Sportive Rehabilitation

Sportive Rehabilitation

Injuries that result from exceeding the endurance limits as a result of the fact that all or one part of the body encounters more than normal force during sports is called sports injuries. Sports injuries are not only for professional athletes; It can also be seen in people doing sports to stay healthy. However, those with sports profession should have a high level of musculoskeletal system and cardiovascular system and this level should be maintained continuously. For this reason, it is very important to treat the athlete quickly with an active and active rehabilitation program.

SPORTS INJURIES

Acute Injuries

It occurs when one or all of the body suddenly encounters an excessive force. Fall, impact, incision, injury, sprain, dislocations and fractures fall into this group.

Overuse Injuries

It occurs as a result of micro trauma and strain due to constantly repeating movements. Tendinitis are examples of stress fractures.

Sports injuries; it is mainly related to the musculoskeletal system. Muscles, bones, joints, ligaments (ligaments) and tendons can be injured. These injuries can be briefly summarized as follows.

Muscle Injuries

Resting, passive stretching and cold application of the muscle is sufficient in cases of mild muscle damage, in which there is no muscle rupture and edema due to excessive strain.

It is applied in the event that there is no rupture although some of the muscle fibers are broken and there is ecchymosis (bruising) at the injury site with swelling and spasm (rest, ice, compretion, elavation, RICE protocol). But if the muscle is completely ruptured and there is a loss of movement; In the physical examination, if swelling due to the rupture of ruptured muscle mass, pitting and color change and severe spasm are detected, surgical intervention is required. Appropriate exercise programs should be started as soon as possible after the intervention according to the location, size and type of the surgical intervention.

Ligament Injuries

It is generally classified in three degrees and its treatment is planned according to the lack of tear in the fibers (only excessive tension) due to partial tear and full tear due to severe impacts or overstretching. In the acute period, swelling, ecchymosis, tenderness and stability in the related joints may be observed in the lesion area. Pain and stability impairment may cause movement impairment and require the patient to use an assistive device. It is common in the knee and ankle.

The basic principles of ligament utilization are like the treatment principles of muscle utilization. Resting-ice-compression and elevation treatment, which was started in the early period, is replaced by hot water treatment after 2-3 days, and fixation made of plaster or plaster is removed within 7-10 days. To combat pain and inflammation, electrotherapy and non-steroidal anti-inflammatory drugs are used. PRP and PROLOTHERAPY applications applied in the subacute period provide rapid repair of the ligament. The athlete should be included in the rehabilitation program as soon as possible and return to active sports life as early as possible.

Tendon Benefits

Tendon injuries develop as a result of overloading the tendon as a result of local muscle weakness and reduced shock absorption effect. Loss of elastic properties of the tendons and friction to the environment; The spread of inflammation causes the formation of adhesions in the synovial sheath, leading to the formation of a table called peritendinitis (tendon circumference inflammation) or tenosynovitis. This phenomenon is most common in the Achilles tendon, rotator cuff on the shoulder, elbow extensor tendon, abductor pollicis longus, and extensor pollicis brevis tendons.

The diagnosis is made by ultrasonography and MRI after physical examination. Treatment is the same as the principles of muscle and ligament utilization. If the tendon is ruptured, surgery is required. In cases of injury that does not require surgery, it is possible to repair and restore the damaged tendon with PRP and PROLOTHERAPY applications.

Benefits of Menusus

Menususes help the internal and external rotation movement of the femur on the tibia during flexion-extension movement and contribute to increased joint stability. During the flexion, the posterior half of the menus is squeezed between the tibial and femoral condyles, and if sudden rotation is made with extension, menus damage occurs. There may be a knee lock or discharge. Generally, the last 10 degrees of extension (straightening) movement cannot be done. The diagnosis is made by MRI evaluations after physical examination.

The treatment is applied in the acute period (rest, ice, compretion, elavation, RICE protocol). Isometric exercises and straight leg lifting exercises are started in the early period. After the acute period, PROLOTHERAPY is a new and satisfying treatment option that provides repair in the damaged area. In the early period, “closed kinetic chain exercises”, in which the foot always touches the ground, are applied.

Fractures and Dislocations

Fractures can be open or closed. There is pain, swelling, disfigurement and abnormal movement in the fractured area.