Common Fall Sports Injuries (And How to Prevent Them)

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Article featured on Towson Orthopaedic Associates

When the crisp autumn air cuts through the dog days of summer, runners are on their mark. The fall season starts many high-intensity sports for teens and adults, which means injuries can increase when coming off of a break. Practicing good habits like stretching can prevent injuries so you can get ready, get set, and go with your favorite sport this fall.

Fall Season Sports

Many fall sports have running at their core. Football, soccer, and cross country running come to mind. But sports like tennis, lacrosse, and volleyball also require strong, repetitive motion. Strength and cardiovascular training are essential to success and safety in any sport.

Typical Sports from September to November:

  • Football
  • Field Hockey
  • Lacrosse
  • Soccer
  • Cross Country Running
  • Cheerleading
  • Volleyball
  • Tennis
  • Golf

Common Fall Sports Injuries

All types of sports and athletic activities come with an increased risk of injury. Typical injuries include leg injuries, knee injuries, arm injuries, shoulder injuries, and head injuries. The most common injuries are:

A Concussion is a brain injury that can occur in any sport, but is more common in contact sports—such as football or field hockey—and in sports like soccer where the head is used in play. Any blows to the head should be taken seriously to prevent a more serious head injury. Learn to recognize the following signs of concussion:

  • Headache
  • Nausea or vomiting
  • Ringing in the ears
  • Head or eye pain when exposed to bright lights
  • Confusion
  • Fatigue

Playing through a concussion can lead to more serious injury and prolonged symptoms which can negatively impact mental state and abilities.

Fractures are bone breaks that require immediate medical attention. There are many different types of fractures. These include:

  • Open fractures
  • Comminuted fracture
  • Complete fracture
  • Greenstick fracture

Strains occur from a sudden awkward movement or overuse of a muscle in the upper and lower body. Muscle strain can affect both novice and experienced athletes. Exerting a strained muscle can worsen the injury. Recognize these symptoms of a strain to take a time out:

  • Swelling
  • Cramping
  • Stiffness
  • Feeling a “Pop”

Sprains are partial or complete tears of a ligament within a joint and most commonly occur in the ankle, wrist, or knee. Most are minor injuries, however, an anterior cruciate ligament—or ACL tear—is a common injury that affects the ligament that stabilizes the knee. It is a severe injury that requires rehabilitation and/or surgery. Signs of a sprain include:

  • A popping sound during injury
  • Swelling or bruising
  • Pain in the area
  • Difficulty walking or limited range of motion

Strains and sprains are similar injuries that are treated with PRICE, an acronym for the treatment protocol of: Protection, Rest, Ice, Compression, and Elevation. Minor sprains should respond to PRICE and an anti-inflammatory painkiller.

Shin Splints are overuse injuries that commonly afflict runners. It is an injury of the soft tissue that holds the muscle to the bone and is caused by a rapid increase in intensity or frequency of running, improper shoes, or occasional flat feet.. Shin splints can occur with any sport that involves strenuous running, like soccer or field hockey. To prevent shin splints, stretch before any physical activity and make sure to get plenty of rest between active sessions. Replace your shoes at regular intervals—for runner’s, that is every 300-500 miles.

Patellofemoral syndrome, commonly known as runner’s knee, is a knee injury that causes pain when the cartilage in the kneecap becomes irritated. Repetitive squatting or crouching motions, like those used in volleyball. Treatment for runner’s knee typically includes the PRICE method, kinesiology taping or bracing, and physical therapy focused on strengthening the core, knee, and surrounding muscle groups.

Preventing Sports Injuries

Being aware of what kinds of injuries to expect in the fall sports season makes sports injury prevention easier.

This simple checklist can help to prevent injury in any sport:

  • Get a physical before the active season
  • Stretch and warm up
  • Crosstrain to strengthen all muscle groups
  • Make sure the playing field is maintained
  • Invest in good protective equipment like proper footwear
  • Fuel your body
  • Speak up about pain
  • Rest after injury
  • Enjoy downtime

Following these injury prevention tips can prepare the body for strenuous activity and keep you off the bench this season. Remember, getting back into the swing of things this autumn doesn’t have to be a drag.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Common Pickleball Injuries & Prevention

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Article featured on Towson Orthopaedic Associates

Pickleball’s popularity had taken off since the pandemic with many participants surprised to learn the sport has been around for nearly 60 years. What is also surprising is the number of people getting hurt while playing.

The appeal of the sport is that it is low impact and easy to learn so it is attractive to the 55 and older population. However, because it requires quick movement and agility as well as balance and strength, injuries have been occurring within this population at a rapid rate.

Towson Orthopaedic Associates has asked some of our specialists to outline the types of injuries they are seeing and tips for injury prevention. We’ve broken down the tips by parts of the body most impacted by injury.

Knee Injuries

What types of knee injuries are you seeing?

Knee sprains, muscle strains – including quadriceps and hamstrings – and meniscal injuries are all common injuries in pickleball.

Players may also suffer flare-ups of their underlying arthritis.

How are these injuries best treated?

Knee sprains and muscle strains are typically treated RICE – rest, ice, compression and elevation. Anti-inflammatories (such as Advil, Ibuprofen, Aleve) can also be taken to help alleviate the pain.

Meniscal injuries are often treated similarly, but may also need an injection. Occasionally with persistently painful meniscal tears, minimally invasive (arthroscopic) surgery could be required.

Exacerbations of arthritis can also be treated with injections. When the arthritis has become severe and pain is not managed with the above strategies, a knee replacement may be recommended.

What can I do to avoid a knee injury?

Warming up and stretching is very important. Strengthening thigh muscles – including quadriceps, hamstrings – in addition to our hip musculature, can also help in protection of the joint.

When returning from an injury, occasionally a brace may be recommended to give the knee additional support and compression to avoid reinjury.

Hand, Wrist, Elbow & Shoulder Injuries

What types of injuries are you seeing?

Upper extremity injuries related to pickleball are evaluated in our practice here at Towson Orthopedic Associates weekly. Weiss, et. al,2021, published an article tracking non-fatal pickleball and tennis injuries in the US between 2010-2019 and found through a survey of injuries evaluated at U.S. Emergency departments, a 21.5% increase in ER visits for pickleball related injuries. Most injuries fall into the category of “Slip/Trip/Fall/Dive” according to the authors.

Just as we have seen a rise in “texting thumb” over the years, there is now a condition referred to as “pickleball elbow” (Journal of Epidemiology, 2021). “Pickleball elbow”, otherwise known as “tennis elbow” or lateral epicondylitis can be treated, and may resolve through stretching, protecting the tendon/elbow, and returning to play when symptoms abate.

Acute wrist injuries are the most common complaints. They occur while tripping and reaching with an outstretched hand to break a fall. The wrist injuries that are sustained range from a sprain to a fracture. Colles fracture of the wrist is the most common injury that may sometimes require surgical correction in a pickleball injury.

Other areas of the upper extremity that can be injured by way of a fall include the elbow and shoulder including fracture or tendon tears.

A pickleball player can also sustain injury to fingers and hand including sprains, strains and fractures.

What can I do to avoid these injuries?

The importance of preparation, including balance and stamina, may decrease the risk of injuries while enjoying a day on the courts.

The ability to be balanced and steady while playing can benefit from engaging in Tai Chi, biking, elliptical, walking and swimming to create a strong core and increase stamina needed to play this ever-popular game.

Ankle Injuries

What types of injuries are you seeing?

The most common pickle ball injury I see is Achilles tendon tears or ruptures.

The typical patient is playing for the first time, although experienced players have also sustained these injuries. The player will take a quick step on the court and feel pain in the back of their ankle and often hear a pop and have difficulty walking.

It is important to get seen by someone experienced in the treatment of these injuries as quickly as possible, hopefully within a couple of days of the injury.

How are these injuries treated?

If seen by an Orthopaedic Foot and Ankle specialist, we can quickly place the patient into an appropriate splint or boot and place them on crutches.

Further treatment is determined by the patient’s overall medical conditions, and desired activity level going forward.

  • If a continued high level of activity is desirable then surgical repair is usually recommended.
  • If lower levels of activity are planned and avoiding sprinting, cutting and jumping sports, then we can consider non-operative treatment.

With either treatment, patients can expect the overall recovery to last up to 9-12 months.

What can I do to avoid an ankle injury?

The best way to avoid getting injured is to do lots of stretching of the calf muscles and hamstrings prior to playing pickle ball and begin warming up slowly on the court.

Hip Injuries

What are some of the typical hip injuries?

The most common hip injuries from pickleball are muscle strains of the gluteal, hip flexor or hamstring muscles. Labral tears and exacerbation of underlying hip arthritis can also occur.

How they are treated?

Muscle strains are treated with rest, anti-inflammatories and physical therapy to work on stretching and strengthening.

Labral tears are often treated non-operatively with anti-inflammatories, physical therapy and sometimes injections.

Hip arthritis is treated non-operatively if mild to moderate, but if it is severe and recalcitrant to non-operative management a hip replacement can be performed. Most patients are able to get back to playing pickleball after a hip replacement!

What can people do to avoid a hip injury?

People can help prevent hip injuries by stretching prior to playing and working on core, hip and lower extremity strengthening.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Ways to Avoid Common Water Sports Injuries

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Article featured on Fyzical

Water sports enthusiasts often experience the thrill of gliding across waves and performing daring maneuvers. However, these activities come with inherent risks of injury, especially for those new to the sport or pushing their limits. As physical therapists, we’ve seen our fair share of injuries stemming from water skiing, surfing, and wakeboarding. Here we’ll share insights on how to avoid the three most common types of injuries associated with these exhilarating water sports.

  1. Sprains and Strains

The abrupt movements and high-speed actions involved in water skiing, surfing, and wakeboarding can put immense strain on muscles and ligaments, leading to sprains and strains. To prevent these injuries, it’s crucial to warm up properly before hitting the water. Incorporate dynamic stretches that mimic the movements you’ll be performing during your activity. Focus on key muscle groups such as the quadriceps, hamstrings, calves, and shoulders.

It’s imperative that you ensure your equipment is properly maintained and fitted to your body. Ill-fitting gear can exacerbate strain on certain muscles and increase the risk of injury. Finally, listen to your body and know your limits. Pushing yourself too hard too quickly can lead to overuse injuries. Gradually increase the intensity and duration of your sessions to build strength and endurance safely.

  1. Impact Injuries

Water sports, particularly surfing and wakeboarding, involve navigating unpredictable waves and wakes, increasing the likelihood of impact injuries. Collisions with the water’s surface or with obstacles such as buoys or other watercraft can result in bruises, cuts, or more severe injuries like fractures or concussions.

To minimize the risk of impact injuries, always scout the area before starting your session, paying attention to potential hazards such as rocks, shallow areas, or crowded waterways. Invest in high-quality safety gear, including helmets and impact vests, especially when attempting more advanced maneuvers or riding in challenging conditions.

You should also focus on developing proper technique and body positioning to absorb impact effectively. Learning to fall safely can significantly reduce the severity of injuries. Practice falling in a controlled manner, tucking your chin to your chest and keeping your limbs close to your body to minimize the risk of injury upon impact.

  1. Overuse Injuries

Repetitive movements can place strain on specific muscle groups and joints, leading to overuse injuries such as tendonitis, bursitis, or stress fractures. These injuries often develop gradually over time due to repeated stress on the affected area.

While you will want to be on the water as much as possible this summer,  incorporate cross-training activities into your fitness routine to strengthen supporting muscle groups and improve overall flexibility. Balance your water sports sessions with low-impact exercises such as swimming, yoga, or cycling to reduce strain on vulnerable areas and promote recovery.

Prioritize rest and recovery days to allow your body ample time to repair and rebuild tissues. Listen to any warning signs of overuse, such as persistent pain or swelling, and seek professional guidance from a physical therapist or sports medicine specialist if needed.

While water skiing, surfing, and wakeboarding offer thrilling experiences, it’s essential to prioritize safety and injury prevention. By warming up properly, practicing proper technique, wearing appropriate safety gear, and listening to your body, you can minimize the risk of common injuries and enjoy these water sports to the fullest. Remember, staying injury-free means more time on the water doing what you love.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Summer Sports Injury Prevention

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Article featured on U Chicago Medicine

Whether it’s because you’ve only done indoor workouts or because your winter involved too much Netflix-meets-couch time, warmer-weather sports injuries are common and can even sideline the most well-intentioned weekend warrior during what’s arguably the best time of the year.

Here are some of the most common questions my sports medicine colleagues and I often receive about how to stay safe when exercising – seasonally or otherwise:

What sports injuries are most common in the summer?

When the weather warms up, athletes tend to want to go back to their sports quickly to make up for the time they were inside. But increasing intensity and volume is a recipe of injury. Even for those less seasoned athletes, repetitive motion, particularly when you aren’t used to it during the winter months, can increase your risk of:

  • Stress fractures
  • Swimmer’s shoulder
  • Pitching elbow
  • Runner’s knee
  • Jumper’s knee
  • Achilles tendonitis
  • Shin splints
  • Tennis elbow
  • Rotator cuff injury
  • Pulled groin
  • Knee injuries (torn ACL, torn meniscus)
  • Dislocations

What causes sports injuries?

There are many causes of sports injuries. Everything from insufficient warm-up and stretching, poor conditioning and training techniques to previous injuries that have not properly healed or intense, high-level competition from contact (football, basketball) and noncontact (tennis, gymnastics) sports can lead to accidents. Common behaviors that can cause injuries this season include:

  • Working out too hard and/or overtraining, injuries are more likely if you are working out too often and/or for too long
  • Leveling up too quickly, changing the intensity of exercise or training too fast
  • Wearing the wrong shoes, such as shoes without enough support, increase risk of injuries
  • Poor training and/or incorrect technique can be very unsafe and ultimately lead to accidents and/or injuries
  • Not stretching before and after exercise
  • Dehydration can cause a range of symptoms, such as headache, fatigue, confusion and dizziness

Prevent Common Exercise Injuries this Summer

To perform the way you want and protect yourself from injuries, you need to take proactive steps to prepare your body properly. That means spending time during the off-season diversifying the types of activities you do.
You need to make sure you work your body in different ways. It’s important to help decrease the stress caused by repetitive motions, which goes a long way toward preventing injuries.

Prepare in the Off-Season/Winter

For anyone with warmer-weather sporting events lined up, or have plans to take up new sports this season, make sure your winter and/or off-season includes exploring new exercises that activate your core and build strength in the upper and lower body with cross-training activities, such as:

  • Pilates
  • Yoga
  • Swimming
  • Aqua jogging
  • Weight training

For runners and triathletes, strength training is not intended to build the muscle mass like a weightlifter, but instead to develop strength, power and endurance. Strength training can improve running performance and decrease injuries.

Build Up Exercise Overtime

Start with shorter distances (or a shorter duration for your workout) and build up progressively from there. Make sure you don’t increase your mileage or duration by more than 10% a week, especially if you’re running.

For example, if you ran three miles, three different times this week, your total weekly mileage is nine miles. Don’t run more than 10 total miles the following week. Build from there. Doing too much too soon means you may have to sit out the first weeks of spring nursing an injury. No one wants that.

Duration Before Speed

Speed should be the last thing you try to tack onto your training if you just started out. Once you’re comfortable with the mileage and/or duration of your workout, tempo runs or interval training will be the next steps.

Establish a Good, Consistent Stretching Routine

Make sure you stretch regularly and that the stretching encompasses your whole body. There are a lot of resources online if you’re unsure where to start. For whole-body workouts, the seven-minute workout has been scientifically validated to demonstrate benefits.

Incorporate Activity into your Workday

That could mean taking the stairs at work, do a walking meeting (weather permitting), sitting on an exercise ball at your desk, or doing calf raises and lunges while you’re on a conference call (nobody is watching you and will not think you are an exercise freak). Short bursts throughout the day can help maintain flexibility and strength when you can’t go outside. The goal is to work hard and smart with your time.

When is it time to see a sports medicine physician for a sports injury?

My best advice is to listen to your body. Working out is not about fighting through pain. Muscle soreness and the sensation of a good workout is what we are looking for. If pain has been persistent for more than two weeks even though you’ve been resting, icing and limiting your physical activity, it’s time to have your injury looked at. Swelling and bruising could indicate a more serious injury.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Sports & Pain

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The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

How to Prevent Football Injuries

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When you hear the term “football injury,” the first thing to come to mind may be an on-field collision, fall, or other split-second traumatic injury. But in fact, there are many muscle and tendon injuries football players face that are overuse injuries that happen over time. However, there are ways to prevent football injuries like these.“Our bodies are designed to work anatomically in a number of ways, and our bodies are also wonderful compensation machines,” Dr. Williams explained. “That means your body is great at using short-term strategies to avoid or prevent some kind of injury, usually without your even realizing it. The problem is, those strategies can be problematic in the long run, since they can lead to overuse injuries.”

How to prevent football injuries

Focus on proper biomechanics

– Everything is connected, and if your body’s mechanics are out of alignment in one area, it can cause injury elsewhere. For example, “Core and hip stabilization is key to preventing knee and ankle injury, and scapular thoracic stabilization is critical to preventing shoulder injury,” Dr. Williams said. Talk with a sports medicine specialist about evaluating and correcting ongoing biomechanical issues.

Get enough rest

Fatigue is more than just feeling tired after a two-a-day. It’s a deeper sense that your body’s resources are depleted, which can slow down recovery and healing. When you’re working hard on the practice field, prioritize rest off the field to help your body cope.

Warm up right

Avoid prolonged stretching of cold muscles before a workout. That outdated idea can actually increase injury risk. Instead, do some dynamic warm-ups, light versions of the activity you’ll be doing. You could start with a slow jog, followed by throwing and catching the football.

Strengthen that core

A strong core sets the stage for proper form from head to toe, because the core muscles stabilize the limbs. Remember, the core is not just the back and abdominal muscles at the surface. It’s also little-used muscles deep within the torso and abdomen that need attention.

Stay hydrated

Hydration is the foundation on which the rest of the workout is built. Being dehydrated can reduce performance, leading athletes to push themselves too hard and increasing injury risk. Talk with your sports medicine provider, your coaches, and your trainer about how to assess your hydration each day.

Don’t overtrain

When it comes to an intense sport like football, the pressure to overtrain can be huge. But more is not always more. Pushing yourself too hard can lead to exhaustion and poor form, making overuse injuries worse or increasing your risk of a new injury. Make sure your body has the time it needs to fuel up, hydrate, and rest to promote recovery. Your performance will be stronger in the long run.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Preventing Injuries While Golfing

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Golf is a popular sport and offers a range of health benefits. Regular golf can help improve stamina, cardiovascular fitness and muscular endurance. For example, the average golfer playing an 18-hole game walks about seven kilometers. While the risk of injury from playing golf is low compared to other sports, common golf injuries include injuries to the lower back, shoulder, elbow, wrist, head and eye.

Risk factors for golfing injuries

Some of the factors that can increase your risk of a golfing injury include:

  • Time spent playing – generally, the more often you play, the higher your risk of injury. Golfers who spend more than six hours per week in competitive play are at increased risk of overuse injuries, as are professional golfers.
  • Unsupervised children – injuries to children under the age of 10 years are often the result of inadequate adult supervision (for example, children getting hit in the face by swinging clubs).
  • Incorrect technique – examples include poor swing style and hitting the ground instead of the ball. Incorrect technique dramatically increases the risk of injury. Golfers who perform correct technique are less likely to injure themselves.
  • Failure to warm up and cool down – warming up and cooling down are extremely important to reduce the risk of muscle and joint injuries.
  • Previous injury – golf can aggravate existing injuries.

Health and safety suggestions for golf

Suggestions include:

  • Make sure equipment, such as clubs and shoes, are professionally fitted.
  • Be SunSmart. Wear sun protective clothing, use SPF30+ (or higher) sunscreen and lip balm, wear an appropriate hat, seek shade where possible and wear sunglasses.
  • Insect repellent should be carried in your golf bag at all times.
  • Drink non-alcoholic fluids before, during and after the game. Take drinks with you in your golf bag to avoid dehydration during play.
  • Practice the rules and etiquette of the game. For example, make sure that no one is standing too close when you’re about to swing, and always call out ‘fore’ to warn others if your shot appears to be heading in their direction.
  • Obey all safety instructions when driving a motorized golf cart.
  • Postpone play if lightning strikes are possible.
  • Avoid placing hands in holes or areas where spiders or snakes might inhabit.
  • Supervise young children on the golf course at all times. For example, make sure they don’t stand too close when someone is teeing off and don’t allow them to fool around with golf clubs.
  • Get adequate rest between games.
  • Carry a mobile phone, wherever possible, in case of emergency.

Warming up before playing golf

Muscle strains and sprains are more likely to occur if you fail to warm up properly before play. A study of golfers undertaken by the Sports Injury Prevention Unit at Deakin University in Victoria found that less than three per cent of Victorian golfers warm up properly, while nearly half don’t warm up at all.

Suggestions include:

  • Walk briskly for a couple of minutes to raise your heart rate.
  • Warm up your neck and upper back by dropping your chin to your chest, gently rolling your head from side to side in slow half-circles.
  • Warm up your shoulders. Hold a golf club horizontal to the ground, keeping your hands about shoulder width apart. Slowly raise the club overhead, hold for a few moments and then lower. Hold the golf club in a similar way, but this time behind your back. Raise as high as you can, hold for a few moments, then lower.
  • Warm up your torso with side bends. Slide your hand down your leg to support the weight of your torso.
  • Twist through the waist – gently and slowly turn from one side to the other.
  • Go through the motions of swinging the club without actually hitting a ball. Begin with gentle half swings and work up to full swings over the course of a few minutes.

Cool down after the activity. Use the same range of stretches suggested above.

Take care of your back

Suggestions include:

  • Consider using a buggy to transport your clubs, or carry clubs using a supportive carry brace.
  • Carry out a general strength and fitness program that includes weight training or aerobic activities, such as walking or jogging, to improve muscle strength, flexibility and endurance.
  • Strengthen abdominal muscles to support your lower back. A Canadian study found that golfers with strong side abdominal muscles (obliques) have a reduced incidence of back pain.
  • Consider taking lessons with a PGA qualified coach to improve your technique to prevent injury and improve performance.

Suggestions include:

  • Don’t engage in long practice sessions, particularly if you are practicing the one shot over and over.
  • If you are practicing your putting, make sure you straighten up and stretch regularly.
  • Remember to bend your knees when picking up balls. Lift one leg off the ground as you lean over to counterbalance your weight.
  • Try not to use more force than is necessary for the swing, especially in the ‘follow through’ motion after the ball has been hit.

Treat a golfing injury promptly

Suggestions on what to do if you are injured include:

  • Stop immediately if injury occurs. Playing on will only exacerbate the injury.
  • All injured players, regardless of how severe the injury is, should seek first aid or prompt medical treatment of their injury.
  • Treat all soft tissue injures (ligament sprains, muscle strains, bumps and bruises) with rest, ice, compression, elevation (raise the injured limb above your heart) and referral to a health professional.
  • Injured golfers should not resume play until they have completely recovered from their injury.

Where to get help

  • Your doctor
  • Professional Golf Association coach
  • Physiotherapist

Things to remember

  • Common golf injuries include injury to the lower back, shoulder, elbow, wrist, head and eye.
  • Warm up thoroughly before play to reduce your risk of muscle and joint injuries.
  • Remember to bend your knees when picking up balls. Lift one leg off the ground as you lean over to counterbalance your weight.
  • Take golf lessons to improve your technique.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

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Top 5 Most Effective Evidence-based Treatment Options for Concussions

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Article featured on Complete Concussion Management

Historically, patients with concussion were told to rest, rest, rest. And when that didn’t work, they were told to rest some more.

The research on concussions is evolving at an exponential rate and we are realizing that not only does prolonged rest not work; it can actually make you worse.

Sadly, many healthcare practitioners are not keeping up with the explosion in concussion research and are still telling their patients that the only treatment for concussion is rest. If you have fallen victim to this, you don’t need more rest; you need a second opinion.

While it is true that during the early stages following injury, moderate rest is still important, that timeline seems to be getting shorter, with longer duration rest creating worse outcomes for patients. So, if you have been resting for more than a week, and are still having significant symptoms, it’s time to switch it up. More rest is likely contributing to your ongoing symptoms.

If not rest, then what?

The top 5 most effective evidence-based treatment options for concussion:

1. Exercise Therapy

Following concussion, animal (and many human) studies have demonstrated a reduction in blood flow to the brain in the early stages. Recent research has found that these blood flow changes may persist for some time following injury due to ongoing dysfunction in the Autonomic Nervous System (ANS). The ANS consists to two opposing sides that tend to work in opposition to one another.  The Sympathetic Nervous System is also known as the “Fight, Flight, or Freeze” system – this side of the ANS is responsible for increasing our heart rate, dilating our blood vessels to pump blood to our muscles, release adrenaline, dilate our pupils, and get us ready for action.  Our Parasympathetic Nervous System on the other hand is our “Rest & Digest” system – this side of the ANS is responsible for lowering our heart rate, increasing our digestion, activating our metabolism, and helping us to be relaxed and calm.

These two systems can be thought of like a teeter-totter.  When one is up, the other is down.  They fluctuate their dominance throughout our days but the system should maintain a harmony and balance.

Concussion creates an imbalance in the ANS with most suffering from high “Sympathetic Tone” – this means that we are stuck in a fight or flight state.  Our heart rate tends to be elevated and doesn’t respond well to increased demands, blood flow to our brain is not as responsive, our digestion shuts down sometimes leading to stomach pains, food sensitivities, and increased inflammation, our anxiety levels increase, we may get lightheaded more easily, and we suffer symptoms with increased cognitive and physical activity.

The good news is that this problem can be tested for and rehabilitated very easily; provided you know what you’re doing!

The mainstay rehabilitation for this problem actually goes against conventional thought: exercise!

Researchers at the University of Buffalo have published numerous studies demonstrating complete symptom resolution and improved brain blood flow (as measured on fMRI) through a specific graded exercise program alone.

More recent evidence suggests that exercise might even help speed recovery in the early stages after concussion!

It is important to see someone who knows exactly what they are doing with this protocol. Testing with a trained professional must be done first to establish set points as well as your specific program.  There is also more to balancing the Autonomic Nervous System that must be taken into consideration as well.

2. Manual Therapy & Neck Rehab

With every concussion, there is also a whiplash.

Studies have demonstrated that the acceleration required to cause a concussion is somewhere between 70 and 120 G’s (where G = force of gravity = 9.8m/s2). Whiplash, on the other hand has been shown to occur at only 4.5 G’s.

It is therefore conceivably impossible for a concussion to occur without also causing a sprain or strain injury to your neck! In fact, a Canadian study found that 100% of the time, these injuries are happening together.

What becomes even more confusing is that the signs and symptoms of whiplash and neck dysfunction are the exact same as concussion! Headaches, cognitive and emotional problems, balance problems and dizziness, eye movement control problems, and brain blood flow abnormalities43 have all been shown to occur in whiplash and neck pain patients.

There is actually no way to tell if the symptoms are coming from your neck or from your concussion except with testing (some specific tests that we won’t go into here). In fact, most of the patients healthcare practitioners see in this category don’t report any neck pain; which makes this all the more confusing for practitioners. In a recent unpublished study with the University of Buffalo, the researchers found that there was absolutely no difference in the symptoms that whiplash patients report and the symptoms that concussion patients report.

Concussion is an injury that typically resolves quite quickly in most people (symptoms generally disappear for 80-90% of patients within 7 to 10 days); however, whiplash symptoms can linger for up to a year or more.

So, if you are still having concussion symptoms, even if you don’t have neck pain, you may actually be suffering from symptoms that are coming from your neck; which are easily treated with manual therapy and rehabilitative exercises.

3. Diet/Nutritional Changes

With injury to any tissue, there is inflammation; concussions are no exception with several studies demonstrating increased inflammatory markers following injury.

Concussion results in a metabolic dysfunction (read: energy deficit) in the initial stages, which is why strict rest used to be prescribed early on; the thought was – anything that burns energy, such as thinking or physical activity, could increase symptoms.  As mentioned above however, rest is no longer considered an effective treatment for concussion.

It is important to note however that the majority of studies examining this metabolic disruption show a recovery between 22 and 45 days after injury. In other words, beyond a 3-6 week period, there is little metabolic explanation for your symptoms; unless of course you did not rest in the initial stages and/or received a second concussion soon after the first.

Treatment options for both of these things can include simple dietary changes such as avoiding pro-inflammatory foods (red meats, refined sugars, white breads and pastas, artificial sweeteners) and replacing them with healthier options such as fruits and vegetables, fresh caught fish (salmon, mackerel, herring), and good fats (coconut oil, flax seed, almonds). These changes may help to offset an ongoing inflammatory response and reduce your symptoms.

Another option would be to speak to your doctor about a short course of anti-inflammatory medications. Note that we say “short course” as, over a prolonged period, these medications can begin to harm your stomach and gut leading to ulcers.

4. Vestibular and Visual Rehab

Dizziness is one of the most common ongoing complaints of patients with persistent symptoms. This may be due to a number of overlapping issues such as problems with the balance centres of your brain, your visual system, and/or problems with the muscle and joint sensors of your neck.

Visual system problems may also be one of the causes of ongoing cognitive complaints such as trouble with concentration and/or memory. If you find yourself reading a passage and then having to re-read it several times before you understand what it is saying, you might have a problem with how your eyes are moving or working together. Testing for each of these areas requires extensive knowledge of each of the systems and how they may interact. If you have not had extensive testing of these systems, then you are in the wrong place!

Following a thorough assessment of these areas a proper rehabilitation program can be set up. The research on rehabilitation for these areas is extensive with numerous studies showing resolution of dizziness, and visual abnormalities with a fairly short course of treatment.

5. Education and Reassurance (due to Psychological Comorbidities)

It has been well established that patients with a pre-existing history of depression and/or anxiety tend to have prolonged symptoms. Not only that, the symptoms of these and other mental health conditions can result in, or mimic, the same symptoms of concussion (dizziness, mental confusion, concentration problems, sadness, emotional outbursts).

Many of these issues can begin before or after the concussion, which may be due to the concussion itself, or a direct result of being mismanaged by someone giving you improper advice. In other words, being told to sit in a dark room, avoid all social contact, not go to work or school, and not do any physical activity for months on end may be causing to the very anxiety, depression, and symptoms that you are attempting to stop.

Studies examining the overlay of mental health and concussion are endless (so much so that I won’t even begin to start referencing them), and mental health will always be a big part of concussion management. In most cases, patients often feel much better following some education and reassurance. The Ontario Neurotrauma Foundation recently demonstrated to be one of the best evidence-based treatment options for preventing long-term symptoms was patient education and reassurance!

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.

Phone:
503-224-8399

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1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

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