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: Time for Teachable Moments

September 6, 2019

By Karissa Niehoff
NFHS Executive Director

Welcome to another year of educational opportunities through high school sports and other activity programs in our nation’s schools. These programs provide many teachable moments not available in the classroom, and we look forward to making an impact on the more than 12 million young people involved in these vital activities.

Many states opened their high school football seasons during the final weekends of August. Thousands of other high school students will be involved in volleyball, cross country, field hockey, soccer and other sports this fall. And then there are those boys and girls involved in speech, debate, music and other cocurricular activity programs.

The NFHS distributed its most anticipated news release of the year earlier last week – the Annual Sports Participation Survey. The number of boys and girls involved in high school sports has been spiraling upward annually since 1988 – an amazing 29 consecutive years. However, due to several factors, the 2018-19 figure dipped to 7,937,491, which is the third-highest total in the 50-year history of the survey.

We have been aware for some time that the number of kids involved in youth sports has been declining. In addition, a decline in the number of public school students has been predicted for a number of years, so there simply may be fewer students in schools. 

Understandably, the focus will be on the sport of football. While there were no states with significant drops in boys 11-player football, most states reported slight declines, which amounted to 30,000 participants nationally. However, a comparison of the figures from the past two years indicates that the average number of boys involved in 11-player football on a per-school basis dropped from 73 to 70, which would include freshman, junior varsity and varsity teams.

In some cases, schools are starting and/or increasing programs in 6-player, 8-player and 9-player football as participation numbers were up in all three versions of the game. And participation by girls in 11-player football has doubled in the past 10 years to 2,404 participants last year.

The survey confirmed that schools are not dropping the sport of football, which is great news. We continue to work with our state associations and groups such as USA Football to reduce contact and teach proper tackling skills at the youth level to increase the interest level as kids reach junior high school and high school. 

While we hope that the numbers will return in football, we are pleased with the continued growth in several other sports, including volleyball, soccer and lacrosse. Since 2012, participation in girls lacrosse and boys lacrosse has increased 19 percent with a combined 213,452 participants in 2018-19. Girls and boys soccer has gained 70,668 participants since 2012 (a nine percent increase) and now has a combined 853,182 participants.

Seemingly, schools have something for everyone as the survey indicated participation by high school students in 70 different sports, as well as numerous adapted and Unified sports for students with disabilities. Schools are providing opportunities in bowling, badminton, flag football, archery, Ultimate Frisbee, bass fishing, crew and many, many others.

Ultimately, the goal of the NFHS and its 51-member state associations is to ensure that all students have an opportunity to enjoy healthy participation, achievement and good sportsmanship in education-based activities. We are excited about these opportunities as another school year begins. 

Dr. Karissa L. Niehoff is beginning 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.