Sports Injuries Sometimes Need Scans

Sports Injuries Sometimes Need Scans

Sports Injuries Sometimes Need Scans?

Sports Injuries Sometimes Need Scans because some injuries that actually need expert intervention are not always obvious.

Obviously, as a sports therapist when I am present at match days and practice sessions occasionally an injury will occur that is more serious than the normal ones.

A broken leg for example and the need for someone on the spot- who knows the ropes becomes mighty important.

Over the years I have referred a number of patients to Alliance Medical for Scans.

Because I know that from the results of scans, they will indicate if the client/sportsperson needs to be seen by a consultant or surgeon or not.

When a client comes to me my concern always is to give my best to the client and when necessary use other specialist areas of medicine for the clients benefit to ensure they get the best possible treatment to ensure recovery.

Sports Injuries Sometimes Need Scans? 2 cases of mine by way of example

When thinking now about when seeking scans becomes important I think of 2 cases:

As mentioned above, 1 is a goalkeeper that had a knee problem a few years ago while playing matches and afterwards it would be painful and after a few days, with rest, the pain would go away but it got to the stage where the patient’s knee would be painful after most games but he never got it checked out as he would rest it and the pain would go away. Eventually, the pain went away for a while then I got involved as team sports Therapist with another team he was involved in and he didn’t mention anything about the knee until a few months before we were travelling for a tournament and he came to me during a training session and he told me the full story regarding the knee and the history of it. I referred him for a scan in a Dublin branch of alliance medical. I got him to fill out my patient history form and I sent it into Alliance medical. From that, they contacted him and arranged an appointment within 24 hours he was seen. From the scan, it showed he had Pateĺla Displacia in the right knee. They said the would refer him to a surgical consultant. He was delighted that he was able to find out what the problem was. He got his disc with the scan on it and he was sorted.

The second case. a recent case-patient with a back injury the patient said that there was a pain on the left side of his back from the bottom to the top of his back and across the lumbar of his back. However, ongoing back to past injuries he said he has been having ongoing issues with his for a few years. With this in mind and with the potential for injury to his back having damage I referred him for a scan to get to the bottom of the problem. When its done then we can review his situation and take it from there.

 

REFERRAL TO ALLIANCE MEDICAL FOR SCANS AND XRAYS

As part of my service, I can refer patients for scans and x-rays with Alliance Medical within 24 to 48 hours. The patient will get a disc and myself and the GP get a written report.

ALLIANCE MEDICAL does not accept the medical card but if the patient has health insurance or player insurance or can pay in cash then they are a huge help.

 

Shoulder- Serratus Anterior Pain

Shoulder- Serratus Anterior Pain

Shoulder Pain- SERRATUS ANTERIOR PAIN

Because the serratus anterior is largely hidden from view underneath the shoulder blade, it is remarkably easy for both patients and clinicians to forget about this vital muscle. It originates from the underside of the shoulder blade near the inner edge and has a broad attachment to the ribs. It gets its name from the way that it is serrated, like a knife blade, as it attaches into the ribs, and is anterior (forward to) the shoulder blade. Even though the serratus anterior is not visible on most people’s bodies, it is normally a very strong and fairly large muscle. And here is where the confusion REALLY sets in.  The serratus anterior has historically been though of as performing two primary functions. The first is to hold inner edge of the shoulder blade against the ribs, preventing ‘winging’ of the shoulder blade.
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I have treated a number of players and athletes  suffering from shoulder pain –Serratus Anterior Pain. The players recovered well and were happy with the treatment 

“No athlete is truly tested until they've stared an injury in the face and come out on the other side stronger than ever.”

Anonymous

“An injury is not just a process of recovery it’s a process of discovery.”

Conor Mc Gregor

“The tougher the setback, the better the comeback.”

Bernard Osei Annang

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What the GPA is all about

Learn about what the GPA is all about? I recently did a podcast from which you can learn about what the GPA does in real life.   The Gaelic players association or the GPA as it is commonly known as, has been around for a while since 1999 and whilst we have all...

Award from Ballinagare Manor Utd FC

Award From Ballinagare Manor Utd FC- 2023 A new year in 2023 got off well for me as I received an Award From Ballinagare Manor Utd FC on the 2nd of January during a fundraiser and presentation night. As a part of the backend staff, being the 1st team Sports Therapist...
Dealing with a players Hip Flexor Injury

Dealing with a players Hip Flexor Injury

Well, it is great to be back, once again with Manor United 1s team as their 1st team Sports Therapist. We were at home to Skyvalley Rovers B in Strokestown. We went behind 0v1 early in the game but the lads kept the head, didn’t panic and created chance after chance. Skyvalley had their purple patch and from that, scored the 1st goal of the game. But as the game went on, manor put Skyvalley under real pressure with chances after chance after chance and the persistence paid off as Tom ward (the clubs top scorer and the divisions top scorer on 15 goals) picked up the ball and he went up the wing and let in a brilliant Crosse which was met by a header for the equaliser for Manor United. But Manor wasn’t happy with that, they kept going and going then in the 2nd half, we took the lead with an unbelievable free king by Dylan Carbon after that Manor continued the relentless pursuit for goals and it paid off as we got a penalty which was well dispatched. 3v1. But it didn’t end there as one of our players had a slight ankle injury which I treated and the player was able to play on. Then one of their players got a sight head injury and after I assessed the player and thankfully he was able to continue. Then in the last 15 minutes, a Skyvalley rovers player went up for a ball and he landed badly and was on the ground. The manager called me on. hip-flexor-injury I asked the player what happened and he told me what happened. I did various tests and he had a hip injury. I continued the assessment. His hip was in a lot of pain and I did some movements with the hip and ilhe. The player could not stand, could not sit up if I raised his leg or lowered his leg he was in pain or bent his leg. His teammates were worried about him and were asking me questions so did not move Hil or anything. I let him rest a few minutes I asked him questions and from the answers, he gave me as well as the signed and symptoms, it turned out to be a badly damaged ship flexor injury. I got a few people to help me bring him into the dressing room. I went through everything with him and I gave him advice on what to do to rest etc but first and foremost due to the extent of the injury I told his manager that the player had to go to a hospital for further assessment. The manager thanked me. I said I hope you don’t think I was cutting across you but I was called on to assess and treat him so I take over. He said that’s ok he said I don’t mind at all as I knew from looking at you and the way you were working that you knew what you were doing and I knew you knew an awful lot more than what I did so I happy to let you take over. The manager had him sent to the hospital. He will be out for quite a number of weeks. To find out more about hip flexor injuries and or if you have any questions or if you want to make an appointment or if you have an injury you want me to cover in a blog then you can contact me  
Plantar Heel Pain (PHP)

Plantar Heel Pain (PHP)

Plantar Heel Pain – PLANTAAR FASCITIIS – More Common Than You Would Expect

Plantar Heel Pain or Plantaar Fascitis is a more common injury in sport than people think.

It can be caused by the different surfaces that players and athletes train or play on like indoor or futsal surface which is wooden, as well as AstroTurf pitches etc.

There are other causes too.

I have treated a number of players and athletes with Plantaar Fascitis but most recently a player from the Ireland Diabetic Futsal squad that I work with. It can the treated by either applying kinesiology tape or getting a rolling pin and glass bottle and rolling it along the sole of the foot or a combination of both. The player recovered well and was happy with the treatment 

Plantar Heel Pain – PLANTER FASCIITIS – In Medical Terms

Plantar fasciitis also known as Plantar Heel Pain (PHP) is a painful inflammatory  process of the plantar fascia, the connective tissue or ligament on the sole of the foot. It is often caused by overuse of the plantar fascia, increases in activities, weight or age. It is a very common condition and can be difficult to treat if not looked after properly.  Longstanding cases of plantar fasciitis often demonstrate more degenerative changes than inflammatory changes, in which case they are termedplantar fasciosis. The suffix “osis” implies a pathology of chronic degeneration without inflammatory. DIAGNOSIS: The diagnosis of plantar fasciitis is usually made by clinical examination alone.  The clinical examination may include checking the patient’s feet and watching the patient stand and walk. The clinical examination will take under consideration a patient’s medical history, physical activity, foot pain symptoms and more. The doctor may decide to use imaging studies like X-ray, diagnostic ultrasound and MRI. Heel bone with heel spur An incidental finding associated with this condition is a jheel spur, a small bony calcification on the calcans heel bone, in which case it is the underlying plantar fasciitis that produces the pain, and not the spur itself. The condition is responsible for the creation of the spur; the plantar fasciitis is not caused by the spur.  Sometimes ball-of-foot pain is mistakenly assumed to be derived from plantar fasciitis. A dull pain or numbness in the metatarsal region of the foot could instead be metatarsalgia, also called capsulitis. Some current studies suggest that plantar fasciitis is not actually inflamed plantar fascia, but merely an inflamed flexor digitorum brevis muscle (FDB) belly. Ultrasound evidence illustrates fluid within the FDB muscle belly, not the plantar fascia.    
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Mental Health in Sport in Ireland

Mental Health in Sport in Ireland

Mental Health in Sport in Ireland – Challenges 

Mental Health in Sport in Ireland maybe a topic that has not got the consideration it deserves in the context of mental health awareness here in Ireland.

Awareness about Mental Health is increasingly important in modern society.

People can underestimate the effects it can have on a person. It doesn’t just affect people in a certain sector of society. It can happen to people in anyone right across the social spectrum.

It can affect wealthy, middle class, poor, people in the health sector due to long hours and being overworked, carers, managers, the elderly young people middle-aged people in a rocky relationship. No one knows what is going on in another person’s life. For years, there has been a stigma attached to mental health and as a result in the past people who have mental health issues were very reluctant to come out and speak to a person about the issues and problems they have to be it pressure at work, being bullied at school, cyberbullying.

Its a tough time in life for teenagers and studios so many changes going on and pressures and students in teenage years in school there are junior cert and leaving cert years, both studying for exams doing the exams and then the days leading up to getting the results. Leaving cert more so the leaving cert as those results decide if you get into university to do your first choice course and what jobs you get when you leave school. Nowadays also the way things are in Ireland the pressure couples are under jobwise with companies closing down people lose their jobs result in financial pressures like paying rent and or mortgage, food bills, heating, educating kids, books, uniforms car maintenance, etc all these things can affect mental health. But nowadays thanks to society being more accepting and the investment in education on mental health and organisations like the Samaritans, people feel they can come out and talk about their pressures and problems. The one thing I want everyone to take from this article is if you have any issues or problems remember is ok not to be ok. Talk to a friend or family member or counselling there are so many options out there the hardest thing is taking that first step. After that, it’s getting that bit easier day by day. People don’t realise the consequences that happen suicide is common in society. But thankfully nowadays there is help available and all that needs to happen is to avail of those services. That reduces suicide figures. If you get upset and it’s hard to deal with the pressures in life it is not a sign of weakness to ask for help….it takes a strong person to ask for help. To anyone going through issues and problems at the moment, you are not alone turn to someone.

As mentioned above, mental health can affect people from all walks of life and in society, today life is very hard and fast-paced so it is essential that we help one another to get through. A problem shared is a problem halved. Also with mental health, sometimes it’s the little thing that can help in dealing with problems and getting through tough times. Another event that can cause stress is where someone has lost a family member like a mother or father, brother or sister aunt or uncle grandmother or grandfather or cousin or even a close family friend or best friend I like everyone else have been through it. My mother passed away of cancer and my best mate was knocked down by a car and passed away when I was a child. Grandparents etc to. It was a tough time for me but also my family. And myself and my family’s aren’t the only people to go through that people all over the world go through it. We were lucky we had each other and good friends to help us through.

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Everyone has their own mechanisms for getting through tough times or pressures or problems going on in their lives. Listening to music, going for walks, going to see a movie, go on a holiday, talk to others. Mental health can be overlooked and its effects underestimated, but in fact, it is quite complex.

mental-health-in-sport-in-ireland

Mental Health in Sport in Ireland – Injury

In my job as a sports therapist I would have to say that mental health issues in sport are more common than many think.

There are many reasons why there are mental health issues in sport. Sport has changed so much over the years in so many aspects. Along with these changes come added pressure on both managers, coaches and players. In Gaelic football and hurling years ago preparations weren’t as advanced as nowadays. You turn up for training twice a week. You do stretches, followed by laps of the pitch then sprints as ball drills and then a training game. You turn up on match day the manager pics the starting 15 you go out and you win or lose. Nowadays as I just mentioned are so many extra pressures on players coaches and management. So many aspects and methods of preparations have been added and doing them all or only doing a few can be the difference between winning and losing. At club and county level success is the only thing. It’s everything to supporters and players and management and coaches. If a club team or county team don’t win games never mind not winning cups means for managers and coaches get sacked and players get dropped either from the starting 15 or even worse, the panel. That’s before you add the criticism from the press. These are things the modern club and county players have to face as well as managers and coaches.

The workload on players and management has increased. Every player and manager wants to win that county title that provincial club title and all Ireland club title. At county level provincial and all Ireland titles. People from outside sport don’t realise what players, management and backroom staff have to put in to compete, not to win but to just to compete. Also, players have their work pressures and expectations and family lives etc. All these things affect players and management of mental health. It’s all or nothing.

Mental Health in Sport in Ireland – Modern Stress Factors

Additional preparations that have come into Gaelic football and hurling are:-

– Strength & Conditioning

– Diet: meals are prepared for players specific to the player’s weight, height, BMI etc

– Gym work: exercise plans are designed and tailored to each player individually

– Recovery sessions.

– Players training collectively together and on their own.

– Tactics have become increasingly important when it comes to beating the opposition. The introduction of blanket defences, double marking, and the addition of the sweeper system all designed to stop the opposition scoring.

– County and club teams have added experts in many fields to help prepare teams for games. These are – Strength and conditioning coaches. Sports psychologists, nutritionist, physios, doctors statisticians, video analysists to name a few.

There are issues in sport that players and coaches have to deal with. From a players point of view, top players at club level are asked to trials. The nature of sport at an elite level means that some players make the county panel, some players don’t. Players work and train so hard to get to that level that if they don’t make the county panel it is devastating for the player. Sport can be cruel in many ways and every player deals with this type of disappointment in their own way. The next issue is the players that do make the inter-county panel, they then work hard to make the starting 15. The average panel is 30 to 40 of a training panel. At intercounty level, a matchday squad consists of only togging out 26 players so at least 5 players will be disappointed but the real disappointment for players is not making the starting 15. Players question themselves did they do something wrong in training or did they not play well in the previous game. However, the players that don’t make the starting 15 but are on the bench 5 players may get a chance and could be brought on at any time. Every player handles these scenarios differently. Some will be depressed and could affect their training but some will take a positive outlook and work harder and iss want to prove the manager wrong for the game and perform well in training and challenge matches and show that they should be in the next game.

There are also players that were always in the team and all of a sudden find themselves on the bench or worst still, not even in the matchday squad. Also, the time thing that is relevant to my job, which is players who get injured. By nature, no player wants to be out due to injury players will do anything to play because they love playing and if they are not playing it is heartbreaking. I have said to players who are injured that they can’t train or play for the next X amount of weeks and they need rest and treatment and they say oh I have a game tomorrow or in a day or 2. I understand their frustration as I played sport and I have had injuries but my priority is treating the player and getting he back right and not cutting corners to do that so I need to say to them well if you play you will aggravate the injury you will be out for we say 6 weeks missing 4 or 5 games but if you treat and take the advice and treatment you will only miss 1 or 2 games. No one lives seeing players playing more than me but usually when I explain both options of playing or not playing they see where I am coming from. Most players understand when you explain to them. But I understand where they are coming from as they hate not being able to train or play games as they have 2 worries:

– They lost their place in the team

– Will they get their place back.

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The final thing is that day that all players and athletes hate, the day when for one reason or another they have to retire. Due to injury and on medical advice they have to retire. Others, their body says that is it, time to call it a day. The player finds himself being on the bench more and more. Not getting as much game time can be frustrating. The player then faces the reality, whereby from u8 or u10 up to recently they were always in the starting 15, never or rarely dropped, always training, won medals, played county, has won awards and medals and now no longer playing what do they do? Their whole life up until then revolved around GAA. How do they fill in that gap? They no longer have to train or play matches, their whole routine has changed. Some go down my route and train as a sports therapist, some get into coaching some referee or some get involved at committee or board level. Nothing will ever EVER replace playing you ask any retired player they will tell you that, but the above paths that I mention are a great and positive way for former players to keep involved in sport and it is an opportunity for they to give back to their community or county.

However, not everyone can take the above paths. Some suffer depression go down the wrong road, other lose confidence and belief or feel abandoned and become quiet. Some players even when they are playing go down the wrong route. Former Crossmaglen and Armagh player Oisín McConville had a gambling addiction. He is a guy I really admire, both as a player and a person he had this addiction of gambling that he admits got very serious. He could have kept it price it but he didn’t he went public. I remember in an interview he did and he said it was hard telling his family but when he did he suddenly felt a huge burden and weight had been lifted from his shoulders he then seeked and got addiction councelling. He had come through that part of his life and he has a good life. He is an inspiration and a perfect example to people with mental health issues that they too can get through that tough time in their lives and come out the other side and lead happy healthy lives and it all started any having the strength to talk to one person or a group of people and they will help you and support.

Mental health and mental health is something I am passionate about and I think people aren’t aware of. I hope that after reading this article that you are a bit more aware of mental health in sport and right accross the social spectrum and that if someone need your support you will help them even if it is just to listen to them and also if you are having mental health issues at the moment you see that there is help out there and that things can and will get better and all it talks is to talk to someone.

ITS OK NOT TO BE OK

Mental Health in Sport in Ireland-HELP

Mental Health in Sport in Ireland – Help

There is a GAA players Union called the GPA (Gealic Players Association) who represent county players. They represent GAA players and help players in many ways. They can help players in anyways like getting counselling and other areas, helping with getting into college or university and in many other ways so if you are a county player and need help with any aspect of your life be it on the field or off the field, get in touch with the GPA.

For useful adcice, help and services you can contact, go onto the following website https://www.mentalhealthireland.ie/ .

If you have any feedback or have any questions you can email me on arsportstherapyclinic@outlook.ie 

 

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