Slice, one of the kids from my sons jiujitsu team is at vandy children's hospital on morhine. We rushed him in from training today because he was having severe pain. Just got the news that he has sickle cell anemia. He just came over from Haiti to live with his brother 6 months ago. I assume he is done training. Kid was a prodigy.
Sparty as long as he didnt have severe damage to his internals he should be ok. Sickle cell "looks" like cramping but instead if dehydration it's a lack of oxygen to the blood cells, which I'm sure U know.
The solution lies in allowing him adequate rest between activity/conditioning type things.
This is from the national athletic training association position statement regarding sickle cell:
1) Build up slowly in training with paced progressions, allowing longer periods of rest and recovery between repetitions.
2) Encourage participation in preseason strength and conditioning programs to enhance the preparedness of athletes for performance testing which should be sports-specific. Athletes with sickle cell trait should be excluded from participation in performance tests such as mile runs, serial sprints, etc., as several deaths have occurred from participation in this setting.
3) Cessation of activity with onset of symptoms [muscle cramping, pain, swelling, weakness, tenderness; inability to "catch breath", fatigue].
4) If sickle-trait athletes can set their own pace, they seem to do fine.
5) All athletes should participate in a year-round, periodized strength and conditioning program that is
consistent with individual needs, goals, abilities and sport-specific demands. Athletes with sickle cell trait who perform repetitive high speed sprints and/or interval training that induces high levels of lactic acid should be allowed extended recovery between repetitions since this type of conditioning poses special risk to these athletes.
6) Ambient heat stress, dehydration, asthma, illness, and altitude predispose the athlete with sickle trait to an onset of crisis in physical exertion.
a. Adjust work/rest cycles for environmental heat stress b. Emphasize hydration
c. Control asthma
d. No workout if an athlete with sickle trait is ill
e. Watch closely the athlete with sickle cell trait who is new to altitude. Modify training and have supplemental oxygen available for competitions
7) Educate to create an environment that encourages athletes with sickle cell trait to report any symptoms immediately; any signs or symptoms such as fatigue, difficulty breathing, leg or low back pain, or leg or low back cramping in an athlete with sickle cell trait should be assumed to be sickling (7).
It also gives good insight to the difference between symptoms with heat cramps/dehydration vs sca.