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Pro Tips to Keep Your Child Athlete in the Game
The Austin Diagnostic Clinic Provides a Playbook for Success


As teenage athletes across the state gear up for high school football playoffs and the tip-off of boy’s and girl’s basketball season, parents might want to consider reviewing their game plan on sports injuries because of the potential for long-term health problems.

Sports injuries affect some 3.5 million children under age 15 annually, according to the Consumer Product Safety Commission. With so much for parents and their children to consider on and off the court, two experts at The Austin Diagnostic Clinic – orthopedic surgeon Joshua Crum, M.D., and neurologist Everett Heinze, M.D. – have created a play-by-play guide to help young athletes stay in the game.

football players

Common Sports Injuries
Children tend to be more susceptible to a range of injuries to their bones, muscles, tendons, and ligaments because their bodies are still developing and growing. Young athletes are also more likely to suffer injuries to growth plates, which are areas of cartilage where bone growth occurs in children.

Dr. Crum says injuries can include minor bumps and bruises, bone fractures, and serious head or neck trauma from sudden impacts. Regardless of the body part affected, sports injuries can generally be classified in one of two ways: acute or chronic.

Acute injuries, such as a sprained ankle, strained back, or fractured hand, can occur suddenly during activity. Signs include sudden, severe pain, swelling, or visible dislocation or break of a bone. Chronic injuries usually result from overusing one area of the body while playing a sport or exercising over a long period. Indications of a chronic injury include pain when performing an activity, a dull ache when at rest, or swelling.

Some of the most common sports injuries stem from the repetitive motion of many sports, such as pitching a baseball or long-distance running. These conditions, such as “runner’s knee,” can result in permanent structural damage to the body if left untreated, Dr. Crum says.

Check Your Head
Recent studies have suggested a link between head trauma and dementia in later life, particularly when the concussion happens at a young age. A report by medical researchers in Boston spurred a congressional hearing into head injuries in professional football players after finding evidence of a degenerative brain disease with symptoms similar to Alzheimer’s disease in a college football player. Concussions can also result in headaches, memory problems, and amnesia.
The threats are especially pronounced for teens, says Dr. Heinze. According to the Centers for Disease Control and Prevention (CDC), it takes longer for high school athletes to recover from a sports concussion than it does for college-age athletes. High school athletes who have a concussion are three times more likely to sustain a second concussion. The leading causes of concussions among youth age 5 to 18 years old? Bicycling, football, basketball, playground activities, and soccer, the CDC says.

Signs of a concussion can include confusion, amnesia, headaches, dizziness, or loss of consciousness says Dr. Heinze.

“Any head trauma can cause a concussion or a more severe brain injury, such as a contusion or a hematoma (blood that forms between the skull and the brain),” explains Dr. Heinze. “These injuries can cause numbness, paralysis, or even death.”

“You should monitor your injured child closely,” continues Dr. Heinze. “Get a prompt evaluation by a healthcare professional, including recommendations about when it’s okay to return to sports.”

Pre-Game Warm-up
Both doctors agree that the medical benefits of sports are many: young athletes tend to have improved coordination, more self-discipline, and better teamwork skills. Before they hit the playing field, however, it’s a good idea for young athletes and their parents to review the following safety guidelines, which can go a long way toward curbing injuries:

bullet Make sure your child is in good enough shape to play a sport. A common mistake is that young athletes believe the sport they are playing will get them into shape. In reality, they ought to be conditioning before they ever step foot on the playing field.
 
bullet Your child should follow the rules of the sport they’re playing, and know how to properly use and adjust related equipment such as protective pads or helmets.
 
bullet Parents should consider speaking with their children’s coaches to make sure they are qualified for the job, and that they work with your child to develop a proper training regimen.
 
bullet Always ensure that your children warm up before they play. And if they’re tired or in pain, tell them to stop!

“It’s important to remember that sports are supposed to be about having fun,” Dr. Crum says. “Parents and coaches can help in this regard a great deal by fostering healthy competition instead of a must-win, all-or-nothing attitude. Combined, these basic precautions will go a long way toward keeping your child safe and fit for years to come.”
 

Common Sports Injuries

• Sprains and strains. A sprain is a stretch or tear of a ligament, while a strain is a twist, pull or tear of a muscle or tendon. The most vulnerable body parts for these injuries are the ankles, knees, and wrists. Left untreated, these injuries can result in permanent damage or loss of function.

• Knee injuries. The knee is a complex joint and the most commonly injured on the human body. Mild injuries can include pain or tenderness under or at the front or side of the knee (runner’s knee), while more severe problems include a tear to the anterior cruciate ligament (ACL), one of four key ligaments supporting the knee.
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• Compartment syndrome. Many parts of the body have enclosed areas made of a tough membrane called fascia. Swollen muscles can fill the compartment, causing interference with nerves and blood vessels.

• Shin splints. This condition is primarily seen in runners and occurs along the tibia, or shin bone, the large bone in the front lower leg. This condition can be caused by incorrect stretching or warm-up exercises, overtraining, running or jumping on hard surfaces, or from running in shoes without enough support.

• Achilles tendon injuries. A stretch, tear, or irritation to the tendon connecting the calf muscle to the back of the heel, Achilles tendon injuries can be extremely painful. Such injuries usually occur because of tendonitis, a degenerative condition caused by aging or overuse.

• Fractures. Fractures are breaks in the bone from a quick, one-time injury (acute fracture) or from repeated stress to the bone over time (stress fracture).

• Dislocations. When joints between two bones become separated, a dislocation has occurred. Sports such as football and basketball, which have a lot of stretching and falling, cause most dislocations.


The Austin Diagnostic Clinic (ADC) is a multi-specialty clinic with physicians representing 24 medical specialties at six locations. Joshua Crum and Everett Heinze both see patients at the ADC Main Clinic at 12221 N. MoPac. To schedule an appointment, call 901-1111.
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The Austin Diagnostic Clinic, A Multi-Specialty Medical Clinic
12221 MoPac Expressway North | Austin, TX 78758 | 512.901.1111
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