BRINGING SCIENCE TO TREATMENT

Overuse injuries

Overuse injuries occur as a result of repetitive trauma (microtrauma) as opposed to acute injuries from a single trauma (macrotrauma).

Muscle and joint injuries like tendinitis and stress fractures are often a result of microtrauma and are often caused by errors in training or technique.

Where training is the cause, athletes often take on too much, too quickly while errors in technique can lead to persistent overloading of a muscle or joint.

Navigating Sports Medicine’s ‘Bermuda Triangle’ – Part I

in Acute injuries, Diagnose & Treat, Improve, Musculoskeletal injuries, Overuse injuries, Pre-hab and post-surgical rehab, Prevent

Groin pain remains a challenging sports injury to manage. The complex regional anatomy provides practitioners with the unenviable task of diagnosing and managing athletes with groin pain. However, a universal terminology and taxonomy would assist practitioners in diagnosing and managing these athletes through the return to play process. In part I, Candice MacMillan discusses the... MORE

Cover me! Understanding dermatology in Sports and Exercise Medicine...

in Anatomy, Diagnose & Treat, Masterclass, Other, Overuse injuries, Prevent, Uncommon injuries

Dermatoses describe any skin defect or lesion on the skin, and clinicians categorize them according to etiology. Furthermore, clinicians may divide dermatoses into two groups, those caused by or those aggravated by sports. In part II, Nella Grilo discusses dermatoses aggravated by sports and identifies how they can directly or indirectly affect athletes’ health and... MORE

Serving up spondyloarthritis: time for a clinical hawkeye

in Anatomy, Diagnose & Treat, Neck and back injuries, Overuse injuries

Spondyloarthritis is an uncommon collection of chronic inflammatory systemic disorders. Athletic populations may be at greater risk of misdiagnosis due to the physical demands of sport and the high prevalence of back pain during peak training or competition periods. Chris Mallac explores spondyloarthritis and provides a management outline for clinicians. Spondyloarthritis (SpA) is an uncommon... MORE

Optimal Loading in Rehabilitation: finding the ‘sweet spot.’

in Diagnose & Treat, Email Newsletters, Musculoskeletal injuries, Other, Overuse injuries, Pre-hab and post-surgical rehab

There is an undisputed role for exercise in the early rehabilitative phase of soft tissue injuries. However, exercise prescription remains a challenge. In this article, Eurico Marques provides a framework for creating an individualized exercise prescription – the so-called ‘sweet spot.’ Skeletal muscle injuries occur when an external force overwhelms the muscle’s ability to generate... MORE

Breast support – only the balls should bounce!

in Acute injuries, Diagnose & Treat, Female Athletes, Improve, Musculoskeletal injuries, Other, Overuse injuries

The breast has limited anatomical support and can move 15cm during running. Nicola Brown discusses the consequences of breast movement and provides guidance on obtaining the correct sports bra fit to help women exercise in greater comfort. Introduction The evolution of technology and sportswear aims to improve performance and prevent injuries. However, the sports industry... MORE

Divide and conquer: using subgroups to manage Achilles tendinopathy

in Diagnose & Treat, Improve, Leg injuries, Overuse injuries

Achilles tendinopathy is a common yet complex condition to treat. New findings suggest subgrouping patients could enhance treatment and recovery. Tracy Ward recaps tendon pathology and explains how subgrouping athletes may improve clinical outcomes. Achilles tendinopathy (AT) is one of the most common overuse injuries, with a prevalence rate of approximately 10%(1). The injury usually... MORE

Obsessing about Osteochondritis Dissecans

in Anatomy, Knee injuries, Musculoskeletal injuries, Overuse injuries, Pre-hab and post-surgical rehab

Osteochondritis dissecans (OCD) of the knee is a pathological entity initially presenting as vague internal knee pain. Chris Mallac takes a deep dive into OCD and uncovers the clinical presentation and management. Introduction Osteochondritis Dissecans (OCD) primarily occurs when the subchondral bone undergoes blood flow disruption leading to ischemia and damage. It may present as... MORE

Stressed out: finding the optimal loading strategy for tibial...

in Diagnose & Treat, Female Athletes, Overuse injuries

Treating bone stress injuries usually involves a period of reduced weight-bearing and immobilization. However, bones benefit from bearing weight. Nicolaas van Dijk explores the benefits of early and optimal loading, leading to less time off from exercise and running. Between one to two-thirds of competitive cross-country and long-distance runners have a history of bone stress... MORE

Game of throws: water polo

in Diagnose & Treat, Musculoskeletal injuries, Overuse injuries

Water polo athletes are modern-day gladiators. In part I of a series, Alicia Filley explains why stepping into the aquatic arena can be a dangerous proposition. Water polo, while not played by the ancients, was the first team sport played in the Olympics, beginning at the 1900 games in Paris. The popularity of water polo grew, in... MORE

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