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.

 

5 Tips to Prevent Sports-Related Injuries

December 3, 2019

Henry Ford Health System

Participating in sports provides so many benefits to kids and teens. There are the obvious benefits of physical fitness and promoting regular exercise. Then, there are also the character-building lessons learned from being part of a team, working hard toward a goal, celebrating tough competition and gracefully accepting defeat. But sports don’t come without some risk.

Sports-related injuries are the leading cause of emergency room visits for kids ages 12-17, according to the Centers for Disease Control and Prevention (CDC).

These injuries impact twice as many males as females. Not surprisingly, contact sports also have higher injury rates. Football, basketball, baseball and soccer account for roughly 80 percent of all sports-related emergency room visits for children.

Sports injuries depend on the age of the athlete and the type of sport played, according to Bridget McArdle, D.O., a Henry Ford pediatrician. Generally, she says, sports injuries are divided into two groups: injuries from overuse like strains and tendonitis, and acute injuries such as concussions, fractures and tears.

The teen years pose special hazards, too. The adolescent growth spurt places teens at higher risk for injuries.

“The growth plates could still be open, which increases the risk for damage,” Dr. McArdle says. “This can lead to long-term problems.”

5 Important Injury Prevention Tips

Fortunately, many sports-related injuries can be prevented — the CDC estimates that as many as half of them could be avoided.

Here are Dr. McArdle’s tips for injury prevention for parents and coaches:

1. Ease into training. It’s important to start gradually in order to decrease the chance of sports injuries. “When you train too quickly at full peak, you are more likely to get hurt. Ease into it – and don’t overdo it,” says Dr. McArdle.

2. Cross train. Changing up the way your child trains is one way to help prevent sports injuries. “Taking a break from one sport to play another is important,” she recommends. Training a different way and using different muscles decreases the strain placed on the same body parts. Practicing gentle stretching exercises such as yoga or Pilates can also help, she adds.

3. Use the right equipment. Everything from the proper shoes and appropriate, properly fitted safety gear for the particular sport are essential for minimizing the risk of injury, as well.

4. Avoid excessive heat. The American Academy of Pediatrics (AAP) recommends young athletes avoid heat illness by wearing light clothing and drinking plenty of fluids before, during and after exercise or play. Coaches should decrease or stop practices during high heat or high humidity periods.

5. Take time to recover. If a sports injury does occur, taking time to recover is very important. Returning to play too soon increases the risk of making the injury worse, and increases the chance of long-term consequences. “Make sure the injury is completely healed before returning. Don’t allow your child to play through pain,” advises Dr. McArdle.

If you have questions or concerns about your child’s readiness to play, be sure to get a sports physical and talk with your pediatrician or primary care provider.

Dr. Bridget McArdle is a board-certified pediatrician, seeing patients at Henry Ford Medical Center – Sterling Heights.

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.