SPORTS MEDICINE GREGORY SMITH. M.D. Bicyclists" hands numb Q: I am an avid rider, but my hands go numb when I am cycling. Got any thoughts? A Symptoms of bicycling induced ulnar tunnel syndrome are commonly seen- in people who do a lot of rid- ing. The combination of pro- longed gripping and constant leaning on the handlebars can lead to sustained pressure, on the ulnar nerve, which causes hand weakness and sensation changes most commonly in the fourth and fifth fingers. Patients will often report they have begun to notice it is becoming more difficult to do fine motor tasks with the hand (such as writing and picking up change) and that their last two fingers are numb. This is different from carpal tunnel syndrome, which causes numbness in the first three fingers. Another common neuro- logic compression in cyclists is caused by the hard seat and leads to compression of the pudendal nerve, which causes numbness in the groin andj upper thigh region. A study of 169 participants in a bicycle touring race found that 22 had complaints of hand numbness and weak- ness of at least one week's duration, while nearly 10 per- cent reported they had had symptoms for almost six months. Patients with this condition show typical physical signs and further diagnostic! workup may not be needed. However, if other conditions are suspected or need to be ruled out, then radiographs, MRI or nerve conduction studies may be required. Treatment of bicycle induced ulnar tunnel syn- drome usually involves rest, splinting, padded gloves and anti-inflammatory medica- tions. The duration of symp- toms often signals the likely duration until recovery; that is, the longer you have it, the longer it takes to get better. Riders are encouraged to seek changes in position with the handlebars, such as lean- ing on the elbows instead of the hands. Recovery is usual- ly complete without a need for surgical treatment. , I got kneed in the thigh playing basketball. Alt ough is was hard to walk and run, I finished out the game. When I got home, I kept my knee straight and put ice on it overnight. I am still sore and it's been almost a week. What should I have done differently? A. Once you were hurt, you should have defi- nitely called it a night and stopped playing. A deep thigh contusion leads to damaged muscle tissue and bleeding. Continuing to try and tough it out only made things worse. Next to occur in the cas- cade of events following injury is an inflammatory response and attempted heal- ing through scarring. I agree with putting ice on the muscle to try and reduce this . response, but you made a small error keeping your knee straight. Putting your knee in a bent position keeps the muscle in a more elongat- ed position and makes it less likely to tighten up and allows any healing to occur out to full length. Typically the muscle is more sore the next day, but don't let this keep you from getting things moving. Taking the knee through a gentle range of motion will again help improve blood flow, heat the muscle up and jump start the healing process. Sports creams, compression thigh sleeves and over-the-counter anti-inflammatories are other measures that can help make your thigh feelbetter. This column is written to discuss issues regarding sports, medicine and safety. It is not intended to serve as a replace- mentfor treatment by your reg- ular doctor. Specific concerns should be discussed with a physician. Mail questions to Gregory Smith, M.D., 1250 S. 18th Street, Suite 204, Fernandina Beach, FL 32034. Call 261-8787or visit www.gsmithmd.com. INAPRAU SPORTS- 12A PIRATES ELIMINA TED PHOTOS BYBETHJONES/NEWS-LEADER The 2007-8 season came to a halt Wednesday for the Fernandina Beach High School boys soccer team. The Pirates finished at 18-3-2 after a 2-0 loss to the host Bolles Bulldogs in a District 4-3A semifinal match. "(Wednesday night was) the biggest game of the season. Since I have been coach, we have never beaten Bolles or lost to them. We tied three times," said FBHS Head Coach Joshua Dunn. Pirates in action Wednesday: Kyle Shearer, top left; Nick Morrell, top right; and Jorge Rojas, left. Right, Dunn talks strategy with his players at halftime. The Pirates advanced to the semifinal with a 10-0. rout of Ribault on Tuesday. William Hunt scored a trio of goals and the Pirates got one each from Adam Buechler, Chris Castro, Robby Phillips, Jason Olbina, Pete Davito, Chris Head and Kinsey Langshaw. Bolles advanced to tonight's champi- onship game against Episcopal, a semifinal winner over Bishop Snyder Wednesday. ON THE WATER WITH TERRY LACOSS FBHS girls cap season with wins over Yulee, Bolles BETH JONES News-Leader The Lady Pirates (17-5) tacked on two more wins this week to close out the regular season before entering the district tournament nextweek. The Fernandina Beach High School girls basketball team defeated Yulee Tuesday and Bolles Wednesday. Tuesday was the final game in Pirate Gym for FBHS seniors India Johnson, Haley Tan and Brittany Schetrompf, who were honored before the game. All three were in double figures in the 57-51 vic- tory over the visiting Yulee Lady Hornets. Johnson and Tan had 14 points apiece and Schetrompf had 13. Johnson also pulled down nine rebounds and had six steals. She' was 7-of-10 from the free-throw line. Tan had eight rebounds, three assists and five steals. Schetrompf had three steals. Whitney Small and Julia Belcher had five rebounds each and Small also had four steals. "I knew it would be tough," FBHS Coach Mike Landtroop said. "Playing a team three times in a season always makes for a good game. Our offense was producing at every position in the first quar- ter and then we started to struggle. Yulee"s (Jennifer Pelham) pro- duced offense, from beginning to end and was very difficult to stop. "The Pirates let Yulee gain a one-point lead in the fourth quar- ter and then came out with a very strong defensive stand to gain our lead back. Yulee put together some strong runs but the Pirates defend- ed their home court." Pelham had 23 points to. lead Yulee. Dee Dee DeBerry chipped in nine points. "We did not play our best game against Fernandina," YHS Coach Brian Shuster said. "We let them get too many easy points early in the first quarter. We dominated them the second and third quar- ters but we could not overcome their early lead. "We played very timid, which isn't like us. I know the girls real- ly wanted to play well. We got close at the end but it wasn't enough. Fernandina did an excellent job of taking advantage of our mistakes and trying to spread our defense. "Despite losing our last two games against Fernandina, I'm hoping we can get a rematch in the district tournament. It all depends how the brackets are set up." Both teams play in the District 4-3A tournament at Ribault next week. "No matter how well we do in Above left, Yulee's Jennifer Pelham led the Lady Hornets with 23 points when they visited Fernandina Beach Tuesday. Above right, FBHS's Ebony Peterson and YHS's Dee Dee DeBerry battle for the ball. Left, FBHS's India Johnson shoots with Pelham defending. Below, FBHS seniors, from left, Haley Tan, Johnson and Brittany Schetrompf. PHOTOS BY BETH JONES/NEWS-LEADER the tournament, our season has been a success," Shuster said. "Last year, you could count our wins on one hand and still have a finger left over. Now, we are tied for second place in the district, have double-digit wins and a winning season. We can compete with any- body. "I'm proud of this team, no mat- ter what the outcome of this game." Yulee (13-5). will close out the regular season tonight at Baker county. "We would like to get even for our earlier loss," Shuster said. The regular season ended with another win for the Lady Pirates Wednesday. They defeated Bolles 47-39. "Down by nine at the half, the Pirates never gave up and kept believing," Landtroop said. "We changed our defense and made some adjustments at half and came out ready to play. We closed the gap to two points by the end of the third quarter. "Whitney Small had a couple of three-pointers to shift the momentum of the game to the Pirates and, once we got the lead, we did not let up. "I am very proud of this group for their wonderful attitudes and never-give-up style of play. We have finished the regular season at 17- 5 and are ready to gear up for the playoffs." Johnson had 19 points, six rebounds and four steals and was perfect at the foul line (4-for-4). Tan had 16 points, six rebounds, three assists and two steals. Small had six points, two rebounds, an assist and a block. Ebony Peterson pulled down six boards and had two steals. Lindsey Young had four rebounds. The FBHS boys (14-6 overall and 5-3 in the district) edged the West Nassau Warriors 44-43 Tues- day in Callahan. "We struggled throughout offensively with Carlos Holcey and Jake Brogdon giving us just enough to get us by," FBHS Coach Matt Schreiber said. "Trey Kublbock hit a huge basket from about 10 feet with about a minute to play and them it was just a mat- ter of holding on until time ran out. It was an ugly road win which is beautiful to me." Brogdon and Holcey both had 15 points. Holcey had six rebounds and five assists. Kublbock finished with six points, eight rebounds, two assists and two blocks. The Pirates traveled to Bolles Thursday and host Bishop Snyder and former FBHS Coach Lou Pereira tonight. Games are at 6 p.m. (junior varsity) and 7:30 p.m. (varsity). FRIDAY, JANUARY 25. 2008 NEWS-LEADER/ FERNANDINA BEACH, FLORIDA Cooksey's out, Whittenburg's in again at Hilliard DAN SHANKS Community Newspapers After a brief and tumultuous tenure, Hilliard foot- ball coach Al1Cooksey was terminated last week, and with the help of what Hilliard Middle-Senior High School Principal Dale Braddock called a "miracu- lous" recovery, PaulWhittenburg is ready to reassume his coaching duties. Whittenburg was unable to coach the football team in the 2007 season, due to some serious health issues that left him in the hospital for about four months at the beginning of the year. "Through the grace of God and the prayers of a whole lot of Hilliard people, (Whittenburg is healthy again)," Braddock said. At the end of November, Whittenburg expressed the desire to coach the football team in 2008. Braddock said he had no idea that Whittenburg would make such a speedy recovery, but it is very clear to- him that Whittenburg is ready to lead the Flashes foot- ball team. "Coach Whittenburg is getting stronger every-. day," Braddock said. "We want him to take it easy. But I know if he says he can get it done, he can get it done. Coach has invested 30 years into the Hilliard com- munity and the program. If the season started today, (Whittenburg) would be the coach." Braddock added that Whittenburg is extremely determined to get back on the field, and he is already leading the foot- ball players in the weight room. Braddock also said that Whittenburg will coach the weightlifting team in the spring. According to Braddock, the only thing that would keep- Whittenburg from coaching is if his health worsened- to the point where he would be unable to coach. In Whittenburg's absence, Cooksey was hired to coach the football team back in April. Cooksey, who: COACH Continued on 13A