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: Football Continues to Thrive

September 25, 2019

By Karissa Niehoff
NFHS Executive Director

When the annual High School Athletics Participation Survey was released by the National Federation of State High School Associations (NFHS) in August, many headlines across the country focused on the drop in the number of boys playing 11-player football. After all, the report showed 30,829 fewer participants than the year before. However, perhaps the most important number was overlooked – 14,247.

Yes, 14,247, the number of high schools with 11-player football teams. While there was a slight decline in the number of participants in many states, the number of schools sponsoring the sport was the highest in five years. In fact, the number of schools last year with 11-player teams has only been topped twice in the survey’s history – 14,262 in 2013-14 and 14,279 in 2010-11.

In addition, smaller schools in some states have shifted to 6-player, 8-player and 9-player football and have had good responses. The survey indicates an additional 156 schools and 1,594 participants involved in these alternate forms of the sport; and, in the past 10 years, participation by girls in 11-player football has doubled, with more than 2,400 participants this past year. 

These numbers express the desire by high schools to keep alive one of the oldest and most treasured traditions in our nation – Friday Night Football Under the Lights. Although there are many options today for the entertainment dollar, nothing surpasses supporting the local high school football team on Friday nights. The No. 1 fan base in America? The answer is that number again – 14,247.

In Week 2 of the National Football League season, just under 1.1 million fans attended the 16 games. While impressive, it doesn’t come close to the number of fans who watched high school football during the corresponding week. It’s all in that number – 14,247.

With approximately 7,123 games every Friday night (14,247 divided by 2), and with a conservative estimate of 1,000 fans per game, there are more than 7 million fans in high school football stadiums every week. An unofficial attendance survey conducted by the NFHS in 2011 indicated about 165 million fans attended high school football games during that season, which included up to five weeks of playoffs and a weekly average of 11 million fans. Either way, the number of fans at high school football games dwarfs the numbers attending professional football games.   

Early season crowds have been strong in many areas of the country with terrific fall weather – filled by current and former students; parents, grandparents and friends of players on the team; and longtime fans and supporters in the community. Unlike crowds at the college and professional levels where fans have little, if any, identity with the players, there is a connection between the players and fans at the high school level.

With concussion protocols and laws in place in every state, with a reduction in contact levels before the season and during practices, and with teaching of proper tackling skills at lower levels, we believe people, including parents of high school student-athletes, are seeing and believing that the sport of football at the high school level is as safe as it ever has been.  

We urge you to support your local high school football team this Friday night.

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.