MINNEAPOLIS/ST. PAUL (01/27/2025) — Wintertime in Minnesota brings freezing temperatures, slippery conditions and an increase in winter-related injuries. Mahmood Gharib, MD, with the University of Minnesota Medical School and M Health Fairview, talks about common winter injuries and how to avoid them. 

Q: How can you reduce the risk of falls on icy surfaces?
Dr. Gharib: 
Slips on icy sidewalks, driveways and roads often lead to fractures, sprains and bruises. A few simple precautions can go a long way in preventing falls, such as walking like a penguin with slow, flat-footed steps and a wide stance to maintain balance. Be especially cautious around areas prone to black ice, such as near drains and downspouts. Stick to designated sidewalks and avoid shortcuts through grass or other untreated surfaces. 

Q: How can I protect myself from injuries related to shoveling?
Dr. Gharib: Cold weather tightens muscles, increasing the risk of strains. Shoveling snow is a common culprit for these injuries if done without proper technique. Make sure to dress warmly, use ergonomic shovels and clear snow early and often during storms to avoid back strain. Push snow instead of lifting it, and bend at your hips and knees. If the snow is heavy or you’re not physically up to the task, don’t hesitate to ask for help or hire a professional for snow removal.

Q: What extra precautions are important for winter sports?
Dr. Gharib:
Winter activities like skiing, snowboarding and ice skating can result in fractures, sprains, and even concussions if proper precautions aren't taken. Here are a few tips to keep in mind:

  • Pay attention to snow and weather conditions and stick to designated areas that are safe and appropriate for these activities.
  • Always wear protective gear, including helmets. Helmets with a multi-directional impact protection system (MIPS) offer extra protection.
  • Avoid areas close to roads, fences or densely populated trees.
  • Sled feet-first and ensure children are supervised by adults.
  • Learn how to safely adjust your speed and technique to avoid collisions and falls.

Also, remember that prolonged exposure to freezing temperatures can lead to hypothermia and frostbite, both of which can be serious if not addressed promptly.

Q: How serious are spinal and head injuries?
Dr. Gharib:
Spinal and head injuries should not be taken lightly. Whether mild or severe, these types of injuries need immediate attention. For head injuries, the symptoms can range from mild concussions with headaches to severe traumatic brain injuries (TBIs) that could cause paralysis. It's critical to seek medical help right away if someone loses consciousness or has persistent symptoms. Spinal injuries, particularly those involving the spinal cord, can lead to significant impairments. Timely treatment is key to minimizing long-term damage, and some cases may even require surgery and ongoing rehabilitation.

Q: How does your research support a healthier Minnesota?

Dr. Gharib:  My research at the University of Minnesota is centered on advancing education and expanding interventional pain management options for patients in need. By contributing to publications and staying involved in the latest studies, I aim to develop and share innovative, evidence-based treatments for spine and musculoskeletal-related conditions. This work not only enhances my ability to offer patients tailored, minimally invasive options but also helps educate others in the medical community. Ultimately, it’s about empowering patients with effective solutions that alleviate pain, improve function, and restore their quality of life.

Dr. Mahmood Gharib is the medical director of the Spine Health Program and associate division director in Physical Medicine and Rehabilitation at the University of Minnesota Medical School and M Health Fairview. He specializes in rehabilitation medicine, helping patients restore function and improve their quality of life.

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