Resting Metabolic Rate: The Key to Understanding Your Metabolism

Knowing your individual resting metabolic rate (RMR) and what factors most influence your metabolism is essential in creating a smarter strategy to tackle weight loss, gain muscle, run longer or faster, taper before a race or refuel after training.

RMR represents the energy expended at rest to support basic physiological processes such as controlling body temperature, breathing, circulating blood and contracting muscles, as well as supporting brain, organ and nerve activity. RMR accounts for approximately 70% of the total energy we expend each day. Many factors influence your RMR such as age, body temperature, stress and muscle mass. Our RMR generally declines with increasing age due to a decrease in fat free mass and can increase due to stress.

The number of calories you need per day is dependent on a number of factors such as age, body weight, gender, RMR and physical activity levels. Your RMR may vary between 1200 and 2400 calories a day or more depending on your activity level. Once you know your resting metabolic rate you can determine your total daily caloric expenditure by taking into account the thermic effect of exercise (TEE) which is the amount of calories burned during exercise and the thermic effect of feeding (TEF) which is the amount of calories burned to digest food and accounts for less than 10% of your total caloric expenditure.

Learn more about the thermic effect of food and starvation mode from a previous blog, "The Meal Frequency Myth."
Learn more about the thermic effect of food and starvation mode from a previous blog, “The Meal Frequency Myth.”

Experts in Sports Performance at Houston Methodist see many people fall into the trap of eating too little when trying to lose weight which can have a negative effect on their metabolism and result in a significant slowdown of metabolism. The body thinks it is in starvation mode, making it harder to lose weight.

If you eat less than your resting metabolic rate or if you’re not eating enough calories to support your current activity level then you could be doing more harm than good to your metabolism. This is especially true for athletes. Once you find out your individual number you can determine exactly how many calories your body needs to lose, maintain or gain weight.

The opposite is also true as many people are eating way more calories than their body needs and are shocked when the results show that they need to be cutting their caloric intake in half or more. We recommend using a calorie tracker app that allows you to input your food intake and calculates your calories for the day.

RMR testing can tell you how many calories your body needs based on your goals, putting you in control of your weight rather than guessing. For accurate results, you should be fasted for at least eight hours and in a rested state at least 30 minutes prior to testing. Testing is best done first thing in the morning and involves breathing through a mask in a comfortable position for 20 minutes.

The test provides information on your metabolic rate and whether you are burning fats or carbohydrates. A nutritionist can use this information to tailor a diet plan specifically for you.

What exactly is prediabetes?

According to the CDC, 1 in 3 Americans over the age of 20 has prediabetes and for those over the age of 65, it’s 1 in 2. Up to 30% of those with prediabetes will develop type II diabetes within 5 years unless they make lifestyle changes including weight loss and increased physical activity.

30% of those with prediabetes will develop type II diabetes within 5 years Click To Tweet

What does prediabetes mean?

Though not recognized as an official medical diagnosis, prediabetes is a term used when a person’s fasting blood glucose (fasting plasma glucose) and hemoglobin A1c are higher than normal but aren’t high enough for a formal diabetes diagnosis. Fasting blood glucose and hemoglobin A1c are two tests doctors use to assess glucose control and diagnose diabetes. Normal fasting blood glucose is below 100, but diabetes isn’t typically diagnosed until fasting glucose reaches 126mg/dL or higher. Glucoses in between 100-125 are typically considered prediabetic results. For the hemoglobin A1c, normal results are 5.6% or below, while diabetes is typically diagnosed at 6.5% or higher, so someone with lab results in between 5.7-6.4% may be told he or she has prediabetes.

Fasting Blood Glucose levels

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A1C levelsScreen Shot 2015-01-27 at 1.21.35 PM

What are the symptoms of prediabetes?

Unfortunately, many people with diabetes or prediabetes don’t experience symptoms. Having your doctor run a fasting glucose, oral glucose tolerance test or a hemoglobin A1c is the best way to determine your current risk.

What are the risk factors?

Knowing the risk factors for developing diabetes is also helpful in preventing the progression of prediabetes to diabetes. Risk factors include age, gender, family history, physical activity level, body weight, pregnancy history and race.

Every decade over 40 increases your risk for diabetes and men are at higher risk than women. If your family history includes an immediate blood relative (parent or sibling), then your risk also goes up. If you’re getting less than 150 minutes of exercise per week and are overweight or obese, had gestational diabetes or birthed a baby weighing more than 9 pounds, those are additional risk factors. And while prediabetes rates don’t differ across racial groups, diabetes is most common in Native Americans and Alaskan Natives, then non-Hispanic blacks, Hispanics, Asian Americans and non-Hispanic whites respectively. Certain medications, like statins, and other health conditions like polycystic ovarian syndrome can also increase your risk for diabetes, so be sure to talk to your doctor about any concerns. Click here to take the American Diabetes Association’s risk assessment test.

How can I lower my risk for diabetes?

Fortunately there are many things you can do to take control of your health. Make sure your doctor is running a hemoglobin A1c so you know your results. Start exercising, aiming for at least 150 minutes a week, and get to a healthy body weight where your BMI is under 25. You can calculate your BMI by going here. Even losing just 10% of your current body weight can make a big difference! Make sure to eat lots of fruits and vegetables and limit refined carbohydrates like white rice, white pasta, sodas, sweet tea, crackers and desserts. Cut back on portions and find an activity you enjoy that gets you up and moving around. Feeling short on time? Research has shown three 10-minute walks a day can be just as effective as one 30-minute walk, so split up the time if needed. If you smoke, consider joining a tobacco cessation program. Put yourself in control of your health and be encouraged to know that you have the ability to change from having prediabetes to experiencing normal, healthy blood glucose levels.

prediabetes-inforgraphic

5 tips for returning to exercise after pregnancy

We all know how important exercise is to our health. I can attest to the endorphin rush from a good workout, and crave that post-run euphoria. Or at least I used to.

When I got pregnant two years ago my doctor advised me to keep my heart rate below 140, which meant a dramatic shift in my exercise regime. And since having my son I’ve hit the sidewalks sporadically, but not with any consistency. The net effect is that I can feel the difference in both my physical and mental well being, and it’s not a good difference.

The good news is that each day gives me a new opportunity to make the right choices. I’m registering to run a 10k at the end of February, and using the Couch to 5k app to track progress for the first eight weeks.

I recently spoke with Jace Duke, manager for Houston Methodist Orthopedics & Sports Medicine Athletic Training Services, about returning to exercise after pregnancy. He offered these five tips.

Talk to your doctor before starting any new exercise program. Tell him or her why you want to exercise, and what activities you had in mind. Do you want to improve cardiovascular health? Lose weight? Gain strength and flexibility? Your doctor will help make sure you are in good enough shape to start exercising, and then you can design a program to meet those goals.

 

Progress gradually. Make sure your exercise plan increases the strain on your body incrementally. Also, take note of your environment. You might not look forward to your second workout if your first run is at noon on July 4th.

Wear the right shoes. You don’t need to spend $150 on high-tech shoes, but you do need to have shoes that are appropriate for your exercise, and they need to be replaced whenever you can see wear.

Your body is a machine that depends on fuel, and that includes hydration. Just don’t make the fatal calculation that a 30 minute jog is license to eat anything you want for the rest of the weekend – espeically if weight loss is one of your exercise goals!

Listen to your body. You will probably be sore the day after a workout. You might be even more sore the second day. This does not necessarily mean you are injured or sidelined. Jace has a helpful way to identify injury from soreness. “God gave us two of most of our body parts. If you are experiencing symmetrical pain, you are probably just SORE. If you are experiencing asymmetrical pain (your right calf feels strained but your left calf feels just fine) you might be injured.”

Even if you are injured, though, you never have to stop exercising entirely. You might need to modify your activity. You might be sidelined from running, but you can walk, or bike, or swim. The key is to always stay active.

BYOL: Bring your own ligaments

t’s funny how things change as you age. For instance, we all reach a point where we don’t have to have the newest or best of everything – we just need something that works. You might feel that way about your car or your phone, but what about your ACL and PCL?

A new total knee replacement features a shape that protects that island of bone & saves the ligaments Click To Tweet

The ACL, or anterior cruciate ligament, and PCL, or posterior cruciate ligament, are located in your knee and are essential to natural knee movement and function. That’s why you hear about so many athletes getting a torn ACL repaired – you need those ligaments to function properly.

“These ligaments provide stability for the joint and increase the patient’s ability to perform complex movements, such as dancing, gardening or golfing,” explained Dr. Bill Bryan, a Houston Methodist orthopedic surgeon.

When you are old enough for a knee replacement, your ACL and PCL are certainly a bit worn out, but they still work, which is good enough for you. So why do surgeons remove the ACL and PCL when you have a knee replacement? Until now, they’ve not had an option.

A traditional total knee replacement requires removing the “island” of bone to which the ACL and PCL are attached. A new total knee replacement implant features a shape that protects that island of bone and saves the ligaments.

Dr. Bryan was one of 10 surgeons from across the country and the only surgeon in Houston to be selected as an early evaluator of the XP knee, made by Biomet, which features the new ligament-saving design.

“Most of my knee replacements patients are completely happy with their new knee, but some complain that they are not able to physically do everything they previously could,” Dr. Bryan said. “By saving the ligaments, this knee implant provides an improved range of motion and increases joint stability and natural movement for knee replacement patients,” Dr. Bryan said.

Dr. Bryan believes that another benefit of saving the ACL and PCL for knee replacement patients is that the ligaments will take some of the strain off the metal and plastic components of the knee replacement and help it to last longer. Most artificial knees last approximately 10 years before needing to be replaced.

“For many years, orthopedic surgeons have recognized the need for total knee replacements that save the ligaments,” Dr. Bryan said. “Now that technology and design have caught up with us, patients can now get a total knee replacement that works and feels a lot like a normal knee.”

A weight loss program that’s different

lthough each individual’s weight loss goal is different, the aim of treatment remains the same – to improve your health and quality of life. Here are four reasons why the medical weight management program at Houston Methodist will help you reach your goal.

1. What is medical weight management? Why is it better for me?  

Medical weight management is a physician-supervised weight loss program that allows patients with a BMI of 30 or above to safely and rapidly lose excess weight through a very low calorie diet (low carbohydrate/high protein).  

Shenese lost 105 lbs. with the help of the Houston Methodist Weight Management Center.
Shenese lost 105 lbs. with the help of the Houston Methodist Weight Management Center.

Prior to entry, a physician will review a patient’s detailed history, physical, blood work and electrocardiogram (measures heart’s electrical activity) to ensure that it is safe for them to be in the program. Thereafter, a physician will adjust the patient’s prescription medications for safety, address diet related symptoms, review monthly blood work and ECGs with every 50 pounds of weight loss to ensure continued safety. The physician will monitor medical safety as part of the comprehensive team approach to weight loss that includes weekly nurse, dietitian and counselor visits. 

2. Why is it important that I see a medical weight loss or obesity specialist?

An obesity medicine physician completed additional education, training and testing to become board certified in weight loss medicine. Certification as a Diplomate of the American Board of Obesity Medicine (ABOM) signifies excellence in the practice of obesity medicine and distinguishes a physician as having achieved a high level of competency and understanding in obesity care.  Only about 1500 physicians in the U.S. and Canada have completed the process to become board certified in obesity medicine by the American Board of Obesity Medicine. 

3. How long will it take for me to lose weight? How much weight will I lose? 

Typically, patients in the first phase of our rapid medical weight loss program, called New Beginnings, can expect to lose two to five pounds per week. Patients most often stay in this program until they achieve a reasonable goal weight. However, some may choose to enter the transition phase, called My Journey, before their goal weight is achieved, and can expect to lose one to two pounds per week, depending on the plan they choose with the dietitian.  

4. I’ve tried a lot of programs, why is this one different? How will I ensure that I am successful at this?

Numerous studies have shown that successful weight loss, and maintenance of weight loss, is best achieved through a comprehensive multidisciplinary approach that addresses the medical, nutritional, behavioral and physical activity contributors to excess weight. Through adherence to the rapid medical weight loss program, patients will achieve significant weight loss through scientifically proven methods.  However, our ultimate goal is to help patients maintain the weight loss for the rest of their lives by providing the education, support and tools necessary to sustain their new healthy lifestyle. 

Learn more about your weight loss options at our open house events. Join an open house event at one of our Houston area hospitals. Learn about your weight loss options and enjoy a healthy cooking demonstration. Attendance is free; however, registration is required.

Learn more about the Weight Management Center and the programs it offers.

Does high-intensity interval training live up to the hype?

When it comes to exercise, people usually subscribe to the notion that “more is better.” Many health organizations recommend at least two hours of moderate exercise a week, claiming that ramping up to five hours or more confers even more health benefits.

What if the key to getting the most out of exercise wasn’t the amount, but the intensity? What if you could get as many (if not more) benefits from as little as a couple minutes of exercise a week as opposed to several hours?

It may sound like I’m a television fitness guru that’s trying to sell you a series of DVDs, but I’m not. What I’m talking about is high-intensity interval training or HIIT. The time commitment is low and the benefits are real.

The time commitment is low and the benefits are real for high-intensity interval training (HIIT) Click To Tweet

How do HIIT and traditional exercise differ?

Exercises such as jogging, walking or cycling are usually given shorthand names like steady-state cardio or aerobic exercise. Their key features are that the intensity is low to moderate and the time commitment is usually 30 minutes or more a session.

In contrast, HIIT is characterized by extremely short periods of all-out intensity (such as sprinting) followed by timed rest periods. Watch this clip from an episode of BBC’s Horizons series. It shows how short, but intense HIIT can be:

 

Why you may want to cut back on long-term steady-state cardio

Doing things like going for a short, daily walk or participating in a yoga class is great for your health. Research reviews continually show that regular physical activity is helpful in managing and preventing chronic diseases like diabetes and high blood pressure.

However, when people commit large portions of time to steady-state cardio activities (think Iron Man participants and endurance athletes), the health benefits start to taper off and negatives can be the unfortunate result.

While lots of cardio may seem healthy, consistently overdoing it may result in negative health effects Click To Tweet

Studies from the Mayo Clinic, Journal of Applied Physiology, Medicine and Science in Sports and Exercise and the European Heart Journal have found endurance athletes show abnormal thickening of heart valves, a potential sign of heart failure.

That same population has been found to have highly-elevated levels of cortisol (a stress-response hormone), increased C-reactive protein (a sign of inflammation) and exhibit symptoms like immune system deficits, sleep difficulties and mood disturbances.

What are the benefits of HIIT?

Whereas too much long-term steady-state cardio can have negative effects on an individual’s heart, low volumes of HIIT (around three sessions a week) can improve heart artery stiffness and cardiovascular functions.

Studies have shown HIIT to have many other benefits such as:

How do you perform a HIIT session?

Some online guides complicate HIIT, calling for things like mixing free weights with bodyweight squats. An effective HIIT session really can be as simple as the video clip above from BBC Horizons.

If you’re just starting and/or want to keep things simple, stick with one form of cardio, such as sprinting or cycling on a stationary bike. Then follow a template such as this up to three times a week:

How to perform a HIIT session

How often do ACL tears happen to athletes?

How’s your fantasy football team doing? Lost any star players to an anterior cruciate ligament or ACL tear? St. Louis Rams quarterback Sam Bradford is out for a tear in his left knee for the second season in a row. Stephen Tulloch, a linebacker for the Detroit Lions, went down in week three with an ACL tear in his left knee.

ACL tears are common in football players and in professional, amateur and youth athletes in other contact sports with more than 250,000 occurring each year. An ACL tear is a season-ending injury, but does it signal the end of an athlete’s career? Not necessarily.

ACL tears affect 250,000 athletes each year Click To Tweet

So how often do athletes with ACL tears return to the sport they love? Dr. Joshua Harris, a Houston Methodist orthopedic surgeon, sought out to find just that. He matched athletes with ACL tears in the National Football League, National Basketball Association, National Hockey League, Major League Soccer and the X Games to athletes without tears based on age, experience and pre-tear performance.

“In addition to determining how often these athletes are able to return to sport after an ACL tear, our studies also revealed interesting patterns in ACL tears,” Dr. Harris said. “For example, we were able to determine which NBA playing positions had a harder time recovering and which knee was more susceptible to ACL tears in MLS players.”

National Hockey League

Athletes in the NHL had a return to sport rate of 97 percent – the highest rate of all major sports leagues. Left-handed shooters are more likely to tear their ACL, but all performed better after returning to the ice.

National Football League

Because the rates of ACL tears in the NFL are so high and specific offensive and defensive positions are unique in their cutting and pivoting demands on the knee, Dr. Harris and his team decided to narrow their research for this study to quarterbacks. The researchers found quarterbacks have a return to sport rate of 92 percent and, on average, played for five years after returning from an ACL tear, which proved ACL tears are not career-ending injuries for quarterbacks.

 

National Basketball Association

Dr. Harris found that 62 percent of ACL tears in the NBA occur in the second half, mostly in the fourth quarter of the game, possibly due to fatigue. Overall, NBA athletes have a high return to sport rate of 86 percent. Guards have the most difficult time returning to sport, while centers have the most predictable outcomes.

Major League Soccer

While most injuries in Major League Soccer athletes are non-contact injuries, these players tend to have more ACL tears in their left knee and have a 77 percent chance of returning to the field after an ACL tear.

“Because of the cutting and pivoting nature of soccer, MLS players may have more ACL tears in the leg they plant with,” Dr. Harris said. “The majority of soccer players kick with their right and plant with their left, which may explain why they tend to have more ACL tears in their left knee.”

X Games

Dr. Harris and his team looked specifically at skiers and snowboarders. Skiers tend to have more tears in their left knee and had an 87 percent chance of returning to their sport. Snowboarders had a 70 percent return to sport rate and won more medals after recovering from an ACL tear.

“This injury can happen to anyone,” Dr. Harris explained. “Researching ACL tears in athletes helps all of our patients because we are able to evaluate treatments and bring the best solutions back to our practice.”

Can fitness video games improve your health?

When the Nintendo Wii first came out in 2006, it was marketed as a new and interactive way to play video games; players would actually have to swing their arms to play tennis. Soon after, Nintendo released Wii Fit, aimed at encouraging families to work out together and the question was raised: can the Wii and fitness video games really be used to work out?

Even though Wii Fit has activities such as strength training, aerobics, yoga, and balancing, consumers complain that it lacks the intensity needed for a “really good” workout. Released along with the Wii console in 2006, Wii Sports has a reputation for being high energy and users even reported soreness in muscles the following day.

In my quest to find fitness video game workouts that are fun and effective, I decided to substitute a week of running for a week of playing Wii Sports. I used a watch to track my heart rate and calories burned and then compared those numbers from Wii Sports to those of running.

When I run, I incorporate intervals to increase my heart rate for short periods of time; it usually takes me about 30 minutes to complete 10 intervals and burn about 325 calories. With Wii Sports, I decided to work out for an hour: I would complete the daily fitness test (five minutes), complete all three trainings for one sport (15 minutes each), and then play the game for 10 minutes. The three sports that I rotated between were boxing, tennis and baseball.

 

I started off Monday with boxing for an hour. My maximum heart rate was about 180bpm and that came from the first training exercise – Working the Bag – where you hit as many bags as possible. The second training exercise – Dodging – definitely worked my oblique abdominal muscles as I had to dodge side to side.

After an hour of boxing, I had burned 358 calories and was tired, but not exhausted like I usually am from running. The next morning, the muscles in my upper back, shoulders, triceps and oblique abs were sore.

I followed the same routine the next day with tennis and burned 397 calories in an hour while working my biceps. On the third day, I played baseball, which increased my heart rate up to 170 bpm and burned 428 calories with no major soreness. On the fourth day I went back to boxing, got my heart rate up, and burned 461 calories. The last day, I played tennis and burned 394 calories.

After those five days, I evaluated my week of Wii Sports exercising and decided that it was not a bad occasional substitute for regular exercise. I had burned significant calories and had fun. However, I do burn more calories by running for an hour than do playing Wii Sports for an hour. Additionally, I am not getting as good of a cardio workout with Wii Sports as I can with running.

Could Wii Sports replace traditional exercise? No, but it makes a good substitute Click To Tweet

That following week, I decided to return to my usual workout routine. After a week of Wii Sports, I could only complete half of my interval sets. I was short of stamina and constantly felt winded. This showed me that using the Wii Sports is not a direct substitute for a typical workout regime.

I will most likely use Wii Sports again to exercise, but not as a substitute. Maybe I will add on 30 minutes of boxing at the end of my run to work on my upper back muscles or play baseball on my rest days, but for me, Wii Sports is not a complete exercise program.

Recovering from a sports injury

 have been playing football since I was 10 years old. Like most football players, I’ve had sprains and scrapes, but had never experienced an injury that kept me from the game I love. But during a game in 2013, I felt the fear and panic that comes with a season-ending sports injury. 

I’m the starting center for Rice University. Rice and the University of Houston have been sports rivals for years, and the teams have played an annual football game since 1971. On Sept. 21, 2013, we were playing against UH at NRG Stadium. We lined up to kick an extra point when my right arm was caught between our long snapper and a UH player. I felt the weight crushing down on my arm and saw the doctors rushing toward me, but it took me a moment to feel the pain and realize that my right arm was broken in several places. Intense pain was all I could feel, and all I could think was that I’d just experienced my final play of college football.

I was taken off the field and had X-rays taken at the stadium before being transported via ambulance to Houston Methodist Hospital. Dr. Shari Liberman was on call that night. By the time I met her, I was panicking about everything – using my arm again, finishing college, playing football, getting a job, having a normal life. Dr. Liberman calmed me down and explained the extent of my injury and exactly how she was going to fix it. She didn’t sugarcoat anything and told me recovery would be hard, but that regaining normal use of my arm was possible.

I've played football since I was 10. In 2013 I experienced the panic that comes from a sports injury Click To Tweet

I needed surgery as soon as possible, but we had to wait four days for the swelling to go down. Dr. Liberman planned to put my arm back together using titanium plates and screws. However, during surgery she found that the titanium wasn’t going to work because the thread on the screws was too fine for the extent of my injury. She removed the titanium plates and screws and replaced them with stainless steel. Eight hours later, the surgery was done. I stayed in the hospital five more days for observation and treatment.  

For the next two months, my arm was in a locked brace to give the bone time to heal properly, but the brace made even simple tasks difficult. I had amazing family and friends supporting me, but I could not wait to get that brace off. As soon as the brace came off, I started rehabbing with Ricardo Young, a certified hand therapist at Houston Methodist. When Ricardo first started working with me, I was barely able to move my arm because I’d lost so much muscle strength. I had therapy nearly every day for several months and slowly regained my strength and mobility.

Before I knew it, I was able to start training with the Rice athletic staff. A few weeks after that, I was able to work out with the football team again. In June 2014, less than a year after that fateful game and play, Dr. Liberman cleared me to play football again – just in time to start practicing for the 2014-15 season, which will be my last as a Rice college student. 

After such a severe injury, I thought I would never play again, but I’m a starter! It was a feeling of relief and excitement to be back on the field with my teammates. I don’t even worry about my elbow – I just play football. And, it’s all thanks to Dr. Liberman and Ricardo. Go Owls!

Beyond Friday Night Lights

mployment of athletic trainers is expected to increase 30 percent between 2010 and 2020, especially in schools and youth leagues. Why? Because the long overdo realization that athletic trainers are essential members of the teams they support. They provide not only locker room and training guidance but also sideline medical care for everything from cuts to concussions. 

Approximately 8,000 children are treated in emergency rooms each day for sports-related injures. (Statistic via Clearedtoplay.org)
Approximately 8,000 children are treated in emergency rooms each day for sports-related injures.

Over the years, we’ve all seen the number of sports leagues increase and the offseason time decrease. Often, students are going from one sport to the next without a real break—leaving their bodies ripe for injury.

Scott Tidwell, an outreach coordinator and athletic trainer with Houston Methodist Orthopedics & Sports Medicine, says the increase in injuries is driving the demand to have athletic trainers involved in the prevention and evaluation of sports injuries.

As the parent of a Hardin football player, Scott doesn’t go to the games just to watch his son play; he goes to work. It’s not unusual to see him on the sidelines of a Friday night varsity football game or a junior varsity basketball game at Hardin High School in Hardin, Texas.

Athletic trainer employment is expected to increase 30% due to the sideline medical care these experts provide Click To Tweet

Scotts visits once a week to work with athletes in grades seven to 12 at Hardin Junior High and High schools. He checks to see if an athlete is following the treatment plan provided by their doctor or physical therapist or evaluates a new injury. He also works with the coaches on everything from conditioning and equipment to nutrition in order to minimize injury.

Through Scott’s weekly visits to the Hardin campuses, he becomes familiar with the athletes and their families. This familiarity proved invaluable to Zane Drake, a football and baseball player at Hardin High School. After tackling an opponent during a Friday night game in 2010, then 13-year-old Zane was removed from the game.

 

I don’t like to admit when I’m in pain. But, after that tackle, I felt tingling in my neck and legs and could tell I wasn’t functioning correctly. Scott was there and knew immediately something was wrong. He got me on a stretcher and helped me keep calm.

 

Zane was flown to a nearby hospital to be checked for a suspected neck injury and was diagnosed with a stinger, a minor nerve injury common in athletes in high-contact sports. Since then, Zane has dealt with ankle injuries every football season. But with every injury, Scott has been there with guidance and advice.

Scott says it’s about connecting the Houston Methodist level of care with the community that he’s in that day. Whether he’s visiting Hardin, Onalaska or High Island, he’s incredibly passionate about being able to help the coaches, athletes and families of the communities he works in. 

For more information about the athletic training services provided by Houston Methodist, call the Houston Methodist Sports Medicine Hotline, staffed 24/7 by athletic trainers, at 713.441.8440.