Youth sports care

Training with knee pain

Sports injuries in young people

When children play intensive sports, they are somewhat more vulnerable to injury because the body is still in full growth. In general, it seems that boys are more susceptible to this because there is a sudden and substantial increase in strength compared to the still growing body. The injuries depend on the sport chosen. In sports with a repetitive load such as running, chopping and turning with jumping, we see more injuries to the knee or ankle. In overhead sports, shoulder and elbow injuries are more common. Starting at age 14, we see children developing injuries more quickly. Children also spend more time sitting than they did a few years ago. Because of this, the load capacity is lower and the quality of movement is less. The risk of a sports injury in children is therefore greater. There can also be performance pressure at a young age whether or not at a high level or recreationally. Children are reluctant to give up and will often do anything to win. Also, it is often difficult to understand that temporarily stopping the current sport is sometimes the best choice to be able to participate again at full speed later on. During rehabilitation, it is possible to watch what is happening and also often necessary to ensure good communication between physiotherapist, player and parent. During the treatment, agreements are often made about what can and cannot be done in the relevant phase of the course. 



Cruciate ligament injury

Different types of sports injuries in young people

We make a distinction in the moment of injury. There are injuries that are the result of overburdening and injuries that are the result of, for example, a fall or collision, with or without an opponent. Muscles and tendons are particularly the source of complaints in overuse injuries. During intensive sports, muscles and tendons are heavily loaded. The growing body has difficulty in keeping up. So there is irritation of the tissue. This often results in pain and stiffness of the affected structure. Examples of injuries with an impacting force are a sprained ankle, a twisted knee or a broken bone in the lower leg. Injuries without an acting force are mainly small muscle tears caused by explosive sprinting away. 

When is it necessary to make an appointment with the physical therapist

Injuries to the tendons usually go away with a few weeks of rest. It is often not necessary to treat it. However, try to identify injuries early on. A consultation with a physiotherapist is often sufficient. Together we can see if the load is too much and where we can make adjustments. In the past, the advice was often absolute rest. Nowadays, we look at where we can make adjustments to keep the strength and condition up to scratch. You don't want to fall back too far in load capacity. This would be a shame and the risk of getting injured again would be high. 

When the complaints persist longer than 3 weeks, it is wise to make an appointment. We then look at whether something structural should not change in the sports load and the current load capacity. 

Strength training in children

Previously, we thought that strength training in young children had risks. This turns out not to be the case. We ourselves are fans of getting children used to a greater load to improve athletic performance. When there is proper supervision of the training, the risk of injury is very small. We are more cautious in the group up to 12 years. In the group of 12-18 year olds we see that strength training has enormous advantages in preventing further injuries.

At Physio Fitaal, we employ the following measures to ensure strength training and rehabilitation are safe within our practice:

1. We do a proper warm up in the correct movement pattern. Cycling has nothing to do with strength training so we do the warm up in the requested movement patterns of the rehabilitation training.

2. Technique comes first during the exercises.

3. We use safe equipment with children.

4. We talk at length beforehand about the possible risks in strength training. 

5. We do not work with a competition element in training with any fellow rehabbers.  

6. A Physical Therapist is always present during rehabilitation training with strength equipment. 

Knee Osteoarthritis

Rehabilitation at Fysio Fitaal

At Fysio Fitaal we work with experts in the field of orthopedic sports rehabilitation. Our specialists will guide you in this process as well as possible and motivate you where necessary. The combination of expertise, extensive facilities and passion for sports makes us the right place for you. 

Team Physio Vital

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