Get Back in the Game | UCSF Magazine

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</div> </article> </figure> <figcaption class="article-art-credit">Video: Walter Zarnowitz / All Photos: Elena Zhukova</figcaption> <div class="article-feature-overlay"> </div> </div> <header class="article-header article-feature-overlay-header"> <div class="article-header__byline"> <p class="article-header__primary-area article-header__mag-topic-area" data-primary-area="pa-health"> <span class="article-topic-area">Health</span> </p> </div> <h1> <span class="field field--name-title field--type-string field--label-hidden">Get Back in the Game</span> </h1> <h2 class="field field-sub-title field--type-text field--label-hidden article-header__subheading">Insights from sports medicine to help you overcome injuries and stay active for life</h2> <p class="article-header__author"> By Silver Lumsdaine <span class="article-affiliation">UCSF Magazine</span> <time class="article-issue article-affiliation" datetime=2022-06-13T12:00:00>Summer 2022</time> </p> </header> </div> <div 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three-pointers like Steph, but if you’re an athlete, you likely have one thing in common with those superstars. No, it’s not a Twitter account. It’s injuries. But rest assured, you’re in good company. An estimated <a href="https://pubmed.ncbi.nlm.nih.gov/27906643/">8.6 million</a> sports- and recreation-related injuries occur in the U.S. every year. Ouch. Big ouch.</p> <p class="feature-text">Fortunately, sports medicine experts at UC San Francisco are happy to share their savvy on how to run, ski, swim, bike, kick, and hike forever. OK, maybe not forever, but perhaps long enough to embarrass your kids or grandkids when you slip into your spandex workout shorts or running tights. If being and staying active sparks joy in your heart, read on. There’s hope of keeping you in the game, on the trails, in the water, and on the courts.</p> <p><a class="link--cta" href="/get-back-in-game#top-tips">In a hurry? Zoom down to our experts’ top tips for avoiding injuries and staying active for life.</a></p> </div> <div class="page_narrow page_narrow--scrolly "> <div class="scrolly-gallery-wrapper"> <div class="scrolly-gallery field field-parallax-img-txt-overlay field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph paragraph--type--parallax-image-with-text-overlay paragraph--view-mode--default"> <section class="scrolly-gallery__item"> <figure class="scrolly-gallery__bg scrolly-gallery__bg--small-screen"> <source srcset="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-ca-de-naissance-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-ca-de-naissance-square.jpg?h=8fbd3932 2x" media="all and (max-width: 768px)" type="image/jpeg" width="900" height="900"/> <source srcset="/sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-ca-de-naissance-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-ca-de-naissance-square.jpg?h=8fbd3932 2x" media="all and (max-width: 599px)" type="image/jpeg" width="1176" height="662"/> <img loading="lazy" src="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-ca-de-naissance-square.jpg?h=8fbd3932" width="900" height="900" alt="C.A. De Naissance throws a punch in swimsuit, cap, and goggles." class="element-fade"/> </figure> <figure class="scrolly-gallery__step scrolly-gallery__bg scrolly-gallery__bg--desktop"> <source srcset="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_2x/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1280px)" type="image/jpeg" width="1440" height="810"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_large/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_large_2x/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1050px) and (max-width: 1280px)" type="image/jpeg" width="1280" height="720"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_medium/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_medium_2x/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 850px) and (max-width: 1049px)" type="image/jpeg" width="1050" height="591"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_narrow/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_narrow_2x/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 769px) and (max-width: 849px)" type="image/jpeg" width="850" height="478"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_small/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_small_2x/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 768px)" type="image/jpeg" width="769" height="433"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_x_small/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_x_small_2x/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 599px)" type="image/jpeg" width="600" height="338"/> <img loading="eager" src="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-ca-de-naissance-big.jpg?h=c3fd1d45" width="1440" height="810" alt="C.A. De Naissance throws a punch in swimsuit, cap, and goggles." class="element-fade"/> </figure> <div class="scrolly-gallery__step scrolly-gallery__text background-green-cool"> <div class="scrolly-gallery__text-overlay background-green-cool"></div> <div class="scrolly-gallery__text-inner"> <div class="scrolly-gallery__flexbox-wrapper"> <h3 class="eyebrow-title" style="background-color:#000000; padding: 5px 0px 5px 40px; margin-left: -40px; margin-right: 40px;">C.A. De Naissance / Aqua Kickboxer / Age 50</h3> <p>When De Naissance joined a master’s swim team in 2015, it changed her life. She discovered that she had the heart of a competitive swimmer and wanted to give back to the swim community that had embraced her. She quit her job to become a YMCA lifeguard and youth swim coach and eventually an aqua kickboxing instructor. After her shoulder froze, sports medicine physician Carlin Senter and physical therapist Harvey Brockman, DPT, helped put the pop back in her punch.</p> </div> </div> </div> <div class="scrolly-gallery__step scrolly-gallery__spacer"></div> </section> </div> </div> </div> </div> </div> <div class="paragraph-text-block"> <h2 style="font-family:'HelveticaNeueLTW06-75Bold','HelveticaNeue','Helvetica','Arial',sans-serif; color:#178CCB; font-size:400%; line-height:100%; text-transform:uppercase; padding-top:60px;"><strong><em>Kids Are Not Little Adults</em></strong></h2> <p>When orthopaedic surgeon <a href="https://profiles.ucsf.edu/nirav.pandya">Nirav Pandya, MD</a>, started his practice a decade ago, he rarely saw 11- or 12-year-olds with torn knee ligaments. Now, several times a month, he sees 9- or 10-year-olds with ACL (anterior cruciate ligament) tears.</p> <p>Pandya, UCSF’s chief of pediatric orthopaedic surgery, has also witnessed an uptick in young athletes with cartilage injuries – damage to the smooth endcaps on bones that allow joints to glide normally. Damaged cartilage is like a pothole – the joint can’t move easily – and it causes pain, swelling, and stiffness.</p> <p>Why the rise in blown ACLs and prematurely pitted cartilage? Pandya attributes this to early single-sport specialization. Instead of playing for fun, kids now train like adults, concentrating on just soccer or just basketball, for example, and getting adult-type injuries.</p> <p>“We’re doing these major reconstructive procedures on very young children,” says Pandya. “It’s a warning sign for parents out there.”</p> <p><a href="https://profiles.ucsf.edu/alan.zhang">Alan Zhang, MD</a>, an associate professor of orthopaedic surgery, says overtraining while a child’s skeleton is still maturing can affect the growth plate and hip joint, too. “It can cause the hip to form an abnormal shape, with excess bone,” says Zhang, who directs <a href="https://hipcenter.ucsf.edu/about">UCSF’s Hip Preservation Center</a>. “This can lead to additional friction or impingement in the joint, with wear and tear of the hip labrum, which is crucial for maintaining hip stability. This can even potentially lead to early arthritis.”</p> <p>Until a decade ago, kids with hip injuries or labral tears had few treatment options. The advent of advanced hip arthroscopy technology and surgical techniques – Zhang’s specialty – now allows younger athletes with hip injuries to return to sports. Zhang hopes they’ll also prevent future hip arthritis.</p> <p>Likewise, ACLs can be reconstructed and small cartilage defects repaired. “There are a lot of new options for placing lab-grown cartilage into the knee or doing cartilage transplants,” says Pandya. Surgeons can harvest cartilage from cadavers, or from patients themselves, and transplant it into a damaged knee. It’s like biological spackle – instead of patching divots in your wall, you’re smoothing living tissue over cratered cartilage.</p> <blockquote class="blockquote blockquote--full-right blockquote--color-blue" style="color:#086290;"> <p class="blockquote-content__text">We should be trying to create a culture that allows kids to be healthy and active for their whole lives.”</p> <footer> <p class="blockquote-content__cite" style="color:#064260;">Nirav Pandya, MD</p> </footer> </blockquote> <p>Of course, avoiding such injuries altogether is better yet. “The best cartilage is the one that you’re born with,” Pandya says. “When kids damage their cartilage, it can be really limiting. They have a lifetime of high-impact activity ahead of them, even if they’re not playing sports.” This can spell trouble if injuries aren’t managed by pediatric specialists.</p> <p>“Children are not little adults,” says Pandya. “If you try to use adult principles to treat these young athletes, you’re going to fail.” Not only are their bodies still growing but their emotional needs also differ from those of older athletes.</p> <p>Pandya, a competitive long- and triple-jumper in college, directs the <a href="https://www.ucsfbenioffchildrens.org/clinics/sports-medicine-center-for-young-athletes">UCSF Sports Medicine Center for Young Athletes</a>, which offers care exclusively for kids and adolescents. Now in its 18th year, the center has a half-dozen locations around the Bay Area and includes initiatives such as the <a href="https://playsafe.ucsf.edu/ucsf-playsafe-sports-medicine-cardiac-physicals-program">PlaySafe Sports Medicine Program</a>, which sends athletic trainers into Bay Area schools to help young athletes from diverse socioeconomic backgrounds get the care they need.</p> <p>His advice for keeping young athletes healthy? “Make sure your kids are engaged in multiple activities, and let them figure out what they’re passionate about on their own,” Pandya says. “We should be trying to create a culture that allows kids to be healthy and active for their whole lives. Sports are supposed to be fun and joyful.”</p> </div> <div class="page_narrow page_narrow--scrolly "> <div class="scrolly-gallery-wrapper"> <div class="scrolly-gallery field field-parallax-img-txt-overlay field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph paragraph--type--parallax-image-with-text-overlay paragraph--view-mode--default"> <section class="scrolly-gallery__item"> <figure class="scrolly-gallery__step scrolly-gallery__bg scrolly-gallery__bg--desktop"> <source srcset="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_2x/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1280px)" type="image/jpeg" width="1440" height="810"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_large/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_large_2x/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1050px) and (max-width: 1280px)" type="image/jpeg" width="1280" height="720"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_medium/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_medium_2x/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 850px) and (max-width: 1049px)" type="image/jpeg" width="1050" height="591"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_narrow/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_narrow_2x/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 769px) and (max-width: 849px)" type="image/jpeg" width="850" height="478"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_small/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_small_2x/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 768px)" type="image/jpeg" width="769" height="433"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_x_small/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_x_small_2x/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 599px)" type="image/jpeg" width="600" height="338"/> <img loading="eager" src="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-james-belay-big.jpg?h=c3fd1d45" width="1440" height="810" alt="Teenager James Belay does a trick on this skateboard in front of a dramatic blue background." class="element-fade"/> </figure> <div class="scrolly-gallery__step scrolly-gallery__text background-blue-dark"> <div class="scrolly-gallery__text-overlay background-blue-dark"></div> <div class="scrolly-gallery__text-inner"> <div class="scrolly-gallery__flexbox-wrapper"> <h3 class="eyebrow-title" style="background-color:#000000; padding: 5px 0px 5px 40px; margin-left: -40px; margin-right: 40px;">James Belay / Skateboarder / Age 14</h3> <p>An avid skateboarder, Belay is currently focused on a move called a “tre flip,” which combines a simultaneous 360-degree flip and rotation of the board in midair. After he broke his ankle performing a trick, physical therapy at the UCSF Sports Medicine Center for Young Athletes got Belay back on his board. Now he dreams of learning new tricks and traveling with his friends. His motto: “Have fun, don’t stress too much, and just be chill.”</p> </div> </div> </div> <div class="scrolly-gallery__step scrolly-gallery__spacer"></div> </section> </div> </div> </div> </div> </div> <div class="paragraph-text-block"> <h2 style="font-family:'HelveticaNeueLTW06-75Bold','HelveticaNeue','Helvetica','Arial',sans-serif; color:#32A03E; font-size:400%; line-height:100%; text-transform:uppercase; padding-top:60px;"><strong><em>What Female Athletes Face</em></strong></h2> <p><a href="https://profiles.ucsf.edu/sara.edwards">Sara Edwards, MD</a>, knows the agony of being a sidelined athlete. A traumatic car accident during her senior year of high school ended her high-jumping career. Told that she might never walk again, the tenacious teenager defied expectations by running a lap around the track a year to the day after her accident. Once an athlete, always an athlete, she says.</p> <p>Edwards, who eventually became a competitive triathlete, is in good company as the director of the <a href="https://www.ucsfhealth.org/clinics/womens-sports-medicine-center">UCSF Women’s Sports Medicine Center</a>. Her colleagues include a former collegiate national rowing champion, a former Cirque du Soleil acrobat, an avid beach volleyball player, a scuba diver, and a skier – all women.</p> <p>“We have more female orthopaedic surgeons and primary care sports medicine doctors than any other facility in the country,” she says. The center has also piloted several studies that focus on the role gender plays in sports injuries, such as why women have more trouble with shoulder rotation after shoulder replacement surgery than men do.</p> <p>“There are multiple problems that occur either specifically or more commonly in female athletes,” says Edwards. For example, female basketball or soccer collegiate athletes are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138566/#R34">two to eight times more likely</a> to injure their ACL and <a href="https://pubmed.ncbi.nlm.nih.gov/21539165/">nearly twice as likely</a> to get a bone stress reaction as males.</p> <blockquote class="blockquote blockquote--full-right blockquote--color-green" style="color:#007242;"> <p class="blockquote-content__text">When we see people who are aging well, they all exercise.”</p> <footer> <p class="blockquote-content__cite" style="color:#00483A;">Sara Edwards, MD</p> </footer> </blockquote> <p>Also, estrogen levels, which are key to maintaining bone density, drop as women age. After menopause, this drop accelerates, and women become more susceptible to what are known as fragility fractures. Counterintuitively, high-impact exercise helps maintain bone strength after menopause. But Edwards cautions that it’s important to gradually build up your activity level. Additionally, she suggests weight lifting and strength training to prevent aging-associated bone loss, and balance exercises such as tai chi or yoga to help prevent falls.</p> <aside class="ucsfcallout callout-right" data-image="0" style="background: #F4F8EA; border: 1px solid #006400;"> <div class="callout__content"> <p class="small-text">Nearly 80% of girls aged 12 to 17 are active, but the percentage drops to <a href="https://jamanetwork.com/journals/jamapediatrics/article-abstract/2684233">just over 60%</a> of females in their mid to late 20s. Race, ethnicity, and poverty are associated with the steepest drops in activity, which can negatively impact physical and emotional health, <a href="https://www.cdc.gov/chronicdisease/resources/publications/factsheets/physical-activity.htm#:~:text=Not%20getting%20enough%20physical%20activity%20can%20lead%20to%20heart%20disease,cholesterol%2C%20and%20type%202%20diabetes.">putting women at higher risk</a> of high blood pressure, heart disease, and cancer.</p> </div> </aside> <p>The center’s primary care sports medicine physicians evaluate all of the factors that might affect a female athlete – bone health issues, hormonal changes, and nutritional needs, to name a few – and develop a comprehensive plan for each woman. “I try to understand what athletics means to each patient,” says <a href="https://profiles.ucsf.edu/carlin.senter">Carlin Senter, MD</a>, the director of primary care sports medicine. “Together, we weigh risks and benefits and decide how to move forward.”</p> <p>Movement is a key ingredient in the secret sauce for becoming a sassy septuagenarian. “When we see people who are aging well, they all exercise,” says Edwards. “Our goal is to keep people active for life.”</p> </div> <div class="page_narrow page_narrow--scrolly "> <div class="scrolly-gallery-wrapper"> <div class="scrolly-gallery field field-parallax-img-txt-overlay field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph paragraph--type--parallax-image-with-text-overlay paragraph--view-mode--default"> <section class="scrolly-gallery__item"> <figure class="scrolly-gallery__bg scrolly-gallery__bg--small-screen"> <source srcset="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-morgans-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-morgans-square.jpg?h=8fbd3932 2x" media="all and (max-width: 768px)" type="image/jpeg" width="900" height="900"/> <source srcset="/sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-morgans-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-morgans-square.jpg?h=8fbd3932 2x" media="all and (max-width: 599px)" type="image/jpeg" width="1176" height="662"/> <img loading="lazy" src="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-morgans-square.jpg?h=8fbd3932" width="900" height="900" alt="Janice Morgan stands in her cycling gear next to her daughter-in-law, Wendy Morgan, who holds a tennis racket." class="element-fade"/> </figure> <figure class="scrolly-gallery__step scrolly-gallery__bg scrolly-gallery__bg--desktop"> <source srcset="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_2x/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1280px)" type="image/jpeg" width="1440" height="810"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_large/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_large_2x/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1050px) and (max-width: 1280px)" type="image/jpeg" width="1280" height="720"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_medium/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_medium_2x/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 850px) and (max-width: 1049px)" type="image/jpeg" width="1050" height="591"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_narrow/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_narrow_2x/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 769px) and (max-width: 849px)" type="image/jpeg" width="850" height="478"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_small/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_small_2x/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 768px)" type="image/jpeg" width="769" height="433"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_x_small/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_x_small_2x/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 599px)" type="image/jpeg" width="600" height="338"/> <img loading="eager" src="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-morgans-big.jpg?h=c3fd1d45" width="1440" height="810" alt="Janice Morgan stands in her cycling gear next to her daughter-in-law, Wendy Morgan, who holds a tennis racket." class="element-fade"/> </figure> <div class="scrolly-gallery__step scrolly-gallery__text background-green-warm"> <div class="scrolly-gallery__text-overlay background-green-warm"></div> <div class="scrolly-gallery__text-inner"> <div class="scrolly-gallery__flexbox-wrapper"> <h3 class="eyebrow-title" style="background-color:#000000; padding: 5px 0px 5px 40px; margin-left: -40px; margin-right: 40px;">Janice Morgan / Cyclist / Age 80 & Wendy Morgan / Tennis Player / Age 50</h3> <p>Athleticism runs in Janice and Wendy’s family. Janice is a passionate road biker. Her daughter-in-law, Wendy, loves tennis. Wendy’s kids (and Janice’s grandkids), Abby and Chase, are burgeoning stars in their respective sports of soccer and lacrosse. They all turn to surgeon C. Benjamin Ma, who cares for their entire family’s sports injuries at the UCSF Orthopedic Institute. “We are forever grateful for all the amazing work he has done with our family,” says Wendy.</p> </div> </div> </div> <div class="scrolly-gallery__step scrolly-gallery__spacer"></div> </section> </div> </div> </div> </div> </div> <div class="paragraph-text-block"> <h2 style="font-family:'HelveticaNeueLTW06-75Bold','HelveticaNeue','Helvetica','Arial',sans-serif; color:#E61048; font-size:400%; line-height:100%; text-transform:uppercase; padding-top:60px;"><strong><em>The Cutting Edge is Cutting Less</em></strong></h2> <p>So maybe you’ve done everything right. You did your core work. You cross-trained. Perhaps you even endured the foam roller. And yet you’re sitting there, annoyed and in pain with an achy knee, a torn meniscus, or a busted shoulder.</p> <blockquote class="blockquote blockquote--full-right blockquote--color-purple" style="color:#E61048;"> <p class="blockquote-content__text">That’s going to be the future – doing restorative and maintenance treatments instead of damage-control surgeries.”</p> <footer> <p class="blockquote-content__cite" style="color:#720424;">C. Benjamin Ma, MD</p> </footer> </blockquote> <p>Though there are no quick fixes, sports medicine specialists are pursuing new ways to solve these woes. Internationally recognized surgeon and researcher <a href="https://profiles.ucsf.edu/c.benjamin.ma">C. Benjamin Ma, MD</a>, UCSF’s V-Nee Yeh Professor of Orthopaedic Surgery, is optimistic that it may soon be possible to regenerate injured tissue. “That’s going to be the future – doing restorative and maintenance treatments instead of damage-control surgeries,” says Ma, who as former chief of sports medicine at UCSF was instrumental in building up the program.</p> <p>So, what about those achy knees? Osteoarthritis, the most common form of arthritis, affects <a href="https://www.cdc.gov/arthritis/basics/osteoarthritis.htm">over 32.5 million people</a> in the U.S – frequently their knees, hips, and shoulders. The resulting <a href="https://www.nia.nih.gov/health/osteoarthritis#:~:text=Osteoarthritis%20most%20commonly%20affects%20the,knees%2C%20hips%2C%20and%20feet.">swelling, stiffness, and pain</a> can make activity uncomfortable or even impossible.</p> <p>“Osteoarthritis is more than just the loss of cartilage,” says <a href="https://profiles.ucsf.edu/brian.feeley">Brian Feeley, MD</a>, chief of sports medicine and shoulder surgery and the Ron Conway Family Professor of Sports Medicine Research. “It’s also structural changes to the bone underneath the cartilage, plus inflammation within the joint.”</p> <p>So why can’t we just insert filler or stem cells to Zamboni the damaged cartilage? Unfortunately, the reality is much more intractable. While small areas of damaged cartilage can be patched with a transplant, it’s not possible to fill in large swaths. “Even if we were to stimulate growth in an area that has lost cartilage,” says Feeley, “it won’t solve the other underlying problems that have been going on for decades.”</p> <p>One solution might involve retraining the body to move with less pain and greater efficiency, a goal of the <a href="https://www.ucsfhealth.org/clinics/human-performance-center">UCSF Human Performance Center</a>. Using sophisticated tools such as motion capture systems (think Marvel movies), Google sensors, and Apple Watches, researchers explore how to maximize function and how activity improves overall health.</p> <p>“A lot of the same technologies that we use for elite athletes should actually be used for everyday athletes because they function the same way, just at a different level,” says <a href="https://profiles.ucsf.edu/anthony.luke">Anthony Luke, MD, MPH</a>, the center’s director. He also sees promise in platelet-rich plasma (PRP), which involves processing the patient’s own blood to concentrate platelets and growth factors in plasma. Luke, the Lynne and Marc R. Benioff Distinguished Professor of Sports Medicine, studies how PRP works at a cellular level in osteoarthritis and whether there’s a way to optimize its effects.</p> <p>For advanced osteoarthritis, a joint replacement is often almost a miracle cure, notes Feeley. Getting an artificial hip or knee isn’t “giving up,” he says. “It is one of the wonders of the 20th century that will lead to a successful and active next 15 to 20 years.” Modern implants usually allow patients to go home within a day of surgery, if not the same day, and return to activities sooner and with less pain.</p> </div> <div class="page_narrow page_narrow--scrolly "> <div class="scrolly-gallery-wrapper"> <div class="scrolly-gallery field field-parallax-img-txt-overlay field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph paragraph--type--parallax-image-with-text-overlay paragraph--view-mode--default"> <section class="scrolly-gallery__item"> <figure class="scrolly-gallery__bg scrolly-gallery__bg--small-screen"> <source srcset="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-david-deruff-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-david-deruff-square.jpg?h=8fbd3932 2x" media="all and (max-width: 768px)" type="image/jpeg" width="900" height="900"/> <source srcset="/sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-david-deruff-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-david-deruff-square.jpg?h=8fbd3932 2x" media="all and (max-width: 599px)" type="image/jpeg" width="1176" height="662"/> <img loading="lazy" src="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-david-deruff-square.jpg?h=8fbd3932" width="900" height="900" alt="David DeRuff performs a rowing motion on an erg. " class="element-fade"/> </figure> <figure class="scrolly-gallery__step scrolly-gallery__bg scrolly-gallery__bg--desktop"> <source srcset="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_2x/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1280px)" type="image/jpeg" width="1440" height="810"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_large/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_large_2x/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1050px) and (max-width: 1280px)" type="image/jpeg" width="1280" height="720"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_medium/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_medium_2x/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 850px) and (max-width: 1049px)" type="image/jpeg" width="1050" height="591"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_narrow/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_narrow_2x/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 769px) and (max-width: 849px)" type="image/jpeg" width="850" height="478"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_small/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_small_2x/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 768px)" type="image/jpeg" width="769" height="433"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_x_small/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_x_small_2x/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 599px)" type="image/jpeg" width="600" height="338"/> <img loading="eager" src="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-david-deruff-big.jpg?h=c3fd1d45" width="1440" height="810" alt="David DeRuff performs a rowing motion on an erg. " class="element-fade"/> </figure> <div class="scrolly-gallery__step scrolly-gallery__text background-magenta-dark"> <div class="scrolly-gallery__text-overlay background-magenta-dark"></div> <div class="scrolly-gallery__text-inner"> <div class="scrolly-gallery__flexbox-wrapper"> <h3 class="eyebrow-title" style="background-color:#000000; padding: 5px 0px 5px 40px; margin-left: -40px; margin-right: 40px;">David DeRuff / Olympic Rower / Age 61</h3> <p>DeRuff’s illustrious rowing career took him from UC Berkeley to a sixth-place finish at the 1984 Olympics. Now a master’s-level competitor with Marin Rowing, he and his team won Boston’s elite Head of the Charles regatta after UCSF surgeon Nicholas Colyvas fixed his right shoulder. This July, following repair of his broken hand and elbow by UCSF surgeon <a href="https://profiles.ucsf.edu/lauren.santiesteban">Lauren Santiesteban, MD</a>, he’ll be heading to Henley, England, to race – and hopefully win.</p> </div> </div> </div> <div class="scrolly-gallery__step scrolly-gallery__spacer"></div> </section> </div> </div> </div> </div> </div> <div class="paragraph-text-block"> <p>Meniscus issue? You’re not alone. Meniscus surgery is one of the three most frequently performed arthroscopic procedures in the U.S.</p> <p>“Forty years ago, the meniscus was considered completely useless, and surgeons just removed damaged ones,” says <a href="https://profiles.ucsf.edu/nicholas.colyvas">Nicholas Colyvas, MD</a>, a professor of orthopaedic surgery and the director of <a href="https://meniscus.ucsf.edu/">UCSF’s Meniscus Preservation Center</a>. The meniscus – a tough, rubbery, C-shaped piece of cartilage – acts like a shock absorber between the upper and lower leg bones. It protects the smooth articular cartilage that caps each bone. Meniscus removal can be very effective for reducing pain, but risks include developing arthritis later in life. “Now, where possible, we repair it rather than removing it,” says Colyvas.</p> <p>But meniscus repair isn’t a slam dunk. Not all damaged menisci are candidates for repair. Recovery from a repair takes longer than from a removal, and sometimes a repair simply doesn’t heal. However, UCSF is creating novel techniques that improve the odds of success.</p> <p>One such approach – called circumferential suturing, since the sutures surround the meniscus – allows surgeons to repair types of tears that were not fixable in the past. UCSF is also developing ways to repair radial tears, in which the meniscus is torn from the center of its “C” shape to its outer edge. “When you walk and when you bear weight,” says Colyvas, “the forces tend to push the repaired pieces apart. Your knee is naturally working against the healing process.” But his hope is that techniques now in development that are strong enough to resist those forces will one day be used in the operating room.</p> <p>Meniscus transplants may be an option when repairs aren’t possible, especially for younger patients, to avoid the risk of arthritis due to removal. But transplants come from cadaver tissue, and thus are scarce and hard to size properly. They can also have a high failure rate, although UCSF is researching ways to improve transplant outcomes. Colyvas is optimistic about an artificial meniscus currently in clinical trials in the U.S., particularly for patients too young for joint replacement.</p> <p>There’s hope on the horizon for injured shoulders, too. Anyone who’s had a rotator cuff injury knows it makes a tennis serve or a freestyle stroke excruciating. For such injuries, biologics – medicines derived from living cells or containing components of living organisms – hold great promise for speeding up healing.</p> <p>Feeley’s research team discovered that special stem cells called <a href="https://feeleylab.ucsf.edu/">fibro-adipogenic progenitors</a> (FAPs) can stimulate muscle regeneration during rotator cuff repairs. Eventually, it may be possible to influence patients’ own stem cells in their rotator cuff to regenerate healthy muscle.</p> <p>“I can now take stem cells from a patient during rotator cuff repair and determine how many specific stem cells they have and what capabilities those cells have for regeneration,” says Feeley. “In the next five to 10 years, we’ll be able to add pharmacologic agents that will stimulate those stem cells to promote regeneration at the time of surgery in a manner that’s time- and cost-effective.”</p> <p>Regenerative techniques might also work for other injuries. Using animal models, Feeley’s team found FAPs in spinal muscles that are similar to those in the rotator cuff. If present in humans, these stem cells could offer a way to stimulate muscle regeneration in patients recovering from spinal surgery or suffering from low back pain.</p> <p>Knowing which treatments will work best for which patients is key. In the near future, the power of big data will make it possible to personalize treatments based on an individual’s genetic makeup and a multitude of other factors. Unfortunately, big data can’t help you serve like Serena. Yet.</p> </div> <div class="page_narrow page_narrow--scrolly "> <div class="scrolly-gallery-wrapper"> <div class="scrolly-gallery field field-parallax-img-txt-overlay field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph paragraph--type--parallax-image-with-text-overlay paragraph--view-mode--default"> <section class="scrolly-gallery__item"> <figure class="scrolly-gallery__bg scrolly-gallery__bg--small-screen"> <source srcset="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-thane-schultz-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-thane-schultz-square.jpg?h=8fbd3932 2x" media="all and (max-width: 768px)" type="image/jpeg" width="900" height="900"/> <source srcset="/sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-thane-schultz-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-thane-schultz-square.jpg?h=8fbd3932 2x" media="all and (max-width: 599px)" type="image/jpeg" width="1176" height="662"/> <img loading="lazy" src="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-thane-schultz-square.jpg?h=8fbd3932" width="900" height="900" alt="Thane Schultz stands with his surfboard." class="element-fade"/> </figure> <figure class="scrolly-gallery__step scrolly-gallery__bg scrolly-gallery__bg--desktop"> <source srcset="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_2x/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1280px)" type="image/jpeg" width="1440" height="810"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_large/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_large_2x/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1050px) and (max-width: 1280px)" type="image/jpeg" width="1280" height="720"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_medium/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_medium_2x/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 850px) and (max-width: 1049px)" type="image/jpeg" width="1050" height="591"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_narrow/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_narrow_2x/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 769px) and (max-width: 849px)" type="image/jpeg" width="850" height="478"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_small/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_small_2x/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 768px)" type="image/jpeg" width="769" height="433"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_x_small/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_x_small_2x/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 599px)" type="image/jpeg" width="600" height="338"/> <img loading="eager" src="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-thane-schultz-big.jpg?h=c3fd1d45" width="1440" height="810" alt="Thane Schultz stands with his surfboard." class="element-fade"/> </figure> <div class="scrolly-gallery__step scrolly-gallery__text background-green-cool"> <div class="scrolly-gallery__text-overlay background-green-cool"></div> <div class="scrolly-gallery__text-inner"> <div class="scrolly-gallery__flexbox-wrapper"> <h3 class="eyebrow-title" style="background-color:#000000; padding: 5px 0px 5px 40px; margin-left: -40px; margin-right: 40px;">Thane Schultz / Surfer / Age 52</h3> <p>A surfer for over 40 years, Thane Schultz feels just as stoked now as the day he first picked up a board. After a severe hamstring injury, surgery and physical therapy got him back on the water.</p> </div> </div> </div> <div class="scrolly-gallery__step scrolly-gallery__spacer"></div> </section> </div> </div> <div class="field__item"> <div class="paragraph paragraph--type--parallax-image-with-text-overlay paragraph--view-mode--default"> <section class="scrolly-gallery__item"> <figure class="scrolly-gallery__bg scrolly-gallery__bg--small-screen"> <source srcset="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-brooke-schultz-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-brooke-schultz-square.jpg?h=8fbd3932 2x" media="all and (max-width: 768px)" type="image/jpeg" width="900" height="900"/> <source srcset="/sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-brooke-schultz-square.jpg?h=8fbd3932 1x, /sites/default/files/styles/full_width_news_package_card/public/2022-06/sports-brooke-schultz-square.jpg?h=8fbd3932 2x" media="all and (max-width: 599px)" type="image/jpeg" width="1176" height="662"/> <img loading="lazy" src="/sites/default/files/styles/full_width_news_package_square_card/public/2022-06/sports-brooke-schultz-square.jpg?h=8fbd3932" width="900" height="900" alt="Brooke Schultz does a yoga pose." class="element-fade"/> </figure> <figure class="scrolly-gallery__step scrolly-gallery__bg scrolly-gallery__bg--desktop"> <source srcset="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_2x/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1280px)" type="image/jpeg" width="1440" height="810"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_large/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_large_2x/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 1050px) and (max-width: 1280px)" type="image/jpeg" width="1280" height="720"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_medium/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_medium_2x/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 850px) and (max-width: 1049px)" type="image/jpeg" width="1050" height="591"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_narrow/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_narrow_2x/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 2x" media="all and (min-width: 769px) and (max-width: 849px)" type="image/jpeg" width="850" height="478"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_small/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_small_2x/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 768px)" type="image/jpeg" width="769" height="433"/> <source srcset="/sites/default/files/styles/full_width_news_package_banner_x_small/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 1x, /sites/default/files/styles/full_width_news_package_banner_x_small_2x/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45 2x" media="all and (max-width: 599px)" type="image/jpeg" width="600" height="338"/> <img loading="eager" src="/sites/default/files/styles/full_width_news_package_banner/public/2022-06/sports-brooke-schultz-big.jpg?h=c3fd1d45" width="1440" height="810" alt="Brooke Schultz does a yoga pose." class="element-fade"/> </figure> <div class="scrolly-gallery__step scrolly-gallery__text background-violet-dark"> <div class="scrolly-gallery__text-overlay background-violet-dark"></div> <div class="scrolly-gallery__text-inner"> <div class="scrolly-gallery__flexbox-wrapper"> <h3 class="eyebrow-title" style="background-color:#000000; padding: 5px 0px 5px 40px; margin-left: -40px; margin-right: 40px;">Brooke Schultz / Yogi / Age 39</h3> <p>“My ability to exercise is critical to my physical, mental, and emotional health in addition to my professional passion,” says Schultz, a biomechanist who manages UCSF’s Human Performance Center.</p> </div> </div> </div> <div class="scrolly-gallery__step scrolly-gallery__spacer"></div> </section> </div> </div> </div> </div> </div> <div class="layout-columns__1 bg-white" style="background-color:#E2F4FC"> <a id="top-tips" name="top-tips"></a> <div class="field field-content-wrapper-content field--type-entity-reference-revisions field--label-hidden field__items"> <div class="layout-column"> <div class="paragraph paragraph--type--column-content paragraph--view-mode--default"> <div class="field field-column-content-content field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph-text-block"> <div class="page_narrow" style="background:#E2F4FC;"> <h2 style="color:#086290;"><em><strong>Top tips to stay active for life</strong></em></h2> <ul class="line--list"> <li> <p class="small-text">Continue the habits that kept you healthy when you were younger. Play a variety of sports or pick up a new one.</p> </li> <li> <p class="small-text">Strive for at least <a href="https://www.cdc.gov/physicalactivity/basics/age-chart.html">150 minutes a week</a> of moderate-intensity exercise to improve cardiovascular fitness and decrease the risk of cancer, dementia, diabetes, and high blood pressure.</p> </li> <li> <p class="small-text">Do strength training <a href="https://www.cdc.gov/physicalactivity/basics/adults/index.htm">two to three times a week</a> to improve bone health and balance.</p> </li> <li> <p class="small-text">Work on balance and flexibility to reduce the risk of falls and improve sciatica and knee arthritis.</p> </li> <li> <p class="small-text">After an injury or break, start slowly and gradually increase your intensity as you resume exercising.</p> </li> <li> <p class="small-text">Maintain a healthy weight. Walking and running exert pressure on your knees equivalent to nearly <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3324308/">three to four times</a> your body weight.</p> </li> <li> <p class="small-text">Get a good night’s sleep to assist in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8072992/">recovery</a>.</p> </li> <li> <p class="small-text">Modify your activities as you age so you can remain active without pain – or with an acceptable amount of pain.</p> </li> <li> <p class="small-text">Have fun!</p> </li> <li> <h4 class="eyebrow-title">For Kids</h4> </li> <li> <p class="small-text">Keep sports fun and joyful. Make sure kids engage in multiple activities and let them discover what they’re passionate about on their own.</p> </li> <li> <p class="small-text">Don’t let kids specialize too early. Give their bodies a chance to mature.</p> </li> <li> <p class="small-text">Don’t let kids push through pain. If something hurts, have a physician check it out.</p> </li> <li> <p class="small-text">Keep an eye on the long game – help kids establish a healthy lifestyle that will carry into adulthood.</p> </li> </ul> <p><a class="link--cta" href="/get-back-in-game#return-to-top">Return to top</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="paragraph-text-block">  <div style="background-color:#f2f4f6; padding-left:5%; padding-right:5%; padding-top:5%; padding-bottom:1%; margin-top: 60px;"> <dom-twocolumn-layout data-column1-color="transparent" data-column1-size="30" data-column2-color="transparent" data-column2-size="70"> <div class="column1" slot="column1" style="--column1-color: var(--bg-transparent); --column1-size: var(--size-30); --column1-font-color: var(--font-black)"> <figure data-embed-button="media_assets" data-entity-embed-display="entity_reference:media_thumbnail" data-entity-embed-display-settings="{"image_style":"half__image","image_link":"","link_url":"\/issues\/summer-2022"}" data-entity-type="media" data-entity-uuid="3f8cdad2-df75-48e0-8e33-478db252ac23" data-langcode="en" class="embedded-entity"><a href="/issues/summer-2022"><picture> <img loading="lazy" src="/sites/default/files/styles/half__image/public/2022-06/ucsf-magazine-summer-2022-cover.png" width="720" height="840" alt="Cover of UCSF Magazine: top reads “UCSF Magazine, Summer 2022”. Text below reads “A Touch of Nobel-ity: The prize-winning science illuminating heat, touch, pain, itch, and much, much more”. Illustration of a hand with various stimuli on it, including a fire, ice, mosquito, a feather, a snake, chile peppers, itch, pain, and a kiss." class="element-fade"> </picture></a></figure> </div> <div class="column2" slot="column2" style="--column2-color: var(--bg-transparent); --column2-size: var(--size-70); --column2-font-color: var(--font-black)"> <h3 class="eyebrow-title">UCSF Magazine</h3> <p style="font-family:'HelveticaNeueLTW04-45Light','HelveticaNeue','Helvetica','Arial',sans-serif;font-size: 18px;font-style:normal;line-height:32px;cont-weight:500">Still curious?</p> <p><a class="link--cta" href="/issues/summer-2022">Read more stories</a></p> </div> </dom-twocolumn-layout> </div> </div> <div class="tags-menu-region"> <h3 class="tags-menu__title">UCSF News Topics</h3> <div class="views-element-container"><div class="view view-ucsf-topics-for-magazine-articles-terms view-id-ucsf_topics_for_magazine_articles_terms view-display-id-block_1 js-view-dom-id-250ba0a1692b3e70f4d496e62aa621bdca67939e9819d4fca9ce2ea56c8bf28b"> <div class="view-content"> <div> <ul class="tags-menu"> <li class="tags-menu__item"><a href="https://www.ucsf.edu/topics/orthopedics-sports-medicine-and-physical-therapy">Orthopedics, Sports Medicine and Physical Therapy</a></li> </ul> </div> </div> </div> </div> </div> </div> </main> <section class="recommended-articles has-recommended-article " role="complementary"> <div class="recommended-articles__banner"> <h2 class="recommended-articles__title">Recommended Reading</h2> <a href="https://magazine.ucsf.edu/why-cant-i-sleep" class="recommended-article__link"> <div class="recommended-article__image"> <figure> <picture class="field field-card-image field--type-entity-reference field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/styles/recommended_article__image/public/2021-06/why-cant-i-sleep-featured.jpg" width="850" height="470" alt="Photo of a man and woman in bed; 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