Keep on Coaching
February 1, 2013
By Geoff Kimmerly
Second Half editor
A few weeks ago, I finally got my first chance this season to watch a friend coach his basketball team. After guiding some others at the lower levels, this is his first time running the varsity – something he wasn't sure he wanted to do with a 1-year-old just learning to walk, but a challenge he ended up taking on to the benefit of all those involved.
Simply put, he’s good. I've seen a lot of teams and a lot of coaches over the past 15 years, and although I wouldn't know much of what to do if I were walking the sideline, I felt pretty qualified in telling him I was impressed – even if he didn't buy that I was offering an unbiased opinion. The best news is he’s gone from not sure about this a few months ago to talking about next season.
We know, at least anecdotally, that coaching continues to get more challenging. The time commitment has grown substantially to make running a program a year-round endeavor in a lot of sports at a lot of schools.
That commitment – especially for coaches with children of their own – was a main reason referred to in a New Haven Post-Chronicle story Saturday that noted 23 football coaching openings in Connecticut at one point this offseason. That state has 146 football teams – meaning roughly 15 percent will have new leaders this fall.
And that got me thinking about my friend, about how glad I am he’s given this a shot, and how I've seen so many others either not do so, or not stick around long despite having some pretty nice success.
A study published last winter in Interscholastic Athletic Administration magazine – a product of the National Interscholastic Athletic Administrators Association – noted some predictable results of a study that sought to determine the biggest challenges faced by first-year high school coaches.
The toughest according to the study was balancing the demands of coaching and teaching, experienced by nearly half the respondents – 98 percent of which coached high school teams and 81 percent of which are teachers.
The next six reasons all were noted by at least 30 percent of those in the study – personal fatigue, securing community support, securing and caring for facilities and equipment, parental contact, keeping non-starting players motivated, dealing with schedule interruptions and motivating athletes to achieve consistent, peak performance.
Nothing there is earth-shaking, and most if not all of these challenges are faced by high school coaches regardless of how long they've been in the field. But I got a little more perspective from some of the 32 items that ranked as least challenging to the first-year leaders – keeping in compliance with state and league regulations, dealing with substance abuse issues, teaching sport skills and creating a positive team atmosphere – things that seem most important, and yet appear to be easiest to do. I’m not sure what that tells us – but I think it tells us something.
Click to check out the entire three-page breakdown of the study, plus the researchers’ recommendations to remedy some of what first-year coaches face.
Giving back to Saginaw
I love reading about high-level athletes – like a star-studded group of alums from Saginaw – giving back to where they got their starts.
Pittsburgh Steelers star LaMarr Woodley made a big impact before the start of this school year by donating $60,000 to cover all participation fees for athletes in his former school district. The Saginaw News’ Hugh Bernreuter writes today about how Woodley (Saginaw High), the Philadelphia 76ers’ Jason Richardson (Saginaw Arthur Hill) and former Oakland Raiders standout Stu Schweigert (Saginaw Heritage) have combined to give more than $865,000 back to their home communities.
Bernreuter also mentions the non-monetary contributions of the Golden State Warriors’ Draymond Green (Saginaw High) and former Indianapolis Colts receiver Blair White (Saginaw Nouvel).
Click to read more about it.
Quote(s) of the Week
While rifling through more papers on my desk, I found an article from the Washington Post from Sept. 2011 titled “How high school sports save our schools.” I was drawn to it in part because I spent more than a decade in a newsroom, and it was a piece by a reporter covering education who instead of reporting on school boards and the like, delved into the importance of interscholastic athletics to education as a whole.
He spoke of how participation continues to grow even as resources dwindle, and of data supporting that extracurriculars like sports are more effective than academic classes in teaching leadership, teamwork, time management and “other skills crucial for success in the workplace.” Later, he mentioned a study noting that those who participate in extracurriculars earned more a decade later.
Click here to read the entre piece. These passages struck me most.
“Coaches might be the only faculty members still allowed by our culture and educational practice to get tough with students not making the proper effort. They have the advantage of teaching what are essentially elective non-credit courses. They can insist on standards of behavior that classroom teachers often cannot enforce because the stakes of dismissing or letting students drop their courses are too high. …
“Students do better in activities they choose. If we provide more of them, led by committed adults … that can make a difference. We know the bad news about education. Dropout rates are high. Achievement scores are stagnant. But sports participation is going up, despite pressure to cut it back. Let’s cheer about that and look for a way to draw in more students.”
Symptoms of a Meniscus Tear — and When to Seek Treatment
April 2, 2024
Meniscus tears are not one size fits all: Sometimes they cause no pain, other times they’re excruciating.
Once in a while they heal or adapt on their own, but more often than not they require physical therapy or surgery.
“Your meniscus is a fiber elastic cartilage that acts as a shock absorber for the knee,” says Ahmad Bazzi, M.D., a sports medicine physician at Henry Ford Health. “It also helps stabilize the knee joint. But when it tears — which can occur in young athletes after a pivot injury or in older people who have arthritis — it can be painful.”
Here, Dr. Bazzi shares symptoms of a meniscus tear and when to see a doctor.
What Does A Meniscus Tear Feel Like?
Depending upon the level of injury and type of tear, meniscus tears can either be asymptomatic or cause symptoms like:
- Locking. When the meniscus tears, a piece of it might move into the knee joint, causing mechanical issues like stiffness and locking of the knee joint.
- Catching or clicking. This often feels like a sudden ‘click’ in the knee joint, where it suddenly gives out while you’re walking or doing certain movements.
- Localized pain on the inner or outer part of the knee. In young athletes, a meniscus tear often causes an impaired range of motion and localized pain on the inner or outer part of the knee.
- Pain and swelling. In older people, a meniscus tear often causes swelling and an overall aching pain in the knee.
Treatment Options For Meniscus Tears
A meniscus tear can only heal on its own if the tear is on the outer part of the knee where it has better access to blood supply. If you’re experiencing pain a few days after injury and you have limited range of motion, instability and/or swelling in the knee, Dr. Bazzi recommends seeing a doctor to get an examination and, if needed, an MRI for diagnosis.
“It’s hard to tell what type of meniscus tear you have if you haven’t seen a doctor,” says Dr. Bazzi. “If you have a mechanically unstable tear and it goes untreated, it could lead to worsening range of motion and stiffness, or worsening arthritis. It’s important to get seen by a doctor to get an accurate diagnosis and the proper treatment. It may take one to three months for a full recovery.”
Here, Dr. Bazzi shares treatment options:
Surgery
If someone is having mechanical symptoms like locking or catching, surgery may be considered right away, especially if it’s an athlete younger than 40 years old. “Meniscus tear surgery has a shorter recovery compared to other knee surgeries,” says Dr. Bazzi. “Surgery could either consist of a meniscectomy, which is partial or complete removal of the meniscus, or sometimes just a meniscus repair.”
Hyaluronic acid or cortisone injections
Non-operative treatments are often recommended for older people who have degenerative tears due to arthritis. “This is because meniscus surgery doesn’t often relieve their pain since they have underlying arthritis, meaning they have cartilage loss in the meniscus,” says Dr. Bazzi.
Instead, a cortisone injection, which is an anti-inflammatory medication that can be injected into the knee, can reduce inflammation, swelling and pain caused by arthritis.
A hyaluronic acid injection may also be considered, which adds cushioning in the knee. “Hyaluronic acid is one of the substances that make up our cartilage, so this injection helps us mimic the lost cartilage,” says Dr. Bazzi. “It also has anti-inflammatory properties.”
Physical therapy
Physical therapy is another great option, especially for older people who need non-operative treatment options. It can help the knee adapt to the tear, reduce pain and encourage full range of motion. “Physical therapy for meniscus tears focuses on balance exercises and exercises to strengthen the muscles around the knee,” says Dr. Bazzi. “This helps to uphold the knee joint to achieve full range of motion and strength while being pain-free.”
To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.
Reviewed by Ahmad Bazzi, M.D., a sports medicine physician who sees patients at Henry Ford Medical Center – Fairlane.