Times of Eswatini

Muscle cramps painful yet common in sports

- WITH SAMKELISO MDLULI

E A M players are fresh from rest and unfortunat­ely they won’t have enough time for pre season which normally is six weeks due to the effects of COVID-19.

Today we are looking at muscle cramps. Muscle cramps are painful, spasmodic and involuntar­y contractio­n of skeletal muscle that occur during or immediatel­y after exercise. Skeletal muscle cramps that occur during or shortly following exercise in healthy individual­s with no underlying disease are known as exercise -associated muscle cramps (EAMC).

Skeletal muscle cramping is one of the most common conditions that require medical attention during or immediatel­y after sports events. Muscle cramping is particular­ly common in endurance events, such as marathon. However, muscle cramping is also well documented in many other sports, including football, basketball, rugby, tennis, cricket, and cycling.

This problem typically happens only during extreme exertion and is far more common during games than during training sessions. Some players frequently experience cramps while others do not.

As a result, it seems likely that there is a genetic component to cramp a predisposi­ng gene has also been identified. The fact that many players describe a family history of cramp also supports this hypothesis. Older players also seem to be at an increased risk of cramping. There is very little evidence to support the widely held belief that cramping is caused by either dehydratio­n or electrolyt­e abnormalit­ies. It appears to be a direct consequenc­e of muscle fatigue.

Risk

Tfactors for muscle cramps

History of EAMC

Increased exercise intensity

Shorter daily stretching time Irregular stretching habits

Positive family history of cramping

Sign and symptoms

Recognised by acute pain, stiffness, visible bulging or knotting of the muscle, and possible soreness that can last for several days

How to diagnose?

Muscle cramping in athletes has a typical clinical presentati­on and the diagnosis is made based on a typical history together with findings on clinical examinatio­n.

Rarely, special investigat­ions are required to exclude other possible causes.

Treatment

The acute, onfield management of muscle cramps involves stretching the involved muscle with contractio­n of the antagonist. Once the player has developed cramping, however, it is very likely that they will be substitute­d.

How can athletes prevent cramps?

Make sure that they are well trained and prepared for their match

Keep to a similar match intensity, and duration, during training sessions Do regular passive stretching during a match as this can be helpful – for example when the ball is out of play at a corner or during a substituti­on

Remain well hydrated and fueled and ensure adequate carbohydra­te intake this will help to prevent fatigue. A physically fit team does not have many injuries thus fitness coaches need to work hand in hand with team medics to optimise performanc­e and avoid unnecessar­y injuries. Till next week, God bless you all!

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