{"id":2549,"date":"2019-12-27T03:44:42","date_gmt":"2019-12-27T03:44:42","guid":{"rendered":"http:\/\/www.kg-testsite.com\/?p=2549"},"modified":"2019-12-27T03:45:18","modified_gmt":"2019-12-27T03:45:18","slug":"aggressive-sports-injury-management","status":"publish","type":"post","link":"https:\/\/www.kg-testsite.com\/rosecity\/aggressive-sports-injury-management\/","title":{"rendered":"Aggressive Sports Injury Management"},"content":{"rendered":"

Original Article Published on Premax<\/a><\/p>\n

There\u2019s one question that is on the top every athlete\u2019s list when they sustain an injury \u2013 when can I play or race again? It\u2019s a question that I usually answer with another question; when do you need to? Sometimes there\u2019s an important event or competition coming up and it needs to be considered in a management and treatment plan. Can you push the boundaries in returning to sport quickly? Yes. Is it the best thing to do? Read on.<\/div>\n

<\/p>\n

\n

In this article, I\u2019ll run through six tips on how to get people back to sport as quickly, but as safely as possible.<\/p>\n

Prevention is Better than Cure<\/h3>\n

In elite sport, there\u2019s been a big shift in focus from injury management, to injury prevention. For example, recent research has clearly proven than football players can significantly reduce the chance of ACL (knee) injuries by at least 50% if they do certain exercises, and for injuries related to training load errors the acute on chronic workload ratio algorithm has been shown to help predict injuries.<\/p>\n

Specific strengthening and training load management are the two most important factors in preventing injuries, however when athletes are leading into major events elite sport practitioners employ other strategies as well.<\/p>\n

Shane Kelly is the Head of Physical Therapy for British Athletics, and he takes an individualised approach for their athletes leading into big competitions. \u201cThe modifiable risk factors of sleep, nutrition, travel and decision making are targeted and we have bespoke strategies for each of our athletes\u201d says Shane. \u201cEssentially, in order to maximise performance and reduce injury risk, every track and field athlete must be extremely well prepared in each of these areas\u201d.<\/p>\n

\"An

An appropriate strength and conditioning program will help reduce the chance of injury<\/p><\/div>\n

Declare it, and Get an Accurate Diagnosis Quickly<\/strong><\/h3>\n

If you are injured, it\u2019s in your interest to acknowledge it, accept it, and get the professionals in to to help as soon as you can. Seeing how it goes for a few days may delay receiving optimal treatment and rehabilitation, so if you\u2019ve got a tight timeline, get things checked straight away.<\/p>\n

World Tour Cycling Team Mitchelton Scott has strict policies on riders reporting injuries. It\u2019s a straight forward process when on tour with the team, however the challenge is when the riders are away from the team. \u201cThe issue is when riders are at home, often in different time-zones and sometimes isolated\u201d says Dan Guillemette, Lead Physiotherapist. \u201cFortunately, we have a good concentration of athletes in Girona and Andorra who can quickly access medical services within a trusted network of external practitioners. The key is the open communication between the athlete, coach, our medical team, and external provider.\u201d<\/p>\n

\"Dan

Dan Guillemette preparing a Mitchelton Scott rider with Premax Massage Lotion<\/p><\/div>\n

The take home message is to have your own trusted medical \u2018team\u2019 set up before you get injured. If you don\u2019t have people already on your team, word of mouth is always best.<\/p>\n

Once the injury has been disclosed, sports medical practitioners need to provide you with an accurate diagnosis. Sometimes, this can be provided clinically, however most of the time professionals need to push the limits with what can be done, and early imaging (x-ray, MRI, ultrasound etc) is used to clarify both the diagnosis and severity.<\/p>\n

Aggressive Early Management<\/h3>\n

You\u2019ll be tempted to put your feet up and feel sorry for yourself, however there\u2019s plenty you can do to optimise your recovery from day 1.<\/p>\n

Kristy Stahr is a US Physical Therapist who has spent years travelling around the world with the Williams sisters and Naomi Osaka. She knows what it takes to have players ready to play again in short time frames.<\/p>\n

Kristy says that reducing swelling is a high priority in the early stages. \u201cIt is imperative to decrease\/abolish any swelling quickly after the initial injury to facilitate healing. This can be done through massage, cryotherapy with compression, manual lymph drainage techniques, dry needling protocols and various taping\u201d says Kristy.<\/p>\n

Getting the injured region moving as soon as able is also of paramount importance. Kristy says that \u201cmovement is also key during the early stages as long as stability\/structural integrity is not compromised. Early movement helps to maintain range of motion and also activates muscle pumps to further decrease any residual swelling\u201d.<\/p>\n

For longer term injuries, there\u2019s a few things to do also in the early stages;<\/p>\n

    \n
  • Maintain as much strength in the muscles surrounding the injury as you can. If you\u2019ve injured your hamstring for instance, keep some exercises going for the calf, quads and gluteals as well as the other leg and upper body<\/li>\n
  • Maintain your aerobic condition. Can\u2019t use your leg? Get on the grinder, or swim some laps with a pool buoy. Injured your collar bone or shoulder? No problem \u2013 you can still ride on the trainer.<\/li>\n<\/ul>\n
    \"Cold

    Cold water hydrotherapy is often used by elite athletes after an injury to promote early-stage movement<\/p><\/div>\n

    Understand and Respect Healing Times<\/h3>\n

    Despite what some people may say, you can\u2019t hurry nature. A broken bone takes 6-8 weeks to mend irrespective of cryotherapy chambers, laser, pulsed ultrasound, hyperbaric therapy, vitamins or magic wands. The same kind of thing goes for high-grade muscle and ligament injuries. Whilst you can maintain fitness and strength, if an injury needs to \u2018heal\u2019 – you have to do the time. Well, most of the time.<\/p>\n

    The art in sports medicine is to know how to work around an injury. For example, if an athlete has a low-moderate grade strain of the medial ligament (MCL) in the knee, it may take 4-6 weeks to heal completely, however if clinicians are happy with the structural stability of the ligament, clinicians may inject the ligament with local anaesthetic to allow the athlete to compete at 1-2 weeks.<\/p>\n

    As always, get good advice and make an educated mutual decision on risk vs reward (more on this later). Shane Kelly from British Athletics says \u201cmy tip is to inform the athlete and coach at every stage about the increased risk and thus any decision to continue is an informed one. Our role as the support team is to provide the athlete and coach with as much information as possible to make the best decisions about their rehab and continuing to compete.\u201d<\/p>\n

    Do the Therapy & Rehabilitation<\/h3>\n

    To get over an injury quickly takes everything you need to also be a good athlete \u2013 hard work, dedication, consistency, courage\u2026 I could go on.<\/p>\n

    Pain is a powerful motivator, however when the pain resolves many people are left with residual weaknesses, tightness, and\/or sub optimal biomechanics etc, but they get back to full training as the pain is gone (for now).<\/p>\n

    A good sports medical practitioner will educate athletes on the process of returning to sport so people don\u2019t drop off from therapy and rehab before it\u2019s time. Having a criteria-driven approach to return to sport that encompasses pain levels, strength, function, and fitness measures is very important.<\/p>\n

    Dan Guillemette from Mitchelton Scott says that having a knowledge of the rider makes a huge difference in knowing how hard to push, and when the time is right to return. \u201cUnderstanding the individual rider as well as having baseline screening data allows us to design an optimal treatment approach specific to the injury and rider, and helps us predict how riders will adapt and respond during rehab and when they return to training\u201d.<\/p>\n

    \"Complete

    Complete the rehabilitation to ensure you have a better chance of successfully returning to sport after an injury<\/p><\/div>\n

    Weigh up Risk and Reward<\/h3>\n

    Every injury and situation is different and should be treated accordingly. Some consideration must be given to the stakes, i.e. how important competing in an event is to the athlete, and also all the \u2018what if\u2019s\u2019 that may eventuate if things don\u2019t go to plan.<\/p>\n

    It\u2019s a situation Kristy Stahr faces on regular basis with her tennis players, and she says that good communication and a team approach is what works best. \u201cDue to the taxing tournament and travel schedules, it is of the utmost importance to maintain open, direct and honest communication with the athlete, coach and fitness trainer in regards to return to play.\u201d<\/p>\n

    \u201cMy individual role is to advise the athlete and the team of possible short and long term risks to competing so that together we can determine what our end goal is and which tournaments take priority\u201d says Kristy.<\/p>\n

    For team sports, taking that extra week may make the difference between seeing out the full season or sustaining a re-injury and missing another month. Ensuring that you\u2019re not letting down the team by competing when you\u2019re not ready is also worth careful consideration.<\/p>\n

    Individual sport athletes need to search deep on why they do what they do. Does the goal of competing in an event and risking re-injury outweigh the lifestyle and pleasure of regularly training with like-minded friends?<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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