I helped to moderate a STOP Sports Injuries tweetchat November 13, 2013. This month we focused football injuries and prevention. The post below is a summary of that discussion.STOP Sports Injuries

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 #SportsSafety. 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 #SportsSafety tweetchats. We usually hold these chats on the second Wednesday of each month. However, next month we’re going to be having a special edition tweetchat on Tuesday, December 3rd at 9 PM ET followed by our regular #SportsSafety tweetchat on Wednesday, December 11 at 9 PM ET.

STOP Sports Injuries ‏@SportsSafety
Tonight we are discussing #football injuries and prevention. Look forward to hearing everyone’s thoughts. #SportsSafety

Mike Hopper ‏@mnhopper1s
@SportsSafety Here. Athletic Trainer in So IL at high school. 3 years HS exp, 3 years NCAA exp, 6 years as FB player #AT4ALL #SportsSafety

STOP Sports Injuries ‏@SportsSafety
Let’s jump into the basics with Q1: What injuries do you commonly see in football practices and games? #SportsSafety

Mike Hopper ‏@mnhopper1s
@SportsSafety concussions, blood, ankle sprains. #SportsSafety some sprains and strains.

Dr. David Geier ‏@DrDavidGeier
A1: All types of football injuries – mild to severe; bruises, muscle strains, broken bones, torn ligaments, concussions #SportsSafety

Carrie Boan ‏@carrie_boan
A1 ankle sprains, muscle cramping, pulls, concussion #SportsSafety

STOP Sports Injuries ‏@SportsSafety
RT @mnhopper1s @SportsSafety concussions, blood, ankle sprains. #SportsSafety some sprains and strains.

Nicholas DiNubile MD ‏@drnickUSA
@SportsSafety I’m here too #SportsSafety

Mike Hopper ‏@mnhopper1s
@EHHSsportsmed @SportsSafety I’d agreed. #SportsSafety Seems like a lot of hands this year and fingers this year..

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s @SportsSafety Blood an important one. Cuts, bloody noses… W/o med staff, often few on sidelines know what to do #SportsSafety

Stephanie Davey ‏@ssd_ATC
@SportsSafety We had multiple shoulder dislocations and subluxations this season #SportsSafety

STOP Sports Injuries ‏@SportsSafety
@drnickUSA Welcome, sir! Glad to have you again. #SportsSafety

Mike Hopper ‏@mnhopper1s
@DrDavidGeier @SportsSafety Especially with our turf we see plenty of blood. #SportsSafety Quick wrap and get out of here! 😉

STOP Sports Injuries ‏@SportsSafety
RT @carrie_boan A1 ankle sprains, muscle cramping, pulls, concussion #SportsSafety

Shauna Happel ‏@athlsportpsych
Knees and shoulders have seemed to be common injuries that I’ve seen in the training room this year. #SportsSafety

Nicholas DiNubile MD ‏@drnickUSA
@SportsSafety Glad to be here. Always terrific info! #SportsSafety

STOP Sports Injuries ‏@SportsSafety
RT @athlsportpsych Knees and shoulders have seemed to be common injuries that I’ve seen in the training room this year. #SportsSafety

Dr. David Geier ‏@DrDavidGeier
@ssd_ATC @SportsSafety Good point. I think most of my under-20 shoulder surgeries have resulted from football injuries. #SportsSafety

Adam Bitterman ‏@BittermanJAMB
Foot and ankle injuries in #football, the importance of wearing appropriate footwear #SportsSafety

John Inverarity ‏@AliveandPure
@SportsSafety I would love to see athletes utilize Energy Healing. #SportsSafety #thebodycode

Stephanie Davey ‏@ssd_ATC
@DrDavidGeier @sportssafety Most of the time its technique….or lack of #SportsSafetyYouth football

Nicholas DiNubile MD ‏@drnickUSA
A1- Knee injuries on the rise- both contact and non-contact. ? r/t surface, shoewear, training? #SportsSafety

STOP Sports Injuries ‏@SportsSafety
Following up on injury types with Q2: What injury prevention tips do you recommend to young football players? #SportsSafety

Mike Hopper ‏@mnhopper1s
@DrDavidGeier @ssd_ATC @SportsSafety We only had a few shoulder issues this year. Less than last year IIRC. #SportsSafety

Mike Hopper ‏@mnhopper1s
@SportsSafety A2: <13 DONT PLAY. #SportsSafety

CHS AthleticTraining ‏@CHS_ATC
#SportsSafety A1: hands this year for sure (2 fx 4th MCs, 1 radial fx, several deep contusions) also strains, sprains, concussions.

Shauna Happel ‏@athlsportpsych
I’m on the soccer team @northerniowa we share a training room w/ football so we get to see firsthand football related injuries #SportsSafety

Adam Bitterman ‏@BittermanJAMB
@DrDavidGeier How often do you suspect/see visceral injuries during football? Sideline management? #SportsSafety

Stephanie Davey ‏@ssd_ATC
@mnhopper1s @drdavidgeier @sportssafety It’s all we bloody had…not a single real knee injury #SportsSafety

Mike Hopper ‏@mnhopper1s
@SportsSafety #SportsSafety A2: Crucial to hydrate. See what you hit. Be honest with coaches, parents, and med staff..

Dr. David Geier ‏@DrDavidGeier
@BittermanJAMB Fortunately I haven’t seen a serious one. And I’ve seen 2 posterior SC dislocations, so weird luck. You? #SportsSafety

Dr. David Geier ‏@DrDavidGeier
A2: Proper equipment, helmet fitting well, gradual adjustment to heat, proper tackling techniques; could keep going a while… #SportsSafety

Mike Hopper ‏@mnhopper1s
@ssd_ATC @drdavidgeier @sportssafety We had a fairly healthy season. 1 meniscus, couple broken bones. #SportsSafety ~5-6 concussions..

Adam Bitterman ‏@BittermanJAMB
@DrDavidGeier Thankfully, same. Couple of kids who had the wind knocked out of them. #SportsSafety

STOP Sports Injuries ‏@SportsSafety
#SportsSafety MT @JSsportsmed our team does an excellent job with summer conditioning and weights. Really cuts down on muscle injuries.

Carrie Boan ‏@carrie_boan
A2: proper warm-ups, stay hydrated, keep your body conditioned! #SportsSafety

Dr. David Geier ‏@DrDavidGeier
@BittermanJAMB I think there has to be a high level of suspicion. Send emergently to hospital if there is any question #SportsSafety

STOP Sports Injuries ‏@SportsSafety
#SportsSafety RT @EHHSsportsmed Conditioning/weight room and proper techs with all sports. Proper coaches teaching these specific techs

Stephanie Davey ‏@ssd_ATC
@SportsSafety Good tackling Technique is huge #SportsSafety

Mike Hopper ‏@mnhopper1s
#SportsSafety Important to have med staff: AT, MD, EMS. And have EAP prepared. #AT4ALL #sportsemergency #EAP

STOP Sports Injuries ‏@SportsSafety
RT @ssd_ATC @SportsSafety Good tackling Technique is huge #SportsSafety

STOP Sports Injuries ‏@SportsSafety
RT @mnhopper1s #SportsSafety Important to have med staff: AT, MD, EMS. And have EAP prepared. #AT4ALL #sportsemergency #EAP

Dr. David Geier ‏@DrDavidGeier
@BittermanJAMB Interesting though. Has me thinking of ideas for articles. Spleen, kidney injuries not common but they do occur #SportsSafety

Nicholas DiNubile MD ‏@drnickUSA
A2 Balanced year-round conditioning incl. strength, flexibility, core and esp agility w/ neuromuscular/proprioception training #SportsSafety

Carrie Boan ‏@carrie_boan
@ssd_ATC @SportsSafety yes! tackling technique so important!! Trying to push @HeadsUpFB in youth for our area! #SportsSafetyFootball tackle

Dr. David Geier ‏@DrDavidGeier
@carrie_boan Conditioning is a great point. Many kids report to summer practice completely out of shape #SportsSafety

Adam Bitterman‏@BittermanJAMB
Certain states mandate sideline physician, EMS, and ATC coverage PRIOR to starting a game. #SportsSafety #sportsemergency #EAP #safetyfirst

Dr. Juliet DeCampos ‏@DrDeCampos
@SportsSafety A1 we are seeing more stress fractures, all races, all sports, boys and girls #SportsSafety

Alasdair Dempsey ‏@ARDempsey
@carrie_boan @ssd_ATC @SportsSafety @HeadsUpFB from a rugby background its amazing to see the amount of bad technique in NFL #SportsSafety

Carrie Boan ‏@carrie_boan
@drnickUSA totally agree – so many injuries due to muscular imbalance, lack of or improper training, stretching #SportsSafety

STOP Sports Injuries ‏@SportsSafety
MT @BittermanJAMB Certain states mandate sideline physician, EMS, and ATC coverage PRIOR to starting a game. #SportsSafety #sportsemergency

Adam Bitterman ‏@BittermanJAMB
@DrDeCampos @SportsSafety What techniques/discussions do you use to rest a young athlete? How do you convince the parents? #SportsSafety

Alasdair Dempsey ‏@ARDempsey
Sorry should say I’m here – Sports Injury research from Aus #SportsSafety

Dr. Juliet DeCampos ‏@DrDeCampos
@SportsSafety Q2 Recommend appropriate nutrition and adequate breaks and rest. Heat education here in Florida #SportsSafety

Nicholas DiNubile MD ‏@drnickUSA
A2- Younger athletes often do not take full advantage of the power of proper #nutrition in terms of recovery #SportsSafety

JS Sports Med ‏@JSsportsmed
@BittermanJAMB @SportsSafety #SportsSafety agreed but most schools I deal with rely only on EMS

STOP Sports Injuries ‏@SportsSafety
Top notch stuff tonight, folks. Continuing w/ Q3: What rules are in place to keep youth football safe in your communities? #SportsSafety

Mike Hopper ‏@mnhopper1s
@SportsSafety A3: Big thing at that level is to play kids of similar age and size #SportsSafety

Kirsten Schrader ‏@SchraderKirsten
@SportsSafety A3 Gfellar-Waller act in NC helps with concussion awareness and safety. #SportsSafety

STOP Sports Injuries ‏@SportsSafety
RT @mnhopper1s @SportsSafety A3: Big thing at that level is to play kids of similar age and size #SportsSafety

Nicholas DiNubile MD ‏@drnickUSA
A2 Kids (& parents) pushing to return to play w/ injuries- when still vulnerable–> worsening/chronic etc. #SportsSafety …

STOP Sports Injuries ‏@SportsSafety
RT @SchraderKirsten @SportsSafety A3 Gfellar-Waller act in NC helps with concussion awareness and safety. #SportsSafety

Carrie Boan ‏@carrie_boan
@SportsSafety A3:I’ve only lived here briefly,I’m working on it. I’m astonished at the lack of safety measures in place here. #SportsSafety

Dr. David Geier ‏@DrDavidGeier
RT @darrenrovell 58% say opinion of letting their children/future children play football has changed in the last 3 years #SportsSafety

Mike Hopper ‏@mnhopper1s
@carrie_boan @SportsSafety I was ignored when I tried to contact youth FB org about concussions, etc #AT4ALL #SportsSafety #concussions

Carrie Boan ‏@carrie_boan
@SportsSafety A3: I’m working on AED attainment, concussion education, @HeadsUpFB programs, conditioning/strengthening program #SportsSafety

Nicholas DiNubile MD ‏@drnickUSA
A2- Forget the old 85% rule- they need to be BETTER than the 100% they were pre-injury! Find the weak-links and remove them. #SportsSafety

Adam Bitterman ‏@BittermanJAMB
@DrDavidGeier @darrenrovell Has anyone asked @nflcommish if he would allow his kids to play? #SportsSafety

Kirsten Schrader ‏@SchraderKirsten
@DrDavidGeier @darrenrovell @SportsSafety I wouldn’t let my kid play. I have seen too much! #SportsSafety

Keeping the mouthguard outside of the mouth can lead to bacterial contamination.

Carrie Boan ‏@carrie_boan
@mnhopper1s @SportsSafety I had the same issue last year, I was told “kids this age don’t get concussions”. Unbelievable. #SportsSafety

Mike Hopper ‏@mnhopper1s
@SchraderKirsten @DrDavidGeier @darrenrovell @SportsSafety Would you let your kid wrestle? Be a gymnast/cheerleader? #SportsSafety

STOP Sports Injuries ‏@SportsSafety
Thanks to @DrDavidGeier taking a good opp for our next topic – certainly of a big scope but a great audience for it. #SportsSafety

Nicholas DiNubile MD ‏@drnickUSA
Re training, I tell young athletes-for every minute MichaelJordan was on the court he spent an hour behind scenes preparing #SportsSafety

Shauna Happel ‏@athlsportpsych
Injuries can happen in any sport so don’t be afraid to have kids play in them. Just need proper safety precautions. #SportsSafety

STOP Sports Injuries ‏@SportsSafety
Q4: With #concussion discussions, etc. – should parents be concerned about letting their kids play football? Are you? #SportsSafety

Stephanie Davey ‏@ssd_ATC
@SchraderKirsten @drdavidgeier @darrenrovell @sportssafety I would let my kid play, if I had one, if he did everything correct #sportssafety

Shauna Happel ‏@athlsportpsych
@drnickUSA sport psychology is also a huge component of how athletes avoid/recover from injuries. #SportsSafety

JS Sports Med ‏@JSsportsmed
@SportsSafety parents should be diligent in checking with school on their policies and procedures. #SportsSafety

Dr. Juliet DeCampos ‏@DrDeCampos
@SportsSafety Q 3 size limit on ball carriers, mercy rule for talent inequity #SportsSafety

Mike Hopper ‏@mnhopper1s
@SportsSafety #SportsSafety A4: I wouldn’t let him play until 13-14 years old. No need to play tackle FB any earlier..

JS Sports Med ‏@JSsportsmed
@SportsSafety do they have proper medical staff 24/7, baseline testing, RTP protocol, return to learning protocol? #SportsSafety

Nicholas DiNubile MD ‏@drnickUSA
Do you think the concussion issue has (or will) resulted in lower participation nationally in organized youth football? #SportsSafety

Dr. David Geier ‏@DrDavidGeier
@SportsSafety In the last few years, I’ve seen many more parents in my office concerned about their kids playing football. #SportsSafety

JS Sports Med ‏@JSsportsmed
@SportsSafety proper coaching of technique and equipment management #SportsSafety

Mike Hopper ‏@mnhopper1s
@SchraderKirsten @DrDavidGeier ha! I said when in college that my daughter would not be a gymnast d/t overuse injuries #SportsSafety

Hamish Ashton ‏@p2pphysio
A4 I think the issue is not with regard to playing but recognition and treatment if receiving one. #SportsSafety

Dr. David Geier ‏@DrDavidGeier
Pop Warner youth football participation drops; NFL concussion crisis seen as causal factor | ESPN http://geier.md/1bpGJKW #SportsSafety

STOP Sports Injuries ‏@SportsSafety
RT @JSsportsmed do they have proper medical staff 24/7, baseline testing, RTP protocol, return to learning protocol? #SportsSafety

Dr. Juliet DeCampos ‏@DrDeCampos
@SportsSafety Q4 parents should be aware of need for follow up and possible schoolwork issues besides return to play #SportsSafety

Mike Hopper ‏@mnhopper1s 11h
#SportsSafety @SportsSafety A4: Would my son play football? http://mnhopper1s.wordpress.com/2013/02/16/million-dollar-question-would-my-son-play-football/ … #AT4ALL Here’s my thoughts…

Carrie Boan ‏@carrie_boan
A4:I’m concerned, parents should be. But I want them to support changing the “drop your head & drill ’em” culture of the sport #SportsSafety

Nicholas DiNubile MD ‏@drnickUSA
A4: It’s a legitimate concern (see my last Q). Look how our perception of boxing has changed. Dramatic in 1 generation! #SportsSafety

Alasdair Dempsey ‏@ARDempsey
Yes – Health Prof just need to make sure that educatio get out to ALL coaches (not just elite) #SportsSafety

Football wide receiver making a catch

STOP Sports Injuries ‏@SportsSafety
#SportsSafety MT @dklim14 I’m rethinking my decision to let my son play…probably not until HS. I’ve spoke with NFL alum who say the same.

Shauna Happel ‏@athlsportpsych
So much emphasis on professional sports injury prevention seems to be overshadowing youth sport injury education #SportsSafety

Carrie Boan ‏@carrie_boan
A4:Parents & coaches need education, support, more education. Injury happens in any sport. Prepare them to help prevent. #sportsSafety

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s @SportsSafety Great post, Mike! #SportsSafety

Mike Hopper ‏@mnhopper1s
@DrDavidGeier @SportsSafety Thanks doc! #SportsSafety

STOP Sports Injuries ‏@SportsSafety
That question could probably provide a whole night of convo – thanks for the short but sweet answers, everyone. #SportsSafety

STOP Sports Injuries ‏@SportsSafety
#SportsSafety RT @jayasports proper coaching and training of young players in regards to tackling. Lead with the shoulder, not the head.

Dr. David Geier ‏@DrDavidGeier
@mnhopper1s Just added your blog to my Feedly account so I don’t miss your posts. Great blog! #SportsSafety

Shauna Happel ‏@athlsportpsych
@carrie_boan totally agree! sport safety education goes beyond just the athletes. Parents, coaches & medical staff included #SportsSafety

Adam Bitterman ‏@BittermanJAMB
Parents must be educated on importance of pre-participation physicals and screening. Identify high risk athletes. #SportsSafety

JS Sports Med ‏@JSsportsmed
@SportsSafety ImPACT baseline testing as we speak! #SportsSafety pic.twitter.com/bvJN1UAQS2

Mike Hopper ‏@mnhopper1s
@JSsportsmed @SportsSafety The most favorite thing for any athletic trainer! #SportsSafety Did 19 yesterday with girls BB and wrestling

STOP Sports Injuries ‏@SportsSafety
Seems we have reached the end of the hour…feels more like a minute. But the #SportsSafety hashtag never sleeps. Keep your tweets rolling!

Kirsten Schrader ‏@SchraderKirsten
@SportsSafety @dklim14 And kids are bigger, stronger, faster, and even more fearless…or I an old…or both.#SportsSafety

Talon Athletics ‏@TalonAthletics
#SportsSafety !

Dr. David Geier ‏@DrDavidGeier
@BittermanJAMB Great point, Adam. Many parents treat it as a formality #SportsSafety

Mike Hopper ‏@mnhopper1s
@ssd_ATC @jssportsmed @sportssafety #SportsSafety Frustrating getting them to listen and follow instructions. And I get bored…

Nicholas DiNubile MD ‏@drnickUSA
@athlsportpsych And always always remembering/reminding-kids are not just small adults- different frames & different brains! #SportsSafety

Shauna Happel ‏@athlsportpsych
Been working on a blog for class about sport psychology of athletic injuries feel free to check it out http://happelonsportpsych.blogspot.com #SportsSafety

STOP Sports Injuries ‏@SportsSafety
BIG thanks to everyone for chatting with us this eve – and for everything you do in the name of #SportsSafety in your locales!

Nicholas DiNubile MD ‏@drnickUSA
@SportsSafety Thanks again for the forum! #SportsSafety

Shauna Happel ‏@athlsportpsych
@drnickUSA “different frames & different brains” great way to put it! #SportsSafety

Mike Hopper ‏@mnhopper1s
@JSsportsmed @ssd_ATC @SportsSafety 45 minutes? The 1st 30 of it gets spent telling them to shut up! #SportsSafety But we get thru it..

Late afternoon football practiceAdam Bitterman ‏@BittermanJAMB
@SportsSafety Thank you! Hope to participate in future forums. #SportsSafety #sportsarefun

Carrie Boan ‏@carrie_boan
@BittermanJAMB parents take it seriously after an injury, then they come with tail between legs for your help. frustrating #SportsSafety

Carrie Boan ‏@carrie_boan
@SportsSafety Great discussion! Thanks! #SportsSafety

Alasdair Dempsey ‏@ARDempsey
Loaded question – are pads and helmets bad for #sportssafety in American Football? Don’t have an answer just after thoughts

STOP Sports Injuries ‏@SportsSafety
Also: We are back in December with TWO chats. Special edition on December 3rd and our regular #SportsSafety chat the 11th. Both 9 PM ET.

AOSSM ‏@AOSSM_SportsMed
ICYMI: The last hour included #SportsSafety tweets about youth football, and it was awesome. Check the feed for a recap of the conversation.

Adam Bitterman ‏@BittermanJAMB
@ARDempsey @JSsportsmed @SportsSafety Clinical suspicion & recognition is key.Manpower is important to for multiple injuries. #SportsSafety

Adam Bitterman ‏@BittermanJAMB
Convincing parents to rest their kid is half the battle with overuse injuries. #SportsSafety #sportsarefun

Hamish Ashton ‏@p2pphysio
lesson learnt with soccer. Stopped heading at young age then saw more injuries when started. need to mature using the skills #SportsSafety

Dr. Juliet DeCampos ‏@DrDeCampos
@BittermanJAMB @SportsSafety Rest by stopping offending activity, relative rest, discuss bad possibilities, future goals #SportsSafety

Remember to join us for the #SportsSafety tweetchats! If you are interested, follow me on Twitter and follow STOP Sports Injuries as well!