The Dangers Of Returning Too Soon After An Injury

When you've been hit with an injury, it's natural to want to get back to your regular activities as soon as possible. In fact, it's not uncommon for athletes to sidestep doctors' orders and return to the field or the court before an injury has healed.

"It doesn’t matter how much you train, or how much you prepare, injuries are going to happen, especially if you're an athlete," says Jamie Schwab, an athletic trainer at Henry Ford Health System. "But the real trouble arises when athletes try to play through their pain without allowing sufficient time for recovery."

Risks Of Returning Too Soon After Injury

If you sprain your ankle during a cross country run, it can be tempting to finish the race. Unfortunately, hiding your pain and powering through the activity can actually make matters worse.

"If you continue to work out after suffering from an injury, you run the risk of furthering that injury," Schwab says. So what began as a minor ankle sprain can evolve into a major sprain that sidelines you for weeks.

Returning to play after surgery demands extra precautions. "Athletes are a lot more susceptible to re-injury after returning from surgery, especially if they don't complete the entire 9-month or year-long rehabilitation protocol," Schwab says. In some cases, you can exacerbate an injury to such a degree that you'll never be able to participate in the same capacity.

A Safe Return To Play

The road back to play after an injury is a long and winding one. Before you can even consider returning to exercise, you need to reduce swelling, get pain under control and get your range of motion back to almost normal.

"The recovery process takes time," Schwab says. "But if you stick with it, and you take it seriously, it's going to be a whole lot easier for you to return to the playing field in a timely manner."

Once you get pain and swelling under control, you can focus on agility and weight exercises that will help you regain strength and slowly return to baseline. The key tenets for a safer return to play:

► Be honest about your abilities: "So many athletes are afraid to tell the truth," Schwab says. "But if you're hurting and you're not competing at your full potential, you're letting your team down and yourself down, too." Even worse, you could increase your risk of further injury.

Focus on building strength: Strength training is critical. It can help you become faster, stronger and more agile on the field. It can also help you recover more quickly after an injury.

Listen to your body: If something doesn't feel right, pay attention to it. Talk to your athletic trainer or a physical therapist to get to the bottom of what's bugging you and put a plan in place to address it.

Boosting Performance Over The Long Haul

Unfortunately, not every coach and athletic trainer stresses the importance of a maintenance program. In fact, focused training and maintenance exercises are key to preventing injuries in the first place.

"The rehabilitation exercises you begin doing on day one after injury need to be maintained at least three to four times each week, indefinitely," Schwab says. "If you follow that regimen, all of your muscular nagging strains will no longer be a problem because your body is constantly adapting to the stresses. It's conditioned, it's strong, it can withstand the constant changes in direction."

Most important, don't be afraid to try complementary strategies. Practice using a foam roller, try cupping to release tension in the muscles and enhance blood flow and consider getting a monthly massage.

Jamie Schwab, AT, ATC, SCAT, CSCS, is an athletic trainer with Henry Ford Sports Medicine and works with student athletes at Edsel Ford High School. She is a National Strength and Conditioning Association certified strength and conditioning specialist.

To find a doctor or athletic trainer at Henry Ford, visit henryford.com or call 1-800-436-7936.

Sports Injuries & Student Athletes: A Parent’s Guide

February 6, 2024

Playing sports is a great way for children of all ages to maintain a healthy lifestyle. It also builds confidence and teaches them valuable life lessons, like working as a team and the value of hard work. While it may be every sports fanatic’s dream to have their kid make it big time in the arena or on the diamond, sometimes pushing young athletes to be the best at a young age can lead to serious injuries that will take them out of the game altogether.

Henry Ford Health"Sports help with physical and psychological well-being," says Matthew Santa Barbara, M.D., a sports medicine physician at Henry Ford Health. "However, year-round participation in a single sport at a young age can lead to overuse injuries and mental burnout."

Nowadays, many kids will start playing one sport at a young age and continue to play that same sport year-round for years. This can be harmful to your child because his or her soft tissue and bone structures aren't fully developed. Furthermore, the pressures of year-round participation and focus on excelling, rather than enjoyment, can negatively affect a young athlete's mental health.

Basketball causes the most injuries among high schoolers, causing many visits to the emergency room each year for stressed and torn ankle ligaments. In baseball, the Tommy John surgery, a procedure to reconstruct torn ligaments in the elbow after overuse, has also been increasingly used to treat young athletes still in high school.

How To Prevent Sports Injuries

Preparing your children appropriately before a sports season begins and supporting them during the season is important. Dr. Santa Barbara offers four key pieces of advice to help your youth athletes avoid injury.

1. Don’t limit your child to one sport. Playing a variety of sports in different seasons is a great way to work different parts of the body. When your child gets older, they can make the transition to playing a single sport they are good at and enjoy.

2. Warm up. Make sure your child is properly warming up before they play any sport. Dynamic warmups--incorporating exercises that involve moving the body such as lunges, high knees and arm circles – are preferable to stretching alone.

3. Strengthen core muscles. Building up core strength takes pressure off joints in the arms and legs. It gives young athletes more momentum and can help improve their performance.

4. Abide by rest rules. Many schools and sports leagues have rules in place to limit how many teams kids are on or how often they play. Follow these to ensure your child is allowing time for their joints and muscles to recover from physical activity.

Children participating in a sport should never push through pain, and injuries should be promptly evaluated by a sports medicine physician. Physical injuries are often more obvious, while mental health issues due to sports participation can be more subtle. Symptoms such as fatigue and declining performance can be signs of burnout. In these situations, rest is also important.

"Sports should be fun for kids," says Dr. Santa Barbara. "Avoiding single-sports specialization at a young age keeps the focus on enjoyment while reducing the physical and psychological risks of year-round participation."

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

Matthew Santa Barbara, M.D., is a non-operative sports medicine physician at Henry Ford Health. He sees patients at the Henry Ford Center for Athletic Medicine in Detroit, Henry Ford West Bloomfield Hospital, Henry Ford Medical Center - Columbus, Henry Ford Medical Center - Bloomfield Township and Henry Ford Medical Center - Fairlane.