Thursday September 28, 2006 sports.michigandaily.com sports@michigandaily.com Se RicTigSn tily SA GYM IT -Z X r 3M3MXAM3MIZ By Colt Rosensweig ( Daily Sports Writer WV' T %7! T Sophomore gymnast Joe Catram- bone was trying to add difficulty to his parallel bars routine during last season's spring break when his left shoulder began to hurt. He fought through it to compete in the NCAA championships, where he quali- fied for the individual competition on high bar. The shoulder didn't improve, and he knew something was wrong. After the season, tests con- firmed that Catrambone had not only torn his left labrum, but also partially torn the biceps in the same arm. At that point, most people would have undergone sur- gery to repair the arm and then spent six months or more rehabilitating. But gymnasts, includ- ing Catrambone, are not most people. "I'm not going to get the surgery until after next season," said Catrambone, add- ing that he con- siders this the worst injury of his career. "I'm able to do most skills. I just haven't been doing rings and some other skills that hurt it." Gymnas- tics injuries tend to be more difficult to define and detect because the majority of them are minor, and gymnasts will often compete without complaint, even if the injury is more than minor. "It's different than a football player who gets whacked in a football game and dislocates his shoulder," said Dr. Allan Mishra, a graduate of the Medical School. "It's easier to define an inju- ry in football or soccer than it is in gymnastics, because, from what I understand, a gymnast will play through the pain more than other people." Being the worst injury of Catrambone's career is something of an honor in the world of hurt. Like most gymnasts, he has an impressive list of breaks, sprains and other mutilations. He has degenerative discs in his back and stress fractures in his right wrist. Once, falling off the high bar, his knee went into his eye requiring thirteen stitches. The worst injury before this year came at the USA Championships in 2004. Catrambone landed "really short and bad" on his vault, spraining both ankles. Four months and multiple MRIs and X-rays later, doctors told Catrambone that he had broken his left ankle and sprained his right. The left ankle needed surgery, and both still bother him occasionally. Pain is a normal part of gymnasts' lives. Every day, they practice and compete through a mul- titude of small aches, and, sometimes, through more serious injuries. But for the love of the sport and the team, it's worth it. Catrambone uses his teammates as motivation to battle through injury. At last season's March 4 meet against Stanford, he initially decided not to compete on rings after falling off during warm-ups. But in the end he did the event - for the team. "(The team) is just as important (as the adrena- line rush of competition), because sometimes your body might not be feeling 100 percent," Catrambone said. "But when the team is pushing you and cheering for you, somehow and some way you find the energy to compete and do the very best that you can." "From what I understand, a gymnast will playugh the ain more th i other people. Dr. Allar Orthop in ness to compete when hurt may sometimes seem like reckless devotion to a sport, Dr. Mishra believes that this tendency actually helps doctors develop better and faster remedies for their injuries. "I actually enjoy tak- ing care of those kind of patients, because if they're good, they'll do whatever they can to get back in their sport," Dr. Mishra said. "The athletes help us hone our skills as doctors to get them back as soon as they possibly can." Senior Aaron Rakes knows that despite his general luck in the area of serious injuries - just a torn biceps tendon his junior year of high school - the soreness from this sport may never quite go away. "I have a feeling ... that when I'm much older, my shoulders will limit the amount of weight that I can lift and may also limit the activities that I may par- take in," Rakes said. But according to Dr. Mishra, gymnasts may actually finish their careers in much better shape than athletes in other sports like football or hockey. Gymnasts tend to injure their feet, ankles, wrists and spines most often, said Dr. Mishra, who works as an orthopedist and practitio- ner of sports medicine at the Stanford University-affili- ated Menlo Medical Clinic in Menlo Park, Calif. He has treated athletes at all levels, including pro football players, Major League baseball players and Olympians. The demanding sport might even benefit athletes in the long run. Dr. Mishra cited studies that have shown female gym- nasts have better bone density than control groups. "They do have a higher risk of injuring their growth plates, but their bone density, because they do such impacting loading exercises, is actually better," Dr. Mishra said. The same holds true for male gymnasts. They are, however, at additional risk for serious shoulder injuries because of the still rings. "There's no perfect evi- dence of this, unfortunate- ly," Dr. Mishra said. "But when they go on the rings, especially, they're putting huge stress on their shoul- ders. ... You're basically trying to dislocate your shoulder and stay in posi- tion." Even when a gymnast finally has surgery to cor- rect an injury, he'll fight through the pain of rehab to return to his sport as quick- ly as possible - sometimes even faster. "When you are hurt, you realize how much you miss the sport and underappreciate being able to do everything," said senior Andrew Elkind, who had surgery on his ankle in December of 2004 which forced him to redshirt the entire 2005 season. "As soon as you can test something out the least bit, you do." After his ankle surgery, Elkind cut his cast off a week early and switched from his crutches to a walking boot, trying to speed up his recovery. That approach sometimes works, but in this case, it didn't. "Sometimes because you're in a hurry to get back, you push the enve- lope and forget about the simple rehab exercises that are really crucial to a total recovery," Elkind said. Though athletes' general willing- When Yogi Berra said, "Ninety percent of the game is half mental," he was talk- ing about baseball. n Mishra, But he could have eas- ily been talking about ledist gymnastics. "It's defi- nitely harder (to deal with injuries) in practice," Bregman said. "I " n just try to focus more on fiP what I'm doing than how it feels. It's' hard to describe, but I just have to keep in my mind that gymnas- tics is a sport that you have to push through pain a lot." Sophomore Jamie Thompson competed his entire eighth-grade year with two broken wrists. After the season, the wrists required multiple bone grafts, which took more than a year to heal and rehabilitate. Though he was unable to practice normally, Thompson still came to the gym every day to par- ticipate where he could. Additionally, he did men- tal training, visualizing himself doing events and skills until he could once again perform them. "I did well that year and would never take it back," Thompson said. "Now, was it smart not to go to the doctor and see why (my wrists) were hurting? Probably not, and I might have better wrists today if I had gone to the doctor sooner. But I didn't, and I can't change that now." At this stage in their careers, the Michigan gymnasts are adept at reading their bodies' sig- nals and know how far they can push themselves. This doesn't stop them, however, from pushing themselves even beyond their own limits. For most gymnasts, including those at Michi- gan, collegiate gymnastics may be the high- est level of competition they reach. Because of this, the athletes want to get the most out of their unique experience. "Gymnasts often joke about feeling like (old men) by the time they retire, but it's worth push- ing yourself toward your ultimate goals," said Elkind, who plans to continue training until at least 2012. Not surprisingly, Elkind feels that competing through is worth the risk and pain in certain cir- cumstances, especially in big meets. "If it is a significant meet ... you have to deter- mine which outweighs the other," Elkind said. "I can think of some situations where I would have to basically die before pulling out of the meet." ... FILE POTO TOP: Jam Thompson competes on the still rings. BOTTOM: Joe Catrambone conquers the pommel horse. BEST OF THE WORST NAME: Jamie Thompson INJURY: Broken wrists "I had a surgery every three weeks starting with the left (wrist), then right, then left again (because the first bone graft to the left wrist didn't take). In these surgeries they were taking bone grafts from my hips. I was in a cast for nine months and it took over a year to get back. It changed the way I did gymnastics forever. ... Pommel horse used to be my best event, S and my favorite to do, but I never really did it again. I don't do (parallel) bars any- more either. I also do not do some skills on floor (exer- cise) because my wrist do not bend anymore." NAME: Scott Bregman INJURY: Lacerated spleen "My coach set the vault board wrong once and I jumped completely over it and went straight into the vault. I had internal bleeding and spent four or five nights in the hos- pital.... They considered sur- gery but I was young enough at the time (12) that they didn't have to operate. But I had bed rest for a week and couldn't do gymnastics/ sports for six weeks." NAME: Andrew Elkind INJURY: Broken ankle "With some injuries, like (my broken ankle), it is hard for the doctors to tell the exact problem. Then comes the waiting game and some trial and error with rehab. After a while when there's not much improvement, surgery is the only option. It's been over a year (since the sur- gery) and I still don't feel it is 100 percent." NAME: Joe Catrambone INJURY: Torn left labrum and partially torn left biceps "(Michigan coach) Kurt (Golder) and I think that it was from a (parallel) bars skill that I did on spring break. I was working this skill to try and put it in my routine so I could get my difficulty up, and during that spring break week my shoulder was starting to hurt pretty bad." NAME: Aaron Rakes INJURY: Torn right biceps tendon "The only serious injury that I have had was a torn right biceps ten- don my junior year in high school. I was only out about two or three months and finished the year on a high note (performing well at the USA championships)." A