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Ask Dr. Vieder

Every month, Dr. Sandy Vieder of Lakes Urgent Care answers your questions about timely health issues.

From asthma to flu shots, sports injuries to seasonal health topics, Dr. Sandy Vieder, Medical Director and co-owner of Lakes Urgent Care, answers questions asked by his patients every month.



Most-Recently Answered Questions

Sports Injuries

After reviewing 25 years of scientific research from 1990 to 2015, there are now new guidelines for the diagnosis and management of a mild traumatic brain injury (mTBI), commonly known as a concussion. One of the more important aspects is the recommendation to not perform a complete diagnostic brain imaging by CT scan unless there is a specific set of signs and symptoms present indicating high risk factor that would justify the use of neuroimaging. There are a number of excellent updated validated concussion assessment tools now available to physicians to help guide in the diagnosis and treatment of TBI. The Centers for Disease Control has excellent resources for patients and families who wish to learn more about head injuries and more, at CDC.gov.

Category: Sports Injuries

New research indicates that a small amount of bed rest is appropriate over the first 48 to 72 hours after a mild traumatic brain injury or concussion. The newest recommendations are to limit bedrest to no more than three days and encourage a gradual return to normal activities, as long as there are no obvious continued symptoms such as headaches, dizziness, nausea, poor balance or visual disturbances. Close monitoring for symptoms during the recovery period is critical.

Category: Sports Injuries

Current recommendations for return to athletic activity follows a 6-step program, beginning 3 days after the initial injury with a return to normal school routines and light to moderate activity such as fast walking or riding a stationary bike. If there are no symptoms associated with this initial step, then there is a progression to moderate aerobic activity to increase heart rate and head movement, such as jogging, or sports skill related drills. If your student remains symptom-free, there is a stepwise progression to heavy aerobic activity, full unrestricted practice and finally a return to competition. In general, this process takes approximately 2-3 weeks, but should be guided by the managing physician in concert with either the athletic trainer or team coach. It is important to note that if symptoms do reoccur, the process would be restarted and require reevaluation by a physician who is familiar with concussion recovery programs. Most importantly, it is critical to understand that injuries to the brain can take a long time to heal and the treatment and recovery plan should be guided by a health professional knowledgeable of these types of injuries.

Category: Sports Injuries

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All Questions

Click on a question or topic below to learn more.

Sports Injuries

After reviewing 25 years of scientific research from 1990 to 2015, there are now new guidelines for the diagnosis and management of a mild traumatic brain injury (mTBI), commonly known as a concussion. One of the more important aspects is the recommendation to not perform a complete diagnostic brain imaging by CT scan unless there is a specific set of signs and symptoms present indicating high risk factor that would justify the use of neuroimaging. There are a number of excellent updated validated concussion assessment tools now available to physicians to help guide in the diagnosis and treatment of TBI. The Centers for Disease Control has excellent resources for patients and families who wish to learn more about head injuries and more, at CDC.gov.

Category: Sports Injuries

New research indicates that a small amount of bed rest is appropriate over the first 48 to 72 hours after a mild traumatic brain injury or concussion. The newest recommendations are to limit bedrest to no more than three days and encourage a gradual return to normal activities, as long as there are no obvious continued symptoms such as headaches, dizziness, nausea, poor balance or visual disturbances. Close monitoring for symptoms during the recovery period is critical.

Category: Sports Injuries

Current recommendations for return to athletic activity follows a 6-step program, beginning 3 days after the initial injury with a return to normal school routines and light to moderate activity such as fast walking or riding a stationary bike. If there are no symptoms associated with this initial step, then there is a progression to moderate aerobic activity to increase heart rate and head movement, such as jogging, or sports skill related drills. If your student remains symptom-free, there is a stepwise progression to heavy aerobic activity, full unrestricted practice and finally a return to competition. In general, this process takes approximately 2-3 weeks, but should be guided by the managing physician in concert with either the athletic trainer or team coach. It is important to note that if symptoms do reoccur, the process would be restarted and require reevaluation by a physician who is familiar with concussion recovery programs. Most importantly, it is critical to understand that injuries to the brain can take a long time to heal and the treatment and recovery plan should be guided by a health professional knowledgeable of these types of injuries.

Category: Sports Injuries

A concussion is a type of closed head injury, which is often referred to as a traumatic brain injury or TBI. The symptoms of concussion include headache, dizziness, sleep disturbances, visual changes, difficulty with balance, fatigue and memory problems. TBI encompasses many more brain injuries aside from concussion. Some examples would be, epidural or subdural hematomas, traumatic brain hemorrhage or skull fractures.

Fortunately, the vast majority of TBI cases in relation to high school athletes is on the milder side and most often is related to concussion. Take time to learn about all the potential risks associated with the sports activities that you or your family members participate in and learn about the specific ways you can mitigate risks and help avoid a traumatic brain injury.
Good luck on the field and play it safe!

Category: Sports Injuries

There are some new training methods that are being investigated now which have shown great promise in reducing the risk of head injury in the game of football. The training program is called “Heads Up Football.” The data associated with schools that have deployed and implemented this system have shown a drop in the rates of concussions among players who have received the “heads up” training and coaching techniques.

In addition to this type of training, it is also very important that any player who may be at risk for repeated head contact must be wearing properly fitted headgear. And keep in mind that there is no latitude for improperly fitted helmets. Many soccer organizations are now even beginning to promote some form of headgear for soccer players.

Category: Sports Injuries

Approximately 300,000 adolescents suffer concussions or mild traumatic brain injuries each year while participating in high school sports. And high school girls do have a significantly higher concussion rate than boys according to a recent 2017 orthopedic medical study.

The study hypothesizes that girls may be at greater risk of concussion while playing soccer due to “heading” the ball, not having appropriate protective gear and perhaps a greater emphasis on contact during the game. Coach and parental awareness are key components to addressing any injuries that have occurred and preventing further progression of those injuries to something more serious.

Category: Sports Injuries

With any type of head injury, if there has been a loss of consciousness or there is evidence that your athlete has confusion, nausea/ vomiting, visual disturbances or has a headache that will not resolve with a simple dose of Tylenol or Advil, they should be seen by a physician experienced with concussion evaluations. Depending upon the outcome of that evaluation, advanced imaging like a CT scan of the brain may be required.

With extremity injuries, a good role of thumb is if they cannot reliably bear weight on a lower extremity or use their upper extremity for simple tasks like opening a door or carrying a book, it is best to have a physician evaluate that injury and take diagnostic x-rays to rule out the possibility of a fracture.  Keep in mind that even though somebody may be able to move a joint, there may still be an underlying fracture and the only reliable method to determine this is with an x-ray and a physician evaluation.

Adequate stretching and conditioning prior to competitive play is the most important thing for parents and student athletes to keep in mind! These are good practices regardless of the level of competition and can often play a significant role in preventing more serious injuries once the whistle blows.

Category: Sports Injuries

We see and treat a large number of injuries like joint sprains and fractures, in addition to closed head injuries and mild concussions at Lakes Urgent Care. As the rates of participation increase across all pediatric populations, the total number of injuries we see is increasing as well. In general, it seems that the level of competition has become more intense. Many parents and students recognize the opportunities for scholarship dollars if they can elevate their skills to that “next level” for collegiate play. As a result, kids no longer play for a season, but frequently play year-round and that really increases the risk of injury.

Each sport brings its own particular types of injuries.  Specific to soccer, we most commonly see lower extremity problems like foot, ankle and knee injuries. They can range from minor sprains and strains of soft tissue and muscle to more serious fractures or ligamentous ruptures requiring surgical repair.

Category: Sports Injuries

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"They are in and out and they mean business, love it here"

Manuela

Lakes Urgent Care
5.0
2017-11-29T10:22:39+00:00

Manuela

"They are in and out and they mean business, love it here"
"I've only had great experiences here. For an urgent care facility, they are quick and efficient. The staff is very friendly and wait times are minimal."

Amanda

Lakes Urgent Care
5.0
2016-12-19T12:54:48+00:00

Amanda

"I've only had great experiences here. For an urgent care facility, they are quick and efficient. The staff is very friendly and wait times are minimal."
"The doctors were prompt, had great bedside manner, and were accurate with their diagnosis and treatment. We also appreciated their follow up care and genuine care."

Annette

Lakes Urgent Care
5.0
2016-12-21T11:13:45+00:00

Annette

"The doctors were prompt, had great bedside manner, and were accurate with their diagnosis and treatment. We also appreciated their follow up care and genuine care."
"The staff was very friendly, respectful, and knowledgeable. I will definitely return for any health issues that will challenge me."

Erika

Lakes Urgent Care
5.0
2016-12-21T11:13:15+00:00

Erika

"The staff was very friendly, respectful, and knowledgeable. I will definitely return for any health issues that will challenge me."
"The Doctor did everything she could do for me and i was able to walk out (i was wheeled in) and to top it off I got a follow up call from Nicole today."

Jessica

Lakes Urgent Care
5.0
2016-12-21T11:12:30+00:00

Jessica

"The Doctor did everything she could do for me and i was able to walk out (i was wheeled in) and to top it off I got a follow up call from Nicole today."
"It took less than 40 min to register, complete paperwork, see the doctor, get test results, and be discharged. Best doctor experience ever."

Greg

Lakes Urgent Care
5.0
2018-05-22T14:38:59+00:00

Greg

"It took less than 40 min to register, complete paperwork, see the doctor, get test results, and be discharged. Best doctor experience ever."
"Best urgent care ever they have never failed me great friendly staff and I have health issues so I'm always their and they go out of their way for me."

Ray

Lakes Urgent Care
5.0
2016-12-21T11:11:37+00:00

Ray

"Best urgent care ever they have never failed me great friendly staff and I have health issues so I'm always their and they go out of their way for me."
"When I have to use the urgent care services, it's usually pretty quick. The staff is nice. Today's visit was for a mandolin slicer accident. The nurse had a good attitude and the PA that worked on me was very nice and very gentle while cleaning and looking over my wound. I was in and out within an hour and highly recommend this place."

Lea Anne

Lakes Urgent Care
5.0
2017-06-07T14:26:59+00:00

Lea Anne

"When I have to use the urgent care services, it's usually pretty quick. The staff is nice. Today's visit was for a mandolin slicer accident. The nurse had a good attitude and the PA that worked on me was very nice and very gentle while cleaning and looking over my wound. I was in and out within an hour and highly recommend this place."
"The urgent care here is wonderful. Everyone is caring and kind and not condescending or rude. I was greeted promptly and brought to a room quickly. As far as my past experiences at urgent cares, this is far and beyond the best one I've been to! They were kind and quick with the check up, and honest about medications and possibilities."

Jennifer

Lakes Urgent Care
5.0
2017-07-21T13:12:19+00:00

Jennifer

"The urgent care here is wonderful. Everyone is caring and kind and not condescending or rude. I was greeted promptly and brought to a room quickly. As far as my past experiences at urgent cares, this is far and beyond the best one I've been to! They were kind and quick with the check up, and honest about medications and possibilities."
"The doctor was AMAZING!! I got in quick, he was the most thorough and no-nonsense doctor I've ever been to!"

Gail

Lakes Urgent Care
5.0
2017-07-21T14:55:59+00:00

Gail

"The doctor was AMAZING!! I got in quick, he was the most thorough and no-nonsense doctor I've ever been to!"
"Excelente servicio, muy recomendable para turistas que necesiten atención médica, no es muy barato pero ofrecen descuentos :)"

Pamela

Lakes Urgent Care
5.0
2017-07-21T15:07:01+00:00

Pamela

"Excelente servicio, muy recomendable para turistas que necesiten atención médica, no es muy barato pero ofrecen descuentos :)"
"The staff was wonderful with my 11 month old daughter. They were fast, thorough and very helpful. The office was clean and they got us in quickly to the room and the doctor came in shortly after. I had to call them back to get a different prescription because our pharmacy was out. The doctor gladly called a new one in and even called me back to tell me that everything was now good. I will definitely recommend them to friends and go there in the future if needed."

Emily

Lakes Urgent Care
5.0
2017-07-21T15:10:09+00:00

Emily

"The staff was wonderful with my 11 month old daughter. They were fast, thorough and very helpful. The office was clean and they got us in quickly to the room and the doctor came in shortly after. I had to call them back to get a different prescription because our pharmacy was out. The doctor gladly called a new one in and even called me back to tell me that everything was now good. I will definitely recommend them to friends and go there in the future if needed."
"In and out within an hour with a sick young child. The staff was very friendly and worked hard to gain the child's trust so they could run some tests. I will be going here for all my urgent care needs!"

Robin

Lakes Urgent Care
5.0
2018-05-22T14:14:55+00:00

Robin

"In and out within an hour with a sick young child. The staff was very friendly and worked hard to gain the child's trust so they could run some tests. I will be going here for all my urgent care needs!"
"I had gone in for a broken toe, to make sure it wasn't worse then I thought. Facility was very clean. Front desk was great. Got me in. MA was in and quick. Dr. was great, did a thorough exam for an broken toe. X-rays. All the staff was personable, friendly, and fast. Glad I found them."

Adrienne

Lakes Urgent Care
5.0
2017-07-21T14:25:07+00:00

Adrienne

"I had gone in for a broken toe, to make sure it wasn't worse then I thought. Facility was very clean. Front desk was great. Got me in. MA was in and quick. Dr. was great, did a thorough exam for an broken toe. X-rays. All the staff was personable, friendly, and fast. Glad I found them."
"I was seen quickly, less than 5 minutes. Very professional. They sent my prescriptions to my pharmacy so I could pick them up quickly. Very satisfied."

Janet

Lakes Urgent Care
5.0
2018-05-22T14:06:38+00:00

Janet

"I was seen quickly, less than 5 minutes. Very professional. They sent my prescriptions to my pharmacy so I could pick them up quickly. Very satisfied."
"Great care, friendly staff. Good medicine isn't always quick medicine but i did not spend a lot of time there but left with great results. Thanks to all that work there."

Dodie

Lakes Urgent Care
5.0
2017-06-07T14:29:51+00:00

Dodie

"Great care, friendly staff. Good medicine isn't always quick medicine but i did not spend a lot of time there but left with great results. Thanks to all that work there."
"With a child, urgent care facilities are such a peace of mind--and until I found Lakes, I never knew where to go. ...the staff at Lakes (owners included) made my wife and I feel so confident in their physicians. We were seen in a matter of 5 minutes which is unheard of, and I just can't explain enough how positive of an experience it was. As long as I live where I do, I'll never worry about where I'm going if urgent care is what my family needs."

Anthony

Lakes Urgent Care
5.0
2017-07-21T14:21:29+00:00

Anthony

"With a child, urgent care facilities are such a peace of mind--and until I found Lakes, I never knew where to go. ...the staff at Lakes (owners included) made my wife and I feel so confident in their physicians. We were seen in a matter of 5 minutes which is unheard of, and I just can't explain enough how positive of an experience it was. As long as I live where I do, I'll never worry about where I'm going if urgent care is what my family needs."
"During a recent visit to the Detroit area, I experienced sudden and debilitating pain in my left hip. I had no idea what was wrong and was concerned that I would not be able to make the trip back home to Los Angeles. To my extreme relief, the staff at Lakes Urgent Care was able to diagnose and treat my problem quickly and efficiently. I found the staff to be compassionate and professional, and the facility clean and comfortable. I would recommend them to anyone needing urgent care."

Leslie

Lakes Urgent Care
5.0
2018-05-22T14:10:49+00:00

Leslie

"During a recent visit to the Detroit area, I experienced sudden and debilitating pain in my left hip. I had no idea what was wrong and was concerned that I would not be able to make the trip back home to Los Angeles. To my extreme relief, the staff at Lakes Urgent Care was able to diagnose and treat my problem quickly and efficiently. I found the staff to be compassionate and professional, and the facility clean and comfortable. I would recommend them to anyone needing urgent care."
"My primary care doctors were on vacation and their office staff recommended Lakes Urgent Care. 1st time going and was promptly seen and diagnosed with scripts. Friendly staff and open late. Would definitely recommend."

Tony

Lakes Urgent Care
5.0
2018-05-22T14:07:29+00:00

Tony

"My primary care doctors were on vacation and their office staff recommended Lakes Urgent Care. 1st time going and was promptly seen and diagnosed with scripts. Friendly staff and open late. Would definitely recommend."
"I went to Lakes Urgent Care after my doctor suggested going to an ER and let me tell you I was SO impressed by this facility. The location is so convenient, the facility is so clean and the staff was incredible. They are running a well-oiled machine! The doctor went through a thorough exam and made me feel that all my questions and symptoms were addressed. I would recommend this place to family and friends and of course know where I will be going the next time I do not feel well. Thank you Lakes Urgent Care!"

Heather

Lakes Urgent Care
5.0
2017-07-21T14:52:21+00:00

Heather

"I went to Lakes Urgent Care after my doctor suggested going to an ER and let me tell you I was SO impressed by this facility. The location is so convenient, the facility is so clean and the staff was incredible. They are running a well-oiled machine! The doctor went through a thorough exam and made me feel that all my questions and symptoms were addressed. I would recommend this place to family and friends and of course know where I will be going the next time I do not feel well. Thank you Lakes Urgent Care!"
"With a child, urgent care facilities are such a peace of mind—and until I found Lakes, I never knew where to go."

Anthony

Lakes Urgent Care
5.0
2016-12-19T12:52:20+00:00

Anthony

"With a child, urgent care facilities are such a peace of mind—and until I found Lakes, I never knew where to go."
"The doctor was AMAZING!! I got in quick, he was the most thorough, and no nonsense doctor I've ever been to! He listened to me, gave me the correct prescriptions"

Gail

Lakes Urgent Care
5.0
2016-12-21T11:07:36+00:00

Gail

"The doctor was AMAZING!! I got in quick, he was the most thorough, and no nonsense doctor I've ever been to! He listened to me, gave me the correct prescriptions"
"Fast service and very friendly staff! Had a good experience! Kim and Hailey were awesome helpful and very friendly! Highly recommend!"

Tania

Lakes Urgent Care
5.0
2018-05-22T14:08:16+00:00

Tania

"Fast service and very friendly staff! Had a good experience! Kim and Hailey were awesome helpful and very friendly! Highly recommend!"
"We've been to Lakes Urgent Care many times and I have never had anything but a great experience with friendly staff, quick service, and accurate diagnosis. Yesterday my son was there with another bout of Strep Throat. I had lots of questions and the doctor was friendly and answered all of them with patience. I have always been satisfied there. I would recommend it to anyone."

Marla

Lakes Urgent Care
5.0
2017-07-21T15:04:51+00:00

Marla

"We've been to Lakes Urgent Care many times and I have never had anything but a great experience with friendly staff, quick service, and accurate diagnosis. Yesterday my son was there with another bout of Strep Throat. I had lots of questions and the doctor was friendly and answered all of them with patience. I have always been satisfied there. I would recommend it to anyone."
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