Some tips to keep you in the game throughout your life include:. The most obvious treatment for overuse is rest, especially from the activity that created the injury. Ice is also used to reduce soreness and inflammation. Ibuprofen can be taken to help with any pain.
If symptoms persist, it is critical that a physician be contacted, especially if there is a lack of full-joint motion. An examination and radiographs should be done. An MRI scan may also be helpful. Usually a simple "rest cure" approach will not be enough, because even though it allows symptoms to subside, it also creates loss of muscle bulk, tone, flexibility, and endurance.
Once pain is gone and full motion is present, a throwing rehabilitation program can start. Through the use of data analysis, the sports medicine staff is able to analyze trends, and provide targeted interventions to help reduce and prevent athletic injuries. On weekends and holidays, athletic competition and practices will dictate hours.
Baseball Strength and Conditioning, and Injury Prevention
During the summer months, the athletic training center operates on a reduced schedule. Edmonds recommended focusing on radiograph results to determine healing. Kocher also suggested that pressure toward participation in sports before patients are fully healed may be rooted in sports culture. In fact, singular focus on getting back in the game may have long-term consequences if healing is compromised.
Physicians interviewed for this Cover Story also discussed how media coverage of surgical repair for injuries, like ACL tears, influences parents and athletes who may come to a facility with expectations to schedule surgery.
According to a Sports Health article by Steven B. At this point, physicians are able to suggest a recovery plan for the young athlete. Strengthening muscles both surrounding the injured area and throughout the body is important in maintaining joint health and warding off future injury. Growth spurts can also wreak havoc on young athletes as these can affect their flexibility and alter their core strength thereby making them prone to injury, according to Kocher.
Education — for parents, athletes and coaches — about the importance of building in breaks during intense training, incorporating cross training and strengthening the body as a whole with core exercises is essential for maintaining improvement in overuse injuries. Shea recommends young athletes keep a log of workouts with the number of hours spent per day, per week and per year and how they feel during those times.
Treatment for pediatric overuse injury may involve analysis of biomechanics and incorrect technique, which may have contributed to the initial injury or can lead to further complications. Jones said Ohio State University offers a physical therapy program for overhead throwers in which therapists analyze the throwing motion biomechanically. Commonly, staff find that children will compensate for pain by altering their technique.
Verma co-authored a recent study that found a correlation between injury and pitching velocity, pitcher height and if a pitcher plays for more than one team. He suggested that maximum velocity limits be set based on age, though he acknowledged such a move would be controversial and coaches will need to help create a balance between fostering potential and safety. Verma also suggested that programs that are beginning to look at risk factors could help identify overuse injuries in the making or mitigate them once symptoms have become an issue.
Physicians, for example, can identify neuromuscular activation such as the flexion of the knee or hip flexor strength when jumping, Verma said. Verma predicts that programs looking at neuromuscular activation and preventing ACL injury will increase in the next 5 years.
Education and further research may be the best tools to decrease the prevalence of overuse injuries among young athletes, physicians suggested. Andrews suggested parents, coaches and athletes need to incorporate 3 months of rest, move away from year-round immersion in one sport and incorporate play or differentiation by entering multiple sports. I tell patients that the time to recovery depends on multiple factors such as: the anatomic location, sport, the age of the patient and the severity of the injury.
I also think it is important they take an active role in their recovery. For example, in throwing athletes with medial epicondyle apophysitis or proximal humeral physiolysis, I rest them from throwing completely for 6 weeks. During that time, the patients attend physical therapy working on rotator cuff, periscapular and core strengthening.
At 6 weeks, if pain free, they advance to a gradual throwing program. They are allowed to return to play when they complete the throwing program without pain over a 4-week to 6-week period. Many patients and parents are initially unhappy with this approach.
Sports Medicine | Rothman Orthopaedic Institute
However, I explain to them that these injuries can take a significant amount of time to heal and that treating them aggressively with rest should decrease the likelihood of recurrence. When patients have a recurrence of the overuse injury, the clock starts over, which can increase the total time out of sports dramatically. We have also developed patient handouts containing information about many of the common overuse injuries we see.