Put a Stop to Recurring Injuries

May 5, 2020

By Nick Parkinson, M.Ed., AT, ATC, TSAC-F
Henry Ford Health System

Recurring injuries happen — and they're especially common among single-sport athletes or people who focus on one type of exercise, like runners. The reason: You're working the same muscles repeatedly. The end result: Your joints, muscles and tissues get worn out.

Breaking Down Recurring Injuries

Overuse injuries are a big deal. Continuing to re-injure the same muscle groups can take you out of the game entirely and limit your ability to participate in other activities. Here's what you need to know about these all-to-common ailments:

What are Recurring Injuries?

Recurring injuries, also called repetitive and overuse injuries, are injuries that happen repeatedly in the same location. Think along the lines of tendinitis, stress fractures, shin splints and even carpal tunnel syndrome. Common sites include ankles, knees, hips and shoulders.

Who is at Risk for Repetitive Injuries?

Overuse injuries can happen to anyone, but they're more likely to occur among workers who do repetitive motions and single-sport athletes. The risk of these injuries also increases with age. They're more likely to occur if you don't recognize the impact aging can have on your muscles, joints and tissues and modify your activities accordingly.

Why Do Recurring Injuries Happen?

Recurring injuries happen when you overuse the same muscles without sufficient recovery. It's simple body mechanics: If you continue using compromised muscles, you're more likely to get reinjured. And once you get stuck in that same biomechanic loop, it's nearly impossible to recover without changing your routine and learning new techniques.

How Can You Prevent Recurring Injuries?

All sports have a risk of injury. The key is paying attention to your body and taking the appropriate steps to minimize your risk. Here's how:

• Use appropriate gear. Make sure you're wearing appropriate protective gear for the activity you're participating in and choose the right footwear.

• Alternate muscle groups. Instead of focusing on one type of exercise, switch things up. Incorporate low-impact activities, such as swimming, biking and water sports, and make sure you're not overloading any particular muscle group.

• Take rest days. It's important to give your muscles, joints and tissues time to recover. Two days of rest each week is best. If you play a sport, plan to have at least one off day per week and at least one month off per year.

• Strengthen muscles. Conditioning exercises can help strengthen the muscles you need to perform various activities.

• Use proper form. Overuse injuries are sometimes related to improper form during activity. Work with a professional to ensure you're using proper body mechanics and get back to your usual activities gradually.

Play it Safe

The best way to avoid recurrent injuries is to not get injured in the first place. Recover during the season — even if it means missing out on some play. It's better to show up to a game healthy but undertrained than to power through an injury and risk reinjury.

Talk to your doctor before starting a new activity or ramping up your current routine. If you're at risk of developing a recurrent injury, a professional can provide you with a workout regimen that can help prevent injury.

Most important: Don't let an overuse injury prevent you from being physically active. Instead, listen to your body, consult a professional and pace yourself. Treatment may involve avoiding a specific activity for a period of time, along with hot and cold therapy, massage and focused rehabilitation.

Nick Parkinson, M.Ed., AT, ATC, TSAC-F, is the Supervisor of Athletic Training with Henry Ford Sports Medicine and also leads Sports Performance training at the William Clay Ford Center for Athletic Medicine. Learn more about Nick.

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.

NFHS Voice: 'New Normal' Sportsmanship

May 20, 2020

By Karissa Niehoff
NFHS Executive Director

The “new normal” is one of the many terms we hear repeatedly as the country begins its return to normal activities from the COVID-19 pandemic. Keeping six feet apart from other people, wearing a mask and frequent washing of hands are three of those important warnings.

And then there is the new “no-no” that cuts at the heart of high school sports – the handshake. Shaking hands has been a part of our culture for centuries and a mainstream of high school sports forever. It is hard to imagine high school sports without handshakes.

In addition to emotional displays among team members involving handshakes, high-fives and hugs, the handshake has been a way of demonstrating good sportsmanship toward the opponent.

In wrestling, for instance, shaking hands before a match is actually a part of the rules, which, of course, will have to be relaxed for the coming season. There are handshakes at the coin toss in football and before the opening jump ball in basketball.

After a hard-fought, back-and-forth tennis match, players meet at the net to shake hands – congratulating each other for their efforts. The actions are the same after golfers battle each other for 18 holes – removing the cap and shaking hands. 

These age-old practices demonstrate respect for the opponent, and in the case of post-game handshakes, graciousness in victory or defeat. 

The emotions in high school sports are often off the chart, with end-of-game celebrations by players, coaches and fans involving handshakes, high-fives and hugs. So, as the early phases of return to sports occur this fall, how do we meet social distance guidelines and continue to exhibit emotions and emphasize sportsmanship, which typically have involved touching between individuals?

While the social-distancing and no-contact guidelines are necessary – at least for the short term – to diminish the spread of the virus, they should not dampen the enthusiasm and emotion by everyone involved with high school sports. We hope these types of restrictions will be lifted at some point down the road, but for now, this is our “new normal.” 

The absence of these time-honored ways to express respect for the opponent does not diminish the importance of displaying sportsmanship in high school sports. In fact, we believe concern for fairness and displays of kindness, respect and graciousness will be more pronounced once high school sports resume; however, the methods of sharing these feelings will be different. 

Although perhaps not as endearing as a handshake, high-five or hug, there are other ways to express these feelings and emotions – for the opponent as well as teammates.

Some alternatives to consider are a slight bow with the palms pressed together, an air high-five, a smile and quick wave, a double-tap of the right hand across the heart and a wink with the thumbs up. Certainly, there are other possibilities – in fact, teams could develop their own methods for demonstrating sportsmanship to their opponents and celebrating big plays or victories with teammates. Through their resilience and great spirit, we look forward to how the millions of participants in high school sports and activities will accept this challenge.

There will be many concessions necessary to resume athletic competition, and shaking hands is one that must cease – at least for now. However, let’s view this change as an opportunity to find new ways to showcase sportsmanship in high school sports.

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.