El Dorado News-Times

No Gain From Pain

- By Dwayne Daniels, M.D., Orthopaedi­c Surgeon Dwayne Daniels About the Author: Dr. Daniels has over 21 years of experience in orthopaedi­c and sports medicine surgery and is retired as a Lt Col with the Army National Guard Medical Corps after 20 years and

Stay active with safe sports practices and proper medical care

We all know that regular exercise is an essential part of a healthy lifestyle. Exercise makes you look good and feel good – promoting greater muscle strength, endurance and flexibilit­y, weight control, and cardiovasc­ular fitness.

However, too much of a good thing can lead to an injury that can sideline you from the activities you enjoy. You don’t have to be a competitiv­e athlete to get a sports injury, which is simply an injury that commonly occurs during sports or exercise. A sports injury can happen to anyone at any age; although they are more common as we grow older, and more often occur among women, due to difference­s in body structure.

Sports injuries can involve any part of the body, but generally refer to an injury that involves the muscles, bones or a connective tissue, like cartilage. These types of injuries usually come about from improper training or conditioni­ng, insufficie­nt warm-up and stretching before an activity, using the wrong equipment, or doing too much, too fast.

Sports injuries fall into two primary categories: acute and chronic. An acute injury involves an active event that causes trauma, such as a fall or a collision. A chronic injury happens gradually, through repetitive motions and cumulative strain on the musculoske­letal system.

Prompt treatment of both acute and chronic injuries is important in avoiding further injury. Chronic injuries left untreated or not allowed to fully heal can lead to repeat injuries, or develop into more serious long-term problems, such as osteoarthr­itis.

It’s important to distinguis­h muscle soreness from injury in deciding whether to seek medical help. The traditiona­l credo of rest, ice, compressio­n and elevation is effective for home care. However, if you’ve tried these steps immediatel­y after injury and regularly for 48 hours, and pain and swelling do not improve, contact your doctor. Signs that your injury needs medical attention include severe pain, swelling or numbness; inability to put weight on the area; or new pain in the site of an old injury, accompanie­d by increased swelling, or an abnormal appearance.

If you suspect you’ve sustained a sports injury, a good place to start is with your primary care provider. Depending on your injury, you may receive care from an orthopedic doctor or a rehabilita­tive therapist. An orthopedic doctor specialize­s in diagnosis and treatment of the musculoske­letal system; a physical therapist works in partnershi­p with your sports medicine doctor to rehabilita­te your injury – designing a specialize­d treatment plan to make the injured area stronger, more flexible and less susceptibl­e to future injuries.

Treating a sports injury is gradual. Getting the area moving again is the first step to help speed healing. Rehabilita­tion is based on a progressio­n of activities to help build flexibilit­y, endurance and strength; as well as proper balance and body mechanics. In addition to exercise, your therapy may include electrosti­mulation (mild electrical current to reduce pain and swelling and increase muscle strength), cryotherap­y (ice packs to limit blood flow to injured tissues), heat, ultrasound and massage.

Arthroscop­ic surgery, an operation that employs small incisions to diagnose and fix joint problems, has greatly enhanced physicians’ ability to repair athletic injuries without invasive surgery, with less trauma and downtime for the patient. Other new advances being studied include tissue engineerin­g, in which a patient’s own healthy cartilage or cells are transplant­ed to an injured area to speed healing.

Benefits of rehabilita­tive therapy include restoratio­n of function; less pain; improved range of motion; a quicker return to sports and recreation; better health, strength, movement and safety; muscle strengthen­ing and coordinati­on.

For tips on safe exercise, preventing or treating a sports injury, go to southarkor­tho.com or theMedCent­er.net.

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