Add, Subtract, Divide, Multiply: MHSAA Not Alone

July 25, 2017

By Rob Kaminski
MHSAA benchmarks editor

This is the third part in a series on MHSAA tournament classification, past and present, that will be published over the next two weeks. This series originally ran in this spring's edition of MHSAA benchmarks.

As the MHSAA faces its most recent classification task with 8-Player Football, and opinions continue to swirl about as to the method, timeframe, location and other procedures, a look around the country provides plenty of company among state association brethren factoring variables into their own equations.

In the Pacific Northwest, the Oregon School Activities Association Football Playoffs are under public scrutiny as leadership ponders a five or six classification format beginning with the 2018-19 school year.

The OSAA has crowned six champions on the gridiron since 2006-07. Many of the state’s smaller schools would like to keep it that way, while larger schools lean toward a five-classification system, citing larger leagues, ease of travel and credibility to state championships as the advantages.

Still others would prefer more than six classes, pointing to safety issues and the opportunity to increase participation numbers as positives.

Moving southeast of Oregon, the Nevada Interscholastic Activities Association recently voted to hold serve on a classification proposal that was volleyed to the membership.

However, changes still could be forthcoming by as early as the 2018-19 season which would add a fifth classification in more populated southern Nevada while allowing northern schools to participate in four classifications. Such divisions could mean no state championship for the fifth class in southern Nevada.

Because of that, the NIAA wants equal numbers of schools in each classification on both ends of the state. Complicating the issue is the fact that the 24 largest schools in the state, by enrollment, are all in Clark County in Southern Nevada.

Across Nevada’s border into Arizona, charter schools are asking the Arizona Interscholastic Association to reconsider classification that was voted upon and approved in September 2015. That agreement called for the largest 33 percent of charter schools by enrollment to be placed in the state’s largest school classification, 3A, the middle 33 percent into 2A, and the smallest 33 percent into 1A.

Less than two years later the charter schools have had a change of heart and have asked to be considered the same as other Arizona public schools and be placed appropriately by enrollment beginning with the 2018-19 school year.

The situation in Arizona further illustrates how the public/private debate that all state associations have faced throughout existence now has the added dynamic of rapidly growing charter schools in today’s educational system, along with virtual school enrollment.

In the nation’s heartland, Nebraska has retooled its football classifications by using enrollment of boys students only in its schools rather than total enrollment. The Nebraska School Activities Association football-playing schools will kick off the 2018 season using this alignment.

Nebraska has three classes of 11-player football, with the smallest class divided in two, Class C-1 and C-2. The state also will have 8-player football for boys enrollments under 47, and the NSAA will sponsor a new 6-player tournament in 2018 for schools with 27 or fewer boys.

“This is a good proposal because some schools have a sizable imbalance between the number of boys and girls, and there’s a large gap (in enrollment) between the largest and smallest schools in Classes A and B,” NSAA executive director Jim Tenopir said. “I think this addresses both of those concerns.”

Swimmers in Georgia, meanwhile, will feel like they are moving with the current, rather than upstream in 2017-18, as the Georgia High School Association recently doubled the number of team championship events from two to four.

Swim enthusiasts can also count on longer days at the finals, as the top 30 finishers from the prelims will advance to the finals instead of 20, and all championship events will have three heats versus two. 

When Can I Walk Off Knee Pain — And When Should I See A Doctor?

June 7, 2022

Henry Ford Health System

Whether you wake up with a stiff knee, sustain an injury, or start feeling knee pain for seemingly no good reason, you might wonder what to do. Should you immediately rush off to the doctor? Can you just ignore it and hope it will get better? Can you treat it yourself? Knowing when you need a doctor’s intervention can be a tricky decision to make.

We see people at the start of injuries and after they’ve been ongoing,” says Nancy White, M.D., a sports medicine physician at Henry Ford Health. “While the sooner you see an expert, the better, there’s really no right or wrong to it. However, there are a few key signs that it’s a good idea to get it checked out.”

Dr. White recommends seeing a doctor if:

► You are waking up with consistent knee stiffness. If there’s no history of an injury involved, it could be due to osteoarthritis or rheumatoid arthritis.

► If your knee pain isn’t going away.

► Your knee is swollen and you can’t bear weight on it.

► You can’t fully flex or extend your knee.

► Your knee is warm to the touch. This could signal inflammation.

If your pain is mild — or you’re trying to decide whether to see someone — Dr. White recommends icing it on a scheduled basis. “That means two to three times a day,” she says. “Apply the ice to your knee. It will get cold. It will burn, then it will get numb. Remove the ice when it gets to the numb stage.” 

She also recommends elevating your leg and putting a compression wrap or sleeve on your knee. If the pain is bad, you can try taking ibuprofen or naproxen for a few days.

Common Causes of Knee Pain

But if your knee is not getting better, it’s a good idea to see a doctor, as common causes of knee pain include: 

► ACL sprains and tears. Short for anterior cruciate ligament, the ACL is one of four ligaments in the knee that allows it to flex and extend. The ACL can tear when your foot is firmly planted in place, and the knee locks and twists or pivots at the same time.

► MCL sprains and tears. Short for medial collateral ligament, the MCL connects your shinbone to your thighbone. It can tear when landing after a jump, or after an exterior blow to the knee (usually during contact sports). Luckily, most MCL injuries heal on their own.

► Meniscal tears. The menisci are your knee’s shock absorbers; they're two discs made of soft cartilage. Abrupt movements (like pivots, stops, turns, squats or lifts) can cause them to tear.

► Kneecap dislocation. A direct hit to the knee — or a sudden twist or pivoting of the leg — can make the kneecap can shift out of place. 

► Patellar tendonitis. This is also known as Jumper’s Knee, as it’s a common injury in basketball and volleyball players. The patellar tendon connects the bottom of the kneecap to the top of the shinbone, and can become inflamed from overuse, excessive force or repetitive stress. 

Knee bursitis. The bursa is a small, fluid-filled sac located near the knee joint. Knee bursitis occurs when the bursa becomes inflamed, often because of a knee injury or overuse from frequent kneeling. 

How to Help Prevent Knee Pain

And if you want to help prevent knee pain in the future? “Exercise regularly so that you’re strengthening your quadriceps, hamstrings and gluteal muscles,” says Dr. White. “It’s also important to stretch to increase quadricep and hamstring flexibility.”

Wearing shoes with sturdy soles and proper arch support can also help ease pain and issues you may already have, says Dr. White. “I would say the top reasons people get into trouble with their knees are things they could prevent by changing lifestyle habits. This includes maintaining a healthy weight, as being overweight can also lead to increased wear and tear on the joints.

To learn more about your orthopedic condition or to find a provider, visit henryford.com/ortho.

Dr. Nancy White is a sports medicine physician at Henry Ford Health. She sees patients at Henry Ford Medical Center – Novi, and Henry Ford Medical Center — Bloomfield Township.