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: Give Thanks for Officials

February 19, 2020

By Karissa Niehoff
NFHS Executive Director

While the behavior of parents and other fans at high school games is still a work in progress, there is some good news on the officiating front.

Last fall, we reported on a growing shortage of officials nationwide – even reaching a crisis stage in some areas as games were being cancelled. Through a nationwide recruitment effort, progress is being made in attracting more people to the high school officiating avocation. 

Thanks to the NFHS’ #BecomeAnOfficial campaign that was launched in the spring of 2017, more than 4,000 men and women across the country have registered and become certified officials. Many of these individuals are former high school athletes who want to remain involved in sports, earn some extra income and stay in shape, including first responders such as police officers, firefighters and EMTs. 

On the flip side, however, is the fear that any gains in new officials coming in the front door are being offset by other officials heading out the back door because of the continued boorish behavior on the part of parents and other fans.

Rickey Neaves, associate director of the Mississippi High School Activities Association, is struggling to cover all basketball games in his state in his role as officials’ coordinator.

“Fans and coaches alike feel freer to downgrade officials, and holler and scream at them, as opposed to the way it was 10 years ago,” Neaves said. “You can see where it is getting worse and worse with parents and coaches blaming officials or staying on an official to the point where they’re just not going to take it, so they just get out.”

Unfortunately, we continue to hear reports like this from across the country. A recent survey conducted by Officially Human: Behind the Stripes that was completed by about 19,000 respondents in 14 states indicated that the problem persists, with fans who do not know the rules being the main culprit.

If efforts by the NFHS at the national level – and others at state and local levels – to attract more people to officiating are to be successful, unsportsmanlike behavior on the part of parents and other fans must cease or we will lose some of these new officials within two years.

While we recognize the task of improving the culture at high school events is challenging and is one more item on the busy plates of school administrators, it is essential if we are to retain officials.

Brenda Hilton, founder of Officially Human: Beyond the Stripes, said, “The time is now for all of us to realize that officials are human and their existence and hard work at sporting events allows all of us to enjoy the games that we love. We must start to humanize officials now before the whistles fall silent.” 

Recognition and thanks should also be a part of the game plan. We must regularly share our appreciation for the men and women who officiate high school sports.

Dana Pappas, commissioner of officials for the New Mexico Officials Association, shared the following with officials in her state during a special appreciation week:

“Never think that what you do as an official doesn’t matter because it does. Never let one contest where the fans are exceedingly brutal and the scrutiny is overly intense derail your love for what you do. Never think that you are not making a difference because you most definitely are. You are educators, role models and guardians of the integrity of the sport you officiate. You officiate because you care about kids, you care about your chosen sport and you care about your community.”

Instead of viewing these officiating issues as a crisis, let’s see them as an opportunity to impact lives through education-based athletics.

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.