Sports & Exercise



Swimming (Care of the Young Athlete)

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Swimming is a sport in which there is a great diversity among participants. There are both recreational and competitive swimmers, ranging in age from preschool through college.

Most swimming-related orthopedic injuries are related to overuse and are seen in competitive athletes. However, many injuries can be prevented.

The following is information from the American Academy of Pediatrics about how to prevent swimming injuries. Also included is an overview of common swimming-related medical and orthopedic conditions.

Injury prevention and safety tips

  • Sports physical exam. Athletes should have a preparticipation physical evaluation (PPE) to make sure they are ready to safely begin the sport. The best time for a PPE is about 4 to 6 weeks before the beginning of the season. Athletes also should see their doctors for routine well-child checkups.

  • Fitness. Athletes should maintain a good fitness level during the season and off-season. Preseason training should allow time for general conditioning and sport-specific conditioning. Athletes with poor stamina are more likely to get hurt both in and out of the water. Also important are proper warm-up and cool-down exercises.

  • Equipment. Safety gear should fit properly and be well maintained.

    • Properly fitted goggles

    • Swim caps

    • Sandals in the pool area

    • Sun protection (sunscreen, lip balm with sunblock, sun-protective water shirts) when outdoors

  • Emergency plan. Teams should develop and practice an emergency plan so that team members know their roles in emergency situations in or out of the water.

    The plan would include first aid and emergency contact information. All members of the team should receive a written copy each season. Parents also should be familiar with the plan and review it with their children.

  • Rules. Swimmers should follow pool rules at all times, including

    • Never swim alone. The pool should be supervised.

    • Don't run on pool decks and wet areas. Abrasions and contusions (bruises) commonly occur from careless falls.

    • Don't dive in shallow water. Swimmers should know how deep the pool is and avoid diving into shallow pools less than 3 feet deep. This will help prevent serious head and neck injuries.

    • Starting blocks. Swimmers using starting blocks in the shallow end need to be instructed on proper technique.

Medical conditions

Condition

Prevention/Treatment

Swimmer's ear

Swimmers should use tight-fitting swim caps that cover the ears. They should see a doctor if symptoms of ear pain and/or drainage develop. Swimmer's ear is usually treated with cleaning, antibiotic drops, and 3 to 10 days out of the pool. Acetic acid drops may help prevent swimmer's ear.

Pinkeye

Symptoms may be caused by irritation from chlorine and other chemicals, but viral and/or bacterial eye infections are highly contagious. Swimmers should see a doctor. Treatment includes prescription antibiotic eyedrops and 3 to 7 days out of the pool.

Athlete's foot and plantar warts

Swimmers should wear sandals on pool decks and locker room floors to help prevent foot infections. Cuts on the foot should be examined by a doctor.

Exercise-induced asthma

Swimmers with asthma vary greatly in their symptoms. Some do better in the warm, humid environment while others do not. Some find heavily chlorinated pools make symptoms worse.Asthma should not limit participation and performance of swimmers. Every swimmer should have a personal asthma action plan.Asthmatic swimmers can prevent episodes by taking their medicines and using an inhaler before practices or meets. Inhalers and spacers should always be on hand during activity. Swimmers should stop swimming and see a doctor if they have difficulty breathing while swimming.

Overtraining (excessive fatigue)

This is common in swimmers because of year-round swimming and training. Treatment includes medical and nutritional evaluation and rest from swimming during noncompetition seasons.

Orthopedic conditions

Overuse injuries in swimming are related to repetitive stress to the swimmer's body. Symptoms of an overuse injury usually include pain or discomfort, muscle weakness, alterations in stroke style, and the inability to

keep up intense levels of training. Multiple factors must be considered for proper treatment.

Physical therapy often is useful to strengthen weak muscles and stabilize joints. It can also improve a swimmer's endurance and ability to train. Physical therapy should be prescribed by a doctor.

Workload, defined as either yardage or pool time, may need to be decreased during a time of injury. An evaluation of stroke technique may identify weaknesses, bad habits, or muscle-tendon imbalances that require correction.

The table below lists common orthopedic conditions.

Remember

Swimming injuries can be prevented when pool rules are followed.

</caption> <table> <colgroup> <col /> <col /> <col /> </colgroup> <tbody> <tr valign="top"> <td valign="top"> <p id="peo_document299_en.p0164"> <strong>Condition</strong> </p> </td> <td valign="top"> <p id="peo_document299_en.p0165"> <strong>Description</strong> </p> </td> <td valign="top"> <p id="peo_document299_en.p0166"> <strong>Treatment</strong> </p> </td> </tr> <tr valign="top"> <td valign="top"> <p id="peo_document299_en.p0167">Swimmer's shoulder</p> </td> <td valign="top"> <p id="peo_document299_en.p0168">A compression or “impingement” of the rotator cuff tendons caused by repetitive overhead shoulder arcs. Overdevelopment of chest muscles and weak back muscles with progressive muscle fatigue can lead to this injury.</p> </td> <td valign="top"> <p id="peo_document299_en.p0169">Treatment is individualized and must address all contributing factors. Most treatment plans include some form of physical therapy to learn correct posture and exercises to strengthen shoulder blade muscles. Although common for swimmers to do, excessive stretching of the shoulder muscles is not recommended.</p> </td> </tr> <tr valign="top"> <td valign="top"> <p id="peo_document299_en.p0170">Low back pain</p> </td> <td valign="top"> <p id="peo_document299_en.p0171">Caused by repetitive turns, rotations, and extended back positions. Common causes include muscle strains, joint irritation and, in rare cases, stress fractures. Proper diagnosis by a doctor is essential to ensure the appropriate treatment recommendations are made. X-rays or other testing may be needed.</p> </td> <td valign="top"> <p id="peo_document299_en.p0701">Treatment usually is rest, medicines, and physical therapy to include core (abdominal, hips, and low back) strengthening exercises.</p> </td> </tr> <tr valign="top"> <td valign="top"> <p id="peo_document299_en.p0702">Breast-stroker'sknee</p> </td> <td valign="top"> <p id="peo_document299_en.p0703">A chronic sprain of the medial collateral ligament on the inside of the knee related to the frog kick in breaststroke. Kneecap pain (patellofemoral pain) is also common due to other forms of kicking.</p> </td> <td valign="top"> <p id="peo_document299_en.p0704">Treatment is to rest from these types of kicks.</p> </td> </tr> <tr valign="top"> <td valign="top"> <p id="peo_document299_en.p0705">Foot and ankle injuries</p> </td> <td valign="top"> <p id="peo_document299_en.p0706">Occur from repetitive flutter and dolphin kicking. This places the toes and ankle in an extreme pointed position that strains the top of the foot and causes pain.</p> </td> <td valign="top"> <p id="peo_document299_en.p0707">Treatment is rest, ice, medicines, and strengthening exercises.</p> </td> </tr> </tbody> </table> </table-wrap> </div> </body></div> <script> var f = document.getElementById("framecontent"); f.style.height = "100%";//f.contentWindow.document.body.scrollHeight + "px"; f.style.width = "100%";//f.contentWindow.document.body.scrollHeight + "px"; f.style.height = "1000px";//f.contentWindow.document.body.scrollHeight + "px"; f.style.height = f.contentWindow.document.body.scrollHeight + "px"; //f.style.width = "846px";//f.contentWindow.document.body.scrollHeight + "px"; </script> <div class="pwcopyright">Copyright © 2011</div> <style> .applogos{margin-top:1em;display:block;width:100%;} .aaplogo{max-width:20em;width:100%;float:left;} .aaplogo2{max-width:20em;width:100%;float:left;} 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We will not provide the e-mail addresses of doctor(s) in the local practice to users of their site without the doctor(s)' permission. Their site is restricted to use by whomever they wish, and they may deny access to their site to one or more prior users. In unusual cases, doctors may change their private site's access code and arrange for us to e-mail the new access code to approved users.</p> <p> <span style="color:#008080;"><strong><span style="font-size:24px;">Cookies</span></strong></span></p> <p> We use cookies to deliver content specific to your interests and to save your doctor's access code so you don't have to re-enter it each time you visit your doctor's site on <a href="http://www.remedywebsolutions.com">http://www.remedyconnect.com</a>.</p> <p> <span style="font-size:24px;"><strong><span style="color:#008080;">Links</span></strong></span></p> <p> This site contains links to other sites. RemedyConnect.com is not responsible for the privacy practices or the content of such Websites. See <a href="http://www.remedyconnect.com/Disclaimer.aspx" target="_top">Disclaimers</a>.</p> <p> <span style="color:#008080;"><strong><span style="font-size:24px;">Disclosure to Third Parties</span></strong></span></p> <p> We will provide individually-identifiable information about website users to third parties only if we are compelled to do so by order of a duly-empowered governmental authority, we have the express permission of the visitor, or it is necessary to process transactions and provide you services from our affiliates: <a href="http://remedyconnect.com/RemedyWeb/Family-Medicine.aspx#oncall" target="_blank">Live Agent Answering Service</a>, <a href="http://remedyconnect.com/RemedyWeb/Family-Medicine.aspx#oncall" target="_blank">Digital Answering Service</a>, <a href="http://remedyconnect.com/RemedyWeb/Specialists.aspx#oncall" target="_blank">Medical Answering Service</a> and <a href="http://remedyconnect.com/RemedyWeb/Pediatrics.aspx#oncall" target="_blank">Pediatric Answering Service</a>. </p> <p> <span style="color:#008080;"><strong><span style="font-size:24px;">Privacy and Our Business Partners</span></strong></span></p> <p> When we make our technology or services available to business partners, we will not share with them any more consumer information than is necessary, and we will make every reasonable effort to assure, by contract or otherwise, that they use our technology and services in a manner that is consistent with this Privacy Policy.</p> <p> <span style="font-size:24px;"><span style="color:#008080;"><strong>Public Forums</strong></span></span></p> <p> This site may make chat rooms, forums, message boards, and/or news groups available to its users. Please remember that any information that is disclosed in these areas becomes public information and you should exercise caution when deciding to disclose your personal information.</p> <p> <strong><span style="color:#008080;"><span style="font-size:24px;">Security</span></span></strong></p> <p> This site has security measures in place to protect the loss, misuse and alteration of the information under our control. For further information regarding our security, please contact us at <a href="mailto:support@pediatricweb.com">support@remedyconnect.com</a>. If you have any concerns regarding the security of information, please do not provide any information to RemedyConnect, Inc. until you are comfortable with our security measures.</p> <p> <span style="color:#008080;"><span style="font-size:24px;"><strong>Correct/Update</strong></span></span></p> <p> You may correct or update your User Registration information at any time, by visiting the User Registration section and providing your personal password that you set at registration. If need be, please email us at <a href="mailto:support@pediatricweb.com">support@remedyconnect.com</a>.</p> <p> <strong><span style="font-size:24px;"><span style="color:#008080;">Choice/Opt-Out</span></span></strong></p> <p> Our site provides users the opportunity to opt-out of receiving e-mail communications from our partners or us, except communications approved by your doctor's practice office. To so opt-out, please email us at <a href="mailto:support@pediatricweb.com">support@remedyconnect.com</a>. To be removed as a user, please email us at the same address. If need be, you may mail requests to us at RemedyConnect, Inc., 9200 E. Mineral Avenue, Suite 100, Centennial, CO 80112. Our telephone number is 303-793-0703.</p> <p> <strong><span style="color:#008080;"><span style="font-size:24px;">Contacting the Website</span></span></strong></p> <p> If you have any questions about this privacy statement, the practices of this site, or your dealings with this Website, you can contact us by email at <a href="mailto:support@pediatricweb.com">support@remedyconnect.com</a> or by mail at our address above.</p> Privacy <a class="popup-close" href="#closed">X</a> </div> </div> </div> <!--Remedy Connect Footer---> <div class="footercopyright"> <span class="footercopy"> Copyright © 2017 Mountainview Pediatrics Arizona. All rights reserved. </span> </div> <div class="footerprivacy"> <span class="footerprivacy"> <a href=" /Forms/Policies/Privacy/Notice-of-Privacy-Practices-rev-2011.aspx" target="_blank">Privacy Policy</a> </span> <span class="footerdivider"> || </span> <span class="footermedical"> <a href="http://remedyconnect.com" target="_blank">Medical Web Design by Remedy<i>Connect</i></a>, Custom. <a href="http://www.kentico.com" target="_blank" title="Kentico" rel="nofollow">Powered by Kentico CMS</a>. </span> <span class="footerdisclaimer"> See our <a href="#popupDisclaimer" class="popup-link">Disclaimer</a> and <a href="#popupPrivacy" class="popup-link">Privacy Policy</a>. </span> <span class="footerlogin"> <a href="/cmsdesk/" target="_blank">Website Admin</a> </span> </div> <!--End Pediatric Web Footer---> <style type="text/css"> #popupDisclaimer, #popupPrivacy { margin-top: -3500px; } </style> </div><!--/col-md-12--> </div><!--/row--> </div><!--/container--> </footer> </div> <!--end pagebg--> <script type="text/javascript"> // create the back to top button $('body').prepend('<a href="#" class="back-to-top">Back to Top</a>'); var amountScrolled = 300; $(window).scroll(function() { if ( $(window).scrollTop() > amountScrolled ) { $('a.back-to-top').fadeIn('slow'); } else { $('a.back-to-top').fadeOut('slow'); } }); $('a.back-to-top, a.simple-back-to-top').click(function() { $('html, body').animate({ scrollTop: 0 }, 700); return false; }); </script> <!-- Bootstrap core JavaScript ================================================== --> <!-- Placed at the end of the document so the pages load faster --> <script src="/_INDEVELOPMENTMountainviewPediatricsArizona/media/js/bootstrap.min.js"></script> <script type="text/javascript"> //<![CDATA[ var gaJsHost = (("https:" == document.location.protocol) ? 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