Growth and Oversuse injuries: Preventative measures to stay involved

Intellectuals solve problems; geniuses prevent them

Albert Einstein

As winter sports season dawns, the surge in organized sports and training takes center stage, bringing along a heavier physical training load. This increased load, combined with the ongoing growth of bones and muscles, often leads to overuse and growth-related injuries, typically beginning from the heels and extending up to the hips and lower back.

A study examining cases of Sever's disease in young football academy players in Germany revealed that it primarily affected players aged between 11 and 13 years old. Interestingly, most cases were reported early in the season rather than later. Additionally, it took more than 28 days for most players to return to play after being affected by Sever's disease.

Sever's disease is largely attributed to overuse and can be prevented or mitigated to some extent. Implementing preventive measures could potentially spare players from missing nearly four weeks or more of training and games in a season, which could otherwise be frustrating and dent confidence due to absences.

Stretching and improving ankle mobility are recommended strategies for managing Sever's disease. However, incorporating strength training can be highly beneficial in preventing it, as it enhances movement capacity in the ankles and calves, thereby reducing the likelihood of developing Sever's disease.

Engaging in strength challenges and games involving balance beams and similar activities can effectively strengthen the ankles and calves. Performing balancing and movement challenges on one leg can also add an element of fun and engagement to strength training. Additionally, incorporating jumping and balancing challenges can simulate movements similar to those encountered in sporting situations, further enhancing movement capacity.

It's important to emphasize that these recommendations should serve as preventive measures and should not be used to push through pain when it is present.

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STRENGTH TRAINING APPROACH: The butterfly effect