The new sports physical forms are shorter! The new sports physical forms are shorter! Yes, there is much joy in the sports medicine world.   I helped develop national guidelines that include the new forms and indeed, we heard the call to make the forms shorter. As an American...

On a fairly frequent basis, I will see patients who say “I think I have spider bites”. I tend to be greeted by something like this raised “angry” appearing area. It usually has a raised central yellow component surrounded by a red, tense outer rim. [caption id="attachment_16584" align="alignnone"...

If you have knee pain with sports or dance, most people tend to focus blame only at the knee. However, failing to blame your butt may be failure to fully help heal your knee pain. While some may chuckle at the mention of butt, poor buttock and...

There is no doubt that concussion sleep problems can make a difficult injury even more miserable. Reports and experience find that poor sleep is linked with increased symptoms and longer recoveries. Too much sleep that limits sensible daily activity can also slow recovery. So, when dealing with concussion,...

For the 5th straight year,  Orange Coast Magazine and  Orange County Medical Association name Dr. Koutures a Top Sports Medicine  Physician. This 2019 Physician of Excellence honor recognizes Dr.  Koutures for outstanding work in Pediatric Sports Medicine.  This award is shared with his dedicated office staff and wonderful pediatric...

Excited to team with Orange County Magazine  to help you set and keep your fitness goals As the year kicks off, this is a natural time for reflection and self-assessment. It is also an opportunity to set some fitness goals for the upcoming year. Unfortunately, many...

There are two common types of ear infections – external and middle ear infections External infections start after irritation of the outer ear canal. These usually occur after frequent swimming and are commonly called “swimmer’s ear”. Click here for more information on swimmer's ear The...

What are colds? Illnesses limited to chest and nose congestion (or coughing and sneezing in older children and adults) – the most common of all pediatric infections – are commonly called “colds”. These infections are caused by viruses. Many of them will have lots of snot...

The following post on Return to Sport is from the Fall 2018 Orange County Magazine I often get asked how to determine when a young athlete should return to sport after injury. In many cases, injured young athletes tend to heal quickly. However, in a worst-case...

This article on Starting Sports is a partnership between ActiveKidMD and the September, 2018 edition of ParentingOC. At around 15-18 months, age-appropriate movement for children includes running, throwing or kicking a ball. These simple skills are part of normal toddler development. At this time, it is natural...