Athletic Injuries, Prevention & Management

Patello-femoral pain is an irritation or inflammation of the tissues under or surrounding the kneecap. This condition is often inaccurately referred to as "chondromalacia". Chondromalacia is a diagnosis that should be reserved for cases where there is actual damage to the articular cartilage on the underside of the patella. This is not always the case in patello-femoral pain. But chondromalacia may arise from chronic patello-femoral pain. Mechanism of Injury The following causes the kneecap to be squeezed excessively against the lateral femoral condyle. overuse a blow (i.e. from a...Read more
The iliotibial band (ITB) is a thick band of tissue that extends down the lateral side of the leg from the thigh down over the knee and attaches to the tibia. When the knee flexes and extends, the ITB slides over the bony parts of the outside of the knee. Mechanism of Injury Friction occurs when the knee bends during running in soccer and the tendon moves back and forth across the distal femur (along the outside). This results in localized symptoms of tendinitis. This friction can be magnified by: increased training (especially running hills or too much too soon) poor shock absorption from...Read more
The piriformis is a muscle that runs from the sacrum to the outer aspect of the greater trochanter. Piriformis Syndrome is a condition in which the piriformis muscle goes into spasm irritating the sciatic nerve. Signs and Symptoms Piriformis Syndrome occurs when the piriformis muscle becomes tight or cramps, causing pain as it compresses the sciatic nerve in the buttocks and refers pain along the path of the sciatic nerve. Symptoms can include: Deep and dull aching in the buttock and thigh Pain in the low back that is aggravated while sitting and walking Sometimes lower back pain can be...Read more
Inflammation of the tendon and/or tendon sheath is referred to as tendonitis. Small tears can develop causing inflammation that forms scar tissue (adhesions). These adhesions prevent the tendon from gliding smoothly within the tendon sheath. A cycle of swelling and irritation occurs causing chronic tendon problems. Mechanism of Injury Tendonitis most often occurs in tendons that are tight and/or weak. It is the result of: overuse gravity (traction stress) posture (rounded shoulders) muscle imbalance In soccer, tendonitis most often occurs at the: adductor (from repetitively kicking the ball)...Read more
Blisters are localized accumulations of fluid between layers of skin. Mechanism of Injury They are usually caused by friction on the skin due to: poorly fitting soccer cleats, or new cleats improper taping on the foot overuse during long training sessions harder ground surface during pre-season training and games A "hot-spot" (warm reddened area) is the precursor to a blister. Continued friction and irritation leads to the formation of a serum-filled (clear fluid) blister, or less commonly, a blood-filled blister. Signs and Symptoms: Swelling, fluid underneath skin Redness Pain On-...Read more
In the muscle-tendon unit, the area where the muscle joins the tendon is often the weakest link in the chain. Consequently, this is often the location where acute ruptures (or complete tearing) of the tendon occur. The tendon, however, can also completely tear away from its bony attachment. The most common tendon ruptures in sport are of the biceps tendon and Achilles tendon. Rupture of the Achilles tendon is most commonly found in soccer. Mechanism of Injury Tendon ruptures often occur when: quick, explosive actions are involved (like when you are cutting to get away from an opponent or...Read more
Plantar fasciitis is a stretching or inflammation of the tissue that run along the sole of the foot. The plantar fascia is a collection of connective tissue originating at the bottom of the heel and progressing toward the ball of the foot. It helps maintain the arch and acts as an impact absorber during soccer. Mechanism of Injury Usually a chronic condition, factors contributing to plantar fasciitis include: a high arch or a fallen arch/flat (pronated) feet with inadequate arch support in soccer cleats or turf shoes weak or inflexible muscles in the lower leg and foot playing on hard...Read more
A hip pointer is a bruise or muscle tear over the pelvic bone usually caused by a direct blow. The crest of the hip is the location of several muscle tendon attachment sites, and any direct blow may result in significant soft tissue injury. Mechanism of Injury The injury is most likely to occur in contact sports such as football or rugby. In soccer it is common with a fall on your hip while diving for a tackle or ball. Hip pointers are very severe injuries and must be appropriately treated in order to avoid permanent limitations in movement. Signs and Symptoms Immediate, often incapacitating...Read more
Being injured can be both disappointing and frustrating. You may feel like you have no control over your injury or getting better. Working with an athletic therapist or physiotherapist can also be intimidating if you do not know what to expect. Here are some general principles of rehabilitation. These give you a better idea about the direction you and your therapist will take with your rehab goals. No matter how you injure yourself there are many components of fitness that need to be addressed in your rehab. “Strength, flexibility, muscular endurance, power, agility, coordination,...Read more
When you push your body to its limits, and beyond, you can experience low back pain. “It is estimated that 5-10 percent of all athletic injuries are related to the lumbar (lower) spine 1 ”. This type of pain happens because you are not able to stabilize using your core muscles during your athletic activities. All athletes can experience this discomfort but few pay attention until it stops them from competing. When the pain stops you from exercising it usually is too late. Pushing through your limits day in and day out creates an injury that is harder to heal. While rehabilitation...Read more