NFHS Voice: Lessons Learned in Loss
January 31, 2020
By Karissa Niehoff
NFHS Executive Director
Sometimes in life things simply do not happen as planned. The unexpected is always right around the corner. When these situations occur, we must adapt to change and determine the best steps in moving forward.
Such was the case in selecting the subject for this week’s “Voice.” We were set on addressing the ugly spotlight on professional baseball with the recent sign-stealing incidents and that high school sports is not and must not be about “winning at any cost.”
This is certainly a worthy subject. High school sports is about competing fairly and doing things the right way. The wrong in the baseball scandal was not getting caught; it was players and managers believing that cheating was an acceptable means to winning. These are not the kind of heroes we want to follow.
And then came the events of Sunday morning in California. It was hard to fathom. Kobe Bryant and his 13-year-old daughter, Gianna, were no longer with us. Along with seven others on the helicopter that crashed that morning, Kobe and “Gigi” were on their way to what else – a basketball game.
As people from all over the world – both those who knew Kobe on a personal basis as well as casual fans – expressed their shock and sadness about this tragedy, there were consistent messages about the value of sports and family that were ever present.
While Kobe Bryant was one of the best basketball players ever to play the game, it was apparent that more so than all the all-star appearances and scoring titles and NBA championships, his impact came from the relationships formed through participating in sports – from Lower Merion High School in the Philadelphia suburb of Ardmore, Pennsylvania, to his 20 years with the Los Angeles Lakers.
And then it was about family as he supported his daughters, Natalia, who plays volleyball, and Gigi, a basketball player who was determined someday to play at the University of Connecticut, in their participation in sports. In an interview with PEOPLE Magazine in 2018, Bryant shared how he used his opportunity to coach his daughters in basketball as an opportunity to teach them valuable life lessons.
“A valuable life lesson that I can teach them is what it means to pursue excellence and the commitment level that comes with that,” Bryant said in the PEOPLE interview.
There are many lessons to be learned from this tragedy and the nine lives that were cut short. Our original plan of re-emphasizing that high school sports must not be about “winning at any cost” is certainly among those lessons. Success at the high school level has more to do with preparing students for their lives after high school than winning games or state championships.
Doing things the right way, playing the game the way it is supposed to be played, developing relationships and having fun along the way – that’s the message of high school sports.
As we listened to hundreds of people share their remembrances of Kobe Bryant the past few days, a few things were evident. Like all of us, he was not perfect; however, he showed us the power and influence of sports in our country. He played the game the right way, giving 100-percent effort every night. He regularly praised and supported others, always smiling. And he was passing on his love of sports to his daughters.
And the last lesson – be sure you tell those closest to you every day that you love them.
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.
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.