care, Physical Therapists, Sports Medicine, Workers Comp/Rehabilitation
South Sioux City, NE
Monday 8:00 AM - 6:30 PM
Tuesday 8:00 AM - 6:30 PM
Wednesday 8:00 AM - 6:30 PM
Thursday 8:00 AM - 6:30 PM
Friday 8:00 AM - 6:30 PM
Cardiopulmonary, Geriatrics, Manual Therapy, McKenzie Certified Clinic, Neuro Rehabilitation, Neurologic Certified Specialist, Orthopedic Care, Orthotics & Prosthetic Therapy, Pediatrics, Physical Therapists, Sports Certified Specialist, Sports Medicine, TMJ Dysfunction Program, Women's Health, Workers Comp/Rehabilitation
Monday 8:00 AM - 5:30 PM
Tuesday 7:00 AM - 4:00 PM
Wednesday 8:00 AM - 5:30 PM
Thursday 7:00 AM - 4:00 PM
Friday 8:00 AM - 5:00 PM
Occupational Therapy, Orthopedic Care, Physical Therapists, Sports Medicine, Workers Comp/Rehabilitation
Physical Medicine and Rehabilitation
Miscellaneous Medical Questions
Q.I recently rode Paris Brest Paris, perhaps you know about this ultimate 1200k endurance cycling event. I did not make it to the finish but did make it 1100k, in about 82 hours (which meant I had 8 hours to do 100k...) I was not dehydrated nor was my blood sugar low. I rode 26 hours before sleeping for 5 hours (good sleep) and then 22 more before 3.5 hours of sleep. The third day I felt good, riding at dusk I became very fatigued, disoriented, even hallucinated. I made it to a control, got 4 hours of sleep, thought all would be well. Started riding at 6 am, could not stay awake, tried napping by the side of the road, and I guess did not look like I was doing so well as someone called an ambulance. My blood pressure was OK, pulse was 45, slightly low for me. As I plan to do this and make it in 2007, any advice for legally dealing with this sort of fatigue? I tried caffeine, amazing how little caffeine does once one reaches this level. Does what happened to me indicate any condition or syndrome or lack of some nutrient? Is there a quick fix when one gets this (I know sleep... other than that) low?
A. The short answer is "no". I doubt there are any supplements that would prevent this from happening. Even when you eat just right, there is a limit related to your own physiology that reflects metabolism at the cell level. On another day, it might be a breeze and yet you would have done nothing differently as far as training. Good luck in 2007.
Q. I bike about 100 miles a week. With the upcoming flu/cold season, will altering my diet in any way prevent or reduce my chances of catching a cold/flu? If I get a cold/flu, will altering my diet in any way reduce the length of time I have a cold or flu? Will regular moderate exercise during the time I have a cold/flu reduce the the length of time I have a cold or flu, make it worse, or do nothing at all?
A. There is no evidence that diet supplements will reduce your chances of getting a viral URI or upper respiratory infection ("the flu"), although a regular, moderate exercise program does appear to provide some protection. If you do get a viral URI, zinc lozenges will cut down the duration of symptoms. During the early phase - when you are having aches, chills, and perhaps a fever - it is best to back off on your training or riding program. There has been suggestive evidence that continuing to push during this time can lead to additional problems.
Q.I am a competitive rider 46 Years old. Can you give any clarification on using large doses (3cc) at a time of B12. Are there proven benefits to this?
A.I believe any benefit would only be a placebo response. There is no physiology that would support this (unless you have pernicious anemia) not any scientific evidence.
Q.I have been told to exercise to avoid osteoporosis (which runs in my family). Will cycling do the trick?