What I wish about training as a high school athlete

This week we have a special guest post from Dr. Samuel Kinney. Dr. Kinney is a performance physical therapist in our McLean location. In addition to being an amazing physical therapist and strength coach, Sam was a successful collegiate soccer player. Learn more about Dr. Sam here.

“Lifting weights will stunt your growth.” “Squatting heavy is the key to training.”

The advice that I received as a high school athlete was all over the place and as a physical therapist, I now roll my eyes.

I wanted to impress my high school coaches and be the best athlete that I could be, but weight training confused me, and I didn’t know where to start.

Weight training in high school often felt like a competition among my teammates.

I placed a large emphasis placed on how much weight was on the bar. This was a result of encouragement from my team and my internal motivation to lift the most weight I could.

There wasn’t much thought put into our weight training program besides that. I eventually had a back injury while attempting to power clean more weight than I was ready for.

Fortunately, I went to physical therapy, which sparked my interest in the sports physical therapy profession. Unfortunately, I had to take time off from the gym and lost a lot of the progress that I had worked so hard for. While back injuries are impossible to prevent, had I known what I know now, I could have greatly reduced my risk of having one.

Training for your sport off the court or field is an essential part of developing strength, speed, and overall athleticism. A more scientific approach to training helps you excel at your sport and keeps you in the game by reducing your risk of injury. But knowing where to start and what to do in the weight room is one of the greatest challenges for a young athlete.

If the weight being lifted is causing you to struggle to maintain form and you are unsure that you can control the weight, it is too much. The advice that I would give to my high school self would be to forget about how much weight is on the bar and instead focus on how well I can control the weight through the full range of motion of the lift. It is more important to progressively increase the weight on the bar over time rather than in one weight training session.

If you are a high school athlete or the parent of one, Dr. Sam Kinney is currently offering free performance assessments as part of our rising-star training program.

This assessment will show you and your athlete the secret to helping them avoid injury and take their performance to the next level.

Need for speed: how young athletes get faster

As my old high school football coach used to say… Speed kills.

Even in physical sports like football, faster players usually have an advantage over bigger competition.

Speed training can be (and should be!) incorporated into an athlete’s workout routine and is an important part of the return to sport process in physical therapy. Whether your athlete is working to be the fastest on the field, track, or court, there are three key essentials to consider when trying to increase speed:

Learn and practice the basics

Just like any other sport, there is a technique to sprinting. You can do a few basic drills to practice sprint mechanics and emphasize proper foot strike, forward knee drive, and core activation for a fast and efficient stride. Marching, skipping, and high-knee run drills encourage this technique:

Strength training! Quads, hamstrings, calves, core

Running fast requires more than moving limbs quickly to be successful. Strength is essential to running to create power, endurance and prevent injury. While athletes use virtually all their muscles to run at top speeds, some main movers for sprinting include the hip flexors, quads, hamstrings, calves, and core. Compound lifts and single leg strength exercises targeting these muscle groups are a great way to make an athlete’s stride stronger:

Practice accelerations and sprinting

Speed training can be broken down into parts, starting with the initial acceleration. There are a few drills to help decrease the time it takes you to get from the start to full speed:

An athlete can progress into repeated sprint efforts. Some common sprint workouts include:

Flying 10s: Build speed for 20-30 yards, sprint for 10 yards, slow down for 20-30 yards
10×10: Practice accelerating for 10 yards, then slowing down as fast as you can. Repeat 10 times.

Are you an athlete or the parent of a high school athlete working to be a step faster than the competition?

Here is your solution.

We are in the midst of summer, but it’s not too late to participate in our summer rising-start training program. In this program, your athlete will receive a personal performance assessment and a custom-designed speed program that our team will coach them through.

If you dream of leaving your competition in the dust, contact us to learn more and sign up!

Bob’s rehab journey from injury to college athletics

Bob was a talented high school lacrosse player with dreams of playing at a Division 1 college. However, despite his ideal size and athletic ability, he wasn’t attracting any interest from college coaches.

The issue wasn’t his talent or drive—it was his injury history. Bob had been plagued by various injuries over the past two seasons, and it was affecting his ability to stay on the field consistently. His history of injuries was the major reason coaches were hesitant to recruit him.

He had already visited multiple doctors and physical therapists but couldn’t seem to stay healthy long enough to make an impact. Frustrated and doubting his chances of ever getting recruited, Bob came to us seeking help.

When we first saw Bob, he was dealing with both ankle and knee injuries that had been bothering him for months. Our sports physical therapy process started with a thorough assessment of his lower body’s range of motion, strength, and movement patterns. We also evaluated his ability to perform the specific movements required in lacrosse.

It quickly became clear that he had significant movement limitations in his ankles and hips, which were causing him to compensate during running and training. These compensations had become ingrained in his movement habits, further reinforcing his limitations and contributing to his recurring injuries.

We worked with Bob to restore proper motion in his ankles and hips, and taught him specific drills to retrain his body to move naturally without compensating.

Once his mobility improved, we shifted our focus to rebuilding his strength, speed, and explosiveness. Our role began to transition from physical therapists to performance trainers. We developed a tailored gym program to help Bob regain his athletic edge and enhance his overall performance.

Three months later, Bob was ready to return to the field for his high school lacrosse season. Although he was nervous about getting back to playing, he was eager to show his coaches the progress he had made.

After his first practice, Bob called me, excited. His coach had pulled him aside to ask what he had been doing during the off-season. Bob had completely outperformed his teammates, returning stronger, faster, and more explosive than ever before.

Fast forward a year, and Bob earned a Division 1 lacrosse scholarship, fulfilling his dream.

If your athlete shares similar aspirations of playing at the collegiate level, reach out to us and join our Performance U Training Program! Let us help your athlete stay healthy, improve performance, and reach their full potential.

CHP Spotlight Interview with Dr. Jamie Grossman

What can you do to prevent common upper and lower body injuries? When is it time for you to see an orthopedic surgeon? Are there surgical procedures that can preserve the lifespan of a joint?

I sat down with Dr. Jamie Grossman to tackle these questions and more in the latest CHP Spotlight Interview series edition. Dr. Grossman is an orthopedic surgeon with OrthoVirginia specializing in the field of joint preservation. Her areas of interest include sports medicine, joint reconstruction, and hip preservation.

The mission of the CHP Spotlight Interview Series is to share information with you from local experts in the fields of sports medicine, physical therapy, personal training, and sports performance. Now, more than ever, a seemingly infinite amount of information is available, and finding credible information is challenging. But we have good news. We are here to help you find the best information about physical therapy, personal training, and sports medicine from experts in Bethesda, Chevy Chase, DC, McLean, and Northern Virginia.

If you or someone you love has had a shoulder, hip, or knee injury, don’t miss this interview!

To learn more about Dr. Grossman, click here and check out our interview below!

This is why your back pain isn’t going anywhere

Let me tell you about a past physical therapy patient who saw me in our Bethesda and McLean facilities. We’ll call him John. John is a hard-working guy that had been struggling with back pain for years. It started with pain while weight training and eventually prevented him from standing for more than 20 minutes at one time. His inability to stand was a major problem because his job required him to be on his feet constantly.

He had been to doctors, physical therapists, and chiropractors. He tried foam rolling, changing his desk setup, and even those strange massage gun-looking things.

That is when he came to see me for a more “sports approach” to physical therapy.

I began our session by asking him questions about his back; I could sense that he had heard them before. But my following questions grabbed his attention.

He had not received these questions before, and I asked about his sleep habits, use of technology, and stress. These questions created our “aha moment” as we realized the following areas needed to improve if he wanted to conquer his back pain in physical therapy.

A Poor Night’s Sleep

Sleep is the best recovery tool that we have. Research has shown that sleep quality improves outcomes in chronic pain patients, especially with back pain.

We first made sure that John had a high-quality mattress. A poor-quality bed can leave your back feeling worse due to a lack of support. Most people with back pain tolerate a firmer mattress best. Be sure to test multiple mattresses and determine the best and most comfortable ones.

John’s final sleeping recommendation was simple—no more sleeping on his stomach. Sleeping on your stomach increases the compression on your lower back. Sleeping on your side or back can be extremely challenging when you are not used to it. But it will become much easier over time.

Addiction to Technology

John was spending way too much time looking at screens.

According to recent research, the average person spends about nine hours per day using electronic devices, which increases tension in several areas, like the lower back.

We started by setting realistic limits on John’s use of technology. We gave him a technology curfew of 9 pm (he couldn’t use his phone after 9 pm). Phones, iPads, and TVs contain blue light, suppressing melatonin production, a hormone essential for quality sleep.

Reduce Stress

The body is resilient, but it can only handle so much physical and emotional stress. Research indicates that people struggling with anxiety and depression are more likely to experience a few orthopedic pains, including lower back pain.

After discussing this with John, he mentioned that he had enjoyed meditation but didn’t have enough time to keep it up. Because he enjoyed meditating, I suggested he try one of the many great apps with short, 5-minute meditations.

Suppose meditation doesn’t work for you. No big deal! Search for one thing you enjoy, which reduces your stress, and implement that into your daily routine. Walking outside does that for me. Rain or shine, I ensure I get at least a couple of walks in a day.

As John worked to address these issues, we created a comprehensive physical therapy plan to help his back. Combining all these factors allowed him to recover and return to work and his active lifestyle fully.

Back pain is a complex issue, influenced by many factors. But that is a good thing because that provides many ways that experts can help. If you have back pain that won’t go away, don’t hesitate to contact us so that we can help you find solutions.

What I learned by going to the ER

I woke up for the final day of a conference I had traveled to in Orlando. My wife, Deb, joined me for the trip, and the first thing I heard from her was, “What happened to your elbow?!”

I had a golf ball-sized bump on the back of my elbow, consistent with Olecranon Bursitis. I remember one of my professors in physical therapy school calling it “Popeye elbow.” This typically occurs because of a trauma or infection, and there hadn’t been any trauma, so it must have gotten infected, which needs to be treated immediately.

We flew back home that afternoon and went right to the emergency room. After waiting a few hours, they confirmed the infection, prescribed antibiotics, drained my elbow, and recommended that I consistently maintain compression on the area.

But I wasn’t confident in the recommendations….

The PA that treated me had a lot on her plate. She was running from room to room, and I could sense she was providing general recommendations because this wasn’t her area of expertise.

So, I later texted some of my colleagues here in McLean and Bethesda within the physical therapy/medical field, and they confirmed my suspicions.

The antibiotic I was prescribed was not the best option for my type of infection, and these areas of swelling should never be wrapped in compression garments.

This is not the fault of the people of the ER. I greatly respect their expertise, the stressful environments they work in, and the fantastic work they do to help so many people. This just wasn’t their area of expertise.

In fact, they did the most critical part of their job. They kept me safe until I could see a specialist.

Elbow conditions such as mine were his area of expertise. His recommendations were specific and clear, and most importantly, he took his time so that I could ask any questions I had.

What a refreshing experience. My doctor was present, and I didn’t feel like his hand was on the doorknob the entire time as he tried to leave quickly.

It is impossible to provide excellent care when we are rushing. As physical therapists, we learn so much just by being present. One of the first things I tell our doctoral students is that our patients will give us all the clues if we slow down, listen, and ask great questions.

Are your healthcare providers doing that? Can you ask all the questions that you have?

What about when you aren’t in their clinic? It’s normal to forget to ask something during an appointment. Will they answer your question promptly when you aren’t in their office?

If you need help, contact me to connect you with the right healthcare provider. I’ve made it a mission to connect with the healthcare community around the DMV because that will help us better serve you.

As healthcare consumers, we can see whomever we want. Look for an expert that provides you with the type of care that you expect to receive!