QAs about training program
Q: My 17 year old son has Osgood-Schlatter’s in his knees. How can he minimize the pain and discomfort associated with it while playing indoor and outdoor volleyball.
A: Osgood-Schlatters is a painful swelling of the tibial tuberosity in adolescents. The condition is not related to a specific traumatic event or athletic activity or Rheumatoid Arthritis treatment. Many researchers have shown a high correlation between a patella that is positioned higher than average. This decreases the patella’s lever action, which causes the quadriceps to increase its force requirements. Generally, there is no particular treatment that can alleviate this pain. Anti-inflammatory medications don’t seem to work due to a lack of inflammation. Ice is usually the best weapon to fight pain. Improving proper tracking of the patella in the trochlear groove should also decrease pain somewhat. I suffer from this condition and have not seemed to find much to stop it. My condition was quite severe in my teenage years, but is not even close to as painful now, also it is still bothersome.
Q: My coach tells us to weight train all the time. She never says what to do or what we should focus on. What are good exercises to do and areas to focus on?
A: There are a number of factors that influence your training program. Training during the season will involve more explosive, sport specific work, while training in the off-season will involve more corrective work to address muscle imbalances and weaknesses. In the off-season, you should address the external rotator cuff, hamstrings, glutes, abdominals, and upper/lower back. In-season should address power exercises, plyometrics, and olympic lifts(depending on skill level).
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