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.

School Sports Reflection: Play to Learn

December 7, 2018

By Christopher Mundy
Special for benchmarks 

Christopher Mundy is a graduate of Manton High School and Michigan State University and the principal of Mundy Advisors Group in Chicago. This commentary previously was published this summer in the Traverse City Record-Eagle.

What are sports really about today? And are today's parents missing the point? Time, money, effort and energy. All for what? Trophies, medals, first place, a college scholarship or that top-five draft pick and that multi-million dollar contract that come with it. Fortune and fame? 

Why does American society have such an obsession with sports, and are the true values of the games being lost in the “new” modern era of sports?

What if the games kids played were for the pure values of competition, hard work, camaraderie, trust, respect, discipline, communication and relationship building? Even just expressing these words and phrases seems healthier than the win-at-all-cost, everyone-gets-a-trophy, playing for the “end game” society we currently live in.

What messages are we instilling/infusing in our future leaders? It has become a strong and consistent message across all fronts – the arms race to be the best and win at all costs.

Families sacrificing their most precious resources, time and money, for what? For the golden child, the chosen child ... that special one. A glimmer of hope that becomes a burning obsession (for the parent). Are parents attempting to right their wrongs of their playing days or relive their youth through their child? It is an easy and complex trap. 

I don’t have children, but I have played sports for nearly 40 years. I have coached, officiated, watched and listened closely at all levels. A spectator with an intense passion for the lessons to learn and a strong curiosity of why and how. I guess at 45 I am old ... or maybe just old-school.

Being raised on an isolated farm in Northern Michigan with a dirt driveway and a makeshift basketball hoop created the love affair with sports. Games of pig, horse or around-the-world with my father are some of my fondest memories. He has since passed. He would always shoot with his off-hand or easy bunny shots to finish me off. And Dad always told me, if you want to play in the fourth quarter, be a 90-percent free-throw shooter and the coach has to put you in.

Baseball would entail games of rain on the roof by myself and a homemade batting tee to hit home runs into the pasture. Football was either offense-defense (three-person football, with my father as quarterback) against my older sister or breakaway running plays against my aggressive dogs; a stiff-arm was my best defense. No video games or cable television on our farm, maybe this fueled my fire or forced my hand. It sure did not make friends want to come over for sleepovers. 

Small town America was a great place to be raised. I am biased in that regard. I do think it takes a village to raise a child. Sports was and is the fiber of these communities; it was reality TV before reality TV, and what Friday Night Lights was based on. Kids playing a game for a common goal. It could not be more simple or pure. They are called “games” for a reason. When did we start taking it so seriously? Where did we go wrong? 

In high school, we were pretty good. You put kids together since kindergarten and they kind of know and trust each other, they know each other’s strengths and weaknesses. They know more than this. They know each other’s families. And extended families. They pretty much know everything about each other. Which family is broken and which one may have a little more love at their dinner table. Good or bad, this is the reality of being raised in a small town.

Our basketball team was so good we received a top-five ranking, and legendary Detroit Free Press writer Mick McCabe compared us to Hickory, Indiana, in the movie “Hoosiers.” No Hollywood ending for Manton in 1991 though.

This is where the lessons of sports become real; the harsh reality of your childhood fantasies begin to fade, and fade quickly. The hours spent in that driveway will lead to no state championships. The early morning trips to the gym to play against your adult coaches would lead to no college scholarships. And the thousands of hours in the weight room lifting, jumping rope and wearing ankle weights would lead to no multi-million dollar contract. Devastating. Crushing. The end?

No. This is just the beginning. 

This is the beginning of life’s toughest lessons being learned. This is where the sweat of your youth meets the tears of maturity, leading to a wisdom that is worth more than any trophy. Maturity is processing these challenging life lessons, learning from them and moving on. If you do not let go of these failures, the burdens can lead you to a life of regret or maybe becoming that aggressive parent trying correct his or her shortcomings through a son or daughter. You know these parents from your kid's games, and I hope you are not one of them.

It has often been stated more is learned from losing than winning. The lessons from failure burn deep, etched into our soul, this pain more powerful than the glory of victory. These lessons and scenarios easily translate to our personal relationships and work life. Memorable. Powerful anecdotes that become part of us. Part of or history. Part of our story. Erase these chapters from our lives, and what are we left with? A shell of a person. A half-written book. A journey half-walked. Perspective with no depth.

These kinds of lessons can’t be learned in a textbook, cannot be explained by a parent or modeled by a teacher in a classroom. The field, the court, the rink is where these lessons are learned. Where family values are refined. Manners are taught. And respect is earned.

Or is it?

This is the crossroads we are at as a society.  I cannot think of any other vehicle that offers so much potential and opportunity for the building of character. It starts with the family. And where does it go from there? School, church, a job. The military. A fraternity. Volunteering? An internship or apprenticeship? A civic organization?

Nope. Sports.

Sports is the most dynamic and able tool to build character. The kind of character we need right now as a country and society. Polished. Refined. Character with a sharp edge. An edge called courage. But the reality is sports has become about money, power and control. Are these qualities desirable? Have they corrupted the innocence of sports? Do we worship false idols? Is this generation entitled? Have we given them too much? Made it to easy?

Are the kids having fun? What do the kids want? Do kids have and show a genuine passion for a sport? Have we dared to ask them? Have we prepped them with the appropriate answer? Or do we answer for them? Do we hear them OR do we listen to them? To clarify, listening is an active process of hearing and then processing. Coach Tom Izzo starts each basketball camp with, “Learn to listen ... and listen to learn.” It is that simple.

I do think communication is vital to this process. Communication between all parties: athletic directors, coaches, parents and players. Governing bodies. All stakeholders. A real and raw dialogue on what we collectively want out of sports. Because somehow we have gotten lost, and the many headlines and feature stories confirm the crossroads where we’ve arrived.

Do we as leaders, adults, parents care enough to look into the mirror and ask the tough questions? Or is it just easier to proceed as is?  If you believe sports has a larger impact than trophies, medals and ribbons, a larger value than money, then I encourage you to start the conversation with those around you. Our communities’ futures depend on these conversations.

We may soon reach a point of no return, and this would be a catastrophic failure for our generation. When playing for the “love of the game” is just a marketing tagline and not a real opportunity for our kids. For our children’s sake, I hope this is not the case. I know I am a better athlete, better professional and better human from all the losses in my life.

Play hard. Play to compete. Play with passion. Play to learn.