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.
Be Proactive with Concussions
October 22, 2019
Henry Ford Health System
Most people have seen the headlines about concussions as a common sports injury, and it's natural that parents may be concerned for their young athlete.
A large misconception in sports is that previous concussions are to be blamed for ongoing headaches, blurred visions and memory loss, among other symptoms.
“It’s really important to think about concussions in concert with overall brain health,” says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Concussion and Sports Neurology Clinic. “Concussions can be concerning, but they shouldn’t be looked at in a vacuum. The best way to prevent brain injury begins before the injury occurs.”
One way to do that is to consult with your child’s doctor or a sports neurologist for an annual evaluation. A sports neurologist focuses on managing sports-related brain and nervous system injuries and conditions in athletes, such as concussions, post-concussion syndrome, peripheral nerve injuries, migraines, epilepsy, and more.
“Having an annual evaluation of your athlete’s brain function when they are healthy and uninjured can help diagnose and treat issues when they arise,” says Dr. Kutcher.
Results from the baseline test can be used as an important tool for comparison by a qualified healthcare professional later if an athlete has a suspected concussion.
Best Practices to Ensure Your Athlete Stays Safe
Dr. Kutcher shares these tips for parents to make sure you’re keeping your child’s brain health and safety – not just their athletic performance – at the forefront:
• Get a brain health baseline. A proper baseline test should include a personal and family neurological history, with a focus on any active issues. It is important to note any neurological conditions that may influence concussion recovery, such as ADHD, depression, anxiety, or migraine headaches.
• Teach your kid to listen to her or his body. With any sport, there is a calculated risk to play. Teaching kids to listen to and be honest about how their body is feeling is the best way to prevent and treat injuries.
• In the event of an injury, look for the signs. Within 24 hours after an injury, an athlete should be evaluated if they are experiencing:
· Headaches
· Fatigue
· Dizziness and nausea
· Changes in sleep habits
· Trouble with memory
· Confusion
· Irritability and anxiety
· Light sensitivity
• Brain injuries don’t just occur with a blow to the head. They can also occur from falls, car accidents, or even through whiplash. If your child is experiencing any symptoms, be sure to consult your physician.
• Brain health is more than just concussions. If your athlete is complaining of chronic headaches, migraines, dizziness, memory or mood issues, there may be an underlying issue.
“There is no magic number of concussions a brain can sustain. Each individual is different,” Dr. Kutcher explains. “The impact severity and recovery time can greatly affect an athlete’s brain. By getting a baseline before the injury, we can establish a goal to work towards in recovery.”
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.