Archive for the 'elite sports injuries' Category

Cryocuff cold compression therapy

The Cryocuff is a fantastic bit of physiotherapy equipment we’ve invested in at BOOST PHYSIO. Cryocuff is a cold-compression therapy system that is ideal for treating knee, ankle and foot swelling and pain.

We tend to use it most often post-operatively. For example following total knee replacement, ACL reconstruction surgery, key hole surgery to the knee and post-meniscectomy. For ankle injuries we use Cryocuff to bring down swelling after torn ligaments, fractures and surgery (eg following bunion surgery, achilles tendon repair surgery etc).

What exactly is the Cryocuff system? There are various garments used for the different body parts- ie ankle, knee etc. These are applied by your physiotherapist to the affected area and the the garment is filled with iced water! As the garment fills with the iced water it begins to compress the affected area.

You should be familiar with the acronym RICE which is used in physiotherapy treatment and injury management: Rest, Ice, Compression, Elevation. Cryocuff treatment forms a crucial part of the ice and compression of the RICE regime.

Boost Physio in Hendon will apply and use this treatment when appropriate.

Freestyle Footballer, Ethan Altman, following his injury treatment

Freestyle footballer, Ethan Altman, sent us this thank you video, after having treatment at BOOST PHYSIO he was able to return to this exciting sport of Freestyle Football.  Have a look at him in action- he is amazing!!

This is what Ethan had to say: ” I’m Ethan Altmann, I had about 5 sessions with Jolene to help me through an injury. I am now fully healed!

I was given a lot of stretches and strengthening exercised to do and taught how to do them, I was told to rest for at least two weeks. I did the exercises and I rested, and I am really really happy I made a full recovery so quickly to return to my training!”

Jolene Sher, Senior Physiotherapist @ BOOST PHYSIO

This is a link to Ethan’s Youtube channel www.youtube.com/EraOfFreestyle

This is a link to Ethan’s “crew” homepage:  www.thefootballfreestylers.com

David Beckham’s Achilles injury- 6months at least

Everyone is asking me “how long will David Beckham be out for”- a long time I keep telling them!  It sounds like he has a ruptured achilles tendon, this is very easy to diagnose with 1 very simple test (the need for MRI’s and advanced scans etc is a nice bonus, but mainly useful if you suspect a partial tear only).

The achilles tendon is the very strong and tough sinew that attaches that big calf muscle (gastrocnemius and soleus) to the calcaneus (heel bone).  Ruptures (where the tendon snaps completely) of the achilles tendon are a common injury in over 35 year olds, making David Beckham a prime candidate for a rupture.  It is a common injury it football, but also in tennis, squash and basketball due to the explosive push-off (and also in fathers and sons races at school sports day as a good friend of mine will testify).

So what is the treatment- well it aint gonna grow back by itself- so surgery it is.  I’ve personally diagnosed and sent for surgery 4 cases of ruptured achilles tendon that have been missed by GPs.  The surgery stitches the tendon together and then usually involves immobilising the leg from the below the knee down to the toes for 6 weeks.  Then is the slow process of physiotherapy to recover the movement and strength.  Like I said 6 months out of sport at least. 

One of my patients had surgery in Israel for a ruptured achilles tendon which was very successful- this involved a per-cutaneus stitching of the tendon.  Per-cutaneus is where there is only a very small hole made in the skin, rather than a big incission to perform the traditional operation.  This led to much quicker rehab and recovery time- reduced by approximately 1/3.  I suspect that in David Beckham’s case a traditional procedure will be performed (probably today) because it is critical that the tendon is repaired very strongly and this may not be the case with the per-cutaneus procedure.

So in short David Beckham will not be able to attend the world cup in my opinion.

Steven Berkman- the Boost Blogger

The BOOST Blogger- Steven Berkman

Judo is a dangerous sport- or is it just the pursuit of excellence that’s dangerous?!

Physiotherapy north west london for judo injuries

What allows 1 sports person to escape injury free- and the other to be beset by injury troubles?

A couple of weeks ago I conducted an injury screening for 2 members of the Great Britain Judo team.  I concluded that Judo is a dangerous sport!  This was the week before they were representing GB in a Judo tournament- who knows they may be representing GB at the 2012 Olympics!  How did we come into contact with these Judo players?  Well…

At BOOST PHYSIO we are privileged to be a Talented Athlete Scholarship Scheme  physio clinic (TASS- click here for more info about TASS).  What’s TASS I hear you ask- it is a Government funded programme to support and fast-track young sporting talent, the potential medal winners of the future- and BOOST PHYSIO is one of the clinics looking after these athletes.  Click here to view a Video about TASS.

So during this athlete screening I had to screen 2 female judo players which left me with the philosophical question- why do elite athletes have so many injuries and what leads some to succeed and others not?

One of the girls had broken her arm and her wrist  previously and had a thumb injury, the other had a dislocated thumb – all from Judo.  But these girls were tough- training hard in conjunction with their strength and conditioning coaches.  I wondered to myself- are these injuries simply the consequence of contact sport, or is it something else, perhaps the extreme lengths to which elite sports people push themselves to achieve excellence?  Could an ability to recover better from injury allow one to  to succeed while another fails?

I’ve never seen a 19year old athlete who’s had a steroid injection for an injury before (usually it’s over 30’s and sometimes those in their 20’s), so when I did this hit home and reminded me the extremes to which sports people push their bodies in pursuit of their dreams.

Rafael Nadal’s poor performance at the Australian Open seems to be put down almost entirely to injury from pushing himself too much, some critics even wonder if he’s going to be able to come back in the same way because of his injury problems.  I’ve had to treat injuries of various county level tennis players ranging from 10 to 17 years old.  The one who I think gets pushed the hardest is the 10 year old boy- whether it is him or his mum who does the pushing I am sometimes not too sure- but when kids under 14 come regularly for physio for various injuries one asks the question- is this simply the cost of the pursuit of excellence or is this abnormal.  Furthermore could it be that what dictates whether he will ever make it to Wimbeldon is actually his physical make-up and pre-disposition to injury that may make him miss 1 or 2 critical seasons of training and competition?

A recent article in the Telegraph talks about the mounting concern over the Winter Olympics casualty list and safety of the various sports- it would seem that the sports and events themselves are becoming more extreme, not only the athletes themselves who are pusing the boundaries all the time.  Clearly there is a huge psychological element to why and how athletes push themselves to the extremes.

Enough philosophising- to sum up it is clear to me that to even aspire to elite sporting success requires enormous physical sacrifice and dedication, along with mental tennacity and extreme focus.  But that to succeed in achieving the pinnacle of one’s sport will almost always be dictated by the ability to ward off  serious injury. I firmly believe that those athletes on the winners podium have their genetic code to thank in warding off career stopping injury in what Darwin would call survival of the fittest!

So the reason why I have always achieved sporting mediocrity must be down to my genetic code- it just aint good enough :-)