2015; Right fielder Chris Coghlan (8) slides into the left knee of Pittsburgh Pirates shortstop Jung Ho Kang (27) Credit: Charles LeClaire-USA TODAY Sports / Reuters Picture Supplied by Action Images
Meniscal tears are fairly run of the mill in athletic populations. However, as Chris Mallac explains in our continuing series on uncommon injuries, a tear near the root, or attachment of the meniscus, results in severe pain and disability. Root tears often accompany other knee injuries such as anterior or posterior cruciate ligament tears. Because the roots anchor the meniscus in place, when torn, the meniscus can extrude from the joint, resulting in painful bone on bone contact (see figure 1). Athletes complain of pain along the joint line and during deep squats.
As Mallac points out, diagnosis usually requires magnetic resonance imaging (MRI). Rarely managed conservatively, these tears usually require surgery, due to the increased risk of developing arthritis. Initiate physical therapy immediately post operatively to regain strength and progress joint movement. Most recommend limiting knee flexion to 90 degrees for the first two weeks after the surgery, and progressing the range of motion as tolerated after that time. Initiate weight bearing as tolerated and begin cycle ergometer after six weeks. The entire rehab process may last up to six months, with return to play even further beyond that. Watch for next month’s article with a continuation of this topic, emphasizing rehab protocols and return to play criteria.
In the second article of a three-part series focusing on the widespread coronavirus, Trevor Langford covers the topic of caring for the healthcare worker. The strategies clinicians recommend for athletes to optimize health and wellbeing, are often forgotten when it comes to their own health. In this article, he explains how to maximize exercise and... MORE
The coronavirus shows no partiality in it’s spread. While devastating to the elderly population, it infects even the fittest athletes. Though those with underlying medical conditions fare worse when infected, the virus causes even previously healthy people to become quite ill. On the other hand, the disease is barely noticeable in some people. The tricky... MORE
Due to the coronavirus, most municipalities and regions are under a stricter level of social distancing. Many are calling for people to ‘shelter-in-place’. Depending on where you reside and practice, you’ve likely shuttered your clinic by now. That doesn’t mean you have to stop treating patients. Sports professionals around the world are exploring telehealth... MORE
Andrew Hamilton looks at the pros and cons of using pre-race aspirin in older marathon runners and other endurance athletes. Peer-reviewed research supports, beyond doubt, the benefits of exercise in terms of health and longevity. However, sports clinicians seeking the best outcomes for clients should be cognizant that despite the health benefits, there are risks... MORE
Jason Tee discusses injury prevention strategies and why a ‘one size fits all’ may not be the best approach. Sports injury results in real economic costs for participants (hospitalization, doctor’s appointments, physiotherapy), as well as time off from work and school for participants hurt while playing sport. In professional sport, the stakes are even higher!... MORE
The first question an athlete asks after they suffer an injury is, “How soon can I return to play?” This is one of the most challenging questions for a clinician because every case is different. An athlete’s healing and rehabilitation depend on several factors. Some, as Andrew Hamilton explains, they can control such as nutrition... MORE