The Overuse of Youth

Young athletes are a big part of my practice.  From sprained ankles to separated shoulders to low back pain, my goal with them, as with all my patients, is to decrease pain and increase function as quickly as possible.  But with young athletes in particular, I want to try to minimize the effect that an injury has on the rest of their body long-term.  Our bodies are masters of compensation you see, so if one area becomes weak or injured or dysfunctional, another area steps up to counterbalance.  And herein lies the problem: where did the injury start?  Can we chase the dysfunction throughout the body to find the initial culprit?

Troubling trends that I’m finding amongst these young athletes are overuse injuries.  Most often, these kids are playing their primary sport nearly year-round.  Summer hockey.  Winter ball.  Indoor soccer.  In 2016, the American Orthopaedic Society for Sports Medicine released an Early Sport Specialization Consensus Statement, which you can read by clicking HERE.

AOSSM

This is my favourite part:

“The primary outcome of this think tank was that there is no evidence that young children will benefit from early sport specialization in the majority of sports. They are subject to overuse injury and burnout from concentrated activity. Early multisport participation will not deter young athletes from long-term competitive athletic success.”

Please take a moment to read that again.  “No evidence” of “benefit” from “early sport specialization.”  And a whole lotta downside in the form burnout and overuse injury.

Make no mistake, I love youth sport.  I’m a huge competitor and I was raised playing every sport around, as do my children.  But remember, better movers make better athletes, and your child’s body will not learn to move well if it has only been expected to do the same thing over and over again.  Multi-dimensional.  Multi-sport.  Multi-movement.  That’s the key to a well-balanced athlete, and more importantly, a healthy human body.

If nothing else, I hope this post gives you some food for thought.  Parents have thousands of choices to make throughout their children’s lives, and this one is a big one.

hockey rules


This has tipped my balance

My mama guilt has been running high as of late, pun intended.  You see, for the past three months, I’ve been focused on a lofty running goal: the Around the Bay 30K, a Southern Ontario pinnacle event in distance-running.  I’ve done the full 30km race only twice; once in 2004, with the youthful abilities of speed and recovery on my side, and once in 2008, as an under-trained newlywed, happy to be running alongside my husband.  Since then, running has been bumped down my priority list.

But now, two kids and a decade later, it’s been bumped back up.

My kids are a bit older, and we’re beyond the all-consuming baby/toddler stage, so I’ve had the time to rekindle my love affair with my sport.  For the last year, that’s meant mostly solo miles, with the highlight of one run per week with my dear Michaela.  Our ultimate goal is the 2019 New York City Marathon, but I felt my mid-week motivation waning as the cold weather and dark mornings descended upon us in the late Fall of 2017.  When my wheels came off in June last year, I knew things had to change if my New York dream was to come true.  So, in November, I joined a new training group, thanks to the advice of my friend Sarah.  And it’s been a game-changer.

This group does their long runs on Sunday mornings.  Although this is nothing new for me, the difference is that my long run used to hover around 15km, but for the past three months it’s been almost twice that.  More milage means more time required, and my quick-run-while-my-children sleep Sundays have been put aside for the last number of weeks; this has tipped my balance.

Balance is a fine line that I tiptoe along, often trading sleep for other priorities.  I’m sure many of you are in the same boat.   And so, with minimal family disruption, the bonus being other like-minded people who think it’s normal to get up before 5:00, my alarm clock rings at 4:45am on Tuesdays and Thursdays; my run is done and I’m back home before the rest of my house wakes.  The same can be said for my 6am 10k on Saturday mornings.  But as my Sunday group long runs have progressed in distance, I’ve had to rally my village.  My husband has been on his own for breakfast duty and hockey practices, for transporting kids and mobilizing sleepy children into cold vehicles.  My father-in-law has helped juggle back-to-back practices for two kids on two ends of the city and my neighbour has stepped in to carpool when other plans fell through.  The village for my children has become the village for me. It-Takes-a-Village-to-Raise-a-Child-6001

But there’s guilt.

Guilt at missing kid’s activities.  Guilt at putting it all on my husband’s shoulders.  Guilt at asking for help.  Guilt at doing something that’s all for me.

But there’s also joy.

Joy at doing something I love.  Joy at running times that seemed impossible only months ago.  Joy that my children see me value my health and my fitness and myself.

Joy that I didn’t quit when it GOT DAMN HARD.

Bring on the taper, let’s chase more joy.

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This is my heart rate data from my last long run in this training cycle (33km).  Most of it was done in the pre-dawn darkness of Sunday morning.


Family Day: Road Trips and Memories

I’m tired today, guys.  If you live in Southern Ontario, you might be feeling it too, as the grey skies and downpours have turned our Winter wonderland into a soupy mess.  But the blue sky and sunshine of Spring is not far off, and I had a great run connors runnerswith my crew this morning that started my day off right (and wet)….

I hope you enjoyed your Family Day weekend, I had a sporty one, just the way I like ’em:

I’m at Burlington Sports & Spine Clinic until 2:30pm today.  See you there!