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Sports Injuries

Most sports injuries are due to either trauma or overuse of muscles or joints. The majority are caused by minor trauma involving muscles, ligaments, tendons, or bones, including:

  • Contusions (bruises)
  • Sprains
  • Strains
  • Fractures
  • Dislocations

What is a contusion?

A contusion (bruise) is an injury to the soft tissue. It is often caused by blunt force such as a kick, fall, or blow. The immediate result will be pain, swelling, and discoloration.

What is a sprain?

A sprain is a stretch or tear of a ligament. Ligaments are flexible bands of fibrous tissue that connect bones to bones, and bones to cartilage. They also hold together the bones in your joints. Sprains often affect the ankles, knees, or wrists.

Learn more about ligament injuries to the knee.

What is a strain?

A strain is twist, pull or tear of a muscle or tendon, and is often caused by overuse, force, or stretching. A tendon is a tough cord of tissue that connects muscles to bones.

Some examples of strains are:

  • Tennis elbow (lateral epicondylitis). Lateral epicondylitis, also known as tennis elbow, is characterized by pain in the back side of the elbow and forearm, along the thumb side when the arm is alongside the body with the thumb turned away. The pain is caused by damage to the tendons that bend the wrist backward away from the palm.
  • Golfer’s or baseball elbow (medial epicondylitis). Medial epicondylitis, also known as golfer’s elbow, is characterized by pain from the elbow to the wrist on the palm side of the forearm. The pain is caused by damage to the tendons that bend the wrist toward the palm.
  • Lumbar strain. A lumbar strain is an injury to the lower back, which results in damaged tendons and muscles that spasm and feel sore. Trauma of great force can injure the tendons and muscles in the lower back. Pushing and pulling sports, such as weight lifting or football, can lead to a lumbar strain. In addition, sports that need sudden twisting of the lower back, such as basketball, baseball, and golf can lead to this injury.
  • Jumper’s knee. Jumper’s knee, also known as patellar tendonitis, is a condition characterized by inflammation of the patellar tendon, which connects the kneecap to shin bone (tibia). The condition may be caused by overuse of the knee joint, such as frequent jumping on hard surfaces.
  • Runner’s knee. Runner’s knee, also known as patellofemoral stress syndrome, is when the patella, or kneecap, does not move well in the groove of the femur (thigh bone). Runner’s knee may be caused by a structural defect, or a certain way of walking or running.

What is a fracture?

Fractures are breaks in the bone that are often caused by a blow or a fall. A fracture can range from a simple hairline fracture (a thin fracture that may not run through the entire bone) to a compound fracture, in which the broken bone protrudes through the skin. Most fractures happen in the arms and legs.

Stress fractures are weak spots or small cracks in the bone caused by continuous overuse. Stress fractures often happen in the foot or leg after training for gymnastics, running, and other sports. The bones in the midfoot (metatarsals) in runners are especially vulnerable to stress fractures.

What is a dislocation?

A dislocation happens when extreme force is put on a ligament, allowing the ends of two connected bones to separate. Stress on joint ligaments can lead to dislocation of the joint.

Rehabilitation for sports injuries

A rehabilitation program for sports injuries is designed to meet the needs of the individual patient, depending on the type and severity of the injury. Active involvement of the patient and family is vital to the success of the program.

The goal of rehabilitation after an injury is to help the patient return to the highest level of function and independence possible, while improving the overall quality of life–physically, emotionally, and socially.

In order to help reach these goals, sports injury rehabilitation programs may include the following:

  • Activity restrictions
  • Physical or occupational therapy
  • Exercise programs to stretch and strengthen the area
  • Conditioning exercises to help prevent further injury
  • Heat or cold applications
  • Applications of braces, splints, or casts to immobilize the area
  • Use of crutches or wheelchairs
  • Pain management techniques
  • Patient and family education

The sports injury rehabilitation team

Rehabilitation programs for sports injuries are usually conducted on an outpatient basis. Many skilled professionals are part of the sports injury rehabilitation team, including any or all of the following:

  • Orthopaedic surgeon
  • Physical therapist
  • Occupational therapist
  • Exercise physiologist
  • Sports medicine specialist
  • Athletic trainer

 

Ice Packs vs. Warm Compresses For Pain

It can sometimes be confusing whether to use heat or cold when treating sore muscles or an injury. But keep these facts in mind.

Heat

  • Brings more blood to the area where it is applied.
  • Reduces joint stiffness and muscle spasm, which makes it useful when muscles are tight.
  • Should NOT be used for the first 48 hours after an injury.

Types of warm packs or pads

Warm towel

  1. Dampen a towel with warm (not scalding) water.
  2. Put on the affected area to ease muscle spasm.

Heating pad

Be sure to protect any type of heating pad device from coming in direct contact with the skin. Precautions should be taken to avoid burns, especially if you have nerve damage, such as from diabetes or other health problems.

When muscles work, chemical by products are made that need to be eliminated. When exercise is very intense, there may not be enough blood flow to eliminate all the chemicals. It is the build-up of chemicals (for example, lactic acid) that cause muscle ache. Because the blood supply helps eliminate these chemicals, use heat to help sore muscles after exercise.

Cold

  • Eases pain by numbing the affected area.
  • Reduces swelling and inflammation.
  • Reduces bleeding.

Types of cold packs

Ice towel

  1. Dampen a towel with cold water.
  2. Fold it and place it in a plastic, sealable bag.
  3. Place the bag in the freezer for 15 minutes.
  4. Remove from freezer and place it on the affected area.

Ice pack or cold compress

  1. Put ice in a plastic, sealable bag.
  2. Fill partially with water.
  3. Seal the bag, squeezing the air out of it.
  4. Wrap the bag in a damp towel and put it on the affected area.

When an injury or inflammation, such as tendonitis or bursitis occurs, tissues are damaged. Cold numbs the affected area, which can reduce pain and tenderness. Cold can also reduce swelling and inflammation.