SPORTMEDBC

How to treat a nosebleed suffered while playing soccer

In the muscle-tendon unit, the area where the muscle joins the tendon is often the weakest link in the chain.

Consequently, this is often the location where acute ruptures or complete tearing of the tendon occurs.

The tendon, however, can also tear away from its bony attachment.

Among soccer injuries, a serious but common injury is an Achilles tendon rupture — such as the one suffered by Whitecaps FC defender Jay DeMerit. Achilles tendon ruptures often occur when quick, explosive actions are involved — like when a player cuts to get away from an opponent, jumps or chases after the ball. Micro tears of the tendon from prolonged tendinitis can also be a contributing factor.

Signs and symptoms include a loss of muscle function and pain.

Athletes will usually report hearing a “snap” or a “pop,” or describe the feeling that they were kicked in the back of the leg, even though nobody touched them. Swelling and deformity may occur, as the affected muscle will bunch up in a contracted state. On-site management includes following the P.R.I.C.E. principle — with the exception of the letter “C.” PROTECT the area from further injury (by bracing and using crutches). REST and ICE the injured area often. COMPRESSION is NOT recommended. ELEVATE to increase circulation towards the heart.

A trip to the hospital is mandatory because in most cases, surgical reattachment of the muscle or tendon is necessary. After physician approval, see a physiotherapist or athletic therapist for modalities, range of motion and strengthening exercises.

The athlete should prepare for a lengthy spell on the sidelines as the recovery process takes a minimum of six months. Only after an exercise rehabilitation program and a doctor’s clearance can the player return to activity.