Register
24Dr.com
Search for  in    
HomepageHome
Register or LoginRegister / Login
SymptomsSymptoms
Self assessmentHealth calculators
Self diagnosis by protocolsProtocols
Travel immunisationTravel immunisation
FeedbackFeedback

SPORTS INJURIES

See also

Joint/muscle pain

Types

  • Muscle injury: caused by direct injury or by straining - especially when warm up is inadequate or exercise is excessive.
  • Vascular injury: can be the result of direct injury - beware compartment syndrome.
  • Tendon injury: common in the elderly, and in those not adequately warmed up before exercise.
  • Ligament injury: as tendon injury. Knees and backs are particularly vulnerable.
  • Bone/joint injury: persistent deformity/loss of function/pain and swelling, Contact GP.

Danger signs

  • Compartment syndrome: Bleeding into a muscle compartrnent which cannot stretch because of its fascia lining. Extremely painful. Usually in lower leg.Contact GP urgently.
  • Stress fracture: Pain every tinic exercise is taken.Contact GP
  • Collapsing/locking knees: This may signify cartilage injury. Contact GP.
  • New traumatic knee effusion: Aspiration should be carried out and if bloodyContact GP

Notes for children

  • Long levers: Children growing rapidly - as there is more than one growing point in the bone -may have apparent problems in completing physical tasks - they should not be pushed.
  • Osgood Schlatters Disease: Painful, tender anterior tibial tuberosity. Give symptomatic relief and reassure.
  • Parental pressure: Many children are placed under enormous pressure to perform in a way their parents never did. Do not medicate in these circumstances.

Notes for the elderly

  • Tendon injury: Achilles tendon rupture can be spontaneous - and often patients believe they were hit with a stick in the back of the leg. Other tendon ruptures are common. Contact GP if suspected.
  • Cardiovascular risk: Benefits of exercise - especially if supervised and carefully graded will outweigh the risk. Exercise also reduces calcium loss from the skeleton.

General advice

  • Acute injury: Rest, Ice, Compression, Elevation
  • Chronic injury: Non weight bearing exercise (eg. swimming, straight leg raising) if not improved Contact GP
  • Prevention: Warm up. Warm down. Trained coaches for exercise schedule

Therapy

  • NSAID - oral/topical
  • Embrocation/rubefacient
  • Analgesia

Dictionary

Rubefacient: an agent that causes reddening and warming of the skin, often used as counter irritants for the relief of muscular pain.

Disclaimer | Contact Us | Terms and Conditions | Privacy Statement
Copyright © 2000 24Dr.com - All rights reserved.

More Information