The Experts Say - Health & Lifestyle

 

Run Fat Boy Run

Article contributed by:
Raffles Medical Group

  


 

Recovery

Top 10 Most Commonly Injured Areas

Other Sports Injuries Prevention Tips

 


 

“If you’re over 40, it’s safest to have a general health screen.  If not, start with low impact activities. Include three components into your exercise: stretching activities, cardiovascular or aerobic activities, resistance or strength training activities,” said Dr Lim Lian Arn, Orthopaedic Surgeon, Raffles Hospital.

 

You are a successful and driven executive who packs in 12 hours a day in the office, five days a week.  Lately, you have decided to take on a healthier lifestyle, dumping the junk food in your office cubicle and eschewing fried chicken for noodle soup at lunch.
 
Fueling your desire to be more active, you are inspired to blaze the stadium tracks one Sunday morning.  The last time you ran was during the fitness test at your incamp training a few years ago.  You vaguely remembered that running 2.4km was simply a walk in the park.  As you sprinted off at the start, you decided you could easily do a 10km run.  After all, there is nothing a determined motivated professional like you cannot do.
 
Shortly after hitting the 5km mark, you start to gasp for air.  Your right knee feels wobbly and a sudden sharp pain there forced you to stop.  You have found out too late that you have the same problem facing many others, known collectively as the weekend warriors.
 
Weekend warriors is a term used to describe busy executives who spend long hours at work and count surfing the web or TV channels as their ‘regular’ exercise.  Once the weekend comes, they are transformed into sporting athlete wannabes.  Bearing the same mindset that they have at work, weekend warriors go all out when they take to the fields or pound the running routes.  Such sudden high intensity exercises by a less-than-fit person will only trigger a string of injuries.

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Causes of Sports Injuries

The most common causes of sports injuries for those who do recreational exercise is muscle strain due to over-exertion.  For all sports, stretching and warming up is a must.  It is essential as this brings blood and oxygen to the working muscles and reduces the chances of injuries during the exercise.
 
Here is a list of some of the most common causes of sports injuries and reasons why we may become injured: Sports like soccer, squash, and badminton involve sudden stopping and twisting, causing sprains and strains in which ligaments or tendons and muscles, can be strained, torn or partially torn.  Contact sports like rugby and Muay Thai may result in direct blows or falls, which may in turn, cause fractures.
 
It is nice to be togged in the latest fashion wear but when it comes to practicality, not all sports shoes are created equal.  Wearing the appropriate type of shoes will provide the most suitable support for your feet in a particular sport.  Wrong technique in lifting weight or having an incorrect swing for golf can result in sprains due to the wrong posture.

 

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Prevention of Sports Injuries

If you already have some joint problems, it is best to start off with low impact exercises first to avoid aggravating the current problems or having further injuries.  Dr Lim recommends exercises like walking and swimming, as they being low impact, have the lowest risks of injury.

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Causes of Overuse Injury

A wrong technique in a sport or over-exercising can easily lead to overuse injury.  Likewise, a faulty grip on a racquet or use of weights that are too heavy can easily go unnoticed until pain is felt.

 

Equipment may be faulty.

Bad posture

Wrong exercise technique

Inappropriate use of equipment

In training, build up is too much, too fast

Starting exercise too intensely and increasing build-up too fast

Not warming up

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Symptoms Related to Overuse

When overused, knee joints become sore and tender and there is a regular pain or ache at the same spot during or after the exercise.  This is also known as the runner’s knee.  People who run excessively may develop ligament, tendon or cartilage problems in and around the knee.  This is even more likely if they run with poor equipment (shoes) or poor posture (foot and lower limb misalignment).
 
Dr Lim added, “If a runner has pain in the knee, there may be problems with the meniscus, the articular cartilage, the tendons or less likely, the ligaments.  In general, don’t ignore the pain.  Pain is your body warning you something is wrong.  Continuing to run may cause a small tear to become a larger tear and may cause secondary problems”.
 
Other symptoms include strains and sprains and there will also be torn or partially torn tendons, muscles and ligaments which will swell and feel painful and stiff.

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Recovery

Ice should be applied at four hourly intervals for the first twenty four hours and rested.  If the injured limb can be elevated above heart level, this and the ice will remove fluid from the injury and reduce swelling.

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Top 10 Most Commonly Injured Areas

Achilles Tendon

 

Stretched or torn tendon connecting the calf muscle to the heel.

Ankle

Ankle sprain; the lateral ankle ligaments are damaged.

Back

Ligament, tendon or disc damage.

Calf Strain

A stretch or tear of the calf muscle(s).

Elbow

Overuse injuries such as tennis or golfer’s elbow.

Fingers

 

Stretched ligaments or dislocation from the hand and fingers.

Hamstring

 

A stretch or tear of the muscle(s) at the back of the leg.

Knee

Ligament tears or meniscal injuries.

Shoulder

 

A stretch or tear in the muscles used in throwing and injuries to the rotator cuff.

Shin

 

Contusions (bruises) of the shin, and shin splints, a stretch or tear of the shin muscle(s)

 

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Other Sports Injuries Prevention Tips Include:

Prevent overuse:  If you have not been exercising for a long time, it is best to start slow and gradual to build up your stamina first.  For instance, if you are going for a run, try a shorter distance and work the mileage up.

Protective equipment:  Braces and supports can help prevent recurring sports injuries.

Stretch before sports:  Do light stretching before starting to ease the tensions in your muscles.  This helps to reduce the wear and tear of the joints.

Warm up exercises:  Warm up exercises play a vital role in preventing sports injuries.  Warming up and stretching properly will prevent injury.
 

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Article contributed by:
Raffles Medical Group

Dated: May 2011

 

Raffles Medical Group is a leading medical group and the largest private group practice in Singapore.  As a fully integrated healthcare organisation, the Group owns and operates a network of family medicine clinics, a tertiary care private hospital, insurance services and a consumer healthcare division.  Patients of the Group enjoy a continuum of care, from having their most basic healthcare needs met through the Group’s islandwide network of Raffles Medical clinics, to specialist and tertiary care at Raffles Hospital.

 

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