How Acupuncture Can Help Soothe Pregame Anxiety

May 7, 2024

The topic of mental health in sports has been mostly ignored until fairly recently. But thanks to several high-profile athletes’ willingness to open up about their struggles, the topic is no longer quite so taboo. 

Henry Ford Health“Athletes at all levels are realizing the importance of their overall mental health, mental preparation before an event and mental recovery afterward,” says Thomas R. Betts, DAOM, LAc, a sports medicine acupuncturist at Henry Ford Health. “Having your mind in the right place pays big dividends in terms of sports performance.” 

One of the many tools athletes are using to get their minds healthy is acupuncture. It may be an ancient Chinese practice, but it can be useful to help improve the mental health of modern athletes. 

What Is Acupuncture?

Acupuncture is a healing technique that has been used in traditional Chinese medicine for thousands of years. Acupuncture practitioners (acupuncturists) insert very fine, thin needles into the skin at various points on the body, depending on what condition they’re treating.

According to traditional Chinese medicine, the insertion points for the needles correspond to specific internal organs or energy channels in the body. “The philosophy behind traditional Chinese medicine is that acupuncture works by manipulating the flow of blood and energy to create balance and harmony in the body,” says Betts. 

From a Western medicine perspective, acupuncture works by stimulating the central nervous system and by having some direct effect on the tissues in which needles are placed. Acupuncture also has a balancing effect on hormones within the body. It works well with other treatments for anxiety such as sports psychology, massage therapy, guided visualization and meditation.

How Can Acupuncture Improve Sports Performance?

Acupuncture has long been used to help people relax, reduce stress and cope with anxiety. And it can have that effect even when the acupuncturist is treating a physical problem. “Even when I’m treating an athlete for a sports injury, when I ask how they feel post treatment the overwhelming response I hear is ‘I feel so relaxed,’” says Betts.

This is why acupuncture seems like a natural fit for helping athletes of all levels cope with performance anxiety, pregame jitters or other competition-related fears. “Reducing stress helps athletes perform better,” says Betts. “And more and more athletes are realizing that taking care of their mental health and using tools to stay mentally focused can really enhance their performance.”

When Should Athletes Try Acupuncture?

Since an acupuncture session can leave you feeling super calm and relaxed, you don’t want to try it for the first time right before a game or competition. “The timing is important,” says Betts. “You want the athlete to feel motivated to compete, not totally Zenned out.”

The best approach is to schedule a series of acupuncture sessions in the weeks leading up to a big game, competition or race. Betts says he typically recommends athletes come in twice a week for three weeks to get started. “It’s not about treating their anxiety in the moments before a game,” he says. “It’s about establishing a baseline of calm that they can carry with them into the competition.” 

While there’s still some stigma surrounding athletes and mental health, Betts sees the popularity of acupuncture as one sign of a shift. “I think we’re trending in the right direction for mental health,” he says. “Athletes are starting to understand that if they want longevity and success in their sport, they need to take care of their mental and emotional health—not just the physical.” 

Reviewed by Thomas Betts, DOAM, RAc, a certified sports acupuncturist who sees patients at the Henry Ford Center for Athletic Medicine in Detroit.

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

How Can COVID-19 Impact Student-Athletes' Return-To-Play?

October 5, 2021

COVID-19 And Student Athletes: How Can the Virus Impact Return-To-Play?

The end of summer marked the start of the school year, and for student athletes, the kickoff of the fall sports season. For many, COVID-19 sidelined practices, team gatherings and games to some extent last year. And while there is still hope that young athletes will have more opportunity to play this season despite rising cases of the Delta variant, there are other factors causing concern among athletes and their parents.

According to Ramsey Shehab, M.D., a sports medicine physician for Henry Ford Health System, many athletes are concerned about reaching peak performance after a long time off or after they have recovered from a COVID diagnosis. He reassures students that the feeling of exhaustion or even underperformance compared to past years is to be expected when you take time off or after fighting an illness.

“When you are infected with a virus, it taxes your immune system, and all of your energy goes towards fighting off that infection,” says Dr. Shehab. “You’ll likely feel weak and more tired during this time.”

Fortunately, as the body begins to recover, you’ll start to feel more like yourself again as you get your energy back. But this doesn’t mean that you won’t lose some of that fitness and endurance you’ve built up.

“It only takes about a week of deconditioning to set you back from peak athletic abilities,” says Dr. Shehab. “It is completely expected that your body will need time to get back to performing at your best.”

Playing Sports After Recovering From COVID-19

The unfortunate news: COVID-19 affects people differently in the long term. Some people are able to recover and get back to their routine without delay, whereas others see further complications months after an infection.

Akshay Khandelwal, M.D., a cardiologist with Henry Ford Health System, breaks down some of the more serious findings regarding COVID-19 and your heart health.

“With COVID-19, there is a risk of direct injury like heart failure or an arrhythmia due to the stress your body is under while fighting off the virus,” says Dr. Khandelwal. “As a result, having the virus can cause inflammation of the heart, a condition called myocarditis.”

Because of this, talking to your doctor before returning to a sport is a must if you had COVID or are recovering from the virus. It is important to make sure there are no systemic changes to your body such as overall heart health and lung function. They will be able to rule out any long-term effects that could impact your fitness output.

Expert-Recommended Steps for Return-To-Play

As you get back to your game, both experts share their insights for a healthy recovery:

1. Take quarantine periods seriously. If you are sick, even if you don’t necessarily feel sick, make sure you are taking time to rest and recover properly. “Don’t try to push or overexert yourself,” says Dr. Khandelwal. “It could prolong your recovery.”

2. Get back to training slowly. “Start using low-exertion activities to get your body used to working out again,” says Dr. Shehab. “Once you are able to handle each activity, you can push ahead to something more challenging.” Realistically, it may take a couple of weeks before you are able to get back to your peak.

3. Listen to your body. If workouts seem increasingly difficult, talk with your doctor or trainer before pushing yourself further. You can also help your body recover by making healthy, thoughtful choices:

► Get plenty of sleep

Warm up and cool down before and after workouts

Stay hydrated

Take breaks when you’re tired

Practice injury prevention

Make smart food choices

4. Get vaccinated. If medical or religious reasons, or age requirements aren’t stopping you from getting the vaccine, consider getting the shot for yourself and those around you. The Delta variant is highly transmittable, meaning that, it is much easier for it to spread to teammates and family members than the original strain of the virus. 

To learn more about the COVID-19 vaccine, visit our Vaccine FAQs page.

Talk to your doctor to learn more about safely returning to a sport. To find a doctor, visit henryford.com or call 1-800-436-7936.

Dr. Ramsey Shehab is the deputy chief of Sports Medicine at Henry Ford Health System. He sees patients at the Henry Ford Center for Athletic Medicine and Henry Ford Medical Center - Bloomfield Township.

Dr. Akshay Khandelwal is an interventional cardiologist who sees patients at Henry Ford Medical Center – Second Avenue.