The forest and the trees...how to treat an overuse injury

Many athletes who play a single sport will begin to develop an injury. I use the term "WILL" because it is almost a certainty that if an athlete performs the same motions over and over, certain "links in the chain" will begin to breakdown due to being used too much. 

Delivery car? You mean delivery "trike."

Think of a delivery car that drives in stop-go traffic every day for 8-10 hours per day, for the life of it. Now compare that to a car that is used to drive to work, sits in the parking lot and then is driven home at the end of the day. In addition this car is used on longer trips up and down the interstate highway on an every other month basis.

Young athletes who play the same sport year round are basically driven like that delivery car. Eventually the hardware is going to break down from being overused. 

Usually at that point parents become very concerned with their child's injury and are scavenging the internet looking for solutions. 

Here's a quick tip: look at the injury. Its called an "overuse" injury for a reason. Assuming that no structural damage has been done, the primary way to let an overuse injury heal is to stop doing whatever they were doing. 

Lets say we've got a baseball pitcher experiencing shoulder pain. The young athlete will most likely want to know how he can rehab but still pitch. Or sometimes the parent wants a second look at their child's mechanics because "they have to be doing SOMETHING  wrong, right?"

The truth is even major league pitchers get 4-5 days between starts. Yet many young kids will have a busy summer tournament schedule and pitch every other day.

How many pitches am I at coach?

Some will counter that with, "well they aren't throwing as hard or as many pitches as major league pitchers!" I will respond with the obvious statement that these are not 25 year-old men who are pitching every other day, nor do they have the bone density, muscular density or muscular endurance to tolerate that throwing schedule. In addition to that, many coaches and parents don't even know how many pitches their kids throw in a game. Do they count warm-up pitches before each inning? These things need to be considered.

The first response by ANY parent, coach or doctor to an overuse injury is to stop doing what you were doing. Don't get so overwhelmed by the injury, its possible treatments and the "threat" it poses to a 10- year old's "college potential" and let your kids heal. Stop looking for the forest past the trees. It's right in front of you.

Let your child play multiple sports throughout the year. This will prevent many overuse injuries on its own. A child who is playing baseball in the spring, football in the fall and basketball in the winter will RARELY have any overuse injuries.

I hate seeing kids not being able to play the game they love. But us as parents need to know that overuse injuries are almost certain if we don't give our kids a significant time off during the year to heal, recover and develop other motor skills Your kids will thank you as will their long term health and enjoyment of a sport..