College Student-Athletes in Pursuit of their Goals with the Help of Contemporary and Alternative Medicine (CAM)

By Tommy Sachs

Spring 2024

We are constantly told that college students should set goals, and college student-athletes (CSA) are no exception.  They have the difficult task of setting not only academic goals but athletic goals as well. Kelly Bourne, a leading sports psychologist and author of Believe Perform, understands the importance of effective goal-setting by athletes.  She said that “goal setting can be one of the most important skills to teach athletes to help them optimize their performance.” 

During an interview with Jessica Ramirez, a North Central College student-athlete on the women’s bowling team.  We talked about her academic and athletic goals.  She said, “One of my goals was to complete my college career with a 4.0 GPA while balancing my clubs and activities while becoming a successful collegiate athlete. To do this, I had to find ways to balance my time, such as studying for classes on the bus or in the hotel room on those 3-day tournaments while also making sure to get a good night's sleep to perform my best the next day.” 

Some CSA tend to prioritize their sports participation more than academics.  Theodore Curtis, professor of Sports Administration at Lynn University, says, “Intercollegiate student-athletes have a solid athletic identity and tend to put sports before academics.  This is because they are ego-oriented and want to win in sports, not necessarily in the classroom.”  According to Curtis, if the CSA can also focus on task orientation, a self-referencing orientation when setting their academic goals, it will promote the effective motivational patterns they need for academic success.  Therefore, CSA must apply just as much to their academics as their athletics to not jeopardize their sports scholarship or team participation.  Division I athletes are especially pressured to meet the NCAA Academic Eligibility Requirements, which include minimum GPA averages and core course requirements.     

The GOALS and SCORES study by the NCAA asked 20,925 college student-athletes (CSA) how satisfied they were with their college experience (athletics, academic, and social).  This specific study found that 80% of CSAs felt it was essential for them to receive a bachelor’s degree.  In that same study, 10% of CSAs planned to spend their first year devoted to their sport, and others thought they could go pro or become an Olympic athlete after college.

College Student-Athletes - Injuries

When a college student-athlete (CSA) gets injured, it can quickly derail their athletic goals because if they are not playing, they are not accomplishing their sports goals. Depending on the severity of the injury, the CSA can get discouraged while waiting for their body to heal.  They can also wonder how long it will take to return to where it was before the injury.   CSAs are prone to injury because they constantly train and compete when not training. The type of sport they play can also impact how often they get injured.   Men's football had the highest incident rate (35.9 per 1,000 athletes), while soccer was the highest for women (16.4 per 1,000).    If you want to look up the incidence rate of the college sport you play, click here.

When CSAs play sports, the injury that occurs the most is musculoskeletal injuries (MSK-I), which are soft-tissue injuries that affect the muscles, nerves, tendons, joints, and cartilage. Common musculoskeletal injuries among athletes are fractures, dislocations, sprains, strains, tendinitis, and bursitis.  Depending on the injury and the severity, a CSA may choose to see a medical doctor (GP, orthopedic surgeon, etc.) for treatment.  If the CSA wants to seek another alternative to going to the doctor or has become dissatisfied with the results after conventional treatment, they may choose to use contemporary and alternative medicine (CAM) modalities.   

The Journal of Athletic Training published a special issue (in 2007) showing the results of a 16-year study where the NCAA looked at 15 different sports and found that 80% of all injuries were musculoskeletal injuries.  Most injuries occurred when players made contact with each other; over half were injuries to the lower extremities.  The data revealed that the most common musculoskeletal injury among college athletes is sprained ankles, which account for approximately 11,000 yearly or .86 per 1,000 athletes (Cameron et al., 2017). 

College Student-Athletes – Use of Contemporary & Alternative Medicine (CAM):

Over the years, Contemporary and Alternative Medicine (CAM) has become increasingly popular due to more people using it and then telling others about it.  CAM is a very broad category that has many different areas, including:   

  • Traditional alternative medicine:  acupuncture, Ayurveda,

  • Homeopathy, naturopathy, Chinese or oriental medicine    

  • Body:  Chiropractic, massage, body movement therapies, tai chi, yoga

  • Diet and Herb:  Dietary supplements, herbal medicine, nutrition/diet

  • External Energy:  Electromagnetic therapy, Reiki, Qigong

  • Mind: Meditation, biofeedback, hypnosis           

CAM is used for many different injuries and health problems, including soft tissue musculoskeletal injuries (MSK-I) that can be caused by trauma to the body.  According to Google, MSK-Is are due to quick movements, such as blows to the muscle, falls, dislocations, and fractures, similar to someone involved in a car accident.  

More people are trying CAM, not necessarily to replace conventional medical treatment but in addition to it.  Both options have their benefits, but if conventional treatments do not bring enough satisfaction, CAM therapies could be a way to return to complete mobility after an injury.   Many times, the conventional medicine approach for pain is to prescribe pharmaceutical drugs, but using too many of these anti-inflammatories can cause unwanted side effects.  Therefore, finding an alternative way to recover from an injury with a more natural approach might be more appealing. 

More people are trying CAM, not necessarily to replace conventional medical treatment but in addition to it.  Both options have their benefits, but if conventional treatments do not bring enough satisfaction, CAM therapies could be a way to return to complete mobility after an injury. 

According to the World Health Organization (WHO), the CAM market in the U.S. was estimated to be worth $17 billion, with 158 million adult users in the year 2000, and is expected to increase over the coming years

Going forward, the focus will be on the area of CAM that is most commonly used such as manipulative and body-based practices, which chiropractic and massage therapies fall into. According to Johns Hopkins Medicine, body movement therapies like chiropractic and massage, are based on the idea that other body parts can be affected when you have an injury. These areas can be restored to optimal health through manual manipulation of the body.   

According to a study conducted by the Department of Complementary and Alternative Medicine at the University of Hawaii, 309 college student-athletes were asked if they had participated in CAM within the last 12 months; 56% of the subjects reported they did; with massage and chiropractic services being the most common.

Manipulative and Body-Based Practices of CAM

Body Therapy 1 for College Student-Athletes:  Chiropractic therapy

Chiropractic therapy focuses on the body's structure, bones, and joints while addressing any underlying spinal dysfunction, called Vertebral Subluxations. This is when small bones on the spine get disrupted, putting pressure on the nerves. The ultimate goal is to bring the patient to optimal health using a whole-body approach.  Chiropractors can determine the root cause of your pain and the best adjustment technique.  Once any spinal misalignment is corrected, pressure on muscles can be relaxed; this is how chiropractors can help college student-athletes with musculoskeletal injuries.

In an interview with Dr. Andrew Czarniewski, owner of The Chiropractic Place in Naperville, we discussed the importance of chiropractic adjustments for musculoskeletal injuries and athletic performance. Dr. Czarniewski said, “Chiropractic optimizes body functions to add valuable seconds that improve performance time and will make the difference between coming in first or second place.”  CSAs strive to gain a competitive edge in sports by training harder, but it could be as simple as getting routine spinal adjustments with a chiropractor. When the spine is in alignment, the nervous system can function at its best, allowing the CSA to see improved coordination, balance, and posture, leading to better performance in competition.      

Chiropractic services can also help CSAs who suffer from concussions, which are very common among contact sports players. When a chiropractic adjustment is performed, it removes pressure from the nerves to allow more blood flow to the brain to promote healing. Adjustments improve blood flow to the entire body, increasing the body's ability to perform at its best.   

To find a registered chiropractor near you, click here.

Body Therapy 2 for College Student-Athletes:  Massage Therapy

Therapeutic massage (sports massage therapy) aims to rehabilitate and restore musculoskeletal dysfunctions through soft tissue work by reducing pain, discomfort, and stiffness and increasing range of motion.

Massage therapy goes back thousands of years and was practiced by the Chinese and Egyptians. Kung Fu practitioners and Greek Olympians first used therapeutic sports massage.  It was used for many conditions, including musculoskeletal injuries (soft-tissue injuries that affect the muscles, nerves, tendons, joints, and cartilage), cancer, stress, relaxation, and pregnancy.

When working with a CSA, massage helps the athlete recover after exercise or muscle fatigue. Massages are ideal for treating musculoskeletal injuries (fractures, dislocations, sprains, strains, tendinitis, and bursitis), where soft tissue work can relieve overstressed muscles, tendons, and ligaments.  For a list of common dysfunctions treated with therapeutic massage, click here.

Flexibility and strength are beneficial for preventing injury and improving overall performance in collegiate sports. Therefore, massage therapy is something an athlete can do proactively to prevent injury and increase performance. The Journal of the American Academy of Orthopedic Surgeons has reported that many studies have shown positive results when hamstring flexibility was tested after athletes received a massage.  Another study by Brooks et al. showed improved postexercise grip performance on athletes with therapeutic massage. 

In an interview with Mary Renouf, owner of CareQuest Massage in Naperville, a board-certified massage therapist specializing in medical and therapeutic massage.  We talked about how massage therapy can benefit college student-athletes with musculoskeletal injuries.  Her massages focus on the health and wellness of the athlete than simply relaxation and stress relief.  She said, "Medical and Therapeutic Massage is no longer a luxury but a beneficial necessity!”  This quote expresses how strongly Mary feels about taking a complete and integrative approach to massage therapy.  If only more people would regularly incorporate massage therapy into their lives and not just do it on special occasions or as a treat, they would see their overall health improve.

The highest level of massage therapy is board-certified, where massage therapists are certified by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) and have passed extensive testing and background checks. 

Click here to find a list of board-certified massage therapists in your area

Here are some real-life scenarios to help explain why college student-athletes (CSAs) should go to chiropractors and massage therapists for many of the conditions they can experience when playing collegiate sports:  Assume one CSA breaks his leg during a college football game and goes to the Urgent Care for treatment and leaves with a cast.  He will be sent to rehab for many weeks after his break is healed and the cast is removed.  When he finally returns to playing football, his leg is not the same, and he is experiencing residual pain in the same leg that was injured.  In this situation, he could benefit from going to a certified massage therapist who can massage the tight muscles that could be causing his pain. 

Another example could be a college student-athlete on the women’s volleyball team who had a bad fall and is now experiencing low back pain.  She could benefit from going to a chiropractor to check for bones out of alignment and massage therapy to loosen tight muscles.  Massage therapy can also help speed recovery and soothe the sore back muscles until they fully heal.        

Tommy Sachs is a North Central College (NCC) junior graduating in Spring 2025.   His major is Business, with a minor in Sports Management. Tommy is a transfer student from Waubonsee Community College in Sugar Grove, IL.  A member of The National Society of Leadership and Success (NSLS).  He is the President of the Mixed Bowling Club, which he started back in November of 2023.  He enjoys playing basketball and participates in NCC’s basketball intramurals.  He feels strongly about his nutrition, health, and fitness and regularly plays basketball and weight lifts.  He has an online sports-related sales business that he is passionate about.