You know that being active is good for you. But sometimes you need help to stay in the game. Whether you’re an athlete, a parent or a coach, Parkland Medical Center’s orthopedic and sports medicine specialists are here to keep you and your team moving with expert advice, injury prevention and assessment, health and fitness training, treatment and rehab.

A Team of Specialists

Our sport medicine staff includes:

  • Orthopedic physicians and surgeons – Our board-certified orthopedic surgeons use both medical and surgical approaches to treat the full range of musculoskeletal injuries in adults and children. All rehabilitation care is overseen by a physician who determines the best course of treatment for an individual athlete and works closely with our certified rehabilitation specialists during the healing and recovery process.
  • Licensed physical therapists – Our highly experienced physical therapy professionals offer specialized therapy for various sports, including specialized services for dancers, gymnasts, ice skaters and cheerleaders. We perform thorough evaluations, develop an individualized plan of treatment for each athlete and provide continuing one-on-one care designed to decrease pain, build fitness and restore full function.

Depending on your plan of care, other team members may include licensed physical therapy assistants, exercise physiologists and registered dietitians.

Your Partner in Sports Medicine

You'll find our experienced and highly credentialed sports medicine specialists working to make sure every athlete reaches and maintains his or her potential.

Our experts will work with you to create and follow a customized, physician-led treatment program designed to help you progress as quickly as possible from surgery or initial injury care to the rehab and training room and back to your chosen field of play—in better shape than ever.

When you rely on the sports medicine experts at Parkland, you have access to:

  • An all-inclusive approach that includes prevention, assessment, treatment and rehabilitation services
  • Orthopedic and sports medicine specialists with advanced experience in the full range of orthopedic services and who serve athletes and athletic teams throughout Southern New Hampshire
  • Sport-specific physical therapy and strength training, including specialized services for runners and our Back on Pointe program for dancers, gymnasts, ice skaters and cheerleaders
  • Screenings/evaluations for student athletes
  • Injury prevention education and other resources for athletes and coaches

Maintain & Regain Your Fitness

Most sports injuries are temporary setbacks. With effective treatment, you can overcome injuries and return to your desired level of physical activity and athletic participation. Even better, you can avoid many sports injuries altogether if you take proper precautions. We carefully monitor your training program to minimize chances of recurrence in the future.

When to Seek Medical Attention

Some sports injuries warrant a visit to a health professional—or even the emergency room. You should see a professional when the following acute or chronic conditions exist.

Acute pain:

  • Swelling on or around a joint
  • Inability to move a joint or decreased motion of the joint
  • Any bone deformity
  • Extensive bruising

Chronic pain:

  • The symptoms do not disappear after activity modification and full resumption of activity
  • The symptoms occur with daily activities such as walking
  • The symptoms persist for longer than 10 days

Among the most serious potential sports injuries are concussions. Learn to recognize and respond to concussion injuries.

Injury Care & Prevention

These guidelines and practices will help you and your team stay in the game:

Ice and heat are among the most common treatments for sports injuries. But it’s important to know which treatment is right for your injury and to understand the guidelines for use.

When and how to use ice:

Ice treatment is most often used for acute injuries such as ankle sprains. It may also be used for chronic conditions such as injuries from overuse.

  • Use ice early and often for the first 48 hours to reduce swelling.
  • Use ice following exercise to decrease inflammation for both acute and chronic injuries.
  • Use for no longer than 15 minutes every three to four hours for the first 24 to 48 hours following an acute injury.
  • Do not use for more than 20 minutes at a time, as prolonged exposure may lead to tissue damage.

When and how to use heat:

Heat treatment is most commonly used for chronic conditions to help relax and loosen tissues and stimulate blood flow to the area. It may also be used for chronic injuries prior to stretching.

  • Use heat before exercise as part of a warm-up. However, general whole body warm-up activities, such as jogging, are more effective than direct application of heat in increasing blood flow and tissue temperature in the affected area.
  • Do not use heat for the first 48 to 72 hours following an acute injury.
  • Do not use heat when signs of inflammation such as redness, warmth or swelling are present.

Staying hydrated is key to your health and fitness, especially during warm weather. Heat-related problems usually occur within the first few days of practice and conditioning. That’s why it’s important to increase activity levels gradually and emphasize proper hydration throughout.

During hot and humid conditions, the American Academy of Pediatrics encourages coaches and athletes to:

  • Reduce intensity of physical activity lasting more than 15 minutes.
  • Drink plenty of fluids before practice and during regular breaks, while limiting clothing to a single layer of light-colored, lightweight material.

The color of your urine is a good indicator of whether you’re consuming the necessary level of fluids. The clearer your urine, the better, as this indicates it’s less concentrated. Athletes should drink 20 ounces of fluid for every pound lost during physical activity.

Athletes continually touch other players, surfaces and objects, which accumulates germs on their hands. Frequent hand washing is one of the best ways to avoid getting sick and spreading illness or infections.

Proper hand washing involves getting your hands completely wet, applying a generous amount of soap and scrubbing well for approximately 15 seconds—including between fingers, under nails and on the back of your hands. It’s best to turn off the faucet using your elbow or a paper towel, then dry your hands with a clean paper towel.

Always wash hands and other exposed skin immediately or as soon as possible after contact with blood or potentially blood-tainted fluids or materials. Exercise care and minimize handling when removing soiled gloves or protective gear.

Learn More About Exercise, Fitness & Overcoming Injuries

Consult our comprehensive online Health Library for a wealth of related information, including articles and videos on topics such as physical exercise, men’s health, women’s health and Tips for Older Adults: Ways to Avoid Injury During Sports and Exercise.


Parkland Rehabilitation Services
44 Birch St #300, Derry, NH 03038
(603) 421-2250