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Ron Clark, M.D. is a graduate of Brigham Young University, and California College of Pediatric Medicine, University of Texas and completed his orthopaedic surgical residency at John Sealy Hospital, University of Texas. He received his fellowship training in Sports Medicine at Utah State University. Dr. Clark is Board Certified by the American Academyof Orthopaedic Surgeons and he practices at South Bend Clinic.

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We live in a day and age when we are constantly told that we don't get enough exercise as a society. But within our society there are many individuals who dedicate major portions of their life to regular exercise or athletic participation. Over the years, the intensity of workouts for sport has increased as competition has become very keen. Already many sports require premier status to be achieved before adulthood such as female gymnasts, ballet dancers, female tennis players, male and female swimmers, and figure skaters, to name just a few.

Different sports have different types of skill, strength, endurance, and speed requirements. Those sports that don't require the strength and size of the adult frame, usually require balance and repetitive motions that begin very early in life. The challenge for parents and coaches is to balance the need for continued training with the need for proper nutrition and rest. Gymnasts and ballet dancers carry the additional burden of needing to maintain a very lean frame in order to compete successfully.

Youngsters that are still growing do have some risk for exercising to excess such that growth and maturation may be retarded or delayed. Much research has been expended trying to identify if youngsters can over train to the point that their growth is affected and it only appears to be significant for those that are training over 15 hours/week before the onset of puberty. This is not a universally accepted threshold but those who train less than 15 hours/week are probably not at risk for growth retardation. In most cases only high intensity, elite caliber athletes are at risk.

Individuals who engage in long distance running may be at risk for exercising excessively and commonly develop injuries from overuse. In most instances problems that are caused by overuse begin as a mild pain or ache that gradually gets worse as the individual continues to exercise. Once these problems become established, they can be very difficult to heal. In the most severe instances, surgical treatment may be required.

Persons who want to begin an exercise program after many years of inactivity may be at risk of doing harm to themselves if they exercise beyond their capacity. A simple method to insure that one is not exercising to excess is to utilize the "talk test." This test involves talking while exercising. If you cannot carry on a conversation during exercise you may be at risk for overexertion.

Some persons misinterpret the famous saying of "no pain, no gain," and expect to have pain with exercise. There is a clear difference between the fatigue and exhaustion that will accompany appropriate exercise with the pain and lingering discomfort that occurs with inflammation or tissue destruction. Any pain that is progressive or continues into the next day is abnormal and usually means that a change to the work out schedule is in order.

 

 

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