Can A Sports Physical Replace A Wellness Exam?

August 8, 2023

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 pediatrician or make an appointment online, visit henryford.com or call 1-800-436-7936.

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

5 Ways Acupuncture Can Enhance Athletic Performance

May 9, 2023

In the ancient Chinese medicine of acupuncture, thin needles are gently inserted into specific areas of the body, stimulating blood flow to speed the recovery of certain ailments.

Henry Ford HealthIt can be used as a treatment for everything from headaches and unbalanced hormones to joint pain and weakened immune systems. Acupuncture is also popular among athletes, as many of them incorporate it into their wellness regimens to stay in peak physical condition.

“Back in the day, athletes ate steak, smoked cigars and drank whiskey during the week and then played football on Sunday,” says Thomas Betts, a sports medicine acupuncturist with Henry Ford Health System. “But today, to improve their performance, athletes are attacking the body from every angle possible with diet, lifestyle and exercise. NBA players, for example, have talked about how acupuncture keeps them feeling their best.”

But you don’t have to be an NBA star to reap the benefits of acupuncture. Whether you’re a professional or student athlete, or you exercise and play sports for fun or to challenge yourself, here are ways acupuncture can boost your game:

  1. Acupuncture can help you recover more quickly from an injury. “If a muscle is torn, acupuncture won’t put it back together, but for sprains and strains, muscle soreness and tendonitis, acupuncture can decrease inflammation and speed the healing process,” says Betts.
     
  2. Acupuncture can reduce the need for “rest days.” If you just had an intense workout and your muscles are sore, getting acupuncture afterward can loosen the muscles and decrease soreness so you don’t have to take a day off to recuperate before training again.
     
  3. Acupuncture can improve flexibility, decrease muscle tension and increase muscle activation. “This is done with motor point acupuncture,” says Betts. “The motor point is where the brain attaches to the muscle via the motor nerve. By using needles to stimulate a motor point, it is like rebooting a phone or computer that isn’t working well: Motor point acupuncture is autoregulating, in that it can deactivate a tight muscle or reactivate an inhibited or weak muscle.”
     
  4. Acupuncture can provide immediate pain relief. “Some studies show that acupuncture can provide as much as, if not more pain relief than medication,” Betts says. “It differs for everyone, and it depends on what is being treated, but some people say they feel a difference right after a session, and others say they feel better about 20 to 30 minutes later.” Pain relief can last from a few hours to a few days.
     
  5. Acupuncture can help prevent injuryBecause acupuncture can reactivate weak muscles and decrease muscle tension, it can also be used as a preventative measure against injury, Betts says. But you should always still stretch before and after exercising!

Learn more about acupuncture and other integrative medicine services at Henry Ford. To make an appointment, you can request one online or by calling 1-833-246-4347.

Thomas Betts, DOAM, RAc, is a certified sports acupuncturist with Henry Ford Health. He sees patients at the Henry Ford Center for Athletic Medicine in Detroit.