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Lake Forest Schools

Sports Medicine

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Welcome to the Sports Medicine web site, which contains important information for parents, athletes, and coaches of LFHS athletes.

Contacting Athletic Trainers at LFHS

Athletic Training Room Phone: 847-582-7397
West Campus Phone: 847-235-9664

  • If the ATC's are not in, leave a message as they do check voicemail often.
  • Each coach has instructions on additional methods of contacting the ATCs.
    Athletic Training Room Hours
    (Subject to Change Without Notice)
    DURING THE SCHOOL YEAR:
  • Monday through Friday: Periods 4, 5, 6 and 8
    Evaluations, treatments, and rehabilitation programs can be conducted during any of these periods that the athlete has lunch, study hall (pass required from student's dean), or a free period.
  • After school to approximately 6:30 pm (Depending on events).
  • No evaluations are done from 3:00-3:45. All injuries must be evaluated prior to first taping.
  • Evenings and weekends: Event coverage only.
  • School holidays: Closed.

One of the athletic trainers will be available at all home varsity events for collision sports (football, wrestling, gymnastics, and boys’ lacrosse) and most home events for contact sports (soccer, field hockey, swimming/diving, volleyball, basketball, baseball, softball, girls’ lacrosse, water polo, and track). Non-contact sports (tennis, cross country, golf, and badminton) will generally not be covered, but the coaches have instructions on how to contact the athletic trainers. If multiple home events are scheduled at the same time, priority will go to the sport with the highest injury potential.

ADDITIONAL INFORMATION

Emergency Procedures

Heat/Cold Guidelines

Injury Care Guidelines

IN CASE OF INJURY :
All coaches have been provided with instructions in case of injury and have been issued a medical kit and ice chest to be available at all practices and games. Ice machines are readily available at both campuses. If one of the ATCs is not available, the coach should advise the athlete to use ice 20 minutes on/20 minutes off and see an ATC as soon as possible during training room hours.

Never apply heat until told to do so by one of the ATCs. In the ATCs' absence, the coach is responsible for providing immediate care to an injured athlete but they are advised to not "screen" athletes' injuries or give them any other advice. If you or the coach feel immediate medical attention is necessary and one of the ATCs is not available, take the athlete to the Emergency Room or your own physician. In case of any possible lower extremity fracture or significant knee injury, unconsciousness, or neck injury an ambulance should be called.

If ambulance transport is not required, you will need to transport the athlete to the hospital or physician's office in your own vehicle. LFHS personnel do not provide transportation, in either LFHS or personal vehicles. If you are unavailable, an ambulance will be called. Usually every effort will be made to have you make the decision to call an ambulance but the coaches will use their judgment. They are instructed when in doubt, call the ambulance.

Your athlete should still follow up as soon as possible with one of the ATCs, at least by phone, regardless of medical advice or playing status. For less serious injuries, if the ATC determines that physician evaluation is necessary, you will be notified. Usually they will call, but sometimes they send a message with the athlete. At the ATC's discretion, the athlete might not be allowed to practice or compete until a note from the physician is returned to one of the ATCs. The ATC will then notify the coach that the athlete has received a medical clearance.

TREATMENTS AVAILABLE:

If a physician prescribes some form of therapy or rehabilitation, please contact one of the ATCs before scheduling. Chances are very high that the treatment can be performed at the high school, saving you time and money and allowing better coordination of the athlete's care.


Treatment modalities available at the school include: cryotherapy (cold); electro- therapy (including Russian, interferential, and micro current forms of electrical stimulation); ultrasound; hot packs; and hydrotherapy (hot, warm, and cold whirlpools).

The ATCs are qualified and experienced in designing rehabilitation programs to develop range of motion, strength, and proprioception (body sense and balance) with a variety of activities and exercises including: active, active-assisted, passive, functional, and aquatic (pool). They are also able to provide protective taping, wrapping, and custom splints and padding, and stock AirCast ankle braces.

INSTRUCTIONS FOR HOME CARE OF MINOR INJURIES

For the first 24-72 hours after injury:


  1. Use PRICE to control swelling, relieve pain, lessen spasm and aid the healing process
    P Protect - Support
    R Rest
    I Ice packs (in plastic bags)
    C Compression of area (elastic wrap)
    E Elevation (above heart 12 inches or more)
  2. Ice treatments (i.e. frozen water) should be applied 20 minutes on/20 minutes off until bed time. DO NOT USE CHEMICAL COLD PACKS. They have been known to burn the skin.. Bags of frozen peas or corn work well since they can be molded to fit the body part.
  3. If using an elastic wrap, apply it lightly to the injured area over the ice pack. Do not wrap it too tightly. After taking the ice pack off, reapply the elastic wrap snugly (again, not too tight, but tighter than when it was over the ice pack). Loosen or remove the elastic wrap at night.
  4. Elevation at night can be accomplished by placing a firm object (piece of wood) under the foot or head of the bed depending upon leg or arm injury, respectively. This will assure proper elevation throughout the night.
  5. Decrease weight-bearing during this time. Instruct your son/daughter to stay off the injury and rest. Use crutches if issued by the athletic trainers.
  6. NEVER apply heat in any form until advised to do so by the athletic trainers. Heat will interfere with healing and cell waste product removal. It may feel good, but it only lengthens recovery.
  7. Consult your family physician if the signs and/or symptoms of the injury increase or worsen.
  8. See the athletic trainers as soon as possible for further instructions.
  9. Until told otherwise, the athlete should report for treatment daily in the athletic training room.

Injury Prevention

Prevention of ankle sprains: Are prophylactic ankle braces the way to go?

It is the opinion of the LFHS athletic trainers that wearing ankle braces without doing any strengthening exercises could prove counter-productive in that the athlete may become so dependent on the braces that the muscles could actually become weaker, making the athlete more prone to injury at those times when they do not wear the braces (such as while playing one-on-one in their driveway or when they forget to bring their braces to practice). Strengthening from within should be the first step; if additional protection is desired, that can be added to, not substituted for, the strengthening. In an article published in the Journal of the Illinois Athletic Trainers’ Association, Dr. Robert Dugan stated that “the role of bracing or taping may best be suited to protect injured ankles from reinjury.” In his review of the medical literature, Dr. Dugan found that “there is no significant decrease in the number or severity of ankle injuries with high top shoes, prophylactic ankle taping, or prophylactic ankle bracing.” He also found that “... in lesser developed countries where athletic competition is conducted barefoot, there are fewer reported injuries.”

There is an ongoing controversy over the wearing of ankle braces to prevent ankle sprains. Some coaches and medical professionals feel that all athletes, especially basketball players, should be wearing ankle braces for every practice and game. There are others who feel this is ineffective in preventing injury. And there is another group who actually feel ankle braces, by shifting stress to other areas such as the knee, could actually cause increased injuries to those areas. Unfortunately, there are studies and evidence to support all these views. For the article mentioned above, Dr. Dugan found that “the effects of prophylactic taping and bracing in the prevention of new ankle sprains are inconclusive.” Dr. Dugan goes on to state “the only successful programs that appear to reduce the incidence of sprains involve proprioception training, peroneal strengthening, and heel cord stretching.”

The LFHS Athletic Trainers agree with Dr. Dugan that an ankle strengthening program is the most effective method to both prevent injuries and improve performance. For those with no previous injuries, just adding a few simple exercises to the daily warm-up routine should be sufficient. The athletic trainers are available to meet with any team to go over these exercises. Those with previous injuries should meet with one of us during the day for a more extensive individual program.

Sports Medicine Staff

Certified/Licensed Athletic Trainers


Bartholomew L. Castillo has a Bachelor's degree from Trinity International University. He has been practicing athletic training since 2011. Most recently, he worked for Athletico Physical Therapy as a full time out-reach athletic trainer at Deerfield High School.

Bart is nationally certified by the Board of Certification for Athletic Trainers and licensed by the Illinois Division of Professional Regulation.


Jennifer C. Regan, MS, ATC, LAT has a Bachelor's degree from Northern Illinois University and a Master's degree in biomechanics from Eastern Michigan University. She has been practicing since 1996. Previous positions include working with soccer and softball at Eastern Michigan University; gymnastics, hockey, softball, and fencing for the Sports Medicine Institute in South Bend, IN; primary coverage of 19 sports at Washington High School in South Bend, IN; rugby, hockey, football, track & field, high school coverage, and clinical patient care for AthletiCo Sports Medicine & Physical Therapy and assistant athletic trainer at Libertyville High School and Condell Medical Center.


Jen is nationally certified by the Board of Certification for Athletic Trainers and licensed by the Illinois Division of Professional Regulation.


Supplemental Links & Documents

Sports Medicine Links:

Illinois Athletic Trainers' Association
http://www.illinoisathletictrainers.org

Great Lakes Athletic Trainers' Association
http://www.glata.org/

National Athletic Trainers' Association
http://www.nata.org/

National Federation of High Schools
http://www.nfhs.org/

Illinois High School Association
http://www.ihsa.org/

International Fitness Association
http://www.ifafitness.com/stretch/

National Library of Medicine
http://www.nlm.nih.gov

Illinois Department of Professional Regulation
http://www.dpr.state.il.us/

Office of Dietary Supplements
http://dietary-supplement.info.nih.gov

National Institute of Health
http://www.nih.gov

The Weather Channel
http://www.weather.com

National Lightning Safety Institute
http://www.lightningsafety.com

American Academy of Orthopedic Surgeons
http://www.aaos.org



Supplemental Documents requiring Adobe Acrobat Reader:

Football Helmet Cleaning Instructions
Heat Considerations for Coaches
Dynamic Warm-up Program for Basketball (and other sports)
West Campus Lightning Prediction System & Guidelines
Overuse Injuries: Stress Fractures, Shin Splints and Tendonitis
Lightning Safety for Athletics and Recreation
Competition Eating
Diabetes & Exercise: Tips for Better Performance
Herbal Supplements & Sports Performance
"Muscle Builder" Supplements
What You Need to Know About "Energy" Drinks
Coaching Certification

Visiting Team's Information

Here's what to expect when your teams come to Lake Forest to compete:

  • Lake Forest Paramedics transport athletes to Lake Forest Hospital (847-234-5600; Emergency Room 847-535-6150), 660 North Westmoreland Road.
  • There will be a certified athletic trainer in attendance/on campus for almost all home events. If there are multiple events, our coach will be able to summon us as needed. Off campus events such as golf and non-contact sports like tennis, are not covered, but our coaches are able to contact us via radio or cell phone.
  • FOR ALL SPORTS/EVENTS, YOU ALWAYS NEED TO BRING YOUR OWN WATER BOTTLES AND/OR CUPS, AND THE TEAM'S MEDICAL KIT.
  • Please call ahead to make arrangements for the treatment or taping of your athletes at our facility. Please have your athletes bring athletic training supplies/tape with them. Please provide a doctor's note for any requested modality other than ice or hot packs.
Here are the specifics for the different sports: FALL | WINTER | SPRING

Sports Medicine Staff

Bart Castillo, Athletic Trainer
847-582-7397
bcastillo@lfschools.net

Jennifer Regan, AthleticTrainer
478-582-7397
jregan@lfschools.net


Thank you LFHS Boosters!

Thanks to a generous grant from the LFHS Boosters, the athletic training staff has some new and updated tools in our toolbox. This new equipment will enhance and expand the treatment we can provide Scout athletes, allowing them to return more quickly and safely to their activities.

This equipment includes a Mettler 740X multi-frequency ultrasonic therapy unit, a MedX 1100 laser and light therapy unit, and two Reichert Medical NMES/TENS/IFC electrotherapy units. Ultrasonic, light, and electrotherapy all work in different ways to encourage the body’s healing process. The athletic trainers have already been getting good results for our patients using these units. Thank you Boosters!!!

Read more about ultrasonic, light, and electrotherapy here.