Posts Tagged ‘sports injuries’

Youth Sports? Best to Mix it Up

Posted on: April 6th, 2021

Joey F. Carter, MD

(April, 2021) Need a sure sign of spring? You’ll find it on Saturday mornings at the ballpark and soccer fields these days.   Some of these young athletes may be playing not just during a traditional season but year-round, with club travel leagues starting as early as 7.  But is sports specialization in children a healthy choice?

What is Sports Specialization?

The past twenty years have brought a significant shift from unstructured free play and school-based sports to what’s called “sport specialization.” The numbers are astounding:  close to 30 million children between the ages of 6 and 18 and close to 60 million in organized programs are participating in year-round sports.   

Conventional wisdom may lead us to think kids will fall behind their peers if not putting in the “10,000 hour rule” of practice making perfect.  But the growing intensity of this early specialization may lead to more harm than good. The American Orthopaedic Society for Sports Medicine * has found the trend alarming enough to define a list of risk factors associated with overuse injuries in young athletes.

Know the Risk Factors for Overuse Injuries

  1. Participation in intense training and/or competition in their sport more than eight months per year.
  2. Participation in one sport to the exclusion of others or free play.
  3. Playing their sport for more hours per week than their age.

Do any of these hit close to home?   Overuse injuries we see in young athletes include knee disorders with soccer, basketball, and volleyball players. Shoulder injuries include “Little League Shoulder” due to repetitive pitch counts for pitchers and the intensity of throws catchers must make during a game.  “Little League Elbow” often results from high-throwing volume.  Racket sports and gymnastics also fall into the year-round sport specialization/overuse injury loop. 

Mix it Up – and Don’t Forget Free Time Too

Finding the right balance in training and competition is a tough topic for coaches and parents, who may feel pressured to keep up… and keep their child’s spot on the team.    Clearly, our children find enormous benefit from individual and team sports – with physical development, socialization, teamwork, and a strong work ethic.  But too much of a good thing also leads to psychological burnout and loss of motivation. What’s the answer? Limit practice, ensure plenty of rest, and keep it fun! Mix up other sports, and find time for free play, too.   We all want our children to succeed on the field of play – without preventable injuries. 

*www.sportsmed.org.

Ankle Pain? Don’t Tough it Out.

Posted on: March 29th, 2021

Joanne M. Baird, MD

(February 2021) Training for early spring sports unfortunately brings some quite common injuries. We see ankle strains and sprains in children and teens whether from overuse, lack of conditioning, or just because they are back on the field of play again!

What Sports Produce the Most Strains?

Ankle sprains are common, especially in sports that involve cutting like soccer or lacrosse. In addition, these ankle-impacting sports usually involve uneven ground. A sprain occurs when the strong ligaments in the ankle stretch beyond their limit and tear.

Most ankle sprains are minor and will heal with home treatment including rest, ice and elevation.  If serious swelling and pain make it too painful to walk, seek medical attention.  Severe sprains that are not properly treated early on and rehabilitated appropriately can potentially weaken the ankle and make it prone to reinjury.   

How Do I Know if I Have an Ankle Sprain?

The lateral ligaments on each side of the joint are impacted in ankles strains and sprains as the foot or ankle twists unexpectedly.   We grade sprains on the amount of tearing, from mild and microscopic to high ankle sprains that may require surgery.    

Symptoms:

  • Swelling
  • Bruising
  • Tenderness to the touch
  • Instability – when there is a complete tear of the ligaments
  • May hear or feel a “pop”

A severe sprain may feel much like a fracture or broken bone, and you should have a physician examine the ankle as soon as possible.  How much can you move? Where is it tender? A physician may call for X-rays to rule out a fracture.

How Do I Treat a Sprained Ankle?

Most ankle strains and sprains are treated successfully without surgery – even a complete tear.   Home treatments include the RICE protocol:

R = Rest your ankle by not walking on it.  Crutches may be recommended for a few days.

I = Ice immediately to help with swelling.  Use 20-30 minutes, three to four times a day, do not apply ice directly on the skin.

C = Compression dressing with bandages or ace wraps to immobilize and support the ankle.

E = Elevate the ankle above the level of the heart as often as able in the first 48 hours.

Non-steroidal anti-inflammatory medications, like ibuprofen or naproxen, can help alleviate pain and swelling.  For moderate or severe sprains your doctor may recommend a removable boot or air-cast and sometimes a cast may be recommended.  Physical therapy and rehabilitation exercises are important to prevent stiffness, improve strength and prevent chronic ankle problems.  Balance training – or proprioception – will ensure a steady return to action.  No need to just grin and bear it– we’re here to help!