Fighting Fit Physiotherapy Nerang Gold Coast

Warming Up For Field-Based Sports!

The Vital Role of Warm-Ups in Field-Based Sports: Injury Prevention and Performance Enhancement

Warm Ups in Field Based Sports

Ever injured yourself early in training or soon after kick off? 

 

Welcome to our blog, where we delve into the crucial topic of warm-ups in field-based sports and the impact they have on injury prevention and performance. 

 

As a physiotherapist I am passionate about maximising athletic performance and preventing injuries. I cannot emphasise enough the significance of a proper warm-up routine before engaging in any physical activity, especially in the dynamic and demanding environment of field-based sports.

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Why do Warm-Ups Matter? 

 

We can break this down into three important components.

 

Injury Prevention

  • One of the primary purposes of a warm-up is to prepare the body both physically and mentally for the upcoming demands of your chosen sport or activity.
    Engaging in a thorough warm-up gradually increases blood flow to the muscles, enhances joint flexibility, and primes the nervous system, reducing the risk of strains, sprains, and other injuries that commonly occur in field-based sports.

 

Enhanced Performance

  • Beyond injury prevention, a well-executed warm-up can significantly enhance athletic performance.
    By increasing muscle temperature and improving neuromuscular function, athletes can expect better speed, agility, and overall efficiency in movement, leading to improved on-field performance.

 

Mental Preparation

  • Warm-ups also play a crucial role in mentally preparing athletes for the challenges ahead.
    Through specific exercises and routines, athletes can focus their attention, visualise success, and build confidence, essential elements for peak performance.
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What are the consequences of Skipping a Warm-Up:

 

Now, let’s consider what could happen if an athlete neglects or rushes through their warm-up routine and flip the above to see what happens if you don’t warm up or warm up well!

 

Increased Injury Risk

  • Without adequate preparation, muscles, tendons, and ligaments are more susceptible to strains, tears, and other soft tissue injuries.
    A cold, stiff body is ill-prepared to handle the sudden stresses and demands of field-based sports, leading to a higher risk of injury.

 

Impaired Performance

  • Skipping a warm-up can compromise performance by limiting range of motion, reducing muscle activation, and impairing coordination and reaction time.
    Athletes may feel sluggish, uncoordinated, and unable to perform at their best, ultimately impacting your’s and the team’s performance. 

 

Mental Disadvantage

  • In addition to the physical consequences, neglecting a warm-up can also have psychological effects.
    Athletes may feel unprepared, anxious, or lacking in confidence, hindering their ability to focus and execute skills effectively on the field.
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So now you might ask, how do I effectively warm-up for sport?

Great question! Read on to find out.

 

General Cardiovascular Warm-Up

  • Begin with 5-10 minutes of light cardiovascular exercise such as jogging, cycling, or skipping.
    This increases heart rate, raises core body temperature, and initiates blood flow to working muscles.

Dynamic Stretching

  • Follow up with dynamic stretches targeting major muscle groups involved in the sport.
    Dynamic stretching involves controlled movements through a full range of motion and can include exercises like leg swings, arm circles, walking lunges, and high knees.
    Static stretches provide little to no improvement in performance or injury prevention, so stop wasting your time! 

Neuromuscular Activation 

  • Include exercises to activate key muscles and improve neuromuscular control.
    This can involve balance exercises, resistance band work, ballistic or plyometrics, and proprioceptive drills to enhance stability and coordination.
    We have a saying “Activate or Detonate!” which rings true when you miss switching on prior to competition. 

Sport-Specific Movements

  • Incorporating sport-specific movements and drills into the warm-up routine is very important for both physical and mental preparation.
    For example, soccer players can include dribbling drills and passing exercises, while rugby players may focus on agility drills and tackling technique.
    This primes both body and brain for competition!

Progressive Intensity 

  • Make sure you gradually increase the intensity of the warm-up to mimic the demands of the sport.
    Start slow, the build up to faster bursts of speed, changes of direction, and sport-specific skills to prepare the body for the rigors of competition.
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In conclusion, a proper warm-up is a fundamental component of any field-based sport, serving as a critical tool for injury prevention, performance enhancement, and mental preparation. 

 

By dedicating time, 15-20mins prior to training and competition for a comprehensive warm-up routine, athletes can optimise their physical and mental readiness, setting the stage for success on the field. 

 

Remember, investing in a thorough warm-up is not just time well-spent – it’s an essential step towards achieving your athletic goals and staying healthy and injury-free.

 

If you are dealing with an injury related to field based sports or you want to enhance your performance on the field and prevent injuries, reach out to us and we will make sure that you are Fighting Fit!

Tennis Elbow What is it and how do we treat it

Tennis Elbow: not just for tennis players!

Tennis Elbow: What is it and how do we treat it?

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You might have heard of a problem called tennis elbow, is a painful condition affecting the outer part of the elbow.

Despite its name, it is not limited to tennis players and can affect anyone who engages in repetitive arm and wrist movements. In fact, other names for it are lateral epicondylitis or lateral epicondylalgia (just meaning pain on or around the lateral epicondyle of the elbow, see below pic).

In this blog, we will explore the how common it is, what causes it and various treatment options to help you understand and manage this challenging condition.

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How common is tennis elbow?

Lateral epicondylitis is a prevalent musculoskeletal condition, accounting for a significant number of elbow-related complaints.

It most commonly affects individuals between the ages of 30 to 50 years, with a slightly higher incidence in men. Occupations and activities that involve repetitive wrist extension and gripping are major risk factors, including carpenters, painters, plumbers, and, of course, tennis players.

 

What Causes Tennis Elbow?

The primary cause of lateral epicondylitis is overuse and repetitive strain on the extensor tendons of the forearm, leading to overload, thickening, microtears and degeneration.

These tendons attach to the lateral epicondyle, a bony prominence on the outer side of the elbow, and when subjected to repetitive stress, they become inflamed and painful.

Other contributing factors include poor technique during physical activities, inadequate warm-up, using improper equipment, and lack of adequate rest periods during repetitive tasks that allow the tendon to adapt to what you’re asking of it!

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Signs and Symptoms of tennis elbow:

 

The most common symptom of lateral epicondylitis is pain and tenderness on the outer aspect of the elbow.

 

This pain may radiate down the forearm, and individuals may experience weakness in gripping and difficulty in performing simple daily tasks. The pain is usually aggravated by activities that involve wrist extension, such as lifting objects, gripping tools, and shaking hands.

What is the Treatment for Tennis Elbow?

 

  • Rest and Activity Modification: The initial approach to managing lateral epicondylitis involves rest and avoiding activities that exacerbate the pain. Reducing or modifying repetitive movements can give the affected tendons time to settle.

 

  • Physiotherapy: A structured physiotherapy program strengthens the forearm muscles, improves the tendon capacity, eases the pain, and improves the function of the elbow and upper limb.

    We may choose to perform manual therapy, such as varying massage technique or dry needling. But always, we will prescribe exercise to alleviate pain, promote healing and importantly improve function!

 

  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Over the counter NSAIDs can help manage pain and reduce inflammation in the affected area in an early, acute, reactive, or inflamed tendon. But usually less affective the longer you have had tendon pain, as inflammation is not the primary driver of pain in these cases, the weakness and deconditioning of the tendon is!

 

  • A de-loader Brace or Strap: Wearing a brace or forearm strap (like the one below) can provide short term relief to the tendon and alleviate some stress on it during daily activities while it is sore and angry. However, using these for long periods of time is not useful and will not fix the underlaying problem. So be warned!

 

 

  • Injections for tennis elbow: In more severe cases, a corticosteroid injection may be recommended to reduce inflammation and relieve pain around the tendon. However, these injections should be used judiciously due to potential side effects on the tendon structure with miss use.

 

Another form of injections is Platelet-Rich Plasma (PRP) Therapy. PRP injections can promote tissue healing and may be considered for resistant or recalcitrant cases of tennis elbow to allow us to effectively manage pain and get enough load into the tendon to promote an increase in load tolerance.

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In conclusion: Tennis elbow can be a challenging condition if you don’t do the right things for it.

However, with the right approach to treatment, individuals can find relief and recover! Early intervention, rest, physical therapy, proper ergonomic practices play, appropriate strength and tendon based exercises play crucial roles in managing this condition effectively.

If you or anyone you know may be suffering from Tennis Elbow, please contact us here at Fighting Fit Physiotherapy, we would love to help you out!

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Chris Pearson is an Associate Physiotherapist at Fighting Fit Physiotherapy. He has a special interest in adolescent sports injuries, ACL rehabilitation, and many sports injuries. He is the Gold Coast Suns Academy Physio managing their junior athletes injuries and performance.

Chris believes that success with patients comes from providing the patient with a correct diagnosis, education, management plan and progressive treatment to deliver the best result for them and their needs.

whiplash

How To Treat Whiplash

How To Treat Whiplash!

What is Whiplash?

Whiplash is a common condition that affects people following a high velocity trauma to the head and neck.

You are probably thinking a car accident and that you are already all over this blog content.

Yes, you would be right, a car accident is one of the most common.

But you would be wrong and naïve thinking that is the only thing that causes whiplash!

So do your neck a favour and read this whole blog.

There are many other traumas, small to large, that can cause a whiplash.

Many people miss the not so common causes of whiplash and gone on to experience neck pain and whiplash symptoms months to years later.

Common causes of whiplash:

  • A fall onto the ground, either from your feet or a height.
  • A push in the back
  • A tackle in footy
  • Your kid jumping up and swinging off your head
  • A punch in an assault
  • An unsuspecting soccer or football to the head
  • A sudden jolt from hitting a big bump or hole while in the 4WD

Many of these can cause a mild up to severe episode of whiplash. It all depends on the velocity of movement or impact to the head and neck.

We have seen all these in the clinic. Often the above reasons and causes are to the surprise of the patient when we explain the event causing the problem they are experiencing.

Remember, any high velocity thrust event, expected or unexpected, to the head on the neck can create a whiplash.

Common signs and symptoms of a whiplash may be similar. However, always vary in intensity and duration from person to person.

Common signs and symptoms of a whiplash

Whiplash will be associated with three main complaints.

  • Neck Pain +/- headache
  • Stiffness
  • Loss of movement in the neck.

These symptoms can last anywhere from days in a mild presentation, to months and years in the more severe or chronic cases. They can even rear their ugly head many months or even years after the initial event and symptoms clearing!

Often a person will think they were 100% recovered, but left untreated or poorly managed, whiplash will almost always leave behind issue’s unbeknown to this person.

This is because the whiplash event changes a number of things within the nervous system:

  1. It changes the position sense of the joints of the neck disrupting the necks awareness of where the head is in space.
  2. It changes the firing pattern and signal from the brain to the muscles of the neck and surround areas including the shoulder and thoracic spine.
  3. It creates weakness and atrophy (shrinking) of muscles that hold your head up and in the most optimal position in space.

This compounds like interest on your mortgage. It keeps adding up!

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So here is what to do!

In mild cases, Panadol is sufficient for pain, keep the neck moving and normalise everything within 3 to 14 days. If your experience longer lasting symptoms or further pain, ensure you seek treatment HERE.

In moderate cases, you can expect more pain, more stiffness and a greater degree of loss of movement in the neck. Pain will often settle within 3 to 14 days, stiffness may last up to 6 weeks with gradual restoration of normal movement and function within 12 weeks.

Out of these moderate cases, 100% of them need addressing with a progressive form of treatment. This includes graded strength and movement based exercises to address stiffness, weakness and proprioception (joint position sense).

In addition, manual therapy at the correct stages of healing and symptoms works great. However, be warned, if you use manual therapy too early will exacerbate your condition and possibly lengthen your prognosis. So don’t expect it to make a magic fix early on!

Be aware, if you have been given an opiate form of medication (Panadiene Forte, Endone or stronger), it important that a weaning and cessation of medication occurs within 1-2 weeks of injury don’t keep on these drugs for many weeks or months. Your prognosis seriously sucks if you do!

In a severe case, a similar course of treatment is required to moderate cases, but will be much more intensive.

Symptoms may continue for anywhere from 6-12 months episodically. It is important that once symptoms ease (and they will), monitoring of strength and function should continue for 12 months to ensure long term outcomes and avoidance of chronic issues with the neck.

Big TIP! Ensure you don’t stop exercise in that 12 month period, within a few weeks, things will begin to slowly go backward and the work put in will be lost.

 

 

Dean Phelps Head Physiotherapist Fighting Fit Physio Gold Coast 1 e1539482136807

Dean is a registered Gold Coast Physiotherapist with undergraduate and postgraduate studies in Human Movement and Exercise Science. His background has developed his vision for Fighting Fit Physiotherapy to focus on optimal health and peak physical performance for every single patient. Utilising his many qualifications, in depth knowledge of the body and passion for exercise he can provide a holistic approach to your treatment and exercise prescription to get the best outcome.