Keep Them Safe: Avoiding Youth Sports InjuriesBy Dr. Claudia Anrig Concussions: The Silent Injury The U.S. Centers for Disease Control and Prevention estimates that 300,000 children and adolescents suffer from sports-related concussions each year. Many of these children will recover within just a few weeks, but research is proving that this "silent injury" can have long-lasting effects that are easy to miss at the time of the injury. Symptoms such as memory problems, chronic headaches, difficulty concentrating and even depression can manifest for months and even years after a serious concussion. Many doctors and parents have also noticed abrupt personality changes following a serious sports-related head injury. Worse yet are the young athletes who get up, "shake it off" and continue playing after an impact on the field. Warning signs are silenced by adrenaline or endorphins, and since only about 5 percent of injuries that cause a concussion will actually "knock out" the athlete, they don't realize that they've been seriously injured. Failing to get proper medical attention following a head injury can have disastrous consequences; while rare, a concussion can even result in death. And don't think football is the only sport that results in concussions: Any child involved in basketball, soccer, hockey or any sport that puts them in close proximity with their opponent(s) and/or teammates is susceptible to this dangerous brain injury. Repetitive Stress Syndrome Sports that require your child to move one arm or leg repetitively over long periods of time (baseball and tennis are good examples) can actually cause repetitive stress syndrome (RSS) to their still-developing spine and extremities. The body was designed to move symmetrically. When we walk, we tend to swing both arms rhythmically as our legs move in counter-motion to our arms. This develops muscle tone evenly and keeps the spine in proper alignment. However, many sports require participants to use their dominant arm or leg repeatedly, discouraging symmetry in their body movements. Preventing RSS may be as simple as watching your child while they're playing their chosen sport to see if they are using both arms and both legs equally. If their sport is inclined to have asymmetry, encourage them to introduce warm-up and warm-down symmetrical activities to provide as much balance to the body as possible. Two Easy Ways to Reduce Injury Risk 1. Teach your child to listen to their pain. Athletes, whether professional or in grade school, place a tremendous amount of stress on their bodies. The running, jumping, tackling and falling that is a fairly frequent part of many competitive sports tend to result in sprains, strains and chronic injuries. These injuries can sideline an athlete and cause considerable pain, typically for only days, but sometimes for months. The concept of pain should be taught to children as an important warning signal from the body that something is wrong and should be checked out. Taking prescription or over-the-counter pain relievers effectively masks the warning signal, which means children will tend to overextend themselves, resulting in a worsening of the underlying problem. This is why forward-thinking coaches, athletes and doctors (and parents) have come to realize that painkillers are not the answer. Painkillers merely cover up the pain and deceive the athlete into believing they can do more than they actually should. 2. Focus on prevention. Whether providing just prevention education, structural adjustments or ancillary care, your chiropractor has a role to play with young athletes. Chiropractors will typically take more time to assess the injury site, provide appropriate care, and most importantly, recommend or teach how to prevent future injuries. Chiropractors can provide extremity adjusting, stretching and rehabilitation, and even recommend nutritional protocols to assist in performance and injury recovery. The larger role the chiropractor can play involves developing a schedule of care for your child that's not pain- or relief-based only. Your child will definitely benefit from regular spinal and extremity examinations and screenings. Rather then waiting for an injury to take place, why not introduce your young athlete to a proven prevention model that will keep them pain-free and in the game? After all, that's what it's all about: keeping them safe and able to participate in the activities they most enjoy. Sports-Related Injuries: Inside the Numbers It is estimated that 3.5 million children under the age of 14 receive medical treatment for sports injuries each year and that almost one-third of all injuries incurred during childhood are related to sports activities, with the most common injuries being strains and sprains. Let's take a quick look inside the numbers:
In addition to the health consequences, the financial costs for treating school injuries are estimated to be between $3 billion and $4 billion a year. In addition, the impact of childhood sports injuries on the number of school days missed can be significant. The Institute for Preventative Sports Medicine estimates that each year, there are almost 212 million school days missed by students due to musculoskeletal injuries, the vast majority of which are sports-related injuries. While many concussions are mild and will only cause minor, short-term discomfort, the Mayo Clinic (www.mayoclinic.com) recommends seeking immediate medical attention if your child has suffered a blow to the head that is accompanied by any of the following symptoms:
Claudia Anrig, DC, practices in Fresno, Calif., and is on the board of directors of the International Chiropractic Pediatric Association, an organization that can answer your questions regarding the value of chiropractic care during and after pregnancy. |