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goodHEALTH mon misconception that concussions only occur in contact sports like football. But rotational forces experienced in sports such as gymnastics and cheerleading can also lead to concussion. Another hot button in the world of teen athletes revolves around cardiac issues. While they are rare in teens Dr. Blankson says the most important thing a parent can do to protect their child is to know their own family cardiac history. Teens with chest pain with exercise or a history of passing out with exercise should be evalu- ated by a doctor. Dr. Peters also sees over-use injuries such as tendonitis and strains in teen athletes. Over-use injuries can be more insidious as they develop slowly notes Dr. Peters. So how does a parent know if their injured teen needs immediate attention In the case of acute trau- matic injuries parents and coaches can usually tell but in the case of concussion its not always so ob- vious. Dr. Peters recommends that if there are any symptoms its wise to take the teen to a doctor. If symptoms are mild they can wait to go to the family physician. If they are severe or if someone is vomiting or knocked unconscious go to the ER and get them checked right away says Peters. For less severe injuries a variety of tests like x-rays MRIs and computerized tomography CT scans can indicate treatment protocols. Stephanie Corbin- Helms Marketing Director of Envision Imaging with 17 locations in the Dallas-Fort Worth area notes typ- ically a patients physician andor urgent care facility usually reviews the injury first and makes the deter- mination during their course of treatment if they need any diagnostic procedure. Usually the first test is an X-ray followed by MRI or CT if the symptoms persist and the X-ray doesnt show any clean breaks. The MRI and CT can determine more of a cause of persistent symptoms by reviewing smaller fractures tears or lig- ament damages. After we return a diagnostic report to the treating physician in order for them to make a determination of treatment explains Corbin-Helms. Corbin-Helms says Envision Imaging performs all imaging including MRI CT Ultrasound and X-Ray. Not only do they have radiologists on-site notes Corbin-Helms we are fortunate to have radiologists that specialize in Neuroradiology and Musculoskeletal for brain and sports injuries. Neuroradiologists are key in diagnosing head injuries and brain abnormalities. Currently for concussions Envision has a unique outpatient MRI scan in two locations In Keller there is specialized MRI software that specifically targets con- cussion or head trauma injuries. The South Arlington location says Corbin-Helms offers truly advanced technology. We are the only outpatient facility in DFW to be partnered with CereScan. This partnership provides MRI brain scan imaging and SPECT imag- ing. Corbin-Helms agrees that when it comes to teens and sports injuries it definitely is a new world. For instance there are more teenage girls competing in athletics than ever before so there is an upward trend in sports injuries in that demographic. And in addi- tion to traditional sports there are also injuries from gymnastics and cheerleading. So how does a parent protect their teen from sports injuries in an ever-changing world Dr. Peters sums it up. Good coaching safe equipment and proper technique. Ifsymptomsaremildtheycanwaittogo to the family physician. If they are severe or if someone is vomiting or knocked unconsciousgo to the ER and get them checked right away. - Dr. Nick Peters Executive Medical Director Advance ER 24 Hour Emergency Center We are fortunate to have radiologists that specialize in Neuroradiology and Musculoskeletal for brain and sports injuries. Neuroradiologists are key in diagnosing head injuries and brain abnormalities. - Stephanie Corbin-Helms Envision Imaging Envision Imaging with 17 locations in the Dallas-FortWorth provides advanced MRI imaging for concussions and other sports injuries.The MRI and CT can determine more of a cause of per- sistent symptoms by reviewing smaller fractures tears or ligament damagessays Regional Director of Marketing Stephanie Corbin-Helms.