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Ask Dr. Dunn: Physical exams

in News
Megan Paulsonby Megan Paulson
August 23, 2013

By Maren Dunn, D.O. Explore Big Sky Health Writer

What’s the difference between a Sports Physical and a Well Child Exam?

– Jeb, Big Sky

Each year, 30 million children and teenagers in the U.S. participate in organized sports. The sports physical – otherwise known as a pre-participation physical evaluation (PPE) – is recommended for all kids to maximize safe sports participation, while also promoting physical fitness. The goals of a PPE are to identify medical problems that could be life threatening during sports activities, detect and treat old musculoskeletal injuries, and uncover conditions that can interfere with performance.

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These goals are accomplished after thorough review of family and personal medical history, and are followed by an exam. Vaccine status, including the tetanus/diphtheria/pertussis (Tdap), and vision are also assessed. The child is then cleared for participation or partially restricted with recommendations for safe involvement. Occasionally a child will be fully restricted pending further work-up and treatment of any maladies.

The annual comprehensive health evaluation, also known as a well-child check (WCC), covers a more diverse collection of themes related to a child’s health and wellbeing. During this type of visit, the following are assessed: physical growth and development, puberty changes, mental health, dental and vision health, review of social and learning competence, discussion of a healthy diet and review of the complete vaccination record.

Often the PPE can be included during a WCC. However, the reverse is usually not the case since the WCC is a more in-depth evaluation. Consequently, most insurance carriers will not pay for a PPE, but will commonly cover a WCC as long as there has not been another one in the past year. It’s important to check with your insurance carrier if there are questions of coverage.

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