10 Common Hiking Injuries and How to Prevent Them

Article featured on Austin Emergency Center

For hikers who plan on hitting the trail this summer, understanding the most common hiking injuries and how to prevent them is crucial for enjoying a safe and rewarding outdoor experience! This article will explore strategies for preventing and treating these common hiking injuries. By equipping yourself with knowledge and taking proactive steps, you can minimize the risks, maximize enjoyment, and ensure a memorable hiking experience.

1. Sprained Ankles

Ankle sprains occur when the ligaments surrounding the ankle joint are stretched or torn. This can happen to even the most experienced hikers due to uneven terrain, slippery surfaces, or missteps while traveling over diverse Texas landscapes.

Prevention:

Wear supportive footwear that provides ankle stability to prevent sprained ankles while hiking. Before hiking, warm up your muscles and perform ankle stretches.

Choose hiking trails that match your skill level, and be mindful of potential hazards, such as uneven surfaces or loose rocks—consider using trekking poles for added stability. Be sure to take smaller steps and avoid rushing.

Treatment:

To treat sprained ankles from hiking, follow the RICE method: Rest by avoiding weight-bearing, apply Ice for 15-20 minutes several times a day to reduce swelling, use Compression with an elastic bandage for support, and Elevate the ankle above heart level to minimize swelling.

You can also take over-the-counter pain relievers and gradually incorporate rehabilitation exercises under professional guidance.

2. Knee Injuries

Hiking involves strenuous and repetitive movements that can cause stress on the knees. Common knee-related hiking injuries include strains, sprains, and tendonitis.

Prevention:

To prevent knee injuries while hiking, practice proper hiking techniques and focus on maintaining good posture and taking shorter strides out on the trail.

Wear appropriate footwear with cushioning and support. Gradually increase the intensity of your hikes, and take regular breaks. Regulate the weight you carry in your pack, and listen to your body for any signs of injury.

Treatment:

When treating knee injuries caused by hiking, focus on resting the injured knee and avoid putting weight on it. Apply ice packs or cold compresses to reduce swelling and pain, and use compression bandages or wraps to support and stabilize the knee.

Elevate the injured leg above heart level to help reduce swelling, and take over-the-counter pain relievers if needed.

3. Blisters

Blisters are a common hiking nuisance caused by friction between the skin and footwear. Ill-fitting or wet shoes, as well as long hikes, can increase the likelihood of blisters.

Prevention:

To prevent blisters while hiking, wear properly fitted and broken-in hiking boots or shoes to reduce friction. Invest in moisture-wicking socks made of synthetic or wool materials that help keep your feet dry.

You can also apply lubricants or anti-blister products, such as petroleum jelly or specialized foot balms, to areas prone to blister formation.

Treatment:

Clean the affected area with mild soap and water, leaving the blister intact to protect the underlying skin and prevent infection. If the blister has already burst or is causing significant discomfort, gently clean the area, apply antibioticointment, and cover it with a sterile dressing or adhesive bandage.

4. Shin Splints

Shin splints are characterized by pain along the front or inner edge of the shinbone. They often occur due to overuse, improper footwear, or hiking on hard surfaces.

Prevention:

To prevent shin splints while hiking, wear proper footwear that provides adequate support and cushioning. Gradually increase your hiking intensity and distance to allow your body to adapt, avoid sudden terrain changes, and opt for softer surfaces when possible.

Treatment:

Rest and reduce or eliminate any weight-bearing activities that worsen the pain of shin splints. Apply ice packs to the affected area for 15-20 minutes several times daily to reduce inflammation and pain. You can also take over-the-counter pain relievers to alleviate discomfort.

Gentle stretching exercises for the calf muscles and the muscles in the front of the shin can help relieve tightness and promote healing.

5. Dehydration

Hiking in hot weather or at high altitudes can lead to dehydration and heat-related illnesses. Symptoms include dizziness, fatigue, nausea, and confusion.

Prevention:

To prevent dehydration while hiking, start by drinking plenty of water and staying hydrated before your hike. Carry an adequate water supply and drink regularly throughout your hike, even if you don’t feel thirsty.

Wear lightweight, breathable clothing and a hat to help regulate body temperature and reduce sweating. Avoid hiking during the hottest parts of the day and take regular breaks in shaded areas to rest and rehydrate.

Treatment:

When you are dehydrated, it’s crucial to replenish lost fluids and electrolytes. Immediately stop hiking and find a shaded area to rest. Drink plenty of water or rehydration fluids, taking small sips at regular intervals rather than gulping large amounts at once.

Applying cool, damp towels or using a misting fan with cold water can help cool your body and provide relief.

6. Sunburn and Heatstroke

Prolonged exposure to the sun without adequate protection can result in sunburns and, in severe cases, heatstroke. Heatstroke is a life-threatening medical emergency and requires immediate attention.

Prevention:

To prevent sunburn and heatstroke while hiking, wear sunscreen with a high SPF and apply it generously to all exposed skin. Wear a wide-brimmed hat and lightweight, breathable clothing that covers your arms and legs.

Plan your hike during cooler hours, such as early morning or late afternoon, to avoid the day’s peak heat. Consider using a moisture-wicking fabric or a cooling towel to help regulate body temperature.

Treatment:

When treating sunburn and heatstroke, move to a shaded area and protect your skin from further sun exposure. Apply a cool compress to soothe the burned skin, and moisturize with aloe vera gel or a gentle, non-irritating lotion to help alleviate discomfort.

Drink plenty of fluids to stay hydrated and replace lost electrolytes. For more severe sunburns with blisters, pain, or signs of infection, seek medical attention.

When treating heatstroke, it’s essential to cool the body down immediately. If possible, move to a shaded or air-conditioned area, remove excess clothing, and apply cool water or ice packs to the neck, armpits, and groin area.

Call emergency services or seek medical help promptly. Monitor vital signs and provide first aid measures while waiting for professional assistance. Remember, early intervention is crucial for both sunburn and heatstroke treatment.

7. Insect Bites and Stings

Hiking in areas with mosquitoes, ticks, or other insects can lead to unpleasant bites and stings that can cause itching, swelling, and even transmit disease.

Prevention:

Wearing long sleeves, long pants, and socks to minimize exposed skin while hiking. Tuck your pants into your socks and consider using insect repellent on exposed areas.

Choose to wear light-colored clothing, as insects are often attracted to dark colors, and avoid wearing strong fragrances, perfumes, or scented lotions, as they can attract unwanted attention from bugs. Stay on designated trails and avoid brushing against vegetation.

Treatment:

To treat bug bites, wash the affected area with mild soap and water to clean it. Use a credit card or a fingernail to gently scrape off the skin if there’s a stinger. Apply a cold compress or ice pack wrapped in a thin cloth to reduce swelling and alleviate discomfort.
Avoid scratching the bite to prevent infection. If needed, take an over-the-counter antihistamine to reduce itching and allergic reactions.

8. Overexertion

Pushing your body beyond its limits can lead to overexertion, resulting in muscle strains, fatigue, and exhaustion.

Prevention:

Listen to your body and know your limits when hiking! Plan your hike according to your abilities and choose trails that match your fitness level. Pace yourself and take breaks when needed, especially on long hikes or challenging terrain.

Treatment:

Allow your body to rest and recover when you begin to feel overexerted. Find a shaded area to sit or lie down and elevate your legs. Drink plenty of water or an electrolyte-rich beverage to rehydrate.

If you’re experiencing muscle soreness or stiffness, gentle stretching, and light massages may provide relief. Avoid further physical activity until you feel fully recovered. Pay attention to any lingering symptoms, such as persistent fatigue, dizziness, or rapid heartbeat, and seek medical attention if necessary.

9. Falls and Cuts

Trips, slips, and falls can happen while hiking, especially on uneven ground or steep slopes. Falls can result in cuts, bruises, and even more serious injuries like fractures.

Prevention:

To prevent falls and cuts while hiking, always stay alert and focus on the trail. Wear appropriate footwear with good traction to minimize the risk of slipping, and be sure to take your time and watch your step on uneven or rocky terrain. Be cautious when crossing streams or wet surfaces by using stable footholds and handholds if available.

Treatment:

When treating falls and cuts from hiking, it’s important to prioritize safety and address any injuries promptly. Carry a well-equipped first aid kit with essentials like adhesive bandages, antiseptic wipes, and sterile gauze to promptly address any cuts or injuries.

If bleeding is severe or the wound is deep, apply direct pressure with a clean cloth or bandage and seek medical attention. If a fall results in possible fractures or head injury, immobilize the affected area, keep the person still, and call for emergency medical assistance. It’s crucial to monitor for signs of shock, such as pale skin, rapid breathing, or weak pulse, and provide comfort and reassurance while waiting for professional help.

10. Poison Ivy

Brushing against poison ivy, poison oak, or other irritating plants can cause allergic reactions, including rashes and itching.

Prevention:

It’s essential to familiarize yourself with the plant’s appearance and avoid contact with it to prevent exposure to poison ivy exposure while hiking! Learn to recognize the three leaflets in a cluster characteristic of poison ivy.

Wear long sleeves, long pants, and closed-toe shoes to minimize skin exposure. As an added protection layer, consider applying a barrier cream or lotion containing bentoquatam to exposed skin areas. Always be cautious when sitting or leaning on surfaces that may have come into contact with poison ivy, such as fallen logs or rocks.

Treatment:

Wash the affected area with soap and cool water to remove the urushiol oil from the skin. Be sure to avoid scrubbing the area to prevent further skin irritation.

Apply a cold compress or take cool showers to soothe the itching and reduce inflammation. Over-the-counter hydrocortisone creams, calamine lotion, and oral antihistamines can help relieve itching and discomfort.

If symptoms are severe, widespread, or persistent, or if blisters or signs of infection develop, seek medical attention for further evaluation and treatment. Wash any clothing, gear, or tools that may have come into contact with poison ivy to remove any lingering urushiol oil.


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

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

10 Common Kayaking Injuries & How to Avoid Them

Article featured on Kayak Scout

In any sport or activity, there is a risk of injury, but being forewarned can prevent some of the more common kayaking injuries. While being injured is never a happy experience, it can happen to anyone.

There are all sorts of possible injuries sustained from kayaking, ranging from chronic overuse injuries to minor skin irritations.

Key Takeaways

  • There are different possible injuries you can get from kayaking, ranging from chronic overuse injuries to minor skin irritations.
  • Shoulder, lower back, arm, and leg pain are often caused by overuse, poor technique, or improper posture while paddling.
  • Tendonitis, carpal tunnel syndrome, numbness, and skin irritations are some of the possible soft tissue injuries that can affect kayakers.
  • Swimmer’s ear, hypothermia, and heatstroke are some of the environmental hazards that kayakers should be aware of and protect themselves from.
  • To avoid injuries, start slow, build up gradually, check your safety gear, pay attention to your body signals, and seek professional help if needed.

Top 10 Most Common Kayaking Injuries

These are some of the most common kayaking injuries you’ll see. We’ll go through these, and also take a look at what causes them, as well as how to avoid such injuries in the future.

1. Shoulder Pain After Kayaking

Kayaking uses a lot of the upper body musculature and includes the smaller muscles and tendons that stabilize the shoulders – this makes shoulder injuries of all kinds relatively common. In fact, this sports journal states that around 55 percent of paddlers report some kind of shoulder pain.

Sudden shoulder pain after kayaking is one of the most commonly reported injuries, however, understanding why your shoulder is hurting depends on your experience. The most common scenarios for shoulder pain are as follows:

  • Pain in the muscles (like after exercise) after your first couple of kayaking trips.
  • Joint pain that restricts proper movement and a chronic, almost dull pain.
  • A dislocated shoulder – this will be incredibly painful and uncomfortable.

If you’re experiencing pain in the muscles that feel like you’ve gone to the gym and you’re new to kayaking, this means that your body is adapting to the demands of your recent trips.

Don’t be alarmed by this, even someone in very good shape can still get this kind of muscle pain, but you should get it checked out if it persists longer than a week.

Joint pain that restricts movement or makes movement uncomfortable is usually because of an overuse injury or tendon inflammation. This is usually solved with a combination of therapeutic exercises and anti-inflammatory medication. Rotator cuff injuries can also be another reason for this kind of pain.

A dislocated shoulder usually requires emergency medical attention to reset it into place. You’ll also need to rest up the rotator cuff tendons or you can dislocate your shoulder again very easily. This is one of the more serious injuries and should be attended to immediately.

2. Lower Back Pain After Kayaking

This is another injury that depends on the kayaker, the most common reason for lower back (or lumbar spine region) is due to a combination of muscle imbalance and improper posture.

Sometimes your kayak doesn’t fit you well, and it can force you into positions that put pressure on the spinal discs in the lower back. If you combine this with weaker hamstrings, abdominal, and glutes, you have a recipe for lower back pain.

The other reason for lower back pain is engaging in more intense activities, like whitewater kayaking. This style of kayaking can push you from side to side and if it’s vigorous enough the impacts send a lot of force through your lower back, if the muscles around the spine aren’t strong enough, this can also lead to back pain.

If you have lower back pain, you can seek the aid of a sports physiotherapist, who’ll check you for muscle imbalances and they can also determine if your kayaking sitting posture is harming your back.

There are specific exercises and even yoga programs that can help strengthen the muscles in the back, especially the erector spinae (these are two almost column-like muscles that track either side of your spine).

3. Pain in Arms After Kayaking

Arm pain after kayaking is one of the more common physical ailments that paddlers may have to deal with. This can be due to:

  • Fatigued muscles
  • Irritated joints and ligaments
  • Gripping the paddle too tightly

As mentioned, kayaking makes extensive use of all the muscles in the upper extremities, and the arms get used a lot by any kayaker. However, poor technique can place too much stress on the arms and this then leads to overuse injuries down the line.

There are tons of ligaments and joints across the arms and excessive stress can lead to soft tissue injuries of all kinds. There can be all sorts of reasons that your arms are in pain after kayaking, but the cause is often similar.

In fact, having too tight a grip on a paddle, bat, or club (referred to as “white-knuckling”) is a cause of sports injuries among many athletes. It’s very easy to overdo it when you’re kayaking.

If this is a problem for you then you’re going to have to improve your paddling technique, use the arms less and the bigger, more powerful torso muscles more. You might have to get someone more experienced to show you how to do this.

Improving your technique will naturally place less stress on the arms and cause you to have a good grip (not a death grip) on your paddle.

4. Tendonitis

This is another one of the upper extremity injuries that’s prevalent in many sports but seems to occur regularly in water sports like kayaking.

Wrist, shoulder, and elbow tendonitis are the most likely kayaking injuries, as these joints and the ligaments that surround them are the ones most in use. Usually, tendonitis happens because of repetitive strain and such injuries are usually more common toward the end of a paddling season.

Poor technique can also play a part in chronic injuries, as you place less strain on the muscles and more on delicate soft tissue. Poor technique could be anything from your overall posture in the kayak, to how you paddle.

One sign of tendonitis is stiffness and swelling, and it can lead to lingering and chronic pain if not addressed.

One way to treat tendonitis is through joint rotations – arm circles, ankle rotations, or any exercise that runs a joint through its full range of motion. However, this doesn’t guarantee protection, and if you’re getting symptoms of tendonitis frequently it’s your body’s way of telling you to back off.

5. Wrist, Hand, and Finger Pain

Pain in the lower arms is a common sports injury and can have all sorts of causes, from tendon injuries to potentially trapped nerves. Numbness, tingling, pain, and weakness are often due to carpal tunnel syndrome.

Placing pressure on the median nerve in the wrist can cause carpal tunnel syndrome and improper technique can hurt the tendons that wrap around the wrist – this can cause pain practically anywhere in your hand.

Often, the paddling technique is the culprit here, and if you’re constantly feeling pain throughout the wrist, hands, and fingers then you might need some coaching to improve here, especially if you’re whitewater paddling or engaging in more intense forms of kayaking.

6. Numb Legs

Numbness is usually down to a loss of circulation or pressure on nerves. This is another one of the common injuries reported, and this is because compared to most other items on this list, it’s not the most severe injury, and some choose to just “grin and bear it.”

However, don’t fall into this trap, as simply tolerating numbness can make it worse over time.

So, why do kayakers get numb legs?

It nearly always comes down to seating positions and postures putting pressure on the sciatic nerve – which runs from the low back all the way to the feet. The best way to address numb legs is to stretch out the legs and strengthen the muscles in the core and the hamstrings.

This ensures that the body’s load is balanced and not just pinpointed in one portion of the lower back. A physiotherapist should be able to point out what the best exercises are for you.

7. Skin Irritation

Blisters and skin irritations often occur because of a lack of proper protection in the affected areas. The most common place to find skin irritations is on the hands – usually because your gloves aren’t padded enough.

If you do have any skin irritations then you can apply waterproof plasters over the affected areas, clean any grit, sand, or debris from the paddle, and then, later on, apply some skin cream.

Another major cause of skin irritations is allergens – while this is unlikely there could be something in your equipment that you’re allergic to.

8. Swimmer’s Ear (External Otitis)

Swimmer’s ear can be one of the potential “injuries” suffered by kayakers and can feel like your ear is tender on the outside, and swollen, itchy, and painful on the inside.

External  is an infection caused by your ear becoming host to bacteria and microorganisms present in warmer water, and  is a condition that can affect kayakers who spend time in warmer oceans.

A course of a cream that contains antibiotics will kill off the bacteria in your ear causing the infection in due time.

9. Hypothermia

Hypothermia is a condition where your body is losing heat faster than it can produce it – this causes you to rapidly lose body temperature and can potentially be life-threatening.

Water can get very cold – for example, if you’re whitewater kayaking and you get thrown out of your kayak a few times it’ll be cold but you’re probably not going to freeze to death.

However, if you’re not used to this and you’re being thrown in the water and pushing yourself hard then you should take caution, and watch for signs like uncontrollable shivering, slurred speech, and incoherent behavior.

Hypothermia isn’t exactly a super common injury but it is definitely something to pay attention to if you plan to do any sea kayaking at all.

10. Heat Exhaustion or Heatstroke

This is the final item on this list – while it’s easily avoidable and usually only applies to anyone who is kayaking in the summer or in the warmer states, heatstroke is still a risk factor.

This also applies especially to ocean kayakers for two reasons, there’s no treeline or surrounding terrain to filter or block some of the sunshine, and the ocean reflects the sun’s rays right back to you.

This means that if you’re not careful you can end up with heatstroke – while this one’s high on the injury severity list – it’s the easiest one to avoid, don’t forget your sunscreen.

How to Prevent Common Kayaking Injuries: Some Simple Tips

Now that we’ve covered the most common kayaking injuries, it’s time to learn what you can do to help prevent them. Take a look at the following tips and things to keep in mind to help you avoid the most common kayaking injuries, and stay safe while paddling.

Know Your Limits

A lot of the injuries here are due to overuse and inflammation. The root cause of these injuries is pushing too hard too quickly – if your muscles are tired it means that your technique is also poor.

Athletes spend an enormous amount of time honing their technique and building the stamina to execute their chosen activity as efficiently as possible. However, hobbyists often launch themselves at the deep end and kayaking is no exception.

It’s better to start slow and build up very gradually, the older you are the more this applies to you.


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


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

Prevention of Football Injuries

Article featured on Summit Orthopedics

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 several 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 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

How Can I Prevent Common Exercise Injuries?


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 Overuse Injuries in Fall Sports

Article featured on TheCenter

Fall sports are here and with that comes overuse injuries and burnout especially in adolescent athletes. An overuse injury develops slowly over time due to repetitive stress on tendons, muscles, bones, or joints. It is important to be aware and pay attention to any minor aches and pains to prevent a more serious injury down the road. Here are a few of the most common overuse injuries during the fall season.

SHIN SPLINTS

Shin splints are an inflammation of the muscles, tendons, and bone tissue around your shinbone (tibia). Typically, this develops when the muscle and bone tissue become overworked by repetitive or sudden change in activity, such as increasing the intensity or amount that you exercise. Runners are at the highest risk for developing shin splints.

It might be time to take a break and rest if you start to experience these symptoms:

  • Sharp, dull, or throbbing pain
  • Pain during and after exercise
  • Sore to touch and mild swelling

Sometimes, other problems exist that can have an impact on healing. If the pain persists, contact one of our orthopedic surgeons for an examination.

PLANTAR FASCIITIS

Plantar fasciitis is the most common cause of foot pain, radiating from the bottom of the heel throughout the foot. The plantar fascia is the strong band of tissue in the arch of your foot that runs from your heel to toe, and absorbs strains and stress placed on the foot each time it is in use. Plantar fasciitis occurs when that supporting tissue becomes irritated and inflamed.

Common causes and risk factors include:

Tight calf muscles
Repetitive activity (sports/running)
New or increased activity
Obesity
Diagnosis and treatment are important with this painful condition and healing can begin quickly once diagnosed. Your doctor will most likely recommend rest and possibly frequent icing on the area. Anti-inflammatories may also help symptoms subside combined with light stretching of your feet and calves. If pain continues to linger, your orthopedic surgeon may recommend a partial release procedure.

ACHILLES TENDINITIS

The Achilles tendon is the largest tendon in the body, connecting the calf muscles to the heel bone. Although it can withstand a lot of stress, it is also prone to tendinitis, which is when the tendon becomes inflamed causing swelling, pain, or irritation. This condition is caused by repetitive stress to the tendon, such as pushing our bodies too far or too soon from walking, running, jumping, etc.

Common symptoms of Achilles Tendinitis include:

  • Pain on the back of the heel that worsens with activity
  • Pain or stiffness along the tendon in the morning
  • Pain the day after exercising
  • Swelling

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

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

Common Pickle Ball Wrist Injuries

Do you experience a dull and aching pain or soreness in your wrist during or after playing racket or paddle sports? Does your wrist feel stiff when reaching for low balls or flicking your wrist for those difficult and awkward shots? If you answered yes and your symptoms are located on the “pinky” side of your paddle wrist, then you have ulnar-sided wrist pain. Pain in this region can be anything from wrist arthritis, tendon irritation, joint instability, or triangular fibrocartilage (TFCC) injury. Ulnar-sided wrist pain can be uncomfortable and persist if left untreated, but early treatment can significantly reduce pain and discomfort. Common athlete complaints include:

  • stiffness
  • clicking or snapping sensation
  • local swelling
  • pain.

Typically, symptoms increase when gripping a racket/paddle, twisting your wrist, and rotating your forearm. There are several structures, including ligaments, nerves, and tendons, especially on the small finger side of your wrist that can be injured from repetitive use in awkward positions, or from direct trauma, such as a fall onto the hand. Early diagnosis is critical to assess which structures are involved to provide athletes with the optimal course of treatment. Your physician will assess your pain symptoms, joints/ligaments and stability via clinical exam, X-rays and/or MRI. Medical management varies depending on severity, structures injured and other medical history concerns.

Often, with recreational and novice tennis and Pickle ball athletes, there is evidence of muscular weakness in the shoulder blade, shoulder rotator cuff, upper arm muscles, and forearm. Weakness in these areas often lead to using your wrist and hand in less stable positions causing increased force through the ulnar side of the wrist.

I have these symptoms, now what?

If you find you have wrist pain while playing sports or completing daily activities, an evaluation by a physician is necessary to rule out any underlying medical conditions. From there, a proper course of treatment could help to address your symptoms.

How will hand therapy help me?

Referral to a Certified Hand Therapist (CHT) can assist in the assessment of your core strength/posture, shoulder/elbow/forearm/wrist flexibility and strength. Using a variety of special tests and assessment techniques, your hand therapist can prescribe neuromuscular exercises, proper splints to support your wrist, core strengthening, flexibility exercises, and joint protection strategies to reduce pain and get you back on the court safely and efficiently.


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

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

Hours
Monday–Friday
8:00am – 4:30pm