Choose the Right Sports Medicine Expert

July 7, 2020

By Christina Eyers, Ed.D., AT, ATC
Henry Ford Health System 

If you're an athlete, chances are you'll require specialized care from a health professional during your career.

Confused about the differences between athletic trainers, sports medicine physicians and exercise physiologists, among other experts? You're not alone!

Each of these professionals has different levels of training, expertise and certifications, but the care they provide often overlaps. That's one reason why they often work together.

Sports Professionals Defined

Caring for athletes isn't always clear-cut. In fact, most athletes require a full team of professionals working in concert to stay at the top of their game. Yet confusion remains about which professionals you need to see for training, injury prevention, and recovery and treatment after an injury.

Each type of professional has its own set of experience, training and certifications. Here’s how they measure up:

· Sports medicine doctor: Sports medicine physicians are typically trained in orthopedic surgery, primary care or emergency medicine. These professionals have medical degrees as well as specialized training in sports medicine, including the prevention and treatment of injury. In addition to caring for conditions ranging from concussion to head colds, sports medicine physicians also focus on helping people return to sports safely and effectively after illness or injury.

· Athletic trainer: Athletic trainers take care of athletes from prevention through rehabilitation. In collaboration with a physician, these professionals offer insights that help minimize risk and prevent injuries. They evaluate athletes and provide immediate care and treatment, sometimes even on the sidelines. They also provide rehabilitation and reconditioning after an injury or illness.

· Exercise physiologist: Exercise physiologists study the effect of exercise on the muscular, cardiovascular, and sympathetic and parasympathetic nervous systems. They examine functional capacity and strength due to endurance training or strength training. These professionals may also test athletes for VO2max (your oxygen volume while training) and body composition (the ratio of fatty mass to lean mass).

· Physical medicine and rehab physician: These professionals treat a variety of medical conditions that affect the brain, spinal cord, nerves, bones, joints, ligaments, muscles and tendons. They take the whole body into account to pinpoint problems and enhance performance without surgery.

· Physical therapist: Physical therapists diagnose and treat individuals of all ages with conditions that limit their ability to move and perform daily activities.

Other Specialized Professionals Who Care for Athletes

In addition to the health care professionals described above, athletes may meet with a host of experts, including:

· Nurses and medical assistants
· Occupational therapists
· Cardiologists
· Neurologists
· Behavioral health specialists
· Dietitians
· Complementary medical practitioners, such as acupuncturists and chiropractors

None of these individuals are "fitness professionals," a term nearly anyone can use to describe a range of professional activities. Rather, these sports medicine experts are part of a comprehensive team that includes at least one physician. They are each licensed by the state to provide specialized care to athletes.

Personal trainers, on the other hand, focus on helping people find their way around the gym, hold them accountable to achieve their goals and help new exercisers and seasoned fitness enthusiasts stick to a workout regimen.

If you're an athlete, you need a team of health professionals who can provide comprehensive care to reach your highest potential. 

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

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.

Commentary: Flag Football First

October 29, 2014

By Chris Ervin
St. Johns Athletic Director

Throughout my career I have always argued that most schools/youth programs start tackle football too early. Most are putting young children in full pads and letting them have full contact as early as third or fourth grade. At this stage in life I don’t believe that children are physically prepared for that type of contact. At this age many of these kids are too big to touch the ball on offense. What fun is that?

But I understand why it is, what it is. Every football program feels the need to do the same, if not more, than our competition. Every program feels it must do what our neighbors are doing to remain competitive. In today’s society everyone believes that our programs must start early, practice often and hit hard, to win championships.

In today’s society we have more science than ever before. We know more about concussions, knee injuries, heat stress, etc. If the NFL, college football, and high school football are making changes as a result of these concerns, why should we not look at current practices of youth football?

I believe that if there was a study conducted with high school football coaches, most would prefer more flag than tackle football for younger children. I believe that most coaches would buy into starting tackle football later in life. But I also believe that coaches will not change unless change occurs across the board, in every community, in every program, to ensure an equal playing field.

Legendary Fowler Football Coach Steve Spicer won championships. He experienced great success even though Fowler started tackle football in the ninth grade for many years. Coach Spicer was able to coach athletes his way. He taught them proper tackling techniques and all of the necessary football skills in merely four years. And for that his teams won championships and were feared as one of the greatest small school football programs in Michigan.

So why flag football instead of tackle football? My take on this is that we start tackle football too early in life. Kids figure out quickly that hitting or getting hit hurts. They do this for six or seven years and then arrive in our high schools.  Many of these kids have had enough of getting hit at this point and then hang up their cleats for another activity, work, girlfriend, etc. Some stay with football and enjoy the next four years, but too many go in a different direction due to burn out.

I keep hearing a common theme in Michigan and I suspect this is the case throughout the entire country. Football participation numbers are plummeting!  Is this a result of kids having so many opportunities these days, starting school after Labor Day (football practice takes away their August vacation time), or the almost daily coverage by the media about the impact of concussions? All of these are factors.

So what is the solution to saving tackle football? I view this as an easy answer; Flag Football!  We need to rally the troops (ADs, Football Coaches Associations, youth football programs, legislatures, parents, children) to take a philosophical stance that supports flag football across the board until at least middle school, and then transition into tackle football for the following years. We all talk about this, but we need action!  Maybe a social media campaign is how we get the ball rolling. 

Flag football is fun for kids! Flag football provides an opportunity for kids to learn the necessary skills so that later in life they are physically able to handle tackle football. And maybe they will enjoy the football experience so much that they will stick around and be part of our high school program!

Ervin is in his 21st school year as an athletic director, with nine at St. Johns, eight at Carson City-Crystal and four at Webberville. He also coached boys basketball at Webberville for six seasons.