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...

Looking for ways to send off the cough and fight the tight chest of exercise asthma? The cough and chest tightness from narrowed and swollen lung airways in exercise asthma can make sports and free play more difficult. But don't let these symptoms keep you off...

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...

The following blog post ran on Volleyballmag.com as part of an outstanding series on Concussions in Volleyball  In working with elementary through Olympic-level indoor and sand volleyball players, I have found key warm-up, training, and even competitive adjustments that can greatly reduce the risk of volleyball...

Wondering if your child's sports schedules are putting them at risk for overuse injuries? Have an injured child and thinking that too much sport activity may have been a cause? Feeling overwhelmed as a sports parent and want to know when to say stop to all those...