Is My Student Athlete's Pain More Than Just Growing Pains?

February 14, 2023

There are a few factors that can make student athletes prone to injury. They might be overusing their muscles (thanks to a more rigorous exercise regimen), and they might not yet have developed the proper technique for their sport.

Henry Ford Health logo“These factors, combined with the fact that student athletes have growing bodies that they’re still getting used to—especially after a growth spurt — can make them more prone to injury,” says Nancy White, M.D., a sports medicine physician with Henry Ford Health System.

However, just because your child is feeling pain doesn’t necessarily mean they’ve sustained an injury. There is such a thing as growing pains, although the term may be misleading. “Most experts feel that growth itself does not cause pain,” says Dr. White. “The most likely reason for ‘growing pains’ is overuse of the muscles, causing pain and soreness after an activity.”

These growing pains typically occur at the front of the thighs, the back of the knees and the calves, she says, and occur commonly in the late afternoon, evening, or night. If your child is experiencing pain outside of these areas or times of day, it might not be growing pains — and it’s a good idea to get it checked out by a doctor.

Tell-Tale Signs That Pain Should Be Examined

If the pain goes away by the next day — if your child has rested during night and feels better the next morning — there’s no need for concern. But you should head to the doctor if:

► the pain is lingering into the next day.

► the pain is also accompanied by bruising, swelling or redness.

► the pain is so intense that they’re unable to put weight on their legs.

“In these cases, don’t wait — the longer you wait, the more dangerous the injury can become,” says Dr. White.

How Student Athletes Can Help Prevent Injuries

Encourage your child to take proper precautions and maintain healthy habits, all of which can lower the likelihood that they’ll sustain an injury. Dr. White recommends the following tips:

  1. Maintain proper technique. “Knowing and understanding the movements needed for whatever sport they practice is so important,” says Dr. White. “Figure skating and gymnastics are two sports where I tend to see injuries more often during growth phases. These athletes are often learning difficult skills at a time in their lives when they’re going through a growth spurt, and that combination can lead to injury.”
  2. Stretch before and after playing a sport. “Try dynamic stretching — where you’re actually moving while stretching — instead of static stretching, where you’re holding the stretch,” says Dr. White. “Dynamic stretching is a great warm up. It can help improve flexibility and reduce the risk of injury.”
  3. Strength train, especially in the core and limbs. Doing so will help create stable, strong muscles to keep the body properly aligned and lessen the chances of injury.
  4. Eat a balanced diet and stay hydrated. While it’s normal for kids to have sugar every once in a while, filling the bulk of their diet with plenty of water, fresh fruits and vegetables, healthy protein, fats and carbohydrates will help them function to their best ability.
  5. Get enough rest each night. Sleep is necessary for health and well-being in general, but when it comes to athletes, rest is incredibly important to help their bodies recuperate. In general, kids need about 10 hours of sleep per night. So if your child plays a sport, you want to really be sure that they’re hitting that 10-hour mark, says Dr. White.

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

Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan. To find a sports medicine physician at Henry Ford, visit henryford.com or call 1-800-436-7936. 

'Trojan Legend' Ream in 37th Year Providing Care as TC Central's Athletic Trainer

By Tom Spencer
Special for MHSAA.com

September 25, 2026

Traverse City Central’s athletic trainer Amy Ream is exemplary – if not becoming the exception.

Northern Lower Peninsula “I've been doing it for the 37 years,” Ream said. “It's probably not the norm anymore – especially being at the same location.”

Ream graduated in 1987 from Central Michigan University with a bachelor’s degree in sports medicine.  Her first job was with the Trojans, and it likely will be her last.

Ream also has earned a teaching certificate since joining the staff and added teaching sports medicine classes at Central and Traverse City West to her daily duties.

“It’s been very rewarding ... seeing somebody that has torn their ACL and then the next year, they're able to come back … or someone struggling with an ankle sprain and taking them a couple weeks versus a couple days and they come back,” Ream said. “That's part of the reason why we do it. Being around the kids, they bring all the energy and they’re a joy to be around.”

John Sonneman has been near the Trojans for the past 61 years as a teacher, coach, athletic director and administrator. Nowadays, he’s the very recognizable voice of the Trojans as the public address announcer for football, soccer and track.

Sonneman has seen Ream, whose services are contracted through Munson Medical Center, pretty much do it all since she came on board.

“Amy is a real gem – she's a real pro,” said Sonneman. “She handles herself so well with the students. If you need a ‘ball boy’ she's the ball person. If you need somebody in volleyball to run a line or something like that, she'll do it. She isn't just a trainer.”

Ream prepares ice for Central’s James Crigier during a junior varsity game at West.

The Central coaching staff agrees. Fourth-year Central soccer coach Gavin Richmond can’t imagine getting through a game without Ream on the sidelines. Ream serves all of Central’s home varsity and junior varsity soccer matches.

“Amy’s always happy, she's always smiling, and the kids all love her, and she's just an incredible human being,” Richmond pointed out. “It's a privilege to work alongside her. I really love it when she's out there on the sidelines with us. It gives me a kind of sense of comfort knowing that anybody that might get hurt is going to get looked after. She's just a true, true, true professional. She’s a Trojan legend.”

Ream has a very busy schedule, attending all Central home football contests, including for freshman and junior varsity. During the same season she’s at Central’s freshman, JV and varsity volleyball home matches.

Ream sees athletic training as one of the best work-life balance careers. “Most of the time you can still have a good work-life balance, which is really nice,” she said. 

This winter she’ll support boys and girls wresting, basketball and ice hockey before taking on the Trojans’ lacrosse, baseball, softball and track programs in the spring.

“I don't normally see tennis or golf, but I am there if they need some help,” Ream acknowledged. “I am at the school during sixth hour. There are some kids that come in for treatment if they don't have sixth hour, for taping or whatever, so that they're ready to get out.”

Ream won’t single out a sport as her favorite. But she will admit leans toward football in the fall, hockey in the winter, and softball in the spring.

“Spring depends on the day, but my kids played softball, so its softball,” she admitted. “And, we’re definitely getting more into boys and girls lacrosse.”

Being an athletic trainer has provided Ream opportunities to work at Ford Field, Little Caesars Arena and Comerica Park. Central’s basketball team played an exhibition game at Little Caesars, and West and Central played an outdoor hockey game at Comerica. But the Trojans reaching the MHSAA Division 2 11-Player Football Final at Ford Field in 2021 stands out most.

It happened while COVID-19 restrictions were still in place, and Ream said the pandemic led to schools reducing their athletic training staffs around the state. The sports medicine class she teaches is aimed at recruitment.

Ream and Josh Burnham embrace after the latter’s final high school football game, at Ford Field.

“We're trying to recruit – we always already need athletic trainers,” Ream said. “After COVID, athletic trainers were let go and some of them went on to different careers.”

With COVID restrictions in place, Ream was at Ford Field as the Trojans fell to Warren De La Salle Collegiate. That marked the final game of a stellar playing career for Central’s Josh Burnham.  

Burnham and Ream embraced after the tough loss during which Burnham had put the Trojans on the board midway through the fourth quarter with a five-yard touchdown run. He also had eight tackles. Burnham went on to play four years at Notre Dame, helping the Irish reach the college football playoffs. He’s using a fifth year of college eligibility to play this season for Indiana, the reigning national champ.

If Ream had a bucket list, getting back to Ford Field would most likely be on it. She has hopes 25-year coach Eric Schugars can lead the Trojans to a return trip. Central did qualify for the playoffs last year and are off to a 2-2 start this fall. The Trojans will look to improve their playoff chances when they host Midland Dow, also 2-2, Friday at Thirlby Field.

Ream has no immediate plans to retire, but the Trojans are nonetheless prepared for it to happen someday. Justin Thorington, the Trojans athletic director, is a 2003 graduate of Central and recalls vividly Ream being a big part of the school’s athletics during his time as a student.

“I love Amy, and I want her to stay as long as she wants to stay and not any longer than she feels like she needs to stay,” Thorington said. “If she told me ‘Hey, I'm hanging ’em up at the end of the year,’ of course we would be like ‘what are we going to do? How are we going to replace her?’ But we would just be so happy for her. I hope she stays another 10 years if she wants to.”

Tom SpencerTom Spencer is a longtime MHSAA-registered basketball and soccer official, and former softball and baseball official, and he also has coached in the northern Lower Peninsula area. He previously has written for the Saginaw News, Bay County Sports Page and Midland Daily News. He can be reached at [email protected] with story ideas for Manistee, Wexford, Missaukee, Roscommon, Ogemaw, Iosco, Alcona, Oscoda, Crawford, Kalkaska, Grand Traverse, Benzie, Leelanau, Antrim, Otsego, Montmorency, Alpena, Presque Isle, Cheboygan, Charlevoix and Emmet counties.

PHOTOS (Top) Traverse City Central trainer Amy Ream escorts an injured Traverse City West player off the field during Thursday’s game. (Middle) Ream prepares ice for Central’s James Crigier during a junior varsity game at West. (Below) Ream and Josh Burnham embrace after the latter’s final high school football game, at Ford Field. (Top photo by Jan-Michael Stump/Traverse City Record-Eagle. Middle photo by Tom Spencer. Football photo by TC Rick Photo.)