Tag Archives: Sports Medicine

soccer injury

Returning from a Soccer Injury

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Soccer is the most played sport in the world and is the number one sport in many countries. It is a great cardiovascular workout that combines aerobic and anaerobic movements. However, due to the sudden changes in pace and the speed at which the game is played there is a high chance of a soccer injury.

Sports injury expert Dr. David Geier reveals that that the six most common soccer injuries are ankle sprains, joint fractures, anterior cruciate ligament (ACL) tear, meniscus tear, adductor strain, and hamstring strains. These injuries are due to the amount of stress a soccer player will put on their leg joints. The good news is that through physical therapy these injuries can be recovered from.

Ankle Sprains
The ankle sprain is the most common and least serious soccer injury. The most common recovery method is to put ice on the ankle to stop the swelling, strap it, and lightly exercise it through physical therapy. One effective motion exercise is to sit on a chair with the foot flat on the floor and gently move the knee from side-to-side to stop it becoming stiff. A player should be out for a maximum of six weeks.

ACL
An ACL soccer injury can leave a player out of the game for much longer. For example, an ACL tear may require surgery (making a new ligament) in order to return to the pitch. While surgery may be required, physical therapy is definitely needed to help rebuild knee strength. The exercises will include mobility and strength exercises such as knee flexion and extension, heel slides, and isometric quadriceps exercises. As the knee joint gets stronger, plyometric drills will be introduced to the therapy to see whether the knee is strong enough to play competitive sport. These exercises may include resistance band jumps, hopping exercises and box jumps.

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Hamstring Strains
After knee and ankle injuries the next most common injury are hamstring strains. These are often caused through a combination of sudden explosive moments and overuse. We have all seen a soccer, football, or basketball player burst forward only to suddenly stop and crumple to the ground. That is nearly always a hamstring injury. Depending on which grade of hamstring injury the player has will change the therapy needed. If it is a grade one injury then as the muscle slowly heals the player will use ice alongside resting. Function training will also be required to regain strength and flexibility. A grade two or three injury may require surgery.

Career Threatening Injuries
A career threatening injury is the biggest risk of playing soccer. However, there is hope for injured and senior soccer players. Walking Soccer, which was developed in 2011 in England, according to British newspaper The Telegraph, allows those with mobility injuries to keep playing. As the name suggests running is outlawed, which in turns takes much of the risk and pressure off of the leg joints that can be easily injured.

The new game has been endorsed by English soccer legends such as Alan Shearer, who according to journalist Dan Fitch who works for news site Betfair Soccer who preview the Champions League fixtures in Europe, is the third fastest player to score 50 goals in the English Premier League. Shearer himself is retired and told The Telegraph that after retiring he couldn’t play the sport he made his name in due to persistent injuries. Walking Soccer has allowed Shearer and other ex-pros to play without the worry of injuries or heavy contact from other players. For amateurs and professionals alike walking soccer is a godsend.

Soccer injuries can be serious and more often that not require physical therapy to recover from. Even if you have suffered a serious injury there is still hope through new sports such as Walking Soccer.

Prevent Throwing Injuries

Guidelines to Prevent Throwing Injuries

In our second installment of “Guidelines to Prevent Throwing Injuries” we examine the proper ways to exercise and prevent throwing injuries in baseball. If you have any sudden significant increase in pain, swelling, or discoloration while performing or following exercise, discontinue immediately and contact your primary care provider.


SHOULDER ABDUCTION
Begin with your arms at your side with your palms facing forward. Raise your arm straight out to the side until they are straight overhead.


SHOULDER SCAPTION
Begin with your arms at your side. Raise your arms at a 45 degree angle creating a V shape with your arms until they are overhead.


D2 EXTENSION
Secure band to wall or top of the doorway. Pull diagonally down across your body toward your opposite hip. Make sure to keep the elbow straight. Return to the starting position with a straight elbow and repeat.


D2 FLEXION
Secure band to bottom of the doorway. Pull diagonally up across your body away from your body. Make sure to keep the elbow straight. Return to the starting position with a straight elbow and repeat.

This information was written by Advance Rehabilitation Physical Therapy, an outpatient physical therapy group with 24 locations in Georgia and Florida. Advance Rehabilitation is a physical therapy practice that focuses on providing the highest quality rehabilitation services. We specialize in physical therapy, sports medicine, industrial rehabilitation and athletic training. Our staff includes highly-trained professionals that serve as a bridge between injury and recovery to help patients get back to pre-injury status as quickly as possible. For more information click here.

See the entire Guidelines to Prevent Throwing Injuries series here:

   Prevent Throwing Injuries

   prevent throwing injuries

throwing injuries PTandMe

 

overtraining

Are You Overtraining?

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Maintaining a rigorous workout schedule without allowing enough time for the body to recover, often leads to what is known as overtraining. Not only is an athlete at a higher risk for injury but overtraining can manifest itself in several other ways.

WHAT CAN CAUSE OVERTRAINING
• Sudden increase in exercise frequency
• Intensity or duration of training sessions
• Not allowing your body adequate recovery
• The length of time you have been training

SIGNS AND SYMPTOMS OF OVERTRAINING
• Persistent muscle soreness
• Elevated resting heart rate.
• Increased susceptibility to infections.
• Increased incidence of injuries.
• Irritability
• Depression
• Loss of motivation
• Insomnia
• Stop noticing progress towards training goals
• Becoming restless and losing focus
• Feeling sluggish all day

HOW TO AVOID OVERTRAINING
• Get enough sleep – this is the time when your body is able to heal the most
• Proper nutrition- get plenty of protein, fats and carbs
• Monitor stress levels

leg press

Exercise Smartly:
• Find a balance and avoid workouts that are too intense for you
• Progress workouts slowly

Allow Proper Recovery Time Between Workout Sessions:
Take one or two days between workout sessions or alternate intensity levels for each workout

Stay Active On Off Days:
• Try a less intense mode of exercise (Active Rest)
• Yoga, stretching, or foam rolling can be done on these days

Information provided by the Center for Physical Rehabilitation – Grand Rapids, MI
To learn more about the Center for Physical Rehabilitation click here.

PTandMe therapists

Clinic Spotlight: PT & Me Therapists

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This month we are featuring stories from some of our PT & Me therapists. We asked them how they got into the awesome world of physical therapy and what they enjoy about it. These are their stories…

Kelly_wilson
Name:
Kelly Wilson, PT, DPT at University Physical Therapy – 8 locations conveniently located throughout the New River Valley in Virginia

Why did you chose physical therapy as a career?
I took an anatomy class in high school with a teacher who absolutely changed my life. I could not get enough of the curriculum and wanted to learn more about how we work and how we can make ourselves better. I stayed after school one day to ask how I could learn about this topic forever. My teacher suggested that I look into physical therapy. I started shadowing a PT in my hometown and loved it! I was hooked!

What is your favorite thing about going to work each day?
I get to work with the absolute best people on the face of the planet.


Name:
Lea Ann Rumlin, PT, Clinic Owner at DeKalb Comprehensive Physical Therapy – Lithonia, Georgia

Why did you chose physical therapy as a career? 
I had an opportunity to observe a PT in high school and found it was very interesting. I thought it was cool to observe a diverse variety of ailments in people.

What is your favorite thing about going to work each day?
I’ve been doing physical therapy for a long time, but it still feels new. I feel blessed to have the opportunity to help people.


Name:
Wendy Richards, MSPT, DPT at Port City Physical Therapy – Portland, Maine

Why did you chose physical therapy as a career? 
I wanted to be in a helping profession. Growing up in rural Maine most of the careers were either in healthcare or nursing. That is why I was drawn to physical therapy. I especially liked the stroke patient rehab and spinal rehab aspect of it. Helping people with paralysis was especially fulfilling.

What is your favorite thing about going to work each day? 
I enjoy working in a team environment. Working in an outpatient climate and helping patients to get better. Being able to resolve their limitations and improve their lives.


Name:
Jocelyn Zolna-Pitts, PT, Director at Metro Spine & Sports Rehabilitation – Chicago, Illinois

Why did you chose physical therapy as a career?
It combined my interest of medicine with sports. I was always interested in medicine and helping others.

What is your favorite thing about going to work each day?
The daily satisfaction of watching people get better. The challenge and variety of problems patients face and solving their problems through critical thinking with them. I enjoy the fact that you get to play every day at work and it’s a lot of fun!

Athletic Training Month

March is National Athletic Training Month

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March is National Athletic Training Month! Your protection is our top priority. Athletic trainers are health care for life and sport.

Athletic trainers specialize in patient education, injury prevention, and are an athlete’s first line of defense from the time of injury to recovery. Athletic trainers work closely with coaches and parents and may refer athletes to other health care professionals such as physicians, physical therapists and surgeons when needed.

What is an Athletic Trainer?
Athletic trainers hold at least a four year degree from a BOC (Board of Certification) accredited institution. they are licensed, certified health care professionals working with athletes on and off the field. Generally they are the first responders when injuries occur during sporting events.

Athletic trainers work closely with coaches and parents and will refer athletes to other health care professionals such as physicians, physical therapists and surgeons when needed.

Athletic trainers hours are determined by sports schedules. Typically they are available after school and stay until sporting events have concluded.

For more information about our athletic trainers, and what they do visit NATA’s websites at: www.nata.org or www.atyourownrisk.org

Throwing Injuries

Guidelines to Prevent Throwing Injuries

In this monthly series, we examine the proper ways to exercise and prevent throwing injuries in baseball. If you have any sudden significant increase in pain, swelling, or discoloration while performing or following exercise, discontinue immediately and contact your primary care provider.


PUSH UPS
Start on your stomach with your hands below your shoulders. Maintain a straight line from your ankles, through your hips, to the shoulders. Extend your elbows pushing your stomach away from the floor.


BICEP CURL
Begin seated with your elbow extended and palm facing forward. Bend the elbow as far up as you can without flexing your shoulder or rotating your wrist.


TRICEP DIP
Find two even surfaces to support your upper body with your elbows bent (a chair with arm rests works well). Extend your elbows pushing your body up toward the ceiling. Lower slowly.


OVERHEAD TRICEP EXTENSION
With your shoulder in full flexion overhead, hold a weight in your hand with your elbow bent behind your head. Straighten your elbow toward the ceiling without changing the angle of your shoulder.

This information was written by Advance Rehabilitation Physical Therapy, an outpatient physical therapy group with 24 locations in Georgia and Florida. Advance Rehabilitation is a physical therapy practice that focuses on providing the highest quality rehabilitation services. We specialize in physical therapy, sports medicine, industrial rehabilitation and athletic training. Our staff includes highly-trained professionals that serve as a bridge between injury and recovery to help patients get back to pre-injury status as quickly as possible. For more information click here.

See the entire Guidelines to Prevent Throwing Injuries series here:

   Prevent Throwing Injuries

   prevent throwing injuries

throwing injuries PTandMe

ice hockey injuries

Common Ice Hockey Injuries

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Ice hockey is one of the most popular sports played in North America. Physical therapy can provide specific treatment to a number of specific ice hockey injuries. Here are a few injuries that can happen during a hockey game or practice:

Common Ice Hockey Injuries

BACK INJURIES
Hockey players are at risk for low-back injuries due to the flexed (forward) posture of skating and the frequent hyperextension (backward) stress. Low-back pain and/or a pulled muscle are the most common injuries. Stretching of the hip flexors along with strengthening of the back and abdominal muscles will help avoid these injuries.

HIP INJURIES
The hip joint and groin muscle are susceptible to injury due to the mechanisms of the skating stride. Some of the most common soft tissue injuries in hockey players include a groin strain and a hip flexor strain. Off-season strengthening and dedicated stretching before and after practice are important to prevent these injuries. In addition, a direct blow to the outside of the hip can cause a hip pointer or trochanteric bursitis. Hockey pants with reinforced padding over these areas may help protect them.

KNEE INJURIES
The medial collateral ligament is the most susceptible to a sprain because of the leg position – pushing off the inside edge of the skate blade – and contact to the outside of the knee. Anterior cruciate ligament (ACL) disruption and meniscus tears (torn cartilage) can also occur but are less common in hockey that in other sports such as football, soccer and basketball.

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SHOULDER INJURIES
The most common shoulder injuries in hockey are a shoulder separation and a broken collarbone. These injuries occur from direct contact of the shoulder with another player, the boards or the ice. Treatment can include a sling, rest and in serious cases surgery.

ELBOW INJURIES
The point of the elbow is a frequent area of contact, which can result in the development of bursitis. Thick and scarred bursal tissue (which feels like bone chips, but isn’t) can be a source of recurrent inflammation. The best prevention method is wearing elbow pads that will fit well and have an opening for the elbow, soft padding and a plastic outer shell.

WRIST INJURIES
A fall on the outstretched arm or contact with the boards that forces the wrist up or down, may cause a fracture. Players should try bracing themselves against the boards using their forearms instead of their hands.

PT News

This Month in PT News. Featuring articles from PTandMe partnering clinics!

1. Simple Steps to Starting a Weight-Training Program
Written by the Therapy Team at The Jackson Clinics – Middleburg, VA

One of the challenges of weight training is determining how much effort to put in for the most benefits. Read more

2. Sit Up Straight! Avoid Sitting with Bad Posture
Written by Megan Russo, PTA at The Center for Physical Rehabilitation – CPR – Grand Rapids, MI

Do you ever find yourself sitting in a slumped position while at work or driving in the car? Read more

3. Minimizing the Risk of Ski Injury
Written by the Therapy Team at The Jackson Clinics – Middleburg, VA

If winter weather has you prepared to hit the slopes, be sure to take the necessary precautions to keep yourself injury-free this season. Read more

PT News

This Month in PT News. Featuring articles from PTandMe partnering clinics!

 

2. Coping with a Mysterious Pain Syndrome
Written by the Therapy Team at the Jackson Clinics – Middleburg, VA

As its name suggests, complex regional pain syndrome (CRPS) is a complicated and painful condition. Approximately 80,000 Americans are diagnosed with CRPS each year, usually in the arm, hand, leg or foot. Read more

3. Is Something Better than Nothing? 
Written by Erin Clason at the Center for Physical Rehabilitation – Grand Rapids, MI

When it comes to strength training, the answer is a resounding “Yes!” Most of us are aware of the benefits of strength training in areas like everyday physical function, bone rebuilding, self-confidence, fat reduction, and elevated metabolism. Read more

PT News

This Month in PT News. Featuring articles from PTandMe partnering clinics!

basketball

1. How Does an NBA Player Overcome Career Limiting Ankle Injury?
Written by Nick Mezyk, DPT, Clinic Director at ProCare Physical Therapy – Johnstown, PA

If you have played sports long enough, you have most likely experienced the following… You’re running down the field, court or track, and you go to make a quick cut. Except you end up crumbling to the ground because you rolled your ankle causing a popping sensation on the outside portion of that ankle. Read more

 

gym guy

3. Top Equipment Free Exercises You Should Be Doing 
Written by the Therapy Team at Momentum Physical Therapy – San Antonio, TX

The idea of exercising always conjures up visions of personal trainers, expensive gyms, high-end equipment, and lots of grunting, groaning, and personal torture. That’s never the case when we use the term exercise. Read more