Injury
in sports and fitness related activities are common.
These injuries are either due to faulty techniques of
sport or defects in the equipment or simply due to
overuse. Very commonly a person starts an exercise
program with tremendous gusto and enthusiasm and forgets
to begin with low intensity workouts. Poor initial levels
of fitness also contribute to a lot of injuries.
Typically a 40-year-old grossly overweight businessman
suddenly realises that his fitness needs to be improved.
He puts on his jogging shoes and starts running without
any warm up or stretching exercise He soon lands up with
knee, back or shin injuries.
Another typical case is of a 45-year-old housewife who
wakes up one fine morning and decides that she needs to
get in shape urgently. She joins a high impact aerobic
class, for extra quick results, and next we hear is that
she has torn her knee cartilage.
Poor running or playing technique, bad quality footwear,
uneven surfaces, obesity, poor thigh muscles, failure to
stretch and warm up are some of the important causes of
fitness related injuries. Apart from these overuse
injuries are very common. These occur in fitness buffs
who abuse their bodies more than what is safe. Here
repeated stress to the body can cause degenerative
injuries, which appear after some duration of
over-training. Some times injuries appear in persons who
are careful and abiding all the fitness norms. These are
accidents where the knee twists or the back bends
excessively during some movement in sport.
Fitness and sports injuries can be serious and should be
avoided with the following precautions:
Start your
fitness program after consulting your
physician or health-care professional.
Always choose low
impact exercises like cycling, swimming or
walking. You can later graduate to racket
sports or aerobic dance as your fitness
levels improve.
Follow fitness
norms like warm up, stretching and cool down.
Select your
footwear carefully. If you are running wear
running shoes. For tennis there are specific
tennis shoes. Do not compromise on footwear.
Pay attention to
your playing or running surface. Avoid
uneven, hard or wet surfaces.
Seek services of
a coach or trainer to inculcate correct
styles and techniques. Remember that a bad
tennis backhand action is disastrous to your
elbow.
Protect yourself
from the sun and drink water before, during
and after exercise.
Listen to your
body. A tired body sends signals. Do not
ignore them. You could avoid a lot of overuse
injuries by timely rest.
Strengthen your
muscles, which are required in your sport. A
golfer needs to perform regular back
exercises and a tennis player should not
forget to develop strong shoulders.
Do not neglect
niggling problems. A stitch in time saves
nine. Consult your sports medicine doctor if
any pain persists for more than a week or any
abnormal sounds come form your joints or
there is restriction of movement. Do not take
any chances.
In spite of all precaution
if you happen to sustain an injury remember the SPORT-AID
formula. R.I.C.E. The R.I.C.E. formula is used for any acute injury in
sport till qualified medical help arrives. RICE is
important to save an injury from becoming worse.
RICE stands for
R for rest. Rest
today to play another day. When in doubt rest. I for ice. Apply ice and cool the injury to avoid
swelling and inflammation. C for compression. Tie an elastic crepe bandage to
minimise the swelling and inflammation. E for elevation. The injured part should be
elevated so that gravity helps the veins to reduce the
swelling.
DO NOTMASH. M for massage. Massage is good for
relaxation but not for injury treatment. Massage
increases blood flow and can aggravate the inflammation
and effects of injuries. A for activity. Activity can increase
the severity of injury and convert a mild one into a
disabling one. S for anesthetic sprays. Disasters have
occurred after use of pain killing sprays after injuries.
Pain is protective sensation which tells us to rest. If
pain is abolished by the spray one tends to use the
injured part and aggravate the injury. I have seen
partial ligament tears being converted into total tears
after using the spray and continuing the game. H for heat. Heat is good for aches and pains not
arising from injuries. Heat increases the inflammation
after injuries and should not be used in the first 48
hours after injury.
Fitness and sports are sources of great pleasure and fun
if injuries are prevented. One needs to take the
necessary precautions and make a habit of drills like
warm up and stretching. One should not get into a
competition situation while exercising, where you want to
out do some one. There is no point in proving that you
can do more sit ups or lift more weights than somebody
else. Stick to your fitness plans and forget what others
are doing.
State of art injury management techniques like
ARTHROSCOPIC surgery or LASER in physiotherapy; have
greatly reduced the recovery time after injuries in
sports. Advanced Orthoses and protection devises like the
tennis elbow brace or an arch-support- insole-footwear
also go a long way to help the fitness enthusiast.
One must seek professional help and sort out the injury
problems early before they cause irreversible damage.
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