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NFHS Voice: Football Powerful in Healing
December 27, 2019
By Karissa Niehoff
NFHS Executive Director
Dates of some tragedies are etched in our memories forever. On September 11, we pause to remember the thousands who perished in 2001 as a result of the attacks on the World Trade Center, the Pentagon and the hijacked United Airlines Flight 93 that crashed near Shanksville, Pennsylvania.
Many individuals remember where they were when President John F. Kennedy was assassinated on November 22, 1963 and/or when Dr. Martin Luther King Jr. was gunned down on April 4, 1968.
Unfortunately, in the past 20 years, there are several dates stamped in our memories because of shootings in our nation’s schools, such as the ones at Columbine High School in Littleton, Colorado, on April 20, 1999, and Marjory Stoneman Douglas High School in Parkland, Florida, on February 14, 2018.
And on December 14, 2012, the nation wept when 26 people, including 20 children, were killed during the mass shooting at Sandy Hook Elementary School in Newtown, Connecticut. While this tragedy tore the hearts of people nationwide, it was profoundly personal to me.
I was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference and, on that day, was attending a meeting with the Commissioner of Education and the Board of Directors for the Connecticut Association of Public School Superintendents. The commissioner was interrupted to take a private call, left immediately, and shortly thereafter the news of a “school shooting” reached the nation.
Suddenly, what previously was important became insignificant as we were all shocked at yet another senseless act of violence. As details of the shooting rampage were released, the incident became more and more horrific. The principal of Sandy Hook Elementary at the time, Dawn Hochsprung, was one of the six adults who perished that day. She was a personal friend of mine.
So, like millions of Americans earlier this month, I was overcome with emotion when Newtown High School won the CIAC Class LL State Football Championship – seven years to the exact day of the Sandy Hook tragedy. Newtown won the state title on the last play of the game as Jack Street – a fourth-grader at Sandy Hook in 2012 – threw a touchdown pass just as the fog lifted enough to be able to see downfield.
Once again, high school sports, and football in particular, was a unifying activity for a community. Amid the sorrow of the day, this incredible storybook finish by the Newtown High School football team gave everyone in the community – at least for a moment – the strength to continue the healing process.
We have seen time after time when high school sports provided students, parents and those in our communities a means to come together, to band together and to rise above struggles arm in arm. This was but the latest example.
The grieving process will continue for those people who lost loved ones in the Sandy Hook tragedy, but this amazing effort by these high school football players brought smiles and tears of joy to a community that has not had many of those emotions for the past seven years.
Bobby Pattison, the Newtown High School football coach, had the following to say after the state title:
“The great thing about football and sports in general, moments like this bring people together,” Pattison said. “These guys had an outstanding year. To win a state championship, to win on the last play, it’s been a tremendous accomplishment. And these boys deserve it. They’re a great bunch.”
The value of high school football for communities across America? We would suggest what happened in Newtown, Connecticut, this season says it all.
Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.
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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.