© 2019 by Richie Walsh, RW Sports Injury. Proudly created with Wix.com

What We Treat

Working and playing sports places a large demand on the body. Sometimes these demands can cause the muscles of the body to change length and get tired. These altered muscles can make the joints those muscle control to work inefficiently. The joint can then become painful, or the tired muscle may feel painful to the brain. This tiredness causes the brain to force the tired muscle to work harder to protect itself, getting more tired. Other times, you just might have an accident.

Back Pain:

Are you over 40 years old?

Do you bend, drive or sit a lot?

Does your back feel stiff in the morning?

As one gets older one gets shorter. The reduction in height is the intervertebral disks in ones back becoming less elastic. If one spends a lot of time with their back in a bent forward position as in gardening, working, driving or sitting at a desk it can cause the disks to protrude a little towards the back; kind of like when you squeeze the toothpaste out of the tube from the back and it comes out of the front. Twisting the spine can help tighten-up the disk reducing the protrusion. Core exercises can help support the back to prevent the disk from protruding.

Shoulder Pain:

Are you male?

Do you do a lot of chest exercises?

Does it hurt when you bench heavy?

We all spend a lot of time with our arm out in front of us: driving, eating and working at a desk or computer, that is life. When one spends such long times in this crunched forward position it causes one's shoulders to roll forward. The rotator cuff muscles are small muscles that constantly support the shoulder joint and the outstretched arm. The rotator cuff muscles can be in a constant stretched position causing the muscles to fatigue. A stretched fatigue muscle will ‘trick’ the brain to think that it is injured causing the muscle to contact and fatigue more. Doing exercises that help all the muscles around the shoulder to support the shoulder and arm can help with the treatment process.

Knee Pain:

Are you female?

Do you run?

Do your knees hurt when you climb the stairs or get out of a chair?

Because of the way females’ hips are designed for childbirth, it means that their knees tend to ‘fall’ inwards. Causing the kneecap to glide across the knee joint in a less than optimal angle. This can be can be made worse when there is less muscle to support the knee, as is the case in females compared to males. Ageing will also lead to reduced muscle for females and males. This can lead to a condition called patellofemoral pain syndrome (or PFPS) which can lead to osteoarthritis. However, research has shown that doing exercise that stabilizes the hip and knee are very effective at preventing PFPS and osteoarthritis.

Work-Related Injuries

Do you drive to work?

Do you sit at a desk all day?

Do you sit at home watching TV?

When you think of the time you spend sitting, it is alarming how easy it soon adds up. In the modern world, we spend a lot of time sitting during the day causing some muscles to remain in a lengthened position and others to be shortened for a considerably long time, in particular, the neck, shoulders, hips and knees resulting in poor posture and even pain. Also, when the upper back is placed on the back of a chair, the core muscles are prevented from having to do their job of supporting the back, making the core weak for when it does have to support the back. Education and exercises can help reduce or prevent poor posture and pain.

 

What We do

The aim of RW Sports Injury is not only to get the patient back to being the athlete they were before the injury but better, regardless of the level that they competed. The same principles apply to work-related injuries. This is done in three parts: treatment, rehabilitation and prevention.

Pre & Post-Surgery Rehabilitation:

Have you had ACL reconstruction?

Have you had your hip or knee replaced?

Have you had your shoulder pinned after a dislocation?

It is recommended that prior to one going for surgery that one ensures that one is as fit as possible and that the limb to have the procedure is as strong as possible this is call pre-habilitation or ‘pre-hab’. This is to ensure that one’s bones are strong and that the surrounding muscles are strong enough to support the joint post-surgery.  Also, it is also recommended that the one is moving as so as possible once the surgery is done. Once a muscle is not working as hard as it once did it will start to waste away. Starting rehabilitation (rehab) is vital to return to one’s daily activities and ultimately to hobbies and sports.

Injury Prevention:

Do you play sports?

Do your work?

Have you ever had a previous injury?

Many musculoskeletal injuries are due to poor technique, overworking of one muscle, under the working of another muscle or it could be that one is overtraining one movement or energy system. There are several exercises that can be used prior to training to activate the under-active muscle, stretch over-active muscles, mobilize stiff joints and stabilize vulnerable joints. Using various strength & conditioning techniques can help prevent fatigue and injury. Monitoring the exercise one does can help reduce accumulated fatigue and reduce the chance of injury.

Return To Play:

Do you wat to play your sport again?

Do you want to ensure you don't get injured again?

After all of the hard work of rehabilitating an injury, it is vital to ensure that the injury does not reocurre.  several injuries have a return to play protocol, that if passed should reduce the risk of re-injury. Once one has returned to play, it is of the utmost importance that the exercises used to return to a sport are maintained and incorporated in the warm-up (called 'Pre-hab').

 

How we treat injuries

Depending on the injury, there are several methods that can be used to treat and rehabilitate the issue. Every injury and patient are individual. What works for someone might not work for someone else. At RW-Sports Injury, the focus is on the patient as a whole; not just the body part that is injured.

MOBILISATIONS:

When muscles are out of balance they can cause the joints to alter their position. Correcting the muscles with exercise and stretching is often not enough. Therefore, helping to improve a joint’s position is often used as a treatment.

ELECTROTHERAPY:

If  an injury is too acute, less than 3 days, soft tissue and joint physical therapy may be too sore or make the injury worse. Electrotherapy can help speed up the healing process or relieve the pain.

CUPPING:

After an injury there can be a poor supply of oxygenated blood to the injury site. Cupping uses a suction pressure to draw oxygenated blood towards the surface of the skin and thus the site of the injury.

DRY NEEDLING:

Some times a muscle can remain in a constant state of contraction which causes the surrounding tissue to  become painful, known as trigger points. The pain may even spread to other sites typically in the form of headaches. Dry needling can help ‘reset’ the muscle.

PILATES:

Often a pain is caused by poor posture and weak stabilising muscles over a long time. Strengthening the stabilising muscles in a slow controlled manner can help improve posture and control. Pilates is about using breathing patterns while maintaining scapular and pelvic stability.

STRENGTH & CONDITIONING:

In order to recover from an injury and reduce the chances of re-injury the proper training is needed. The exercise should be done as the main training if injured or as part of  the warm up to help prevent  an injury or re-injury.

 
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