Junior Recovering from Injury

Discussion in 'Tennis Tips/Instruction' started by tacoben, May 21, 2013.

  1. tacoben

    tacoben Semi-Pro

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    My 14 y.o. daughter recently concluded a 12 week physical therapy session to address a patella tendonitis injury. Luckily for me, her sessions where done at a local Children's hospital that actually has a sports injury department. Signs of her injury actually started way before that. Her doctor and therapist advised us to have her refrain from tennis until she is completely pain free. It has been close to 8-9 months since she played her last tournament.

    Recently within the last 3 weeks, we've started hitting again and we have entered her in a tourney this weekend. I have observed several things; her timing is off, her stamina is isn't like it use to be, her mechanics break down after a 10-15 ball rally, and more importantly, her confidence is low (especially with regards to her mobility).

    I'm sure many of you tennis parents have gone through the same process? How did you deal with it? Was your kid ever the same? Seeking advise. Thanks!
     
    Last edited: May 21, 2013
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  2. Say Chi Sin Lo

    Say Chi Sin Lo Legend

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    I'm chime in, young but I've had my share of injuries. 2 rotator cuff surgeries and 1 episode of back spasm from hell.

    The biggest thing was the mental and TRUSTING your recently healed joint can handle what you dish out. Coming back from the shoulder surgery, I remember I was very hesitant on my serves because I was simply afraid of hurting it again. But once you can get over the mental part and believe your once injured joint is as good as ever, then you'll be fine.

    Anytime I have a long layoff, it feels like I'm in the fog on the court. But that rusty phase is gone after several sessions, 2weeks at most. With your daughter being rusty for 3weeks, I think she's still thinking about the injured knee, and that's holding her back.
     
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  3. Chas Tennis

    Chas Tennis Hall of Fame

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    An issue with most so-called 'tendinitis' is that it may no longer be mostly tendinitis (with inflammation) but has healed into tendinosis or tendonopathy (a stage with defective healing). Probably many tendon injuries consists of both conditions simultaneously.

    Here is a thread with some information mainly from two important research papers which discuss and characterize tendinitis and tendinosis.

    http://tt.tennis-warehouse.com/showthread.php?t=442912

    It sounds as if your daughter has been diagnosed and treated. Hopefully, any posture issues as discussed in several recent threads have been identified, tested and corrected by PT.

    I've had PT to correct tight piriformis, tight/short rectus femorus and weak gluteus medius muscles. These are very common posture issues that cause knee problems. There are recent threads on these issues that can be found by searching the Health & Fitness forum or I'll locate if you are interested.
     
    Last edited: May 21, 2013
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  4. Say Chi Sin Lo

    Say Chi Sin Lo Legend

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    Let's just say I'm fortunate to have never dealt tennis elbows.

    About the piriformis and posture. I also want to add that tight hamstrings can wreck your body. It was the source of my back spasms, and let me just say it set me back to the stone ages when my lower back tightened up.

    Back to your daughter though, this isn't exactly science, but after recovering from an injury and assuming that it's healed, you just have to go for it. Just keep reminding her to be confident.
     
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  5. LeeD

    LeeD Bionic Poster

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    Seriously...
    Are you saying you're surprised that she is not playing at her old level?
    What to you expect? She's been injured! She's not played a tourney in NINE monthy!
    Do you expect her to play like she did a year ago, within 3 weeks of her physical therapy?
    Seriously... have YOU ever been injured?
    It can take a YEAR before she plays like her old self. Mental injury is as bad as physical injury, and both need recovery.
    What do I know?
    I"ve broken collarbones 4 times, separated shoulders 3, disclocated twice, broken lower legs needing surgery twice, sustained over 11 broken or cracked ribs, have pins in both my little fingers and my ring finger.
    IT TAKES TIME TO RECOVER !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
     
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  6. Say Chi Sin Lo

    Say Chi Sin Lo Legend

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    Dude, chill.
     
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  7. ProgressoR

    ProgressoR Hall of Fame

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    LeeD I am parent of two girls around 12. My take is the OP is seeking advice how to nurture his daughter back to form over time.
    Personally I think its early to enter for a tournament and that can only put more pressure on her. I just think hitting more, regularly, is the only thing.

    I would just focus on simple rallying, down the middle, so she just hits and doesnt have to run all over the place till she starts to get a groove back.

    And always check on the pain and injury, make sure nothing occurs, otherwise stop and get it checked out.
     
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  8. tacoben

    tacoben Semi-Pro

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    Thanks! I really appreciate your advice. This tournament she's playing in this weekend is one she herself chose to participate in. It's a mid level tourney, not as intense as the upper level tournies she played in previous to her injury. As much as Lee D thinks its about me, it is not, I'm ust trying to understand the pyche of my kid and how this injury has or will effect her play and participation in this sport.
     
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  9. tacoben

    tacoben Semi-Pro

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    Oh..OK, I understand now.
     
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  10. LeeD

    LeeD Bionic Poster

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    Arche3, you wish, but you can't have....
    How can any parent even THINK his kid can recover that quickly, to play like the old self, after being out of tennis for 9 months?
    Does the parent even have feelings?
    Even if the daughter wasn't injured, a off period of NINE months would take anyone at least a couple of months to get back into the former groove.
    And with a KNEE injury!
    Parent's are supposed to have some reason, some logical thinking process. SOME, not none.
     
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  11. ProgressoR

    ProgressoR Hall of Fame

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    When I had knee injuries I wore the soft elastic knee supports to help, I still do. I am not sure I need them but it just helps mentally to give me confidence.

    If she has concerns about mobility or stability just wearing a knee support might be an option to help that.
     
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  12. LeeD

    LeeD Bionic Poster

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    BMC, do you think I should get banned because I"m outraged a parent can be soooooo unfeeling and unknowledgeable to even THINK his kid should be back in the groove after 3 weeks of light hitting.....and being out off the court for 9 months?
    I'm outraged this parent is allowed to be a parent at all!
    And so should all of you!
    Shame on you for not caring at all about the daughter with the knee problem.
     
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  13. BMC9670

    BMC9670 Hall of Fame

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    Tacoben, I'm with Say Chi Sin Lo, she needs to slowly build confidence, not just in her game again, but with the injury. Once in competition, it's hard to hold back if the healed injury isn't ready to be pushed. Can she have a practice match or two first?
     
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  14. LeeD

    LeeD Bionic Poster

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    Yes, knee supports, braces, TALK to the kid about her knee injury, how it's going to affect her tennis for the upcoming six months, take the pressure OFF her, moderate her tennis hours, SLOWLY bring her back to speed.
    THAT is what you all should be saying. Not defending this dad.
     
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  15. BMC9670

    BMC9670 Hall of Fame

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    No.... because you're an idiot for making that kind of statement on something you know nothing about.
     
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  16. Velvet Ga el

    Velvet Ga el Rookie

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    How much do you know about OP's daughter? I see you dispensing a lot of truisms about recovery, psyche, etc., but you haven't once asked OP to describe his daughter (her physical structure, her mental fortitude, etc.).

    Not everybody is the same, Lee. Dime store advice isn't worth much if it's not tailored to the recipient. Derrick Rose takes over a year to recover from an injury that took Adrian Peterson months to recover from. OP's daughter may be ready, she may not be ready.

    But I know you don't have near the information you need to make that call, much less call someone out about his parenting.
     
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  17. LeeD

    LeeD Bionic Poster

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    Actually, I do have some experience with recovery from injury, and racing back to participate in the sport.
    It doesn't take a genious to knows there are phsyical and phycological implications in place here, and recovery should be guided along slowly until the patient...daughter, is fully ready to go all out 100%.
    As is, she wants to enter the tourney at much less than 100%. Fine, it's her life and her choice. But don't expect top results, and be ready for settle for a whole lot less.
    As for being banned for playing the idiot. I actually HATE parents who don't know a thing about recovery from injury. They push too hard, too early, and ruin the sport for their kids.
    If I should be banned for expressing my view, so be it.
    At least I gave my opinion. Right or wrong, info or no info, it's as valid as yours.
     
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  18. arche3

    arche3 Banned

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    Well leeD. As a parent. I can sympathize with the op. He came here asking for advice about how long it will take to get to top form again. He never said he was forcing her to play injured or any of your nonsense.

    My son got a mild sprain in his ankle during last football season. We kept him off practice and games for a few weeks then weened him back on. Doing physio to recover as well. He wanted to play and not miss practice and games. His developement as a player depends on us managing the injury and healing process while getting him back in the game as soon as he is able. This is reality.

    In no way do I see the op showing anything but concern for his kid. Your berating him only shows your ignorance.
     
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  19. LeeD

    LeeD Bionic Poster

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    You show good sense, but you type nonsense.
    OP is wondering how it could be her daughter is taking so long to recover, and asks if anyone else has had a long recovery period.
    The answer is so obvious it should smack him in his face.
    YOU know the answer, you applied it to your son.
    Yet, as a parent, you choose to automatically side with another parent.
     
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  20. arche3

    arche3 Banned

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    Where in the op post does he show disregard for his daughter as you claim?

    She saw specialists. She went thru a 12 week recovery regiment. All he was asking is if any parents have gone thru this. And how long it took before full recovery in form. He is seeking advice. Not for you to chastise his parenting. And now trying to defend your false assumptions.

    Show me any part of his post that showed disregard for the health of his daughter. Show me.
     
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  21. BMC9670

    BMC9670 Hall of Fame

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    Not injury... parenting.
     
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  22. Lukhas

    Lukhas Legend

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    Say, with what kind of strings or racquet is she playing with?
     
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  23. Lukhas

    Lukhas Legend

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    Yes Leed's rant is partially unjustified, but to expect a player to be able to come back that fast after a 9 month total lay-off is wishful thinking. The immobilization time is more than enough to rust both technique and physique, not mentioning the mental confidence that probably went to sub-zero levels. And to call Leed on not being a parent is Ad Hominem, same Ad Hominem he can invoke on you all if you never sustained such an injury. So chill out, nobody's totally wrong or right here.

    And from what I heard, the resurrection of the Junior section might not be the smartest thing to do either, given the reasons that led to its deletion.

    Anyway, I'm still curious about the racquet, strings and tension. Banish co-poly, soft strings for comfort please. And yeah, it will take a long time before she'll be able to play properly again. Very long time. Maybe in months, or even a year, maybe less, maybe more. Nobody knows, but generally it's pretty tough. It's quite ironic to see that something that took so much time to build can be destroyed in such little time. Maybe some discussion with her would be useful because the reason why she wants to enter a tournament may be useful to understand. Although it will be needed at some point to enter tournaments so she can build some confidence, but IMO she should physically and technically train beforehand during the summer, regain some confidence in her strokes before thinking too much about tournaments.
     
    Last edited: May 21, 2013
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  24. arche3

    arche3 Banned

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    She has a knee injury. Not an elbow injury. So strings are not the issue. Nobody has issue with the fact that it will take time to get back into match shape. This is the type of advice he was seeking. LeeD was absolutely wrong to imply bad parenting. The question was a valid one.
     
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  25. tennis_balla

    tennis_balla Hall of Fame

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    Man, what a gong show this is....


    Anyways, I work with junior players and one of the things you have to be careful of is so she doesn't lose confidence. Personally, if it was up to me I wouldn't let her enter this tournament. She might want to, and this is a good sign, but you as the parents have to take charge here and not let her.

    3 weeks is way early especially since she has been away this long. The type of program I would setup for her would be regular training along with practice matches. However, push her more and more gradually as each week goes by then back off and see how she responds health wise. For example off the top of my head, lets say she trains 5 days a week you can start off with 1 intense training day per week relative to where she is in her recovery. Increase that to 2x a week, then 3. Each time bumping up the intensity if she's doing fine. You gotta push her and her recovery but carefully of course.

    You main point of reference if she's ready to play in a tournament is how well she's doing in practice matches. Her confidence in her shots, mental toughness and stamina but more importantly under pressure when she's giving it her all that she's not hurting in any way afterwards from her injury. Adrenaline takes over, you fight and do whatever it takes to win and boom, tweak something and are re-injured again. In training stuff like this can be minimized and monitored.

    EDIT:

    I reread what I wrote and hope I won't be misunderstood. I am not saying to train only 1x a week, then 2 then 3 etc. What I meant was out of her regular training days, lets say its 5x a week, set aside 1 day where you bump up the intensity. Pushing her harder and see how she responds, where she's at. Only do this if a normal training session, relative to where she is in her recover, she handles without problems. Hope that makes sense.
     
    Last edited: May 22, 2013
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  26. Lukhas

    Lukhas Legend

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    I misread.
    America is shocked by stuff lighter than this usually IMO... Everyone here flipped the bat much too quickly anyway, be it Leed or the ones bashing Leed.
     
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  27. LeeD

    LeeD Bionic Poster

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    THANK YOU, Tennis Balla....
    That is exactly the thinking OP should have. Not deer eyed "what should I do?".
    If a parent is so unaware of recovery process, I wondered what else they are unaware of.
     
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  28. tennis_ocd

    tennis_ocd Hall of Fame

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    sigh. she had a knee issue. 12 weeks of PT under prof care. hasn't played tourney in 9 months. wants to play and presumably feels ready. dad isn't sure (and likely never will be 100% sure.) Has med opinion. posts here asking additional opinions. Most say go slow and dad appears to agree.

    When you call child services, give them the summary. Best wishes to op.
     
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