We are now in the 2nd round of the NSL season in Singapore with all clubs having packed back-to-back fixtures. This may raise chances of injuries due to overload and fatigue, so let’s talk a little about injuries in netball.

Netball is a popular sport, with over 20 million people of all ages playing it all over the world. Netball is a non-contact sport, and yet there are high rates of injuries.

Overall:
🔹Most injuries to the ankles and knees
🔹Head and facial injuries are rare
🔹More injuries with age
🔹Sprains, strains (including overuse injuries), abrasions, bruises common
🔹Fractures that occur are mainly to the upper limb, with 75% of fractures to the fingers

Statistically, there are some differences between injuries in children and adults. Children overall have less injuries, but about half of their injuries are to the upper limb. Children also have more fractures than adults; fractures make up 22% of injuries in children.

In adults, injuries to the lower limb are more common and mainly consists of ligament sprains or muscle strains. The structures usually affected are the ankle ligaments, anterior cruciate ligament (ACL) in the knee, and Achilles tendon. Fractures make up only 13.3% of injuries in adults. There is a higher rate of injury in elite or professional netball players as compared to recreational players. ACL ruptures are highest in those aged 24-35 years old, while Achilles tendon rupture is highest in those aged 35-44 years old.

The mechanisms of injury are usually due to:
🔺Trips, slips or falls
🔺Awkward landings
🔺Collisions or player contact
🔺Being hit by the ball

Reducing injury risk is multi-factorial but presently, injury prevention should focus on ankles and knees during the pre-season. This could include strengthening of the muscles, balancing exercises, and working on landing or footwork technique. In some cases, braces or taping may be useful.

Check in with our physiotherapists for more advice. 😊 Send us a DM or contact us at 82182905 / 62620970!📱

See ya at the games! Netball Singapore

#DeloitteISL2023 #DeloitteNSL2023 #netball #singapore #injury #injuries #sport #sprain #strain #muscle #fracture #achilles #acl #knee #ankle

Another one of those growing pains commonly seen in children is Sever’s Disease, in which the growth plate in the heel bone is the one that is affected. 🦶🏼

This is mainly seen during growth spurts, as bones, muscles, tendons and other structures are all changing rapidly but not all at the same rate. Bones often grow faster than muscles so the calf muscles and Achilles tendon may become relatively “shortened” or tight in comparison to the shin bone during a child’s physical development. 🦴

The calf muscles and Achilles tendon will pull on the heel bone with every step, run, or jump, stressing the growth plate. Just like Osgood-Schlatter Disease (OSD), repeated activities will stress the growth plate, causing it to be irritated and inflamed. 💢

You may notice:
🔺Your child limping, especially after running
🔺Tenderness and swelling at heel
🔺Your child’s heels lift up early during walking due to calf tightness
🔺Your child complaining of foot discomfort or stiffness after sleep
🔺Reluctance to continue playing sport or running around

Also similar to OSD, Sever’s Disease will improve and the pain will settle once the bones fuse together. This may take time however and symptoms may persist, so here are some ways to help manage the pain:
🔹Reduce painful activities
🔹Heel pads to absorb impact and reduce stress on the heel
🔹Change footwear to better suit your child’s feet
🔹Icing or NSAIDs
🔹Stretching exercises


How can physiotherapy help?
✅Proper assessment & diagnosis
✅Modalities to manage pain & swelling
✅Advice on appropriate exercises e.g. calf stretching
✅Advice on appropriate load management & monitoring

Check in with our physiotherapists for more advice. 😊 Send us a DM or contact us at 82182905 / 62620970!📱

Sources:
📝1. Sever’s Disease. (n.d.). OrthoInfo. Retrieved February 6, 2023, from https://orthoinfo.aaos.org/en/diseases--conditions/severs-disease/
📝2. Sever’s Disease | Boston Children’s Hospital. (n.d.). https://www.childrenshospital.org/conditions/severs-disease
📝3. Brukner, P. (2023). Peter Brukner ,Karim Khan’sClinical Sports Medicine Third Revised Edition (Sports Medicine Series) [Hardcover](2010) (3 edition). McGraw-Hill Book Company Australia.

#heel #physio #physicaltherapy #seversdisease #achilles #ankle #foot #growingpain #pain #child #kid #youth #muscle #strain #sprain #jump #run #rehab #stretch #strengthen

Does your child complain of knee pain? Or do you notice your child limping after sports or play time? You may have heard the term ‘growing pains’ before but what exactly is it and what causes it? 🤔

One of the most common causes of knee pain in growing children and adolescents is called Osgood-Schlatter Disease (OSD). It is a condition that causes inflammation of the tibial tuberosity, which is located below the kneecap at the topmost portion of the shin bone. 🦵🏼

Children are not skeletally mature and hence their bones consist of a special area where the bone is still growing. This is known as growth plates, and are made of cartilage which later hardens into solid bone as they mature.

Whenever we bend and straighten the knee, the quadriceps muscle (front of thigh) pulls on the kneecap and patellar tendon, which then pulls on the tibial tuberosity. With too much activity or a sudden increase in activities, the repeated stress to the tibial tuberosity can irritate the growth plate.

This results in:
🔺Pain & swelling
🔺Tenderness to touch
🔺Reluctance to continue playing sport or running around

Activities that make it worse:
🚫Running
🚫Jumping
🚫Going uphill or stairs
🚫Kneeling
🚫Squatting
🚫Sports

Not to worry as the condition will improve and the pain will settle once the bones fuse together. This may take time however and symptoms may persist, so your child may require some adjustments till then.

🔹Reduce painful activities, cease sports if that is what your child prefers
🔹Icing or NSAIDs
🔹Offload the patellar tendon


How can physiotherapy help?
✅Proper assessment & diagnosis
✅Modalities to manage pain & swelling
✅Sports taping to offload tendon
✅Advice on appropriate load management & monitoring
✅Gentle exercises will be shown as appropriate for e.g. quads stretching & strengthening

Check in with our physiotherapists for more advice. 😊 Send us a DM or contact us at 82182905 / 62620970!📱

References:
📝1. Osgood-Schlatter Disease. Osgood-Schlatter Disease | Johns Hopkins Medicine. (2022, January 7). Retrieved February 6, 2023, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/osgoodschlatter-disease
📝2. Disease (knee pain) - orthoinfo - aaos. OrthoInfo. (n.d.). Retrieved February 6, 2023, from https://orthoinfo.aaos.org/en/diseases--conditions/osgood-schlatter-disease-knee-pain/
📝3. Woon, C., MD, Team, O., & Dold, A. (n.d.). Osgood Schlatter’s Disease (Tibial Tubercle Apophysitis) - Knee & Sports - Orthobullets. https://www.orthobullets.com/knee-and-sports/3029/osgood-schlatters-disease-tibial-tubercle-apophysitis
📝4. Brukner, P. (2023). Peter Brukner ,Karim Khan’sClinical Sports Medicine Third Revised Edition (Sports Medicine Series) [Hardcover](2010) (3 edition). McGraw-Hill Book Company Australia.

#knee #physio #physicaltherapy #OSD #osgood-schlatter #growingpain #pain #child #kid #youth #shin #tibialtuberosity #quads #muscle #strain #sprain #jump #run #rehab #stretch #strengthen

Thank you all for your trust and support in PhysioSports.🙌🏻 We are happy to serve and look forward to continue serving you. Here's wishing you a prosperous and Happy Lunar New Year! 🥳🎉🎊

Not sure about attending the Manual to Great Therapy MasterClass? 🤔

Here is some of the fantastic feedback from both clinicians and clinic owners, outlining why both new and recently graduated, experienced and post-graduate trained therapists should attend this course! 🌟

The Manual to Great Therapy
4th & 5th Feb 2023
9am to 6pm
PhysioSports Clinic

Ticket price currently remains at S$1,350. Contact us at enquiries@physiosportssg.com to reserve your seats now.🤙

What are you waiting for? Hurry! 😊

#physiotherapy #physio #rehab #recovery #manualtherapy #mobilization #injury #sport #muscle #joint #softtissue #strain #ache #sgphysio #mskphysio

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Good news everybody!!

Due to popular demand, we are extending the Early Bird offer of our upcoming MasterClass. Join us for 2 full days of learning on the 4th & 5th Feb 2023 (9am-6pm) @ PhysioSports clinic.

Ticket price currently remains at S$1,350. Contact us at enquiries@physiosportssg.com to reserve your seats now.

What are you waiting for? Hurry! 😊

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Calling all physiotherapists who are keen to learn how to utilize evidence-backed manual therapy in current times...📣

PhysioSports is proud to be hosting The Manual to Great Therapy workshop with James Schomburgk and Kieran Richardson next February!

Why should you attend?🌟

✅You will learn and understand how manual therapy works, replacing old narratives about "putting things back into place, stretching scar tissue etc" which will improve the therapists' acceptance of manual therapy.

✅There is so much pressure from the wider community that manual therapy is a low value tool, but James and Kieran's experiences echo that it is one of the highest value tools to get immediate results and get the client to follow your care as they feel better!

✅Whilst you are doing manual therapy and making them feel better is when you can deliver positive messages to your client. You can use this as a tool to get these messages through as people want this and expect this.

✅People see soft tissue treatment and mobilisation as treatment. When you are just talking to them people think "this is good, but when are you actually going to treat me? When are you actually going to do the treatment?"

✅We want to teach you why one physio does one technique, but another physio does the same technique and gets a completely different result? We will teach you how to optimise your handling, the importance of the science behind mobilisation! (Yes, it actually exists). If you know the science of choosing the best technique, and we show you and you apply this practically and you can see the benefits, what would this do for your practice?

Visit our clinic website (https://www.physiosportssg.com/events1) or https://globalspecialistphysio.com/manualtherapy for more information.

#physiotherapy #manualtherapy #softtissuetherapy #jointmobilization #muscle #joint #injury #sport #musculoskeletal #msk #physicaltherapy #physiotherapist #singapore #sgphysio