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Sports Injury Prevention
After obtaining the patient’s background and the context of the injury (Is it during playoffs? Preseason?), the astute physician can move on to assess other factors. What are the expectations of the child and parent with respect to return to play? Do they intersect with the likely medical reality? Finding a way to connect the patient’s expectations with reality is key in the physician-athlete-parent relationship.
Oftentimes, part of the expectations piece of this can be elicited by discussion with the athlete with the parent out of the room. This can be done at the same time each visit (“Time for the physical exam, let’s have the parent step out.”), or can be gently discussed with the parent and patient ahead of time, perhaps on the phone. Usually, if the patient is afraid of disappointing a parent or is not particularly interested in a sport, the patient’s true feelings can be elicited in that time. Just as mentioned above, the patient does not exist in a vacuum. Writing down who are the involved parties can be very helpful in assisting communication between physician, patient, school, athletic team, and work. The patient often leaves my office with two or three very specific notes and an easy way for the interested parties to contact the office after we have discussed whether it is OK for me to communicate with these parties. Obviously, the interested parties don’t necessarily need to know all the details of the diagnosis, but they do need to be able
to have reasonable expectations of what the patient can do. With an ankle sprain, they can still do upper body and core work. They can watch practice but not participate. With a concussion, they will need specific limitations on not only physical education, but class time, testing, homework, and rest breaks. The ACE Care Plan online can be a good tool to be very specific for an athlete’s return to learn plan. Understanding that our student-athletes’ lives are complex, multifaceted, and ever changing is an important part of being a good sports medicine physician. Dr. Jennifer Payne is a member of LG Health Physicians Sports Medicine, a medical practice dedicated to care of non-surgical sports injuries. She and her partner, Dr. Patrick Moreno, are both fellowship-trained and board certified in Sports Medicine. More information about the practice can be found at LGHealthPhysicians.org/Sports.
Treating your family,
like ours.
Treating your family, like ours.
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DOREEN BETT, D.O. SUSAN CIAMPAGLIA, D.O. JAMES GROFF, D.O. NAVDEEP KAUR, M.D. JEFFREY LEVINE, D.O. JEFFREY MARTIN, M.D. CHARLES RODENBERGER, M.D. RAJIV SHARMA, M.D. DAVID SOMERMAN, D.O. MARC WEINER, M.D. KATHRYN COUCH, CRNP CHERYL GOOD, CRNP JENNIFER GROFF, CRNP DANA NIKLES, CRNP ANNE PRYZBYLKOWSKI, CRNP ALLISON SILEO, CRNP
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DOREEN BETT, D.O. Dana Nickles, CRNP and Allison Sileo, CRNP SUSAN CIAMPAGLIA, D.O.
JAMES GROFF, D.O. to our team of dedicated Advanced Practitioners NAVDEEP KAUR, M.D. LEVINE, D.O. in who work collaboratively with ourJEFFREY physicians JEFFREY MARTIN, M.D. CKD clinics and outpatient dialysis units. CHARLES RODENBERGER, M.D.
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Dana Nikles, C
RAJIV SHARMA, M.D. DAVID SOMERMAN, D.O. MARC WEINER, M.D.
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Committed to serving the patients of KATHRYN COUCH, CRNP Lancaster County in two convenient locations: CHERYL GOOD, CRNP Main Office: 2110 Harrisburg Pike, Suite 310 Lancaster, PA
who work colla
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JENNIFER GROFF, CRNP DANA NIKLES, CRNP ANNE PRYZBYLKOWSKI, CRNP ALLISON SILEO, CRNP
Satellite Location: 73 Church Street Stevens, PA
Committed to serving in two
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Main office: 2110 Harrisburg Pike, Suite 310 Lancaster, PA
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Dana Nikles, CRNP and Allison Sileo, CRNP 22 P H Y S I C I A N to our team of dedicated Advanced Practitioners
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