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  • Don’t underestimate psychological component of injury

    Tips to neutralize the psychological impact of an injury

    Can you tell me about any person who doesn’t like a fairy-tale kind of miraculous recovery from an injury, with the movement of a magic wand? I bet you can’t give a single name but that’s not the reality. Indeed, injuries can happen just in a blink of an eye to almost everyone may it be a sportsperson, a fitness freak or a commoner while recoveries may take days to a month or even longer time. It may end up in few days if you are fortunate enough to have minor injuries, but in severe injuries like fractures, ligament tears or concussions it goes to an undefined period or maybe unrecovered with lifelong morbidity and sometimes almost no return to sports.

    Recognise and don’t underestimate the psychological component of injury

    Injuries not only affect the body, but also have a daunting impact on mind and soul hence recovery must never be labelled as complete by merely looking on its physical aspect as there is an associated psychological component too. Majority sports specialist underestimate this component and don’t devote due care. This unaddressed psychological unrest might precipitate over time and contribute to further injuries. it’s all about to recognise injuries, learning how to face injuries and accepting them. Nobody can predict injuries, but they can recognise their occurrence and condition their psychological reflexes towards injury.

    The need for a social support network

    A lot of people feel sidelined, isolated and frustrated due to injuries. This is high time when they need a tough mindset and social support network to help them in combating with the array of psychological aspects integrated with the injury. Social support network comprises a team of experts like psychologist, coach, friends and family members with whom they can get emotional, educational and tangible support. A team spends maximum time together during the competition, practice, travelling and share special bond hence they can be crucial in overcoming this isolation.  

    Be optimistic in thoughts

    An injury is kind of a trap to negativity and pessimism, where one can tend to think despondently and try to seek answers of why me. In this situation, they think that they are the unfortunate ones, and that’s why it happened or they have haunting flashes of injury. This defocuses them and derails their process of recovery. Staying positive through it all is the best solution to come out of it because once it happened, you simply don’t know if it was going to be short-term, long-term, midterm.

    Read stories of different sports stars and their comeback. Believe me, everyone has faced these hurdles in their career at different points of time. These real-life stories will give you all the strength and motivation you need and they have been a constant source of inspiration, determination and hard work to the future generation. Be optimistic, after recovery you might be one of them with a good comeback story.

    Use the age-old trick of future positive self-images

    Always visualise a positive Image of yourself working out in the gym or playing your sports in future. Somewhere I read about a person who was working out to reduce his weight. He hung a small size of his dress in front of him as a goal, which acted as a catalyst to achieve his goal. Although, these small mental tricks seems funny but proven miraculous in past.

    Look for other adaptive mechanism

    Missing out on competition and team environment can compromise all aspects of your well-being including emotional and social. But, Every adversity is an opportunity on the other side. In this covid lockdown, a lot many people took it positively and considered it an opportunity to learn something new, explored their hidden talents and spent good time with family. Likewise, in the recovery phase, you might write a book on your experiences with it, dabble with the cooking, or explore your time with new hobbies. Getting engaged is another way of averting negative thoughts from your mind. An injury may last awhile, in this situation, one must look for different adaptive mechanisms to keep them going, engage their mind and maintain their love for their respective sport.

    Keep a check on your diet

    During recovery, there are high chances to get pampered by the family regarding getting extra supply in the diet or there may be a possibility of digestion upsets due to physical and mental stress. Both the scenarios are not in the larger interest of a person recovering from injury as it might fiddle with their body mass index which is vital for recovery. So, one should be very careful about the intake of extra calories or altered bowel mechanism.

    Alternative ways to stay fit

    During the recovery process, I consider the biggest challenge is staying fit and maintaining your stamina. The biggest mistake which a player, athlete or person commit during the recovery process is following plain meaning of doctor’s advice of rest and goes into the comfort zone. You should make a habit to focus on what is written in between lines and reconnoiter different alternatives for keeping yourself fit and sports ready after recovery.

    Adopt a sensible comparison practice

    I always advise my patients not to compare their recovery performance in shorter intervals like on daily basis to avoid self-guilt and disappointment. You should compare your performance against established parameters with a time interval to attain quantifiable changes like on fortnightly basis.

    Don’t rush back to sports

    Everyone can understand your eagerness to resume sports back but starting sports or gym activities again without completing rehabilitation or consulting sports injury specialist might prove counterproductive. Incomplete healing of muscle or ligament might turn into havoc leading to a permanent disability or a more serious problem.

    Hence, before joining activities back, get yourself evaluated with qualified sports practitioner to assess your strength, flexibility, stamina and opinion on the future course of graduated training programme customised as per your needs.

    Patience and confidence are the key

    This whole process wanders around who blinks first between hope and frustration. Patience is always rewarding in these instances because when they would retrospect this event after getting recovered, they would label it as just a small rough patch in their life.

    Sometimes they might even lose confidence in their abilities. Because when players are recovering, one can see them questioning their movements after coming back from the injury. Here comes the role of sports specialist to reassure them regarding their recovery and the importance of confidence and patience.

    Remember, you are neither the first nor last who had an injury, almost every athlete face some or other kind of injury. Having conditioned your mental reflexes towards such events might reduce physical, mental, financial suffering up to a certain extent and can make the recovery process less stressing. Consider yourself at field, gym or in your arena and play this game of recovery with same mental strength, zeal and enthusiasm to win the recovery process.

    Basics, common sports injuries

    Sports injuries: basics, common injuries and their treatment

    Sports injuries have been classically defined as a new or recurring musculoskeletal complaint, or concussion incurred during competition or training, receiving medical attention, regardless of time loss from competition or training.

    It has been classified in different ways like Direct/Indirect, Contact/Non- contact sports, Minor/Major. Usually, common sports injuries are mild or moderate. It generally occurs for two different reasons: trauma and overuse.

    Traumatic sports injuries are usually obvious and may be due to improper or poor training practices, wearing improper sporting gear, being in poor health condition, improper warm-up or stretching practises before a sporting event or exercise. Overuse injuries are more common nowadays.

    Overuse injuries often occur when the body is pushed past its current physical limits or level of conditioning but poor technique and training errors, such as running excessive distances or performing inadequate warm-ups, frequently contribute.

    The most common sports injuries are strains and sprains. Sprains are injuries to ligaments, the tough bands connecting bones in a joint. Suddenly stretching ligaments past their limits deforms or tears them. Strains are injuries to muscle fibres or tendons, which anchor muscles to bones. Strains are called “pulled muscles” because over-stretching or overusing a muscle causes tears in the muscle fibres or tendons.

    Though biological tissues in the human body are stretchable, they break when stretched beyond a certain limit. Think of ligaments and muscle-tendon units like springs, the tissue lengthens with stress and returns to its normal length — unless it is pulled too far out of its normal range.

    Sometimes, avoiding common sports injuries is beyond our control, but many times sports injuries are preventable. People bring a lot of injuries because they are not conditioned for the activity.

    Most common injuries & Overuse syndromes

    • Sprains and strains
    • Joint injuries (Knee injuries (ACL tear), Ankle injuries, shoulder (labral & cuff tears), Back injuries and Neck injuries
    • Dislocations & Fractures
    • Achilles tendon injuries
    • Groin pain
    • Knee Patellofemoral Syndrome (an injury resulting from repetitive movement of knee-cap, Sinding-Larsen-Johansson disease, Sever’s disease, Osteochondritis dissecans, Jumper’s knee (patellar tendonitis)
    • Muscle injuries, Pulled muscles
    • Tennis elbow, Little Leaguers’ elbow or shoulder
    • Spondylolysis, Spondylolisthesis
    • Hamstring strain
    • Shin splints: Pain along the shin bone

    You should know that some common sports injuries may take months to heal, even with good treatment. If a sprain or strain is severe, however, the entire muscle, tendon, or ligament is torn away, and surgery may be needed.

    Being tough is good but you also need to be smart. If you suspect a serious injury or if you have any of these signs, see a doctor:

    • Deformities in the joint or bone — it looks “crooked,” or moves abnormally
    • You cannot bear weight or can’t use the limb without it “giving way”
    • Excessive swelling
    • Changes in skin colour beyond mild bruising
    • It’s not getting any better after a few days of PRICE therapy

    Treating the most common sports injuries

    You can limit swelling and start healing faster at home after most sports injuries by using the RICE principle.

    R-Restrict activity: This will prevent worsening of the injury.
    I-apply Ice: Use ice for 20 minutes every 1-2 hours for the first 48 hours after the injury. Do not use heat during this time as it encourages swelling and inflammation.
    C-apply Compression: Compression with an elastic bandage will help reduce swelling.

    E-Elevate the injured area: Elevating the injured area above the heart will also reduce swelling.

    Here are some specific tips for treating each of the most common sports injuries:

    1. Ankle sprain
    2. Groin pull
    3. Hamstring strain

    Three muscles in the back of the thigh from the hamstring. The hamstring can be over-stretched by movements such as hurdling — kicking the leg out sharply when running. Falling forward while waterskiing is another common cause of hamstring strain.

    1. Shin splints

    Pains down the front of the lower legs are commonly called “shin splints.” They are most often brought on by running — especially when starting a more strenuous training program like long runs on paved roads. If you’re active, you could get them if you make sudden changes like more intense, more frequent, or longer workouts. They often heal on their own. Few call its medial tibial stress syndrome. The cause is stress on your shinbone and the connective tissues that attach muscles to your bones. They get inflamed and painful.

    This common problem can result from:

    • Flat feet — when the impact of a step makes your foot’s arch collapse (your doctor will call this overpronation)
    • Shoes that don’t fit well or provide good support
    • Working out without warmup or cooldown stretches
    • Weak ankles, hips, or core muscles

    You’ll know they’re fully healed when:

    • Your injured leg is as flexible as your other leg.
    • Your injured leg feels as strong as your other leg.
    • You can push hard on spots that used to be painful.
    • You can jog, sprint, and jump without pain.

    The most important thing is that you don’t rush back into your sport. If you start to work out before your shin heals, you may hurt yourself permanently. Take up a new no-impact activity that won’t aggravate your shin splints while they heal. If you’re a runner, try swimming or an aggressive interval bike program.

    1. Knee injury: ACL tear

    The anterior cruciate ligament (ACL) holds the leg bone to the knee. Sudden “cuts” or stops or getting hit from the side can strain or tear the ACL. A complete tear can make the dreaded “pop” sound.

    If you suspect an ACL injury, then you need to consult an orthopaedic surgeon immediately. ACL tears are potentially the most severe of the common sports injuries. A completely torn ACL will usually require surgery in individuals who wish to remain physically active.

    6: Knee injury: Patellofemoral syndrome

    It can result from the repetitive movement of your kneecap (patella) against your thigh bone (femur), which can damage the tissue under the kneecap. Running, volleyball and basketball commonly set it off. One knee or both can be affected.

    Patience is key. Patellofemoral pain can take up to six weeks to clear up. It’s important to continue low-impact exercise during this time. Working out the quadriceps can also relieve pain.

    1. Tennis elbow (epicondylitis)

    Repetitive use of the elbow — for example, during golf or tennis swings — can irritate or make tiny tears in the elbow’s tendons. Epicondylitis is most common in 30- to 60-year-olds and usually involves the outside of the elbow.

    It can usually be cleared up by staying off the tennis court or golf course until the pain improves.