Your Kid’s Body, The Red Flags Most Parents Miss.
Your Kid’s Body, The Red Flags Most Parents Miss.
If Your Kid Is Competing Year-Round, is Their Body Getting What It Needs?
If you have a child playing competitive sports in Northern Colorado — soccer, basketball, lacrosse, baseball, gymnastics, volleyball, cheer — you already know what the schedule looks like. Club season. School season. Summer tournaments. Winter showcases. Training camps. Speed and agility programs.
It doesn’t stop.
And somewhere in that schedule, a lot of kids are playing through pain they’ve been told is “just part of the sport.” Knee soreness. Hip tightness. Shoulder aches that come and go. Low back pain that their coaches chalk up to growing pains.
Some of it is. But, a significant portion of what young athletes are managing silently is something that can be easily assessed and addressed. Unfortuately, these red flags are usually looked over until bigger problems occur. This leads to the injuries that cost kids seasons, scholarships, and sometimes entire athletic careers.
The earlier it’s identified and corrected, the faster and more completely it resolves. The longer it’s ignored, the more compensation becomes normalized causing chronic issues.
The Youth Sports (This Includes Dance) Injury Landscape in Northern Colorado
Youth sports injuries have been rising steadily for two decades, driven primarily by early sport specialization and year-round competition without adequate recovery. The injuries we see most frequently at One80 Physical Therapy from the youth athlete population in Northern Colorado include:
ACL Tears and Knee Ligament Injuries
ACL injuries in young athletes, particularly female athletes in cutting sports like soccer, basketball, and volleyball, have reached epidemic proportions nationally. What most families don’t know: the majority of ACL tears are preventable. They happen when muscles fail to stabilize the knee under load, a failure that develops over time and can be identified and corrected before the tear occurs.
Post-ACL surgery return-to-sport rates are only about 65% in non-professional athletes, with re-tear rates running between 15 and 25% in the first two years. The conventional post-op rehab model is a major contributor to these statistics. Our post-surgical ACL patients at One80 consistently return to full sport ahead of conventional timelines AND we’ve never had one fail.
Growth Plate Stress Injuries (Osgood-Schlatter, Sever’s Disease)
These conditions, painful inflammation at the growth plates of the knee (Osgood-Schlatter) and heel (Sever’s), are almost universally undertreated. The standard advice is rest and ice. The One80 approach identifies the underlying biomechanical load distribution causing the growth plate stress and corrects it, allowing most young athletes to continue participating at a modified level while resolving the condition — rather than sitting out for weeks or months.
Shoulder and Elbow Overuse in Overhead Athletes
Baseball pitchers, swimmers, volleyball players, and gymnasts are particularly vulnerable to overuse injuries in the shoulder and elbow. Little League elbow, shoulder impingement, and rotator cuff tendinopathy in teen athletes are increasingly common, and increasingly serious.
Hip and Groin Issues in Cutting Sport Athletes
Hip flexor strains, labral irritation, and hip impingement are common in soccer, hockey, and basketball players, and are frequently mismanaged because the hip is a complex joint and conventional PT protocols don’t address the movement driving the problem. We see young athletes who’ve been told they have “hip flexor tightness” for two years. Usually it’s a muscular control issue that resolves in 2 to 3 visits when treated correctly.
Ankle Sprains That Keep Coming Back
The single most common youth sports injury is also the most chronically mismanaged. A lateral ankle sprain treated with rest, ice, and a brace returns the athlete to play structurally intact but neuromuscularly compromised, meaning the stabilization systems that should protect the ankle haven’t been restored. The result is a pattern of recurrent sprains that accumulates through a career. At One80, most acute ankle sprains are cleared for return to play in 2 to 4 visits with the stability systems fully restored.
Why “Rest and Ice” Is Often the Wrong Prescription for Young Athletes
The standard management of youth sports injuries in the conventional medical model follows a predictable pattern: symptoms appear, athlete is told to rest, symptoms subside, athlete returns to play, symptoms return. Repeat.
This cycle happens because rest addresses the symptom — the tissue irritation, the pain — without addressing the cause. The neuromuscular dysfunction that allowed the injury to occur remains intact. The compensation patterns that developed around the injury remain intact. The athlete returns to full load with the same vulnerable movement system they had before they got hurt.
The One80 System breaks this cycle by identifying and correcting the underlying dysfunction — not just waiting for the pain to go away. For young athletes, this means returning to play faster, with a movement system that is more resilient than it was before the injury.
What Parents Need to Know About One80 and Young Athletes
We work with youth athletes from across the Northern Colorado competitive sports community, from club soccer and travel baseball to high school varsity programs from Boulder to Cheyenne. A few things that matter to parents:
- No referral is needed. You can call and schedule directly without a physician visit first.
- Most young athletes see significant improvement in 2 to 4 visits. We will give you a clear recovery timeline at the first session.
- Our visit packages are household-based. If you have multiple athletes at home, the same package covers the whole family and can be used for up to 12 months.
- We accept HSA and FSA accounts. We also provide superbills for plans with out-of-network benefits.
- We do not just treat the injury site. We examine your child’s full movement system and correct what’s causing the breakdown — not just where they feel it.
The Case for Injury Prevention Over Injury Management
The most expensive conversation we have with parents is the one that starts: “We wish we’d come in sooner.”
A movement screening for a youth athlete costs significantly less — in time, money, and disruption to their season — than treating an ACL tear, managing a stress fracture, or working through a shoulder that’s been compensating for two years.
If your child is a competitive athlete in Northern Colorado and hasn’t had a movement screen, that’s where we’d start. We identify the specific vulnerabilities in their movement system before those vulnerabilities become injuries. For many families, it’s the best $105 (up to 20% off with packages) they spend all year.
Frequently Asked Questions
My kid has been playing through knee pain all season. Should I wait until the season ends?
No. Pain that persists through a competitive season is indicating an active problem, not soreness that will self-resolve with rest. Waiting until the season ends typically means the problem has become more entrenched and recovery takes longer. Early intervention almost always means a faster return to full function.
Our pediatrician told us it’s just growing pains. Should we get a second opinion?
If your child’s pain is affecting their ability to train or compete at full intensity, it warrants evaluation by a specialist in youth athlete movement and biomechanics. Growing pains are a real phenomenon, but they are frequently used as an explanation for conditions that are entirely addressable. We’re happy to provide a free consultation so you can make an informed decision.
My daughter tore her ACL and had surgery. When should she start working with One80?
As soon as possible — typically within the first week. The early phase of ACL recovery is critical for restoring neuromuscular function, and the difference in outcomes between patients who start structured neuromuscular rehab early versus late is significant. Our ACL post-op patients consistently return to sport ahead of conventional timelines.
Do you work with coaches and athletic trainers?
Yes. We work collaboratively with coaches and athletic trainers throughout the Northern Colorado area and are happy to communicate directly about return-to-play status and activity modifications. Keeping the whole team informed speeds recovery.
📞 Is your young athlete playing through pain?
Call (970) 593-9300 for a FREE consultation — or book by clicking HERE.
Sources
- Brenner JS; American Academy of Pediatrics — Sports specialization and intensive training in young athletes. Pediatrics, 2016.
- Myer GD et al. Rates of ACL injury in youth athletes: risk factors and prevention. Journal of Orthopaedic & Sports Physical Therapy, 2013.
- Rauh MJ et al. Epidemiology of musculoskeletal injuries among high school cross-country runners. American Journal of Epidemiology, 2006.
- Soligard T et al. Comprehensive warm-up programme to prevent injuries in young female footballers. British Medical Journal, 2008.
- Paterno MV et al. Incidence of second ACL injuries 2 years after primary ACL reconstruction. American Journal of Sports Medicine, 2014.

























