English (US)

    When to See a Doctor for Sports-Related Conditions

    Updated at November 16th, 2022

    1650055438388-1650055438388.png

    DisclaimerThis material is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. It is not intended to provide medical advice, diagnosis or treatment, nor does it replace the advice or counsel of a doctor or health care professional. Reference to a specific commercial product or service does not imply endorsement or recommendation of that product or service by CPCMG.

    A safe and speedy return to activity following a sports injury or an illness depends on early recognition and treatment. Knowing when to see your doctor is an important step in this process. With major injuries or illnesses, there is little doubt about the need to seek medical attention. However, it is much more difficult to know when to seek help if there is no obvious trauma or if the symptoms don’t get in the way of playing. Many overuse injuries, such as tendonitis or stress fractures, happen over time and often have subtle symptoms. The result can be a delay in diagnosis and treatment, and delays can lead to a more serious or disabling injury.


    General comments

    Athletes should see a doctor for

    • Symptoms that do not go away after rest and home treatment
    • Any condition that affects training or performance that has not been given a diagnosis or has not been treated
    • Any condition that may be a risk to other teammates or competitors

    Types of conditions

    There are 3 types of conditions in which an athlete may need to see a doctor: acute injuries, overuse injuries, and medical illnesses or conditions.

    Also, any athlete with a chronic injury or medical condition should see a doctor and be approved to participate in sports. Even if a pre-sport physical is not required, it is a good idea for all athletes to have an annual medical checkup before the sports season begins. This is especially true if there is any history of medical problems, injury, or regular use of medicines, or if there are questions about training.

    The following are examples of these 3 conditions, their typical symptoms, and when to check with the doctor.

    Acute injuries

    Examples

    Symptoms

    When to Check With Your Doctor

    Sprains, strains, fractures, dislocations, growth plate separation, torn cartilage, bruises, cuts, scrapes, pinched nerves, herniated disks 

    Pain (other symptoms that restrict sports activity and affect daily activity), swelling, bruising, deformity, spasm, restricted or locking joint, instability, numbness, tingling, shooting pains 

    • Joint swelling, locking, or instability
    • Visible deformity or mass in arms, legs, or joints
    • Inability to fully move a joint, arm, or leg
    • Inability to stand or walk
    • Back or neck pain—especially if there is also numbness, weakness, or pain that runs down the arm or leg
    • Pain that does not go away
    • Pain that disrupts daily activity or sleep

     

    Overuse Injuries

    Examples

    Symptoms

    When to Check With Your Doctor

    Tendonitis; shin splints; stress fractures; growth plate problems like Osgood-Schlatter, Sever’s disease, or Little League elbow; bursitis; fasciitis; compartment syndrome; nerve entrapment; spondylolysis 

    Pain (or other symptoms that get worse with activity but go away with rest); tightness, popping, or grinding in joints; mild or localized swelling; weakness

    At first, symptoms are noticeable after vigorous activity. As the condition gets worse, symptoms occur with any activity and, eventually, the symptoms restrict activity.

     

    • Localized pain that gets worse over time or increases with continued activity
    • Pain, swelling, stiffness, and/or weakness that gets in the way of training or sports activity
    • Pain or other symptoms that do not go away even with treatments such as rest, ice, or use of pain medicines
    • Pain that gets in the way with daily activity or disrupts sleep

     

    Medical illness/conditions

    Examples

    Symptoms

    When to Check With Your Doctor

    Concussion 

    Headache, disorientation, loss of consciousness*, blurry vision, nausea, memory loss, dizziness, lethargy, agitation, vomiting, fatigue, moodiness

    *It is possible to have a concussion without loss of consciousness.

     

    Check with a doctor before return to play with any concussion or if any of these symptoms develop after a head injury. 

    Fever 

    Other symptoms depend on cause of fever. 

    Any fever ≥101°F for >4 hours. Playing with a fever may increase the risk of heat illness. 

    Skin infection (impetigo, herpes, ringworm, measles) 

    Rashes that are raised, open, draining or with a discharge; have small blisters; or are cracked and bleeding 

    These types of rashes should be checked and treated before returning to sports, particularly for athletes in contact or collision sports. 

    Abdominal (stomach) pain 

    Pain, nausea, vomiting, diarrhea, constipation, appetite loss, decreased fluid intake 

    • If symptoms persist, they should be checked. Liver and spleen can be enlarged with mono or other flu-like illnesses. This is most important for athletes in contact or collision sports.
    • These symptoms increase the risk of dehydration, which can negatively affect performance and increase the risk of heat-related illness.

     

    Cardiac (heart) disease (myocarditis, pericarditis, endocarditis, cardiac contusion, dysrhythmia) 

    Chest pain, shortness of breath, palpitations, feeling light-headed or passing out with exercise 

    See a doctor if any of these symptoms develop. 

    Respiratory (breathing) disease (asthma, bronchitis, pneumonia), laryngeal contusion/fracture, pneumothorax (collapsed lung), choking 

    Shortness of breath, cough, wheezing, chest pain, stridor (noisy breathing), absent breath sounds 

    See a doctor if any of these symptoms develop. 

    Heat injury (heat exhaustion, heat stroke) 

    Exhaustion, muscle cramps, nausea, vomiting, headache; consider heat stroke if body temperature increases 

    • For heat exhaustion—check with a doctor before returning to play.
    • For heat stroke—call 911.

     

    Copyright © 2010