Introduction
In the past, sports injuries were mostly limited to professional
athletes and young people participating in school sports
programs. However more and more people of all ages are regularly
participating in sports and exercise activities. No matter what
activity, whether it is rugby, basketball, running,
aerobics, or weight training, there is always the risk of
injury. These injuries can be broken down into two basic types,
one from trauma such as a slip, fall or collision and the other
being of the over-use or repetitive stress variety.
Traumatic Injuries
These injuries can cause the debilitating type of problems often
associated with trauma. Typically, the ligaments are injured in
this type of trauma, though fractures and dislocations may also
occur in contact sports. A strain is any injury to either a
muscle or its tendon and a sprain to ligaments. The most common
areas for these types of injuries are the ankles, knees, and the
shoulders, though other areas can be affected including the low
back and neck. Of course, injuries to the neck and low back can
be quite serious as the spinal cord or spinal nerves can also be
involved.
The
following is an acronym for the post-injury management of
sprains and strains especially if no professional help is
available: PRICE
- P -Protect the injury from further damage
- R -Rest the injury
- I - Ice the injury to reduce swelling, bleeding, muscle
spasm and pain
- C -Compress the injury with a specialized support or
elastic bandage to support the injured tissues
- E - Elevate the injury if necessary when dealing with
ankles and knees
Of course it is important to get the injury properly assessed by
a health care professional to know the extent of damage. Though
most of these injuries are able to heal, it is important to seek
proper care during the healing process. If not managed
carefully, some sprains and strains can leave us with long
lasting problems of joint instability, painful or weak joints
and muscles, and lack of mobility. Our office is specially
trained in the sports injury management. We can give you the
proper advice and treatment to insure that your injury will heal
in the best possible way.
Overuse or Repetitive Strain Injuries
Repetitive stress injuries are becoming more common, especially
among people pursuing sports such as golf, tennis, bowling or
any other activity that are requires one to do the same activity
over and over. Even running on a treadmill can cause such
problems.
These conditions occur when we are involved in a repetitive
activity that causes a very slight strain to tendons and muscles
that alone would not cause a problem but done many times has an
accumulative affect. After some time the muscle or other
affected tissue develops changes that no longer allow it to
function properly resulting in pain, stiffness and disability.
There are two types of factors that predispose one to these
types of problems one being:
- Intrinsic or found within one's own body.
- Extrinsic or external factors that can often be changed or
controlled by the individual.
Common Intrinsic factors of Injury:
- Age - the older we are the easier it is to get injured
- Congenital abnormalities - some people are born joint or
muscle problems
- Previous injuries - previously injured joints or muscles
often lack proper function
Common Extrinsic factors of Injury:
- Equipment - improper grip size of tennis racquet, worn out
running shoes
- Playing surface - playing soccer on hard surfaces, uneven
treadmill
- Improper technique - improper golf grip or swing
- Poor conditioning - doing activity when out of shape
- Lack of warm-up - not stretching or preparing for activity
- Increased frequency or duration - not building up slowly
- Flexibility - too stiff to do activity correctly
- Stress - being tired or stressed can cause number 3 or 7
Clearly, there are more factors that are extrinsic and
within our control. However, most of us need assessment by a
qualified health professional to determine the nature of the
injury, as well as the solution to the problem. Left untreated,
these injuries can greatly affect one’s life and limit activity.
Besides eliminating the cause, treatment is often required to
stabilize the condition. The treatment might include joint
manipulation, myo-therapy, physical therapeutics, bracing
and specific exercises. Do discuss your sports related problem
with one of our doctors. Please
call our office to set up a convenient time.
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