Wednesday, July 8, 2015

Easing back into fitness after injury

Whether you are a competitive athlete, someone who exercises regularly to stay in shape or a couch potato, you will most likely have to deal with an injury that interrupts your routine at some point in your life.

Easing back into fitness after injury

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Whether you are a competitive athlete, someone who exercises regularly to stay in shape or a couch potato, you will most likely have to deal with an injury that interrupts your routine at some point in your life.

Injury refers to the loss of function of a body part, such as a muscle strain, ligament sprain, tendonitis, or more serious issues like a fracture or ligament tear.

A lack of muscle strength, inflexibility, or imbalance can predispose you to injury. Injuries also occur as a result of overuse. The best ways to reduce the likelihood of injury are to stay fit, choose your activities wisely, utilize proper form, and participate in adequate warm-up, stretching, and cool-down sessions.

As our population ages, we see many more orthopedic injuries. Meniscus (cartilage between the upper and lower leg) repairs are becoming more common. Obesity can also cause injuries. The stress to joints resulting from being overweight can cause hip pain, knee and ankle injuries. Injury can also be caused by poor posture while driving and computer work which increases the possibility of neck and shoulder injuries.  When an injury occurs, take action early. Ignoring pain often leads to injuries that are even more severe. 

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Signs of injury can include the following:

  • Pain even when the body is at rest
  • Pain within the joint
  • Swelling or discoloration
  • Extreme tenderness to the touch
  • Pain that persists following an extensive warm-up session
  • Increased sensation of pain during movement or weight-bearing activity

The fastest way to return to normal activity is to give your body the time it needs to rebuild its strength and conditioning. Too often the tendency is to stop exercising completely once an injury occurs. Many people are unaware that fitness training and injury recovery go hand-in-hand.  After any injury, you should discuss any treatments with your doctor. It is often possible to continue fitness training even while healing from an injury. In order to stay active while you are injured, work out the parts of the body that are not injured after carefully stretching the areas that are injured.

Gradually return to your previous level of fitness without overdoing it. Too rapid a return can lead to other problems like stress fractures and tendinitis. Start some form of exercise the day after the injury, no matter how minor the activity. Try to do a little more on each succeeding day. Begin with a 5-10 minute warm-up; then strength training with low loads and pain free motion. Add more weight slowly (add reps before you add weight) and always stretch what you strengthen. Follow the advice of your physician and seek assistance from a qualified athletic trainer, physical therapist or other professional.

Keeping up your endurance after an injury is often most challenging, especially for runners. For example, if you have sprained an ankle, start with quick-paced walking and light jogging for 10 to 15 minutes. Again, use pain and swelling to guide you on how quickly you can increase the time and intensity of exercise that puts pressure on the ankle. If possible, ice the injured area after exercise for at least the first week or two, especially if there is any discomfort or swelling.

Preventing repeat injury is an important component of your recovery. Consider using an elastic brace or consult with your doctor about other devices and orthotics to provide a little extra support. Despite the injured area not causing symptoms, the tissues may not have healed completely.

Returning to full activity after an injury is complicated and usually should be supervised by a professional. You may recover quickly for minor problems or it may take months to recover from a severe injury. If your injury forced you from your activity for more than a couple of weeks, expect an equal amount of time to return to your previous level. Listen to your body and let it guide you on your return.

Dr. Amann is an orthopedic surgeon at Mercy Suburban Hospital and Nazareth Hospital.


Read more Sports Doc for Sports Medicine and Fitness.

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About this blog
J. Ryan Bair, PT, DPT, SCS Founder and Owner of FLASH Sports Physical Therapy, Board Certified in Sports Physical Therapy
Brian Cammarota, MEd, ATC, CSCS, CES Partner at Symetrix Sports Performance
Ellen Casey, MD Physician with Drexel University Sports Medicine
Desirea D. Caucci, PT, DPT, OCS Co-owner of Conshohocken Physical Therapy, Board Certified Orthopedic Clinical Specialist
Michael G. Ciccotti, M.D. Head Team Physician for Phillies & St. Joe's; Rothman Institute
Julie Coté, PT, MPT, OCS, COMT Magee Rehabilitation Hospital
Justin D'Ancona Philly.com
Peter F. DeLuca, M.D. Head Team Physician for Eagles, Head Orthopedic Surgeon for Flyers; Rothman Institute
Joel H. Fish, Ph.D. Director of The Center For Sport Psychology; Sports Psychology Consultant for 76ers & Flyers
R. Robert Franks, D.O. Team Physician for USA Wrestling, Consultant for Phillies; Rothman Institute
Ashley B. Greenblatt, ACE-CPT Certified Personal Trainer, The Sporting Club at The Bellevue
Brian Maher, BS, CSCS Owner, Philly Personal Training
Julia Mayberry, M.D. Attending Hand & Upper Extremity Surgeon, Main Line Hand Surgery P.C.
Jim McCrossin, ATC Strength and Conditioning Coach, Flyers and Phantoms
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Heather Moore, PT, DPT, CKTP Owner of Total Performance Physical Therapy, North Wales and Hatfield, PA
Kelly O'Shea Senior Producer, Philly.com
Tracey Romero Sports Medicine Editor, Philly.com
David Rubenstein, M.D. Sports Medicine Surgeon, Rothman Institute
Robert Senior Event coverage, Sports Doc contributor
Justin Shaginaw, MPT, ATC Athletic Trainer for US Soccer Federation; Aria 3B Orthopaedic Institute
Thomas Trojian MD, CAQSM, FACSM Associate Chief of the Division of Sports Medicine at Drexel University
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