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.

Hastings' Life-Saving Response Reinforces Vital Importance of Being Prepared

By Geoff Kimmerly
MHSAA.com senior editor

August 23, 2022

HASTINGS – Preseason silence, mixed with anticipation, made Hastings High School’s gym feel especially pristine last week.

Mid-MichiganThe raucousness is returning soon as the school’s volleyball teams are into their first matches of a new season, with winter sports bringing everyone inside in a few months. This is a place where big-game memories are made – but one from a scrimmage June 14 certainly will stick with many who were at Hastings High that day.

That evening, Potterville junior Da’Marion Hicks was playing in a basketball scrimmage when he suffered a heart attack due to a valve that later required open-heart surgery.

During a period of just a few minutes that could have meant his life, Hastings staff, students and a doctor who fortunately happened to be watching his son’s team from the stands, responded to assist Hicks before it was too late. In fact, he’s expected to be cleared to return this upcoming basketball season.

It’s a situation everyone hopes will never happen, but very occasionally it does. And when it did this time, Hastings – with crucial assistance coming out of the bleachers – showed what can be done to assure a best-possible result.

“We debriefed after this whole thing, and we actually had six people from our school (there) trained in CPR and AED use. Enough people felt comfortable enough to take some action to cause it to have a good outcome,” Hastings athletic director Mike Goggins said. “I think more times than not in a situation like this, bad results don’t come from people trying to help. Bad results come from people being afraid to help. What was great about this situation was … lots of people took the initiative to jump in.”

As another school year begins, Hastings’ ready response should continue to reinforce the importance of being prepared for the scariest of situations. (The Grand Rapids Press spoke with Hicks as he was beginning his recovery; click here to read.)

Emergency planning for sports venues has emerged as an important topic especially over the last decade, and the National Federation of State High School Associations (NFHS) and National Athletic Trainers’ Association (NATA) detail how these should work, with the “Anyone Can Save A Life” plan provided to all member schools by the MHSAA at the start of the 2015-16 school year.

Goggins said that while Hastings doesn’t necessarily have a “formal” plan like those linked above, what his department does is “saturate” his teams’ coaches and athletes with knowledge of where to find AEDs – and Hastings also has created a setup whereby a person is never more than one minute from an AED while on school property.

That evening, four boys basketball teams were playing on adjacent courts – including Potterville against Wyoming Tri-unity Christian. Goggins himself wasn’t at the school at the time (although he quickly arrived after being notified of the situation), but the following is the collection of information he has gathered over the last two months.

  • Hicks had felt especially fatigued that evening and actually had mentioned to a few Hastings players during their scrimmage earlier that night that he was having a hard time catching his breath – definitely rare for a three-sport athlete who had run the 400 meters at an MHSAA Track & Field Finals a few weeks earlier.
  • Hicks went to his bench for a break during the Tri-unity scrimmage, and laid down. Goggins said Potterville teammates thought Hicks was just gassed, but then noticed his eyes rolling back into his head. They started yelling for help.
  • Hastings boys basketball coach Rich Long sprang into action, running over to the Potterville bench and then calling into the crowd to see if anyone with medical expertise could help a student in distress. Meanwhile, Long was joined by Hastings’ strength coach (and U.S. Marine) James Avery – who was training athletes in the weight room in the balcony overlooking the gym – and Dr. Luke Van Klompenberg, an emergency medicine physician at Holland Hospital who was there watching his son play for Tri-unity.
  • Long sent an athlete to retrieve the closest AED, located on the wall just outside the gym doors. He also sent a parent to call 9-1-1, and Saxons boys track & field coach Lin Nickels sent multiple athletes to set up a relay near the school’s doors to direct paramedics when they arrived.
  • Van Klompenberg, meanwhile, couldn’t find Hicks’ pulse, and the athlete’s breathing was shallow. Avery had begun chest compressions, the AED was used, and as the ambulance arrived Hicks was beginning to regain some consciousness. He was transported to the local Spectrum Health Pennock hospital, then to Helen DeVos Children's Hospital in Grand Rapids.

“It was one of those things where it just worked,” Goggins said. “My message, if nothing else, is we all practice it for a time that may never come – but the more you can saturate your people with the idea of A, being prepared, and B, don’t be afraid to take action … that’s really I think the key.”

Strength coach James Avery emerged from the balcony weight room to assist in Hicks’ care that evening. Beginning this year, the MHSAA is requiring all head coaches at the varsity, junior varsity and freshman levels to have CPR certification. That training almost always includes direction in the use of an AED.

Hastings has been on this track for a while. The MHSAA’s first CPR requirement for coaches was added for the 2015-16 school year, just for varsity head coaches – but Goggins made it a requirement for all of his coaches at all levels at that time.

Hastings also has taken AED prep to another level. There are 16 throughout the district – one each at the four elementary schools, two at the middle school and 10 at the high school – and they represent an even bigger investment in the life-saving technology as the district’s school board purchased those 16 a year ago to replace 12 that were nearing their expirations.

Goggins said doctors have told him that if Hicks had not received care for even 4-5 more minutes, he would not have survived because of the damage done to his heart and brain. Potterville athletic director and boys basketball coach Jake Briney said surgeons have broken things down to a 45-second window that made the difference between a good result and a sad one.

Coincidentally, Briney had scheduled a game this upcoming season against Wyoming Tri-unity Christian;  Potterville should be tough, and Tri-unity is last season’s Division 4 runner-up. But the events of June 14 will make the events of this upcoming Jan. 14 much more meaningful.

Briney said Potterville also has formed a close relationship with Hastings. Multiple Saxons administrators have checked in, including Goggins almost daily during the first weeks after the incident.

Briney is filled with nothing but praise for Hastings’ preparation. And both athletic directors noted a similar effect at their schools as another school year begins.

“It really, really made the training, made you look at it through a different lens,” Briney said.

“Our fall coaches are now like, ‘You know, if Heather (Coipel, Hastings’ trainer) wanted to stop by and run through the AED procedure again, that would be great,’” Goggins said. “(Or) ‘Where is the AED? We have one at the fieldhouse, right? Where’s the closest one for me again?’ They’re just doublechecking.”

Geoff Kimmerly joined the MHSAA in Sept. 2011 after 12 years as Prep Sports Editor of the Lansing State Journal. He is a senior editor of  MHSAA.com's editorial content and has served as MHSAA Communications Director since January 2021. Contact him at [email protected] with story ideas for the Barry, Eaton, Ingham, Livingston, Ionia, Clinton, Shiawassee, Gratiot, Isabella, Clare and Montcalm counties.

PHOTOS (Top) An AED, located just outside the doors to Hastings’ gymnasium, was used to save Da’Marion Hicks’ life June 14. (Middle) Strength coach James Avery emerged from the balcony weight room to assist in Hicks’ care that evening. (Photos by Geoff Kimmerly.)