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Treating Sports Injuries

Sports and exercise are important steps to maintaining health. Unfortunately, however, injuries during participation in sports are all too common. Often, these injuries occur in beginners or those who don't use proper safety equipment or become overzealous about an exercise regimen. 

Strains and Sprains

• An acute twisting or overextension of a joint can lead to tears of muscles and tendons, called "strains," and tears of ligaments result in "sprains."
• In mild injuries, just a few fibers are torn or stretched. Severe injuries, where there is a tear through the full thickness of the structure, frequently require surgical intervention.
• The intervertebral disc, a ligament between the vertebrae of the spine that works as a shock absorber, can also be torn, resulting in a disc bulge and/or herniation.

Tendinosis

• In those who are training too much, overuse of a particular joint or joints in the body can result in pain and dysfunction. There injuries are called "overuse syndromes."
• A common overuse injury is tendinosis, a condition in which the tendon becomes inflamed from repetitive use.

Stress Fractures

• Some athletes may experience a stress fracture, which occurs when an abnormal amount of stress is placed on a normal bone, such as in a runner who rapidly increases the amount of mileage, rather than gradually progressing to longer distances.
• Shin splints are caused by microfractures on the front surface of the tibia (shin bone). This is most often seen in runners, although other athletes can be affected.

Diagnosis and Treatment
Sports injuries are most often diagnosed from the history of the activity which brought on the pain, along with a physical examination. In some cases, X-rays are necessary to rule out a fracture. Fractures require the application of some stabilizing device, such as a cast, after the bone is put back into position. Rarely, surgical intervention is required. Magnetic resonance imaging (MRI) and ultrasound may also be used.

There is a relatively standard treatment protocol for most types of sports injuries, which involves:

• • Rest. Generally no more than 48 hours of rest and/or immobilization is needed, depending on the severity of the injury.
  • Ice or heat can help with pain reduction and tissue healing.
  • Compression of the area may reduce the amount of swelling from the injury.
  • Elevation of the injured arm or leg above the level of the heart is thought to be helpful in reducing swelling.
  • Joint manipulation. Recent research has shown that, in some cases, joint manipulation can help with pain reduction and more rapid recovery.

Prevention  

In many cases, sports injuries can be prevented. Proper conditioning, warm-up and cool-down procedures, understanding proper techniques and using appropriate safety equipment can substantially reduce injuries.

How Can MAGNA Help

At Magna Chiropractic, we have many tools and resources to help you prevent as well as treat any and all of your sports injuries. Prior to participating in your sport, our office offers some beneficial treatment options with Kinesiology Taping. Here is how it works, the tape is applied along muscles, ligaments, and tendons (soft tissue) to provide a lightweight, strong, external support that helps to prevent injury and speed recovery.

The tape works differently for different injuries. It can lift and support the knee cap, holding it in place for Runner's Knee. It can support sagging muscles along the arch of the foot, relieving the connective tissues for Plantar Fasciitis. It can also lift the stress off of shin splints to allow pain release and give the body a better opportunity to recover. Depending on how it is applied, it supports, enables, or restricts soft tissue and its movement.

By stretching and recoiling like a rubber band, the tape augments tissue function and distributes loads away from inflamed or damaged muscles and tendons, thereby protecting tissues from further injury. Please check out the following link for more information on this very impressive treatment option that MAGNA offers for you: Kinesiology Tape

If you fall victim to a sports injury, MAGNA also offers multiple treatment options to improve your condition. From Joint Manipulation of the affected joint and associated spinal segments, to pulsed ultrasound that helps to heal your joint supporting tissues. MAGNA is also proud to offer cold laser which is a treatment modality that promotes blood flow to damaged areas, reduces swelling caused by bruising or inflammation, as well as increase cell reproduction and growth to get you back on the field or course at a faster rate. 

As always, proper spinal motion achieved through regular Chiropractic Adjustments will help your body function at it's highest capacity. 

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Bike Fit Basics

Whether you ride on-road or off, pedal casually or competitively, it's important to pay close attention to how your bicycle fits your body. A properly fitted bike will allow you to ride comfortably and safely, avoid injury, and produce more power, so you can go faster with the same or less effort. In general, when fitting a bicycle, there are five basic components to consider.

1. Frame size is not necessarily dependent on your height; rather, it is more a matter of leg length. Simply, the frame should be easily straddled with both feet flat on the ground, and with an inch or two of clearance for a road of hybrid bike and about four inches of clearance for a mountain bike.

2. Saddle height should be set so that your knee is slighly bent when the pedal is at its lowest position and the ball of your foot is on the pedal. A saddle, or seat, that is too high or too low can cause pain and lead to injuries of the back and knees.

3. Saddle position can be checked by sitting on your bicycle (hold onto a friend or a stationary object) and rotating the pedals until they are horizontal. Your forward knee should be directly over the respective pedal axle when the ball of your foot is on the pedal.

4. Saddle tilt can be gauged simply by feel or by using a carpenter's level. Generally speaking, your seat should be level with the ground. If the saddle tips too much in either direction, pressure will be placed on your arms, shoulders and lower back.

5. Handlebar position and distance is mostly a matter of personal preference because it affects shoulder, neck and back comfort. Typically, handlebars are positioned higher for comfort (a more upright riding position) and lower for improved aerodynamics.

Always Wear a Helmet!

A bicycle crash can happen at any time; however, according to the National Highway Safety Traffic Administration, a properly fitted bicycle helmet reduces the risk of head injury by as much as 85 percent and the risk of brain injury by as much as 88 percent. The following are tips to help ensure the correct helmet fit.

•The helmet should be level on the head, and it must cover the forehead.
•The Y of the straps should meet just below the ear.
•The chin strap should be snug against the chin so that when you open the mouth very wide, the helmet pulls down a little.
•Put your palm on the front of the helmet, and push up and back. If it moves more than an inch, more fitting is required.
•Shake your head around. If the helmet dislodges, work on the strap adjustments.
•Do not wear a hat under the helmet.
•All helmets sold in bike shops must be approved by the U.S. Consumer Product Safety Commission (CPSC) and should carry a CPSC sticker.

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Forward Head Posture

In the poster on the left, the first sketch (top-left) represents “perfect” head posture. A line dropped from the center of the external auditory meatus (EAM) would land directly in the center of the shoulder (the tip of the acromion process). The graphic on the right demonstrates the progression of forward head posture (occasionally referred to as “anterior head translation”).

According to Kapandji (Physiology of the Joints, Volume III), for every inch your head moves forwards, it gains 10 pounds in weight, as far as the muscles in your upper back and neck are concerned, because they have to work that much harder to keep the head (chin) from dropping onto your chest. This also forces the suboccipital muscles (they raise the chin) to remain in constant contraction, putting pressure on the 3 Suboccipital nerves. This nerve compression may cause headaches at the base of the skull. Pressure on the suboccipital nerves can also mimic sinus (frontal) headaches.

Rene Cailliet M.D., famous medical author and former director of the department of physical medicine and rehabilitation at the University of Southern California states:

“Head in forward posture can add up to thirty pounds of abnormal leverage on the cervical spine. This can pull the entire spine out of alignment. Forward head posture (FHP) may result in the loss of 30% of vital lung capacity. These breath-related effects are primarily due to the loss of the cervical lordosis, which blocks the action of the hyoid muscles, especially the inferior hyoid responsible for helping lift the first rib during inhalation.”

Persistent forward head posture (a.k.a “hyperkyphotic posture”) puts compressive loads upon the upper thoracic vertebra, and is also associated with the development of Upper Thoracic Hump, which can devolve into Dowager Hump when the vertebra develop compression fractures (anterior wedging). A recent study found this hyperkyphotic posture was associated with a 1.44 greater rate of mortality.

It's not uncommon to observe 2" of anterior head placement in new patients. Would you be surprised that your neck and shoulders hurt if you had a 20-pound watermelon hanging around your neck? That's what forward head posture can do to you. Left uncorrected, FHP will continue to decline. Chiropractic can be very corrective, especially in the hands of a chiropractic rehabilitationist. Our specialty is in reversing the joint fixations (what we refer to as “subluxations”) and in re-invigorating the muscles that normally retract the head.

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