Injuries and injury prevention in young athletes: The #socialortho tweetchat

Social media iconsOn April 3, 2013, Ann Wendel and I hosted our latest #socialortho tweetchat. This month we discussed issues related to young athletes and their treatments, rehab, and injury prevention.

For those of you unfamiliar with tweetchats, people answer questions posed by the moderator and comment on other tweets using the hashtag specified – in this case #socialortho. It often starts slowly, but it can become difficult to follow when many people get involved and respond to many different questions and comments. This month’s chat was especially lively with tweets from great minds all over the world!

If you enjoy fast-paced discussions about important sports medicine, healthcare, and social media topics, join us for future #socialortho tweetchats. We usually hold these chats on the first Wednesday of each month. The next #socialortho tweetchat will take place on Wednesday, May 1 at 9 PM ET.

Dr. David Geier ‏@DrDavidGeier
Anyone up for talking about young athletes and treatments, rehab, and prevention of their injuries? @PranaPT and I are now! #socialortho

Mike Hopper ‏@mnhopper1s
@DrDavidGeier Let’s do it! :) #socialortho

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s @PranaPT Ann, if one of us can’t make it one month, I think Mike has earned the right to co-host #socialortho

Dr. David Geier ‏@DrDavidGeier
Welcome to the #socialortho tweetchat! For #YSSM2013 we’re talking about treatment and rehab of younger patients – athletes and other kids

Ann Wendel ‏@PranaPT
@DrDavidGeier @mnhopper1s Absolutely! He’s always here first! #socialortho

Dr. David Geier ‏@DrDavidGeier
As always, my amazing friend Ann – @pranaPT – will help lead the discussion. Remember to use hashtag #socialortho in your answers, comments

Jerry Durham ‏@Jerry_DurhamPT
@DrDavidGeier @pranapt #socialortho so how do we decrease the number of kids with elbow pain?!… Your stat from earlier was eye opening

Ann Wendel ‏@PranaPT
@DrDavidGeier I’m just playing the role of charming hostess tonight…David is asking the questions! #socialortho

Dr. David Geier ‏@DrDavidGeier
Blatant name dropping alert: I’m the physician for a pro tennis tournament, so I might have to run to treat Venus, playing now. #socialortho

Carrie Boan ‏@carrie_boan
Just held my first STOP Sports Injuries event this Saturday -eager to discuss youth athletes!! #socialortho

Mike Hopper ‏@mnhopper1s
@DrDavidGeier is that a HIPAA violation right there? ;) #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier I was just going to alert everyone to this in case you went missing! #socialortho

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s Not at all. She’s playing. Hopefully stays that way #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s @DrDavidGeier No, cuz everyone can she she’s right there, and he is too! #socialortho

Ann Wendel ‏@PranaPT
For anyone who is just arriving, let us know you’re here! #socialortho

Bobby Weisenberger ‏@BWW_ATC
@mnhopper1s @drdavidgeier don’t know if HIPAA applies to psychic thoughts. Nothing has happened yet. #socialortho

Mike Hopper ‏@mnhopper1s
@Jerry_DurhamPT I think much of it comes down to education and limiting how much throwing (pitching) is happening.. #socialortho

Julie Eibensteiner ‏@laurusrehab
I think there is a HUGE disconnect btw sports med community & coaches/parents. How do we bridge the gap to stop these injuries? #socialortho

Jerry Durham ‏@Jerry_DurhamPT
@mnhopper1s coaches?!…. Parents?!…. All of the above?’ #socialortho

Ann Wendel ‏@PranaPT
Q1: What differences do you see treating younger patients compared to adults? #socialortho

Fitness Forum PT ‏@Fitness4umPT
I’m in…#socialortho

Mike Hopper ‏@mnhopper1s
@Jerry_DurhamPT Absolutely. Both groups. Seems almost common-place for players to play for multiple teams.. and needs to STOP #socialortho

Julie Eibensteiner ‏@laurusrehab
I am on both sides of it…and most coaches/parents don’t value injury reduction/prevention til forced to deal with it. #socialortho

Mike Hopper ‏@mnhopper1s
A1: Need to be more aware of their movements.. guiding them thru exercises can take time. #socialortho

Ann Wendel ‏@PranaPT
@Fitness4umPT Welcome #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@DrDavidGeier @pranapt coaching education is key #socialortho

Mike Hopper ‏@mnhopper1s
I just finished a class on “Rehab Considerations in Children” thru @USFGRADAT where we talked about this exact topic :) #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s @Jerry_DurhamPT Problem is, for us, required to play house league in order to play travel – kids get no break! #socialortho

Dr. David Geier ‏@DrDavidGeier
@carrie_boan Awesome! @SportsSafety events are great for kids, coaches, & parents! What did you do for yours? #socialortho

Gymnast landing in physical therapyAaron Burkett ‏@ptfromou
@PranaPT pushy parents making it difficult to treat. My 10 y/o is a phenom. And has to play #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s Do you find that most of them are more kinesthetic learners at young age? #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab Tell us about your ACL prevention programs, Julie. #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab I agree with you Julie. We keep trying to educate them, but so many don’t want to hear the messages. Ideas? #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s @USFGRADAT What were some of the suggestions? #socialortho

Julie Eibensteiner ‏@laurusrehab
@PranaPT A1: seeing the big picture, not just immediate time frame. #socialortho

Dr. David Geier ‏@DrDavidGeier
@Jerry_DurhamPT @PranaPT Have to cut innings per year, prevent year-round pitching, limit breaking pitches for starters #socialortho

Mike Hopper ‏@mnhopper1s
@PranaPT I think there’s a lot of variety. I just think that the attention span of adolescents and pediatric patients is small #socialortho

Bobby Weisenberger ‏@BWW_ATC
@PranaPT @mnhopper1s @jerry_durhampt Seen a lot of the same here with Hockey,soccer, and baseball. Multiple games per week #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier @Jerry_DurhamPT My son is a catcher-no one counts the catcher’s throws…plays 7 games in a row in tourn. #socialortho

Dr. David Geier ‏@DrDavidGeier
@ptfromou @PranaPT Aaron, how do these parents affect your treatment of the kids in PT? #socialortho

Kristi Messina ‏@kmessina15
@laurusrehab So true! I see alot of coaches/parents wanting to listen after injury has occurred #socialortho

Julie Eibensteiner ‏@laurusrehab
@ptfromou @PranaPT agree, youth sports turned into business driven by scholarship as a carrot. #socialortho

Mike Hopper ‏@mnhopper1s
RT @DrDavidGeier @Jerry_DurhamPT Have to cut innings per year, prevent year-round pitching, limit breaking pitches for starters #socialortho

Carrie Boan ‏@carrie_boan
@laurusrehab totally agree, coach after sports conference stated “I think these injury scenarios are exaggerated” #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s +1 to that! (if you have kids you know what I mean!) #socialortho

Aaron Burkett ‏@ptfromou
@BWW_ATC and never ending seasons. @pranapt @mnhopper1s @jerry_durhampt #socialortho

Ann Wendel ‏@PranaPT
@BWW_ATC @mnhopper1s @jerry_durhampt The leagues make the rules, parents/coaches have no say. #socialortho

Julie Eibensteiner ‏@laurusrehab
Those pushing for early specialization & yr round play are those who make $ off early spec and yr rd play #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
#socialortho how many of you have seen the relief in your young patients eyes when they are told to sit out for a couple of weeks?

Dr. David Geier ‏@DrDavidGeier
@laurusrehab @ptfromou @PranaPT Don’t know stats on % of youth athletes that play in college, but less than 1% ever make pros #socialortho

Mike Hopper ‏@mnhopper1s
RT @laurusrehab: @ptfromou @PranaPT agree, youth sports turned into business driven by scholarship as a carrot. #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@DrDavidGeier @laurusrehab partnering with youth sports associations to require “inj. Prevention best practices” for coaches #socialortho

Bobby Weisenberger ‏@BWW_ATC
@kmessina15 @laurusrehab Coaches don’t want to deal with prevention program until star player tears ACL #socialortho

Kristi Messina ‏@kmessina15
@PranaPT I see that alot! Same w/ softball pitchers, I used to pitch 9 games a weekend, Dad would be real mad due to overuse. #socialortho

Mike Hopper ‏@mnhopper1s
@PranaPT but who makes up the league boards? Remember that.. #socialortho

Julie Eibensteiner ‏@laurusrehab
@PranaPT I teach them but only if approached bc BUY IN by coach is a must. Becomes daily warmup for team. #socialortho

Kristi Messina ‏@kmessina15
@BWW_ATC exactly… even then it is still a struggle. We have had 18 in 2 yrs.. now coaches want help. #socialortho

Mike Hopper ‏@mnhopper1s
Give u example: freshman soccer player playing all 3 levels (JV, V, and F) also playing club volleyball right now.. #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab EXACTLY! Camps, off season training, in season pitching coaches, etc. #socialortho

Julie Eibensteiner ‏@laurusrehab
@PranaPT eventually you can change the culture of a club with it but it takes time. #socialortho

Dr. David Geier ‏@DrDavidGeier
@HubbardDC Had kid last week w knee pain so bad he can’t walk w/o pain. Parents asked if he could play tournament this weekend #socialortho

Ann Wendel ‏@PranaPT
@FisioPratoUS Can you tell us more about that? #socialortho

Steven Kleinman ‏@StevenRKleinman
#socialortho I tx a 12yo #4 tennis player in state, dad was coach and totally controlled kid. Dad and coach were same

Mike Hopper ‏@mnhopper1s
Any wonder overuse injuries are occurring??? #socialortho

Ann Wendel ‏@PranaPT
@BWW_ATC @kmessina15 @laurusrehab Word. #socialortho

jb humphrey ‏@PT_ATC_CSCS
Rotate player positions, so position specific stresses are reduced. At least until CRITOE epiphyseal plates are closed. #socialortho

Aaron Burkett ‏@ptfromou
@DrDavidGeier but most parents of these kids think their kid is in that 1%. @laurusrehab @pranapt #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier not sure yet, fight that battle every day. RESULTS is the big driver. Talk is cheap. #socialortho

Carrie Boan ‏@carrie_boan
@DrDavidGeier I invited local ortho MD to speak, a fellow PT, and former MLB player focused on Sever’s and shdr injuries #socialortho

Mike Hopper ‏@mnhopper1s
@DrDavidGeier Girl fx ankle in BBall.. sitting on bench mom came over and asked about club soccer tourney 2 weeks away… #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier @Jerry_DurhamPT @PranaPT what about development of hip and trunk strength to take stress off arm? #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s Around here, it’s the parents of the kids who aren’t very good. Sorry to say. #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
@DrDavidGeier I had a girl during with lateral epicondylitis so bad she couldn’t hold her hand up parents wanting the same #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab Yes, they have to understand the value of what you offer! #socialortho

Steven Kleinman ‏@StevenRKleinman
#socialortho sports=$$$ and free college and parents all want best for kids…some just overdo and abuse

Ann Wendel ‏@PranaPT
@DrDavidGeier @HubbardDC #facepalm #socialortho

Mike Hopper ‏@mnhopper1s
RT @laurusrehab: @DrDavidGeier @Jerry_DurhamPT @PranaPT what about develop of hip and trunk strength to take stress off arm? #socialortho

Dr. David Geier ‏@DrDavidGeier
@ptfromou @laurusrehab @PranaPT Truth. 24-hour coverage of sports on TV, internet plus exposure of youth sports part of that #socialortho

Ann Wendel ‏@PranaPT
@carrie_boan @DrDavidGeier That’s awesome – how did it go? #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman That’s true even here with the pro players… #socialortho

Julie Eibensteiner ‏@laurusrehab
@FisioPratoUS @DrDavidGeier the still have to want to do it. Usually happens after injury epidemic & are grounded enough to 1/2 #socialortho

David Kittner ‏@YouthFitnessGuy
Sorry for coming in late. Agree. Over professionalization of youth sports not helping. #socialortho

Mike Hopper ‏@mnhopper1s
@laurusrehab Absolutely. I’m really starting to figure out that we MUST work the hips correctly or we will fail. All injuries #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab @PranaPT The parents are much more likely to listen if coaches, leagues on board with prevention efforts #socialortho

Soccer painAaron Burkett ‏@ptfromou
Had discussion w mom about taking a few wks off from soccer or doing another sport for 3rd grader having knee pain #socialortho

Steven Kleinman ‏@StevenRKleinman
#socialortho we need more injury prevention programs and preseason screening for potential injuries such as using the FMS

Frances Bowman ‏@fbowman
RT @PranaPT @laurusrehab Tell us about your ACL prevention programs, Julie. #socialortho #worriedmom

Julie Eibensteiner ‏@laurusrehab
@FisioPratoUS @DrDavidGeier see it isn’t just bad luck. 2/2 #socialortho

Ann Wendel ‏@PranaPT
@laurusrehab I just dealt with my son w this 2 days ago – doing ex’s and he says “I just want to get biceps,why do this stuff?” #socialortho

David Kittner ‏@YouthFitnessGuy
quality strength and conditioning programs crucial. #socialortho

Kristi Messina ‏@kmessina15
@mnhopper1s @laurusrehab So true! Had girl multiple ankle sprains worked core/hip complex been good for over 3 month now! #socialortho

Aaron Burkett ‏@ptfromou
Cont. reply by mom, ” if he doesn’t play every season of soccer, (fall,indoor,spring,summer) he will be behind the others #socialortho

Dr. David Geier ‏@DrDavidGeier
@YouthFitnessGuy Hi David! This topic is right up your alley. Trying to figure out how to do what’s best for young athletes #socialortho

David Kittner ‏@YouthFitnessGuy
Education, education, education
#socialortho

David Kittner ‏@YouthFitnessGuy
of coaches and parents #socialortho

David Kittner ‏@YouthFitnessGuy
@DrDavidGeier Thank you sir. Great to be hear #socialortho

Ann Wendel ‏@PranaPT
@ptfromou How’d that go? #socialortho

Dr. David Geier ‏@DrDavidGeier
@YouthFitnessGuy You work w young athletes all the time. How do you get them to focus on long term & not rushing back too fast? #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier I’ve got kid w prob stress fx in back & parents won’t take to doc for fear of having to sit out. 1/2 #socialortho

Mike Hopper ‏@mnhopper1s
@PranaPT I felt myself doing that somewhat. Finally broke down and purchased @EricCressey Show&Go so it tells me what to do #socialortho

Steven Kleinman ‏@StevenRKleinman
#socialortho we need more presence in town rec programs and more injury prevention education…Ed parents that kids can overdue it

Luis Fernando Prato ‏@FisioPratoUS
@PranaPT like club coaches being required to have “online training” just like background checks before being allowed to coach #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier how bout that for coach/PT dilemma. One of my best players. #ipickthelineups 2/2 #socialortho

Kristi Messina ‏@kmessina15
@HubbardDC @DrDavidGeier have girl w/horrible impingement & RT strain cant lift arm to 90* & refuses to rest at club vball. #socialortho

Aaron Burkett ‏@ptfromou
@PranaPT not well. Kid continues to play. Parent decision. Basically said, I can’t help them if they don’t follow my advice #socialortho

David Kittner ‏@YouthFitnessGuy
Need to remember kids are not miniature adults. Needs are much different #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s @EricCressey I also like his “Assess and correct” – I reviewed it on my website. He’s the best w baseball stuff! #socialortho

Kristi Messina ‏@kmessina15
@laurusrehab I see this alot with out parents. Do not want to chance them being told they have to rest so refuse to take them. #socialortho

Carrie Boan ‏@carrie_boan
Fair turnout for first event, had promotion through TV, radio, and newspaper. Lots of requests for transcripts, future events #socialortho

Ann Wendel ‏@PranaPT
@FisioPratoUS That’s good – who provided the training? #socialortho

David Kittner ‏@YouthFitnessGuy
@ericCressey is awesome! #socialortho

Mike Hopper ‏@mnhopper1s
@PranaPT absolutely. I needed something where I didn’t have to think.. just go do it! #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
@ptfromou so frustrating ever since tiger woods one sport every season so my kid can get scholarship. tiger had 1%talent #socialortho

Dr. David Geier ‏@DrDavidGeier
@YouthFitnessGuy @PranaPT Gets at my point earlier. Will education of kids work without parents, coaches accepting message? #socialortho

David Kittner ‏@YouthFitnessGuy
We need to meet the kids where they’re at and work from there. Keep it fun! #socialortho

Kristi Messina ‏@kmessina15
@ptfromou agree. Tell my parents/students I can talk until I am blue in the face.. You have to take action to see a change. #socialortho

Ann Wendel ‏@PranaPT
@carrie_boan Do you have a link you can post? #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier @PranaPT many of those are parent/parent led though…and driven by $$. #socialortho

Bobby Weisenberger ‏@BWW_ATC
@laurusrehab @drdavidgeier that’s bad. had 1 with neuro prob Dr shopping on us. Went Dr to Dr until they found one to clear #socialortho

David Kittner ‏@YouthFitnessGuy
Tell parents what they want to hear and give kids what they need #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab But I’m guessing you are one of the rare coaches that cares more about health of athletes than winning. #socialortho

Ann Wendel ‏@PranaPT
@YouthFitnessGuy @ericCressey Agree! #socialortho

Nash ‏@hydrocore
@YouthFitnessGuy What is an acceptable age for S&C to begin? Specialization shouldn’t preclude developmental movement. #socialortho

Kristi Messina ‏@kmessina15
@DrDavidGeier No I do not think so. Coaches are a bigger battle than parents for me, all set in their ways. Its sad. #socialortho

Frances Bowman ‏@fbowman
RT @StevenRKleinman #socialortho state of MD added preseason baseline test for concussions in hs soccer. More screening & ed, better

Julie Eibensteiner ‏@laurusrehab
We need more solid strength and conditioning options for young players. We tuned up our cars but not our kids. #socialortho

Mike Hopper ‏@mnhopper1s
@laurusrehab I had girl tell me yesterday Mom refuses to get MRI b/c she expects peroneal tendon is torn.. #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@PranaPT in IN Youth Soccer was done during a license course, but the “online” idea would need the backing of AAOS or similar #socialortho

Kristi Messina ‏@kmessina15
TRUE! RT @YouthFitnessGuy: Tell parents what they want to hear and give kids what they need #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s I should have asked @ericcressey to join us! Just talked to him the other day, dang! #socialortho

Mike Hopper ‏@mnhopper1s
RT @laurusrehab: We need more solid strength and conditioning options for young players. We tuned up our cars but not our kids. #socialortho

David Kittner ‏@YouthFitnessGuy
RT @laurusrehab: We need more solid strength and conditioning options for young players. We tuned up our cars but not our kids. #socialortho

Aaron Burkett ‏@ptfromou
@pranapt also reminded mom that he is 9 y/o, has a lot of time for soccer ahead of him. She didn’t like that #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman I think pro athletes could help. If they told kids that rest, working on mechanics, etc ok, more would buy in #socialortho

Youth baseball batterAnn Wendel ‏@PranaPT
@DrDavidGeier @YouthFitnessGuy NO!So-the question remains: how do we get involved and get the leagues/coaches/parents to listen? #socialortho

David Kittner ‏@YouthFitnessGuy
kids training regimes exceed those of the pros #socialortho

Steven Kleinman ‏@StevenRKleinman
@laurusrehab #socialortho agreed, preseason training and assessing for potential future injury then train

Kristi Messina ‏@kmessina15
@BWW_ATC had a dad sit in my office 3 hrs until Dr would clr son after finding he had 2 bulging disks in neck compress spine! #socialortho

Bobby Weisenberger ‏@BWW_ATC
@DrDavidGeier @stevenrkleinman I agree with that. Pros may be able to get through to them #socialortho

Julie Eibensteiner ‏@laurusrehab
@BWW_ATC @drdavidgeier yep I see that with ACLs. Especially revisions…they don’t learn. #sad #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@PranaPT I did “positive coaching” training to be able to coach in IL and it would b great to develop an injury prevention one #socialortho

Ann Wendel ‏@PranaPT
@BWW_ATC @laurusrehab @drdavidgeier Don’t they have to pass the concussion testing? #socialortho

Kristi Messina ‏@kmessina15
@PranaPT at my school if we can get head coaches on board than at least we can get a trickle down affect with others as well. #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
@DrDavidGeier @stevenrkleinman get those like Tom Brady that didn’t play til High School to do PSA about it #socialortho

Julie Eibensteiner ‏@laurusrehab
@DrDavidGeier not jeopardizing long term health of player for short term results. Her future is bright if allowed to have one. #socialortho

Mike Hopper ‏@mnhopper1s
I actually had couple girls asking today why their sport didn’t lift weights.. #socialortho

Dr. David Geier ‏@DrDavidGeier
@YouthFitnessGuy Many youth teams practice more hours than pros. And their bodies can withstand much less stress #socialortho

Steven Kleinman ‏@StevenRKleinman
@BWW_ATC @drdavidgeier #socialortho not easy to get pros to jump on board

Aaron Burkett ‏@ptfromou
@PranaPT other problem is coach wants kid to tough it out, cause that’s what they did @drdavidgeier @youthfitnessguy #socialortho

David Kittner ‏@YouthFitnessGuy
Agreed RT @DrDavidGeier: Many youth teams practice more hours than pros. And their bodies can withstand much less stress #socialortho

Carrie Boan ‏@carrie_boan
@PranaPT working on video…will post when perfected #socialortho

Julie Eibensteiner ‏@laurusrehab
@hydrocore @YouthFitnessGuy can do body weight stuff early…learn to manage body effectively. Keep it simple, then progress. #socialortho

Sportscaduceus ‏@Sportscaduceus
Good idea! @DrDavidGeier I think pro athletes could help. If they told kids that rest, working on mechanics, more would buy in #socialortho

Bobby Weisenberger ‏@BWW_ATC
@PranaPT @laurusrehab @drdavidgeier Was not Concussion. Plexus injury that wasn’t resolving. #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab Awful part is that an athlete w serious injury at a young age is much less likely to move on to the next level #socialortho

Ann Wendel ‏@PranaPT
@ptfromou I used to deal w that as high school ATC…frustrating #socialortho

David Kittner ‏@YouthFitnessGuy
RT @laurusrehab: @hydrocore can do body weight stuff early…learn to manage body effectively. Keep it simple, then progress. #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier @StevenRKleinman YES! #socialortho

jb humphrey ‏@PT_ATC_CSCS
@YouthFitnessGuy Pros have structure that exceeds youth sports organizations resources. No acclimatization/off season program. #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
@ptfromou @pranapt @drdavidgeier @youthfitnessguy I see this a lot with Dad’s and their daughters also #socialortho

Julie Eibensteiner ‏@laurusrehab
@kmessina15 @DrDavidGeier I tend to agree. #ignorance #socialortho

Ann Wendel ‏@PranaPT
@YouthFitnessGuy That is a true statement! #socialortho

Mike Hopper ‏@mnhopper1s
@PranaPT One thing I have found beneficial is to do the activity with the kid. Whether it is an exercise, roller, etc #socialortho

Steven Kleinman ‏@StevenRKleinman
@PranaPT @drdavidgeier #socialortho anyone know any pros willing to lend time and promo?

Julie Eibensteiner ‏@laurusrehab
@mnhopper1s avoid it, that will surely make it better. #facepalm #socialortho

Dr. David Geier ‏@DrDavidGeier
@PT_ATC_CSCS @YouthFitnessGuy And pro sports don’t continue throughout the year. They all have an offseason #socialortho

David Kittner ‏@YouthFitnessGuy
So much can be accomplished through play. #socialortho

Ann Wendel ‏@PranaPT
@kmessina15 Yes, true! #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
One of the toughest things in my mind is these are our active kids have a chance to learn positives of exercise! 1/2 #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
2/2 now they associate sports and exercise with pain! #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman @PranaPT Good # of pro athletes are on STOP Sports Injuries campaign. But pros need to get involved locally #socialortho

Brad Morgan MEd AT ‏@PirateATC
It is incredibly frustrating as a HS AT to hear kids and parents specializing and dealing with chronic injuries. #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@StevenRKleinman @laurusrehab and preseason screenings when possible are important too #socialortho

Ann Wendel ‏@PranaPT
@ptfromou Wrestling coach at U of D used to lock me and the other trainer out of the wrestling room. No joke! #socialortho

Kristi Messina ‏@kmessina15
@mnhopper1s @pranaPT I tend to “demonstrate” in detail alot with all exercises. They respond to the visual. Also video them! #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
@DrDavidGeier @pt_atc_cscs @youthfitnessguy an off season the athletes cherish! #socialortho

David Kittner ‏@YouthFitnessGuy
Doesn’t help when coaches and teachers use exercise as punishment. Sends wrong message. #socialortho

Ann Wendel ‏@PranaPT
@carrie_boan Awesome! Use #socialortho tag so we see it, and “@” me.

Bobby Weisenberger ‏@BWW_ATC
@StevenRKleinman @pranapt @drdavidgeier My players lend their time to youth soccer players teaching tech. Could add injury #socialortho

Ann Wendel ‏@PranaPT
@BWW_ATC Ah. #socialortho

Kristi Messina ‏@kmessina15
@PranaPT My wrestling coach tries to always say he doesn’t remember us telling him about an injury! now email only for proof ;) #socialortho

Dr. David Geier ‏@DrDavidGeier
@laurusrehab @kmessina15 I’ve seen parents and coaches that get it and both that don’t. #socialortho

David Kittner ‏@YouthFitnessGuy
Activities should be developmentally appropriate. FUN is a must to keep kids engaged #socialortho

Steven Kleinman ‏@StevenRKleinman
@DrDavidGeier @pranapt #socialortho so when you leading the national charge for pro athletes to promote wellness and injury prevention? :)

David Kittner ‏@YouthFitnessGuy
RT @DrDavidGeier: @laurusrehab @kmessina15 Ive seen parents and coaches that get it and both that dont. #socialortho

Mike Hopper ‏@mnhopper1s
@kmessina15 @PranaPT I still tell people about when I convinced girl to ice bucket ankle by doing it as well.. it worked well! #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
@YouthFitnessGuy cross country shirts this year read “our sport is your sport’s punishment” #socialortho

Aaron Burkett ‏@ptfromou
@PranaPT it’s wrestling, whole different mindset. #socialortho

Ann Wendel ‏@PranaPT
RT @YouthFitnessGuy: So much can be accomplished through play. <- THIS! See my @MovNat reference! #socialortho

Kristi Messina ‏@kmessina15
@DrDavidGeier do u think there are more that get it than those that don’t? or pretty evenly spread? Parents get it more for me #socialortho

Ann Wendel ‏@PranaPT
@HubbardDC Excellent point. #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman @PranaPT Believe me, if I ever make it big, you will hear this message loud and clear! #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman Maybe Jay-Z and Roc Sports Nation will do it… #socialortho

David Kittner ‏@YouthFitnessGuy
Issues are in every sport including dance. #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@YouthFitnessGuy the word “play” and “fun” needs to be more frequently use at youth levels #socialortho

Kristi Messina ‏@kmessina15
@mnhopper1s yeah have fun with that… I will do all but the ice bucket! Even did a 3 min cowboy squat with someone last week! #socialortho

Ann Wendel ‏@PranaPT
@kmessina15 @mnhopper1s I’m sure they love video! I just got the ubersense app to video/slow mo #socialortho

Sportscaduceus ‏@Sportscaduceus
@DrDavidGeier As part of his involvement with StopSportsInjuries Dr. Andrews could persuade some of his pro pts to do a PSA :) #socialortho

Nash ‏@hydrocore
Agree 100% RT @YouthFitnessGuy: Doesn’t help when coaches and teachers use exercise as punishment. Sends wrong message. #socialortho

Ophea ‏@opheacanada
“@YouthFitnessGuy: Activities should be developmentally appropriate. FUN is a must to keep kids engaged #socialortho” We agree!

Steven Kleinman ‏@StevenRKleinman
@DrDavidGeier #socialortho lol, better chance winning the lotto.

Brad Morgan MEd AT ‏@PirateATC
I must be the rare AT that does not have problems with my coaches. I love them all and they work well with me. #socialortho

Mike Hopper ‏@mnhopper1s
@PranaPT @kmessina15 I’m still considering purchasing a video camera.. think it would be great! #socialortho

Agility drills in physical therapyKristi Messina ‏@kmessina15
@PranaPT yes they love it! I used it today with ACL kid doing SL jumps! Was able to see how he fav. the good leg & fixed it! #socialortho

Ann Wendel ‏@PranaPT
@BWW_ATC @drdavidgeier That would be great!If not the Pros doing it, college athletes also looked up to by kids! #socialortho

Steven Kleinman ‏@StevenRKleinman
@DrDavidGeier @pranapt #socialortho when u make it big all us pions will be right behind

David Kittner ‏@YouthFitnessGuy
We must all continue to work together. Takes a village! #socialortho

Dr. David Geier ‏@DrDavidGeier
@kmessina15 I’ve seen acceptance by parents, coaches in leagues that bring speakers & get kids, parents, coaches involved #socialortho

Mike Hopper‏ @mnhopper1s
@PirateATC most of my coaches are pretty good too! They just roll with it.. #socialortho

Ann Wendel ‏@PranaPT
@StevenRKleinman @DrDavidGeier David – ask Venus and Serena right now! Don’t let them scare you! #socialortho

Kristi Messina ‏@kmessina15
@opheacanada agree! We make it fun.. competitive even in rehab. Music etc. Anything to keep them motivated along the way. #socialortho

David Kittner ‏@YouthFitnessGuy
Yes! RT @mnhopper1s: @PranaPT @kmessina15 Im still considering purchasing a video camera.. think it would be great! #socialortho

Ann Wendel ‏@PranaPT
@ptfromou 2 minutes of injury time, baby! I worked wrestling every year! #toughathletes #socialortho

Eric Sampsell ‏@Eric0710
#socialortho I agree, but more frequent rest would be great. Emphasizing body resistance and form at a young age is critical, not weights.

Dr. David Geier ‏@DrDavidGeier
@PranaPT @StevenRKleinman Ann, I haven’t told that story publicly… #socialortho

Kristi Messina ‏@kmessina15
@DrDavidGeier we are bring in OS this spring to do a clinic with us about injury prevention programs, all coaches will be there #socialortho

David Kittner ‏@YouthFitnessGuy
Body weight first. Control the body and move in all directions. #socialortho

Ann Wendel ‏@PranaPT
@Sportscaduceus @DrDavidGeier YES! #socialortho

Mike Hopper ‏@mnhopper1s
@DrDavidGeier @PranaPT story time? #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman @PranaPT Stop. Not true. But that will be part of my campaign to keep kids on the field and out of the OR #socialortho

Kristi Messina ‏@kmessina15
DO IT! RT @PranaPT: @StevenRKleinman @DrDavidGeier David – ask Venus and Serena right now! Dont let them scare you! #socialortho

Steven Kleinman ‏@StevenRKleinman
@DrDavidGeier @pranapt #socialortho current athletes for kids but retired athletes for parents to spread te message could work

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s @PranaPT Move on…nothing to see here… #socialortho

Bobby Weisenberger ‏@BWW_ATC
The youth athletes can also learn from the pros how to take care of your body. Warmup, cool down, ice etc. Most don’t know how #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier Sorry to call you out, buddy! I’m sure they were equally as scared of you… #socialortho

Eric Sampsell ‏@Eric0710
@DrDavidGeier last I knew, no kid who has pitched n the LLWS has made it to the Major Leagues. Overuse is huge!
#socialortho

Kristi Messina ‏@kmessina15
I’ll be there! RT @StevenRKleinman: @DrDavidGeier @pranapt #socialortho when u make it big all us pions will be right behind #socialortho

Mike Hopper ‏@mnhopper1s
@BWW_ATC I have so many kids who refuse to ice. It drives me nuts! #socialortho

Ann Wendel ‏@PranaPT
@mnhopper1s @DrDavidGeier I’m a steel trap… #vegas #hangoverquotes #socialortho

David Kittner ‏@YouthFitnessGuy
The kids don’t know what we don’t teach them. And they want to learn! #socialortho

Dr. David Geier ‏@DrDavidGeier
@Sportscaduceus Agree. Or tweet messages or other ways. But we all have athletes at all levels. Get kids telling their stories #socialortho

Mike Hopper ‏@mnhopper1s
One thing I really try to emphasize with my kids is that I’ll do anything I can for them.. As long as they meet me half-way! #socialortho

Ann Wendel ‏@PranaPT
RT @DrDavidGeier: @mnhopper1s @PranaPT Move on…nothing to see here… #socialortho <- HA!!!

Kristi Messina ‏@kmessina15
@BWW_ATC Agree! #socialortho

Baseball PitcherCarrie Boan ‏@carrie_boan
Alabama vs. Auburn game just now announcers discussing why pitchers are “worn-out” by the time their in college #socialortho

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s Great point Mike! #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
@YouthFitnessGuy: The kids don’t know what we don’t teach them. And they want to learn! #socialortho so true!

Steven Kleinman ‏@StevenRKleinman
#socialortho which is more important education of parents or kids?…chicken or egg? Who’s in control?

Kristi Messina ‏@kmessina15
@mnhopper1s I always tell mine all I can do is show/teach them, they have to actually “do” the work! You reap what you sow!

David Kittner ‏@YouthFitnessGuy
Welcome @schlegelsgym #socialortho

Ann Wendel ‏@PranaPT
So we all agree that we need to get involved,educate coaches,utilize Pro or college athletes, implement program… #socialortho

Dr. David Geier ‏@DrDavidGeier
@carrie_boan Exactly. These injuries often don’t manifest for years after the risk factors that led to the injuries started #socialortho

Nash ‏@hydrocore
I think a lot of health professionals are afraid to speak up to the parents or the coaches. Does anyone else see this? #socialortho

David Kittner ‏@YouthFitnessGuy
Most coaches don’t know either. We need to teach them, or at least those who want to learn. #socialortho

Ann Wendel ‏@PranaPT
@StevenRKleinman I say educate coaches/league directors, then parents/kids #socialortho

Bobby Weisenberger ‏@BWW_ATC
@PranaPT yep. Need a mix of all #socialortho

Mike Hopper ‏@mnhopper1s
had girl yesterday tell me she was 1 yr post-op for labral tear. Gave her a hi5 and she made sure to do it with that shoulder! #socialortho

Kristi Messina ‏@kmessina15
@hydrocore yes! I have worked with ATs that do not want to address issues that need it! #socialortho

Andrew Vigotsky ‏@vigoshard
What about three-sport athletes or athletes that participate in multiple leagues/sports at once. Too much? #socialortho

Ann Wendel ‏@PranaPT
@YouthFitnessGuy David, does your biz have info ready to hand out? #socialortho

Eric Sampsell ‏@Eric0710
#socialortho I’m never afraid to discuss what’s in best interst of the kid. I empower and educate the parents to jump in and speak up.

Ann Wendel ‏@PranaPT
RT @hydrocore Amazes me how that happens.I see PTs not give their honest opinion to the parents or be emphatic that they rest! #socialortho

Nash ‏@hydrocore
@Eric0710 often times its the parents that are pushing and need to be escorted to the lobby. :) #socialortho

Ann Wendel ‏@PranaPT
@hydrocore @Eric0710 Security! #socialortho

Kristi Messina ‏@kmessina15
@PirateATC most of my coaches r fine. Prob comes due to me being newer I do things different than other AT & ATs before me 1/2 #socialortho

Dr. David Geier ‏@DrDavidGeier
@Eric0710 That would be fascinating to find out. Thought Roger Clemens played in it but can’t find it online. Great point! #socialortho

Eric Sampsell ‏@Eric0710
#socialortho educating at the young ages to coaches is critical. I speak annually to multiple leagues at their safety meetings.

Luis Fernando Prato ‏@FisioPratoUS
@DrDavidGeier @laurusrehab 1 as the dir. of coaching of a local club I put in the training curriculum an inj. prevent. program #socialortho

jb humphrey ‏@PT_ATC_CSCS
Fine line in strengthening musculoskeletal system in youth. Work to rest ratio and playing games to lessen intensity key. #socialortho

Nash ‏@hydrocore
@PranaPT @Eric0710 Hahaha!! I’ve done it, just to get the kid to tell me how he really feels! #socialortho

David Kittner ‏@YouthFitnessGuy
There are great coaches & great parents. There are also crappy coaches & crappy parents. We must work with everyone. #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
With these super quick RTP like A Peterson are you seeing kids take ACL injury less seriously or that it is no big deal? #socialortho

Kristi Messina ‏@kmessina15
@pirateATC been yelled at numerous times for not budging on a decision just because they “need” to win. Become bad guy. #socialortho

Eric Sampsell ‏@Eric0710
#socialortho some parents are the issue, but most are just not knowledgable but are motivated, especially when perspective is given

Bobby Weisenberger ‏@BWW_ATC
@NattyWaltz17 saw you Fav a post. As a young soccer player what do you think needs to be done to prevent injuries?? #socialortho

Dr. David Geier ‏@DrDavidGeier
@vigoshard Agreed. More than one sport in same season or multiple teams in same season. Don’t know how they do it but not good #socialortho

Nash ‏@hydrocore
@HubbardDC Yes!! Everyone thinks that is the new standard! #socialortho

Steven Kleinman ‏@StevenRKleinman
#socialortho conversations with you all always leave me reenergized and glad I am a health professional!!! So thanks

Mike Hopper ‏@mnhopper1s
@kmessina15 I flat-out told athl last fall that my job was not to win games. That was the coach’s responsibility. Mine=health #socialortho

Kristi Messina ‏@kmessina15
@HubbardDC YES! I have 12 current ACL in rehab & 2 of my FB kids do not understand why it is taking so long etc compare to AP! #socialortho

Luis Fernando Prato ‏@FisioPratoUS
@DrDavidGeier @laurusrehab 2 but had to call it “conditioning” to get it approved by the parents s( is related to winning)… #socialortho

Ann Wendel ‏@PranaPT
@FisioPratoUS @DrDavidGeier @laurusrehab Call it whatever you have to in order to get the info out there! #socialortho

Kristi Messina ‏@kmessina15
@mnhopper1s my ath do not arguemuch. had a parent(who is PT) tell his son to suck it up & play even though he couldn’t walk! #socialortho

Kristi Messina ‏@kmessina15
RT @PranaPT: @FisioPratoUS @DrDavidGeier @laurusrehab Call it whatever you have to in order to get the info out there! #socialortho

Bobby Weisenberger ‏@BWW_ATC
@mnhopper1s @kmessina15 I Tell mine it is absolutely my job to win championships. Keep my best players healthy and on field #socialortho

Ann Wendel ‏@PranaPT
@StevenRKleinman Awwww. Me too! #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman Agree Steve. This community is amazing! So many great people and ideas here every month! #socialortho

Young tennis playerJennifer Miller ‏@jengalbraith
RT @laurusrehab Those pushing for early specialization & yr round play are those who make $ off early spec and yr rd play #socialortho +1

Eric Sampsell ‏@Eric0710
#socialortho New article on ACL prevention states to teach proprioceptive training to younger kids, 5th-6th graders for soccer

Ann Wendel ‏@PranaPT
Guys, tonight’s chat was scrolling so fast it was hard to keep up! So exciting to see so many who care!Last thoughts? #socialortho

Mike Hopper ‏@mnhopper1s
@BWW_ATC @kmessina15 This was a freshman girl who is quite the injury-prone individual.. #socialortho

David Kittner ‏@YouthFitnessGuy
I’m working with schools to help teachers and students inject sound practices into physed and fitness classes #socialortho

Mike Hopper ‏@mnhopper1s
@PranaPT we need to do it more often so we don’t have to push it in to few minutes! ;) Gotta love it! #socialortho

Ann Wendel ‏@PranaPT
@YouthFitnessGuy That’s awesome! We need to keep in touch! #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
@Eric0710 do you have article? #socialortho

David Kittner ‏@YouthFitnessGuy
Yes. You bet. RT @PranaPT: Thats awesome! We need to keep in touch! #socialortho

Jeremy Jackson ‏@PHSSportsMed
@kmessina15 @DrDavidGeier work with a strong hispanic culture =slot of massage, cracking and ointments from parents #socialortho

Ann Wendel ‏@PranaPT
When we get the transcript for tonight done, I’ll do a blog post on this.I know I missed a ton of Tweets! Thanks everyone! #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT We asked only 1 of the 5 “official” questions we had ready. You are all so great! Love the energy here! #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier Ahem…that’s b/c I wasn’t asking the questions tonight… HAHAHA #socialortho

Eric Sampsell ‏@Eric0710
#socialortho I believe JOSPT 2 months ago. Have it at work.

Carrie Boan ‏@carrie_boan
Glad I joined in….happy to see I’m not a lone ranger which is how I feel sometimes!! #socialortho

David Kittner ‏@YouthFitnessGuy
Thanks for hosting. It’s been great! Glad I was able to make it. Great work everyone! #socialortho

Mike Hopper ‏@mnhopper1s
@DrDavidGeier LOL. once you get us rolling, you just let us go crazy! ;) #socialortho

Sean Hubbard, D.C. ‏@HubbardDC
Thank you @DrDavidGeier @PranaPT #socialortho

barnett frank ‏@BarnettFrank
#socialortho injury prevention & athletic health care is about multi-level, systematic, synergistic efforts of all invested parties

Ann Wendel ‏@PranaPT
@mnhopper1s @DrDavidGeier Don’t be fooled, he’s hiding from Venus and Serena…he lost the questions. #socialortho

Dr. David Geier ‏@DrDavidGeier
@PranaPT @mnhopper1s Nice. #socialortho

Dr. David Geier ‏@DrDavidGeier
@YouthFitnessGuy Thanks for joining us! Your experience and insight is really valuable! #socialortho

Brad Morgan MEd AT ‏@PirateATC
@kmessina15 @mnhopper1s Oh, let me cross one referral off my list! #socialortho

Ann Wendel ‏@PranaPT
Thanks for joining, everyone! We’ll post the transcript/blog post link. Thanks for being such a supportive community! #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier @YouthFitnessGuy Yes, thank you! #socialortho

Steven Kleinman ‏@StevenRKleinman
#socialortho @PranaPT @DrDavidGeier next topic… Fight for where socialortho meetup will be lol

Ann Wendel ‏@PranaPT
@DrDavidGeier Who loves you? LOL #socialortho

Ann Wendel ‏@PranaPT
@StevenRKleinman @DrDavidGeier Good point! #socialortho meetup will be Charleston or D.C., David and I will let everyone know! #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman @PranaPT Here’s the thing folks. I’m eternally grateful to Ann for helping me start this that I’ll let her pick #socialortho

Sportscaduceus ‏@Sportscaduceus
Yes! Huge problem @HubbardDC: With these super quick RTP like A Peterson are you seeing kids take ACL injury less seriously? #socialortho

Jeff Todd ‏@JeffTodd
Too many people with too little education coaching our kids making money. Ex: Club coaches with no education. #socialortho

Jeff Todd ‏@JeffTodd
Read a workout in muscle and fitness so it must be ok for my 12yo soccer players #sarcasm. #socialortho

Ann Wendel ‏@PranaPT
@DrDavidGeier Awwwww. #Vegasbaby #socialortho

Dr. David Geier ‏@DrDavidGeier
@StevenRKleinman @PranaPT Now that doesn’t mean her decision can’t be influenced by all of you! #socialortho

Ann Wendel ‏@PranaPT
Night all! #socialortho

Remember to join the #socialortho tweetchat every month. We hold them the first Wednesday of each month at 9 PM ET unless we announce a change. Follow me on Twitter, and follow co-moderator Ann Wendel, for more information!

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david-headshot I am an orthopaedic surgeon and sports medicine specialist in Charleston, South Carolina.

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