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.

An Athletic Trainer's Guide To Winter Sports You Should Test Out This Year

February 15, 2022

Christina Eyers, Ed.D., AT, ATC, is the Director of Athletic Training & Community Outreach with Henry Ford Sports Medicine.

With the winter Olympics kicking off, you might be wondering which (if any) winter sports are safe for you to try.

In addition to favorite pastimes like skiing, snowshoeing and ice skating, athletes in the winter Olympics are shining a light on lesser-known sports that are worth checking out if you're feeling adventurous. (Curling anyone?)

Breaking Down Winter Olympic Sports

Whether you prefer snow or ice, there are plenty of cold-weather activities that offer a heart-pumping workout — and you don't have to be an Olympic athlete to join in the fun. A bonus: Many of these activities are easy on your joints and offer cross-training benefits.

Several favorites:

  1. Cross-country skiing. Cross-country skiing is a full-body, endurance pursuit similar to running. But since you're gliding through the snow, not pounding pavement, there's less stress and strain on your joints — and a lower risk of repetitive use injuries.
  2. Ice skating. Figure skating is among the most popular winter Olympic sports. It's also the oldest sport in the winter program. Even if you feel unsteady on ice skates (and what beginner doesn't?), taking an introductory lesson can help you glide safely while learning proper mechanics. Since falling is common for beginners, make sure you wear some extra padding and take your time as you master new maneuvers.
  3. Curling. A unique Olympic sport, curling is like shuffleboard on ice. While it may be one of the slower sports in the winter games, it's also a great game to play on the ice with your family.
  4. Skiing. Skiing is a fun activity for the whole family. But if you're an amateur skier, it's critical to be realistic about your abilities. Don't be afraid to take ski lessons to get the basics under your belt. A ski instructor not only gauges your skill level, but can also direct you to the slopes that are the best fit for your experience.
  5. Snowboarding. One of the newer Olympic sports on the circuit, snowboarding was first included at the 1998 Winter Olympics in Nagano, Japan. But since its introduction, snowboarding has become one of the most popular sports in the Games — and for winter recreation among nonathletes.

    No matter which winter sports you choose, make sure you have appropriate equipment that fits. Winter sports gear can get pricey, but try secondhand stores or even rent equipment for weekend use. Just make sure to ask the experts for advice on things like length of skis, boots, bindings, figure skates or hockey skates. Most importantly, make sure to always wear a helmet for activities such as skiing and snowboarding (kids should wear helmets when ice skating too!).

    Cold-Weather Sports Caveats

    Winter sports can be engaging for everyone, no matter what their age or skill level. You can use the Olympics as inspiration or try one of the many non-Olympic sports that get your heart pumping during colder months. A few favorites:

    ► Sledding. Tubing and sledding require you to climb up the hill in order to ride your way down. Toboggan runs and sledding hills are a great way to enjoy local parks during the wintertime — and they're fun for the whole family.
    ► Snowshoeing. Like walking on sand, snowshoeing requires you to navigate uneven surfaces, which helps strengthen your leg and glute muscles.
    ► Hiking. If the weather is on the mild side, don't be afraid to get outdoors and explore. With newer materials and textiles, it's easier than ever to dress warmly and remove layers as you work your way up a hill or mountain.

    Whatever winter activity you choose, keep in mind you’re not competing in the Olympics. If you’ve been mostly sedentary, it's important to start slow. Gradually increase your activity level and be sure to wear appropriate safety gear.

    To find a primary care or sports medicine specialist at Henry Ford, visit henryford.com or call 1-800-436-7936.