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.
Since 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.
6 Tips for the Best Cold-Weather Workout
December 6, 2022
With temperatures getting colder, it may be tempting to get back to the gym.
But it’s still possible to get your exercise outdoors if you prepare properly to counter the chillier conditions that accompany living in Michigan this time of year.
Winter Weather Workout Tips
While cold air can make it challenging to breathe, our bodies adjust to reduced temperatures over time. The key thing to watch for is hypothermia (dangerously low body heat).
"Viruses are more likely to attack our bodies if we're in a cold state," says Ramsey Shehab, M.D., a sports medicine specialist at Henry Ford Health. "If your internal body temperature drops significantly, it can suppress your immune system and make you more vulnerable to infection."
The good news: Adopting these six strategies can help ensure your outdoor workouts are safe and effective.
Check the forecast. Know what the outdoor weather is and plan accordingly. Pay attention to the temperature, wind and moisture level. If temps dip below zero, the wind chill is extreme, or it's raining or snowing, exercising outside can be risky.
Dress in layers. Dressing too warmly can increase your risk of overheating (even in frigid air). Instead, dress in layers so you can remove layers as you warm up. "The innermost layer should be made of moisture-wicking material," Dr. Shehab says. "The middle layer should have thermal protection like wool or fleece, and the outermost layer should be waterproof and breathable to protect you from wind, rain and sleet." If you get wet and moisture soaks through your clothing, you may not be able to keep your core body temperature up.
Pay attention to your hands, feet and head. When you're engaged in a heart-pumping workout, blood flows to your core, leaving your fingers, toes and head vulnerable to the cold. Wear a hat, gloves and warm socks. If it's especially chilly, consider wearing a scarf.
Take time to warm up (and cool down). Instead of leaving your cozy house and launching straight into a sprint, take time to warm up your major muscle groups. "Your joints may be stiffer when it's cold, so warming up and stretching out is especially important during the winter months," Dr. Shehab says.
Stay hydrated. People tend to think more about dehydration during the summer months, but you can get dehydrated in the winter, too. "Proper hydration before, during and after exercise is very important, not just to maintain health and well-being, but also to stave off infection," Dr. Shehab says.
Take a vitamin D supplement. Even though you're exercising outdoors, sunlight is in low supply in Michigan during the winter. To keep your immune system humming, consider taking a vitamin D supplement. "Making sure you have sufficient vitamin D can enhance your bone health, boost your immune system and keep your hormones in balance," Dr. Shehab says.
Get Savvy About Outdoor Workouts
Frigid temperatures can create obstacles for even the most enthusiastic exercisers. While it's tempting to table exercise until warmer weather returns, there are things you can do to make outdoor — and indoor — workouts more enjoyable.
You don't have to stick to the same routine of running, walking and circuit training. Take advantage of the winter chill to participate in activities like ice skating, sledding, hiking, skiing and cross-country skiing. You can even take interval workouts outdoors. Climb stairs, hike up hills or just play with a kettlebell in the snow.
"Exercise is medicine," Dr. Shehab says. "It can sometimes replace medication for people who have diabetes, hypertension and other chronic conditions. It's good for the mind and the body, and it can help stave off infections, including COVID-19."
The caveat: Working out, outdoors or indoors, is not recommended for people who are currently battling the coronavirus. Instead, it's important to preserve your energy. Once your symptoms begin to improve, you can gradually increase your exercise level.
To find a doctor or athletic trainer at Henry Ford, visit henryford.com or call 1-800-HENRYFORD (436-7936).
Dr. Ramsey Shehab is the deputy chief of Sports Medicine at Henry Ford Health. He sees patients at the Henry Ford Center for Athletic Medicine and Henry Ford Medical Center - Bloomfield Township.