Minding Our Business: Focus on Mental Health
December 30, 2019
By Mark Uyl
MHSAA Executive Director
For as long as I can remember, rules have played an important role in my life.
My father officiated high school and youth sports. So my brother and I did the same, and were fortunate enough to earn the right to work contests at the collegiate level. Today, my sons are officiating high school and youth sports.
I was hired by the MHSAA as an assistant director in large part due to my officiating background. Rules and regulations remain the backbone of athletics specifically, and society in general, as I learned more acutely when I entered the working world as a teacher and coach, then school administrator.
What also became abundantly clear to me within that framework was that it is our responsibility to provide our students not only the opportunity for competition, but also for our games and practices to take place under the safest conditions possible. From preseason physicals to equipment inventory and facility maintenance, a premium was placed on the well-being of participants and spectators.
Throughout my time at the MHSAA, various initiatives continued to target the growing list of health and safety concerns. My predecessor, Jack Roberts, often pointed to the “4 Hs” of the MHSAA’s health and safety campaign: Health Histories (Physicals), Heat and Hydration, Heads, and Hearts. Those pillars still hold the bulk of the content and resources on the Health & Safety resource pages of MHSAA.com. A few years ago, an extensive section promoting multi-sport participation was developed as an increasing amount of overuse injuries among single-sport athletes was being reported.
This fall, another section has been added as a sub-category to “Heads.” While attending an NCAA meeting in the summer of 2017, the topic of concussions came up, which I assumed to be the No. 1 issue concerning health and safety of student-athletes. It was quickly pointed out that student mental health – not concussions – had become the top health concern among our young people. That knocked me back.
Medical personnel have determined that depression, anxiety and other issues related to mental health are the No. 1 concern among adolescent-age children. There’s a real opportunity to provide some leadership and guidance in this area.
We need to offer resources on the subject, and also be prepared to provide guidance for our membership. The MHSAA has developed a Mental Health Speakers Bureau (please visit our Health & Safety page online). The first statewide Student Mental Health Summit scheduled for Lansing in October provided an opportunity for school principals, counselors, student leadership advisers and student leaders to convene on the topic.
The gathering was quickly sold out, indicating not only the growing nature of concern for this issue, but once again displaying the willingness of our educational leaders to recognize and react to another challenge.
This week, Second Half will publish the latest benchmarks report on the MHSAA’s mental health initiatives and those being undertaken by other states as well.
Navigating Twists, Turns Of Ankle Sprains
November 30, 2020
Henry Ford Health System
Oh, how the ankle turns! If you’ve had a misstep or wrong turn result in a sprained ankle, you know how painful this injury can be. Henry Ford podiatric surgeon Paul Di Liddo, DPM, discusses ankle sprains and treatments.
Ankle Injury 101
From risk factors to treatments (and nearly everything in between), here’s what to know — and do — about ankle sprains.
Sprained Ankles Are Painfully Common
In fact, they’re among the most frequent injuries in the United States, with up to 25,000 people per day spraining their ankles. Although often associated with sports, ankle sprains can happen to anyone, anywhere. “I see ankle sprains from tripping over curbs, stepping in holes in a yard or simply walking,” says Dr. Di Liddo. “Ankle sprains — like accidents — happen.”
Ankle Sprains Injure Ligaments
“Ankle sprains occur when the ankle suddenly and forcefully twists or rolls past a point that the ankle ligaments can tolerate,” remarks Dr. Di Liddo. “The ankle ligaments will stretch or tear, either partially or completely.” An ankle can twist, turn or roll during a fall, jump or change of direction, while walking on uneven ground and more.
A Weak Ankle Is A Vulnerable Ankle
Most sprained ankles heal without long-term concern. In some cases, however, ligaments may not fully heal, resulting in a weak or unstable ankle. “A weak or unstable ankle can make an individual more susceptible to repeated ankle sprains,” explains Dr. Di Liddo.
High Arches Can Be Risky Business
People who have high-arched feet are more at risk of rolling — and therefore spraining — their ankles. So are people who have “loose joints,” because the ankle can overstretch with a seemingly minor twist. People who are at-risk for ankle sprains should take extra precautions when playing sports or performing other activities.
Some Sprains Can Be Treated At Home — Emphasis On Some
How you treat a sprained ankle depends on the severity of the injury. Minor sprains can be treated at home with the RICE method. The RICE method include:
- Rest by avoiding use of the injured ankle
- Ice applied to the ankle (without touching the skin) for no more than 20 minutes every three to four hours
- Compression with an elastic bandage
- Elevation above the heart
Ice, compress and elevate your ankle for the first few days. Rest and refrain from sports until ankle pain and swelling have subsided.
At-home treatments aren’t right for everyone — or every ankle injury. “A swollen ankle is typical if you have experienced a sprain,” says Dr. Di Liddo. “However, if you have severe ankle swelling, are in extreme pain or notice an odd ankle appearance, seek medical attention.” This is also true if you can’t walk more than a few steps or have limited ankle mobility. A foot and ankle specialist can diagnose your injury and begin treatment.
Ankle Treatments Abound
Ankle sprain treatments are designed to decrease pain and swelling, while protecting the ligaments from further injury. Treatments include wearing an ankle brace, walking boot or cast. Physical therapy to strengthen the ankle and maintain range of motion may also be incorporated after the ligaments have started to heal.
“Of course, for more severe injuries, a thorough physical exam and X-rays are necessary,” says Dr. Di Liddo. “This helps ensure that there is no other underlying injury, such as a fractured ankle or Achilles tendon rupture.”
Healing Times Vary
The recovery time for a sprained ankle depends on the severity of the injury. Sprains with minimal ligament stretching and no tear require one to three weeks. Partially torn ankle ligaments may take up to six to eight weeks to heal. A fully torn ligament can take several months to fully heal.
What To Do When Ankle Problems Persist
For people who continue to experience ankle instability, there are a host of options. “Physical therapy is the first step — but not the only one,” says Dr. Di Liddo. “If physical therapy has not been beneficial, we can discuss surgical approaches.”
Surgical options include:
- Ligament repair or reinforcement via an outpatient procedure
- Osteotomy, which is surgical cutting of bone, to lower arches when ankle instability is caused by high arches
For those with frequent ankle sprains or instability, a medical assessment is necessary and may include:
- Physical exam
- X-rays to assess bones and joints
- MRI to evaluate ankle ligaments
With this information in mind, you can prevent — or address — the twists and turns of ankle sprains.
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.