Put a Stop to Recurring Injuries
May 5, 2020
By Nick Parkinson, M.Ed., AT, ATC, TSAC-F
Henry Ford Health System
Recurring injuries happen — and they're especially common among single-sport athletes or people who focus on one type of exercise, like runners. The reason: You're working the same muscles repeatedly. The end result: Your joints, muscles and tissues get worn out.
Breaking Down Recurring Injuries
Overuse injuries are a big deal. Continuing to re-injure the same muscle groups can take you out of the game entirely and limit your ability to participate in other activities. Here's what you need to know about these all-to-common ailments:
What are Recurring Injuries?
Recurring injuries, also called repetitive and overuse injuries, are injuries that happen repeatedly in the same location. Think along the lines of tendinitis, stress fractures, shin splints and even carpal tunnel syndrome. Common sites include ankles, knees, hips and shoulders.
Who is at Risk for Repetitive Injuries?
Overuse injuries can happen to anyone, but they're more likely to occur among workers who do repetitive motions and single-sport athletes. The risk of these injuries also increases with age. They're more likely to occur if you don't recognize the impact aging can have on your muscles, joints and tissues and modify your activities accordingly.
Why Do Recurring Injuries Happen?
Recurring injuries happen when you overuse the same muscles without sufficient recovery. It's simple body mechanics: If you continue using compromised muscles, you're more likely to get reinjured. And once you get stuck in that same biomechanic loop, it's nearly impossible to recover without changing your routine and learning new techniques.
How Can You Prevent Recurring Injuries?
All sports have a risk of injury. The key is paying attention to your body and taking the appropriate steps to minimize your risk. Here's how:
• Use appropriate gear. Make sure you're wearing appropriate protective gear for the activity you're participating in and choose the right footwear.
• Alternate muscle groups. Instead of focusing on one type of exercise, switch things up. Incorporate low-impact activities, such as swimming, biking and water sports, and make sure you're not overloading any particular muscle group.
• Take rest days. It's important to give your muscles, joints and tissues time to recover. Two days of rest each week is best. If you play a sport, plan to have at least one off day per week and at least one month off per year.
• Strengthen muscles. Conditioning exercises can help strengthen the muscles you need to perform various activities.
• Use proper form. Overuse injuries are sometimes related to improper form during activity. Work with a professional to ensure you're using proper body mechanics and get back to your usual activities gradually.
Play it Safe
The best way to avoid recurrent injuries is to not get injured in the first place. Recover during the season — even if it means missing out on some play. It's better to show up to a game healthy but undertrained than to power through an injury and risk reinjury.
Talk to your doctor before starting a new activity or ramping up your current routine. If you're at risk of developing a recurrent injury, a professional can provide you with a workout regimen that can help prevent injury.
Most important: Don't let an overuse injury prevent you from being physically active. Instead, listen to your body, consult a professional and pace yourself. Treatment may involve avoiding a specific activity for a period of time, along with hot and cold therapy, massage and focused rehabilitation.
Nick Parkinson, M.Ed., AT, ATC, TSAC-F, is the Supervisor of Athletic Training with Henry Ford Sports Medicine and also leads Sports Performance training at the William Clay Ford Center for Athletic Medicine. Learn more about Nick.
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.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.
Lee Takes Key Steps in Heart Safety with AED Purchase, CPR Training for All Athletes
By
Steve Vedder
Special for MHSAA.com
December 30, 2025
WYOMING – Tom DeGennaro never felt the typical dizziness, lightheadedness or nausea associated with the attack before he simply fell over in his Wyoming Lee classroom seven years ago.
His students moved quickly to help him, but within minutes, DeGennaro, one day past his 53rd birthday, was dead.
"Literally dead on the floor," DeGennaro said. "Just nothing there."
DeGennaro suffered an aneurysm, a bleeding of the brain which caused a subarachnoid hemorrhage or ventricular fibrillation which led to cardiac arrest. Fortunately, paramedics swiftly arrived at the school and with the help of an automated external defibrillator (AED), shocked DeGennaro back to life. Six months later DeGennaro, a former football and track coach at four West Michigan high schools, awoke from a coma.
"I was talking to the kids, then I just flopped over and started convulsing," DeGennaro said of his only recollection of the event.
It was an incident which stuck with Wyoming Lee cross country and track coach Greg Popma, who had coached under DeGennaro at Lee for many years. The more Popma saw overweight and obviously out-of-shape spectators huffing and puffing to make it to different points of a three-mile cross country course, the more it bothered him that real tragedy at a meet was only a heartbeat away.
So Popma did something about it.
With the help of a grant from the American Heart Association, Popma organized the purchase of an AED to be kept at all Legends sporting events. Sure, all Wyoming Lee school buildings already had an AED, but Popma worried that in a medical emergency such as a heart attack, minutes counted. Popma wasn't completely sold on the idea that an AED could be rushed to a nearby cross country course, softball field or tennis court in time to fend off disaster. Now an AED is kept at the ready disposal of a Wyoming Lee trainer.
Popma admits the odds of ever needing an AED at a cross country meet or any other sporting event are low. But he isn't willing to just accept low odds.
Instead of letting a near-tragedy to his coaching partner and friend just slide into memory, Popma chose to act.
"It made me think a little that something like that could happen at any time," Popma said of DeGennaro's experience. "It's not only about the kids, but about parents and others who probably shouldn't be running or going from place to place at a cross country meet. We needed to have something there."
While MHSAA guidelines require all head coaches at member high schools and middle schools to be CPR certified (with that certification usually including AED training), Popma took the training a step farther. With the help of Wyoming Lee teacher Mike Donovan, all athletes from 15 Lee teams have been trained and certified in the usage of CPR.
Popma said he's seen AEDs at countless cross country and track meets over 25 years of coaching. Most are easily within reach at the organizational tent at meets. And while he's never witnessed a heart attack at an event, Popma knows of a father dying at a Legends baseball game, and he's also old enough to remember 28-year-old Detroit Lions receiver Chuck Hughes dying on the field at Tiger Stadium in 1971 due to a heart attack.
To do nothing and hope for the best is not a plan, Popma said.
"I hope people understand, what good is it if you don't have an AED?" he said. "Obviously you can't have 100 percent certainty if you don't make the attempt. The response has been positive. Coaches think it's a good idea. It's like, 'Oh, I never thought of that.'"
DeGennaro is recovered from his heart attack, but in the last seven years figures he's been shocked over 90 times by the implantable cardioverter defibrillator (ICD) in his chest. DeGennaro is honored that his experience sparked safety improvements at Wyoming Lee.
"Love it," he said. "Even at professional events these things can happen. AEDs need to be at every place, every sporting event and not just for the kids. For the adults, too.
"Nothing is 100 percent. You bring band-aids to games and never get cut, right? There needs to be preparation for something like a heart attack. I have two goals in life now. Spreading the word of Christ and getting people to learn about CPR."
PHOTO Wyoming Lee cross country/track coach Greg Popma carries his school’s portable AED that is brought to school sporting events. (Photo by Steve Vedder.)