Can A Sports Physical Replace A Wellness Exam?

August 6, 2024

Before your child can take the field or hit the courts, their doctor must give the all-clear for them to play.

Henry Ford HealthSince the sports physical is a pre-requisite to organized activity, you may be tempted to skip your child’s annual well-visit. After all, do you really need to go to the doctor’s office twice if they’re healthy enough to play sports?

Of course, the answer is yes! Each type of visit to your pediatrician serves a different purpose, and one cannot replace the other.

Shoshana Gordon, D.O., a pediatrician for Henry Ford Health, explains the differences between the sports physical and regular wellness examination.

What Happens at a Wellness Exam

An annual wellness exam is a comprehensive visit that allows your child’s pediatrician to monitor all aspects of your child’s development. These appointments can vary quite a bit, depending on your child’s age.

“Your child grows so much early in life that we need to see them several times before their first birthday,” says Dr. Gordon. “As they get older, the conversations at these appointments evolve and expand to include topics like mental health and what to expect from puberty.”

Generally, many aspects of your child’s wellness exam will stay the same over time. Regardless of age, this appointment will include:

  • Checking vitals (heart rate, blood pressure)
  • A physical exam (to monitor physical growth)
  • Discussing developmental milestones
  • Developmental and emotional/behavioral screenings
  • Conversations about nutrition and any physical activities your child is involved in
  • Conversations about how your child is getting on at school
  • An opportunity to discuss questions or concerns you or your child may have

One crucial part of the wellness exam is immunization. This appointment is the best time for you to talk with your child’s pediatrician to make sure that your child is up to date on necessary vaccines.

Additionally, wellness exams are the best way for you and your child to develop a relationship with their pediatrician. When you only take your child to the doctor when they are sick, it is harder for your pediatrician to set a baseline for their health.

“Regular wellness visits allow you and your child to get comfortable with asking your doctor questions,” says Dr. Gordon. “Once we develop a good patient-provider relationship, your child’s pediatrician will have an easier time recognizing when your child isn’t feeling like themselves and can better offer alternate approaches to care that best suit your child’s unique needs."

What Happens at a Sports Physical

Sports physicals are used to determine if your child is healthy enough to participate in organized sports. During this appointment, your child’s doctor will screen them for different sports-specific health concerns. They will be evaluating several things including:

  • Heart function
  • Lung function
  • Mobility
  • Reflexes
  • Endurance

“During a sports physical, we’ll look at both your child’s and your family’s health history to make sure there aren’t any indicators that could impact your child’s ability to play,” says Dr. Gordon. “For example, if your child had COVID or if you have a family history of cardiovascular complications, additional tests may be necessary to make sure this isn’t affecting your child’s health.”

The biggest difference from a wellness exam? Sports physicals don’t include developmental screeners that are essential to your child’s growth.

“At the end of the day, a sports physical cannot take the place of your child’s annual wellness exam,” says Dr. Gordon. “However, when you go for your child’s wellness exam, talk to your child’s pediatrician about including a sports physical as part of the appointment.”

In addition to the developmental, social and emotional evaluations that take place at your child’s annual wellness exam, this is the best time for you and your child to get to know your pediatrician. Establishing yourself with your child’s doctor will make it easier to treat and care for your child as they continue to grow.

To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.

Dr. Shoshana Gordon is a pediatrician who sees patients at Henry Ford Medical Center-Royal Oak and Henry Ford Medical Center-Sterling Heights.

Summer Is Peak Time For Outdoor Sports Injuries

June 6, 2023

Summertime is the ideal time for outdoor activities like boating, swimming, barbecues and picnicking. It’s also ripe for sports injuries, says Nancy White, M.D., a Henry Ford Health sports medicine physician.

Henry Ford Health“We encourage people of all ages to get outside and take advantage of all the activities available during the summer. It’s very important, though, that people keep safety top of mind to reduce their risk of injury,” Dr. White says.

Dr. White counts these as the five most common injuries:

  • Sprains and strains
  • Fractures
  • Trampoline injuries
  • Bike injuries
  • Overuse injuries

“Trampoline injuries are mostly caused by jumping, either by an awkward landing or colliding with someone,” Dr. White says. “Overuse injuries happen when someone overextends themselves in a particular activity, whether it’s attending multiple sports camps or simply exercising outdoors.”

Dr. White recommends these three tips for reducing your risk of injury:

  • Stay hydrated. Replenish your fluid intake with frequent water breaks.
  • Perform warm-up exercises before your run or your game.
  • Wear protective gear. Whether bike riding, rollerblading or skateboarding, a helmet and protective pads are a must. Obey traffic laws and store your phone away.

For soft-tissue injuries strains and sprains, Dr. White says the R.I.C.E. method is an immediate at-home treatment you can apply to reduce swelling and pain. It stands for Rest, Ice, Compression and Elevation. Over-the-counter anti-inflammatory medicine, such as ibuprofen (like Advil) or acetaminophen (like Tylenol), can help too.

If the pain worsens to the point that it interferes with your usual activities or sleep, make an appointment with your doctor or a sports medicine doctor.

Seek medical attention immediately if your pain was caused by a particularly forceful impact, you suspect a broken bone, or if the injury is accompanied by:

  • Significant swelling
  • Redness
  • Tenderness and warmth around the joint
  • Significant pain
  • Fever

For injuries that don’t improve and require medical attention, visit henryford.com/sports and request an appointment with a Henry Ford sports medicine doctor. 

Dr. Nancy White is a sports medicine doctor seeing patients at Henry Ford Medical Center-Columbus in Novi and at the William Clay Ford Center for Athletic Medicine in midtown Detroit.