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SPORTS INJURIESSee alsoJoint/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
DictionaryRubefacient: an agent that causes reddening and warming of the skin,
often used as counter irritants for the relief of muscular pain. |