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: 'Commit' is Verb, not Noun

January 13, 2020

By Karissa Niehoff
NFHS Executive Director

When is “commit” not a verb? According to Webster’s never – that is, unless the reference is to where the high school’s star quarterback is headed to college.

Even in game stories, the “top” players on high school teams are often referred to as a “(name of college) commit.” It seems innocent enough, but the continual focus on a player’s advancement to the next level is concerning given the current – and future – landscape of college sports.

With the NCAA’s recent decision to allow athletes to earn compensation for their name, image and likeness, high school sports governed by the NFHS and its member state associations will be the last bastion of pure amateur competition in the nation. And it must remain that way.

The focus on the individual rather than the team that often grabs the headlines in college basketball and football cannot become a part of high school sports. In college basketball, there is constant discussion about who the “one and done” players will be. At the end of the season in college football, the talk is about which juniors are turning pro and which players are sitting out bowl games to guard against injury.

Although we recognize that this decision by the NCAA was perhaps inevitable as a result of the earlier “Fair Pay to Play Act” by California Governor Gavin Newsom, we are concerned that it will further erode the concept of amateurism in the United States.

While only about one percent of high school boys basketball players and about 2.8 percent of high school 11-player football players will play at the NCAA Division I level, the perks offered to attend certain colleges will be enhanced and recruiting battles could escalate. Current issues with parents pushing their kids into specialization in the fight for scholarships could intensify as they consider the “best offer” from colleges.

This weakening of the amateur concept at the college level must not affect the team-based concept in education-based high school sports. The age-old plan of colleges relying on high schools for their players will continue; however, high school coaches and administrators must guard against an individual’s pursuit of a college scholarship overriding the team’s goals.

As the new model develops at the college level, the education-based nature of high school sports must be preserved. These programs cannot become a training ground or feeder program for college sports.

Instead, the focus should be on the millions of high school student-athletes who commit (an action verb) to being a part of a team and gain untold benefits throughout their high school days. Some of these individuals will play sports at the college level and move on to their chosen careers; others will take those values of teamwork, discipline and self-confidence from the playing field directly into their future careers. 

There is nothing more sacred and fundamental to the past – and future – history of high school sports in the United States than the concept of amateurism. It is up to the NFHS and its member state associations to ensure that education remains the tenet of 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.