Athletic Injuries, Prevention & Management

Surprisingly, one of the most common questions still asked in our clinic is “Should I use ice or heat after an injury?” Those that have enjoyed the soothing comfort of a hot tub after an injury, only to come out with the injury looking like something off the Discovery channel, will attest to the answer being a resounding “ice”. Whether your injury is a knock, pull or tear, there will likely be some bleeding and inflammation of the injured tissues and blood vessels.The body has an inflammatory response, essential to the healing process. The bleeding and excessive...Read more
Although it may get you across the finish line sooner, the chances are pretty good that anterior head carriage is cramping your style. By the end of this article, as many as eight out of ten readers will have improved their physical appearance, reduced mechanical stress on their body, and decreased their risk of painful spinal conditions. This is a strong claim, and it’s natural to be skeptical of anything that can improve your health so dramatically in only a few minutes, but read on and you’ll see why it’s true. As you read these words, immobilize your body in space...Read more
This past fall, Football BC has had the horrific job of having to deal with two deaths in a sport still reeling from a death one year ago. As a parent, is this a wake up call to the danger aspect of sports? Should an athlete suddenly question their participation in certain activities? While the numbers vary depending on categorization, the undeniable fact is that people do during recreation activities. The most disturbing fact is that young people with long futures ahead of them die at far too young an age, and often in preventable circumstances. Most people recognize the benefits of physical...Read more
I can see it now: Physiotherapist turned professional golfer. Okay, so maybe I’m not going to be the next Patty Berg or Nancy Lopez, but I definitely have a new-found appreciation for the game of golf given that my sister recently married a golf pro. As a long-time runner and triathlete, I had always considered golf to be a low level activity, posing more of a mental than a physical challenge. Boy was I wrong. After four frustrating hours on the practice fairway, I felt as though I had been run over by a Mac truck. Everything from my shoulders to my feet hurt. Common golf injuries To...Read more
Being sick. We all hate it and we all want to avoid it. For athletes, illness can have a devastating effect on performance. It can affect your training and development for the upcoming season. It can affect your placing at an event and even cost you a medal. It sets you back in a big way and needs to be avoided to optimize achievement. Due to training demands, athletes walk a tightrope between extreme health and weakened immunity. Intense, strenuous exercise helps to prepare the body to operate at peak performance. Exercise also causes increased levels of stress hormones like adrenaline and...Read more
Chafing often occurs on the inner thigh, groin area, armpits, nipples as a result of sweating, friction from body parts rubbing together, or friction from clothing. Symptoms Area is usually red, raw and bleeding. Treatment Treat the area like an open wound. Wash and clean the area to prevent infection and cover with a sterile non-stick pad that will allow the area to breath until it is healed. Prevention Chaffing injuries can be prevented by: Staying Hydrated Drinking plenty of water before, during and after events will help prevent dehydration and also allow you to perspire freely. When you...Read more
Author: Dr. Joseph Stern, Sport Medicine Podiatrist and SportMedBC practitioner Ingrown toenails are one of the more common foot problems seen in runners and walkers and can be very painful. It is also known as Onychocryptosis. Causes: Excessive pressure on the outside of the great toe. Stubbing a toe or having it stepped on. Improper trimming of nails. Excessively tight socks. Shoes with a narrow toe box. Excessive running or walking. Symptoms: Pain along the margin(s) of the toenail. Aggravated by wearing shoes, particularly those with narrow toes. May be sensitive to any pressure, even the...Read more
The piriformis is a hip 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. The sciatic nerve can become pinched when it passes above the piriformis muscle or through the piriformis muscle. The sciatic nerve passing through the muscle is a deviation from its normal course that is seen clinically in 10% of people due to anatomical variations. Signs and Symptoms: Piriformis Syndrome occurs when the piriformis muscle becomes tight or cramps, causing pain as...Read more
Most sports, especially of the team variety, require the body to perform a set of numerous and diverse tasks. The bodies of these athletes are required to execute quick bursts of energy, sudden directional change, as well as the ability to sustain physical contact from an array of sources such as other players, mats, boards and ice. The lower and upper extremities take a small portion of the stress incurred by physical play leaving the bulk of the force on the athlete's mid-section (abdominal region and lower back). Consequently, athletes participating in most team sports require the...Read more
The plantar fascia is a tough thick band. Its' fibrous structures help hold up the arch - from the heel to the ball of the foot. A rich, unrestricted blood supply and high degree of flexibility are essential for proper functioning. A minor tear or pull in the fascia can painfully hamper daily activities. It can mimic the pain of a stone bruise in the heel. "If heel pain is felt during the first few steps after sleep, I immediately think of a problem with the plantar fascia", says Dr William Hamilton, Orthopedic Surgeon for the NY City Ballet. Some Common Causes Over-training...Read more


viaSport Return to Sport

As of March 11, 2022:

  • Masks are no longer required.
    • Individual businesses and event organizers can choose to continue requiring masks on their premises.
    • Reminder to the sport community to be respectful of people's differing comfort levels and that as we transition into this period, people may still choose to wear their mask.

As of April 8, 2022, proof of vaccine will no longer be required.

  • Individual businesses and event organizers can choose to continue requiring proof of vaccination for entry.
  • Additional guidance may be in place. See the Province of B.C.'s provincial restrictions page for more information.