Sports injury

A few rules for sport related injuries:

 

 

  1. Early Advice

  2. Tailored Rehabilitation

  3. Getting the Forces right!

 

Are you cheesed off with being treated for the same problem again and again? Our sports ergonomics assessments ensure you get the very best advice in terms of matching your body's specific resilience to the demands of your sport. In other words getting the balance of forces right keeps you away from recurrent problems and away from the therapist's couch! We passionately believe sport is about fun, getting fit and getting the most out of life. Listed below are some the Sports injuries we treat and some information about them

Ankle sprain

 

The foot in essence is a complex arrangement of small bones which are attached via the ankle joint to the leg with the ligaments providing the stability between the foot and the tibia/fibula. So an ankle sprain is a disruption of varying degrees to this stability mechanism. The ankle can generally be graded 1 to 3 in increasing severity.

It's important to remember that the body has an inherent built in repair and restoration mechanism that kicks in at the moment of injury. Recurrent ankle problems are often due to injured tissue healing in a tight and shortened position and secondly the joints in the area become stiff which can have a knock on effect on walking and running etc. 

So the key  is to correctly assess the level of injury and provide a rehab plan that ensures stretching and strengthening in an appropriate time frame.

 

Groin pull/strain

 

This is a muscular tear or rupture of a group of muscles known as hip abductors whose primary function is to generate and stabilize the force required to move the leg across the body with injury often taking place with high speed activities like kicking, changing direction quickly or sprinting.

Hamstring strain

 

The hamstrings are a group of three muscles in the back of the thigh that bend the knee when they contract. They can be strained or torn if they are excessively loaded or when they are forcibly stretched by the action of the opposing muscle group.

Warming up and down adequately can help reduce the likelihood of injury as well as ensuring the muscles are sufficiently stretched and in addition ensuring good muscle balance and control of the pelvis.

Hamstring injuries can be graded 1 to 3 with grade 1 generally requiring a 3 week rest from sport, grade 2 requiring approximately  4 to 6 weeks and grade 3 could potentially require surgery and a prolonged rehabilitation process. 

 

 

Shin splints

 

Shin splints are quite common in runners and athletes and often develop as a result of a rapid change in training which could be intensity or volume related, a change in the running/ activity surface, excessive pronation or an over ambitious novice training schedule. 

Technically referred to as Medical Tibial Traction Periostitis which simply means there is an excessive pulling taking place at the point where muscles attach to the tibial bone.

Very often they settle following a period of rest or modified activity however in some instances the symptoms can be persistent and chronic and have a significant effect on activity levels

The symptoms often develop or deteriorate during running and may persist afterwards.

Tennis elbow

 

The 'term tennis' elbow is used by many in healthcare to describe elbow pain however it specifically refers to discomfort on the outer aspect of the elbow that's caused by overuse or mal use of the hand and arm.

 

'golfers elbow' on the other hand specifically relates to overuse and mal use affecting the inside of the elbow. Men seem to have a higher prevalence of tennis elbow and people in the thirty to fifty age range seem more effected.

 

A common misunderstanding is that tennis elbow is caused by primarily playing tennis. In fact the overwhelming numbers of cases we see are associated with physical occupations, DIY and gardening with incorrect or excessive use of manual or electronic tools often being the initiating factor. A typical example is the excessive use of a hedge trimmer. In this instant the muscles of the forearm do not have a resilience to match the physical demand match the physical demand of holding the 5kg tool for a couple of hours. There are a course plenty of people who make their living from hedge trimming but the key difference is that their tendons and muscles have adapted to the increased mechanical work and have conditioned up to the activity.

Patello-femoral pain/ Knee cap pain

 

This refers to pain primarily experienced on the front of the knee which may be associated with roughening or softening of the cartilage under the knee cap. Often pain can be triggered by overuse which is sometimes seen in children and adolescents who play a lower limb sport on consecutive days. In this instant there is a high exposure to impact, running, jumping and squatting activities. In adults it can also be associated with overuse but in addition may be affected by occupation, weight, age and previous injury. Some people experience a feeling of the knee giving way, catching, grinding or crunching.

Sports ergonomics can play an important role in identifying the primary causative factors and then developing a modified activity programme to allow the condition to settle.