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TWO COMMON BODY PARTS INJURED DURING SPORTS
By Dr. Parminder S. Bhalesar, D.C.
Injuries during sporting activities are not only painful but
they are common. These can range from ankle injuries, knee
injuries, hip and back injuries, neck injuries and arm
injuries. The extent of the injury is solely dependent on the
mechanism of the cause of the injury. Working together
in collaboration with your medical doctor, rehabilitation
facilities are able to carefully determine the cause of the pain
and injury and provide you with the best treatment and care.
When an injury occurs in sports, the question remains as to what
exactly happened. The two common areas of the body that are
normally injured during a game are the ankle and knee.
ANKLE SPRAINS
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The most common type of ankle injury is the inversion
sprain. This is where the foot has rolled in on itself as
the body goes out. Ankle sprains can range from Grade
1(mild) to Grade 3(severe). The management of such sprains
depends on the extent of the injury and swelling. With a
Grade 1 ankle sprain, you are able to walk on the foot with
mild discomfort and may have a small amount of swelling with
no major decrease in your ankle movement. This injury
requires one to ice the ankle for 10 to 15 minutes and keep
it wrapped in a tensor bandage during the day. There is no
need for immediate medical attention for such injuries.
Ankle exercises are recommended to stabilize the ankle. You
should be able to do all your normal activities within a
week if properly rehabilitated. |
Remember
RICE
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Rest |
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Ice |
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Compression |
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Elevation |
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A Grade 2 ankle sprain is more complicated and may require some
immediate medical attention. This ankle sprain renders you
helpless at the time of the injury. There is apparent swelling
usually along the outside of the ankle and putting any weight on
that foot is somewhat unbearable. You are still capable of
walking on the foot. An x-ray may reveal a fracture but this
is usually not the case. The ankle range of motion is usually
limited and is quite painful if mild force is placed beyond the
tolerance. In a situation such as this, remember the acronym
RICE. Rest after the injury. This is necessary to avoid
further aggravation or injury to the ankle. Ice after the
injury to help with decreasing the swelling in the ankle.
Compression using a tensor bandage or brace will further help
reduce swelling and provide the necessary support. Elevation of
the ankle will keep the swelling down. This is achieved by
laying down and raising the foot above the level of the heart.
By doing so, the fluid in the ankle will drain towards the heart
and be pumped out. Treatment is necessary to help with the
proper rehabilitation of the ankle. Electric muscle
stimulation, ice, acupressure and ankle manipulation may all be
necessary. This is followed by balance training and strength
training. This injury will usually resolve in 4 to 6 weeks.
Custom orthopaedic inserts are recommended to help decrease the
chances of a re-aggravation.
A Grade 3 ankle sprain is much more serious. With this injury,
the outside ligaments have completely ruptured and a resulting
fracture is usually the case. No weight can be placed on that
foot. Swelling in the ankle appears to surround the entire
foot. With this injury, immediate medical attention is
required. You may be placed in an air cast or soft cast to help
keep the ankle immobile and keep the swelling down. Crutches
may also be prescribed to keep any weight off the foot.
Rehabilitation requires the same treatments as with a Grade 2
injury but due to the extent of this injury, you can spend 2
months or more rehabilitating the ankle. It is also advisable
to obtain custom orthopaedic inserts to help aid in the proper
alignment of the ankle and foot.
KNEE INJURIES
The knee is usually involved in most sports related injuries.
These injuries usually occur when there has been direct impact
on the knee or your body goes one way while your knee keeps
going in the direction opposed to your body. In any case, the
most common injuries seen with the knee is the Anterior Cruciate
Ligament Tear (ACL) and the Medial Cruciate Ligament Tear (MCL).
Let us observe the difference between the injuries:
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ACL Tear
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MCL Tear
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Mechanism of Injury
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Over extension or contact of the knee from the side or a
rotational twist, a “popping” sound is usually heard. |
Contact of the knee from the outside in or biomechanical
factors. |
Swelling
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Immediate swelling after the injury. Unable to bear weight. |
Mild swelling occurs at the time of injury but increases
thereafter. Able to bear weight. |
Tenderness
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Along the joint line. |
Inside part of the knee. |
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Chronic Cases |
Knee instability is present. |
Recurrence of medial knee pain. |
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Rehabilitation |
If athletic and want to continue sports, then surgery, if
not, then knee stabilization and custom bracing to avoid
over extension and rotation. |
Correction of biomechanical factors, knee strengthening, in
serious cases surgery and hinge-cast immobilization for 2
weeks and then rehabilitation as usual is necessary. |
As a reminder, the above cases are generalizations. In some
cases there are other parts of the knee or ankle that may be
damaged. A thorough examination is warranted to get the best
diagnostic results. Working together in collaboration with your
medical doctor, rehabilitation facilities are able to carefully
determine the cause of the pain and injury and provide you with
the best treatment and care. In any case where an injury has
occurred, remember the acronym RICE; Rest, Ice
Compression , Elevation. With this in mind, you will
have a good understanding as to what you need to do at the time
of the injury. This article is not intended so that you can
diagnose your injury and present it to your doctor but instead
to give you an understanding of the injuries that are most
commonly incurred during a sporting event.
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About The Author
ATLAS SPORTS
FITNESS AND REHAB
Dr. Parminder S. Bhalesar is a Doctor of Chiropractic and the
Director of
ATLAS SPORTS FITNESS AND REHAB.
He is involved in treating all types of injuries ranging from
sports related cases, work injuries, motor vehicle accidents and
personal injuries. The clinic as a whole utilizes chiropractic,
physiotherapy, acupuncture, massage and rehabilitation. Our
goal is to provide you with the best possible care so that you
can return to your maximum potential to continue life as you
want.
Website:
www.asfrcare.ca
Telephone: 905-677-3945
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