Injuries are an inherent part of sports. All athletes have sustained some injury or another during the span of their careers. No matter which sport you play, be it football, hockey, tennis or cricket, whether you are representing your country or your college, you are likely to get hurt at some time. An injury has the potential to end careers and ruin dreams. That is because the injury takes a toll not just on the body but the mind as well. It instils confusion and hesitation and sometimes after an especially traumatic accident, athletes find it difficult to return to practice because they are crippled by a sense of fear.

That is why along with treatment or surgery, a sportsperson also needs to undergo rehabilitation therapy.

Why Psychological Rehabilitation is Important? 

After suffering a serious injury that almost jeopardized their career, athletes suffer a wide range of psychological and physical challenges, which makes them retreat from the outside world. These are problems they would not be able to cope with unless they opt for rehabilitation programmes.

  It helps them accept that getting back to the game will be a mammoth task 

  Inspires in them the confidence to keep trying 

  Deal with the pain 

  Go about their practice sessions with as little discomfort as possible 

  Overcome feelings of fear or despair 

  Cope with depression 

  Prevents the person from sinking into a state of self-pity which hinders recovery 

  Look at the injury not as something that might put an end to their career but as a mere impediment in the path to success 

Psychological rehabilitation adopts a wholesome and expansive approach to healing the athlete. It takes into account several factors in chalking out a course to recovery that is individualistic   

  The personality- the toughness, determination, will power of the athlete, ability to deal with anxiety

  Medical history- past injuries or illnesses 

  Resources of coping- the athletes  support system, a network of friends and family, management of stress, treatment and medicines etc 

Psychological rehabilitation also takes into account the individual s response to therapy to ensure that it is as effective as possible. These are   

  Cognitive appraisal - Monitors a person s growth or decline in self-esteem or worth as well as confidence. The aim of rehabilitation is to restore the person s faith in his/her capabilities 

  Behavioural response - This ensures that the individual s behaviour shows traces of denial or avoidance because negativity will only delay recovery 

  Emotional response - The profile of Mood States (POMS) is utilized to analyze or gauge the person s emotional reaction to therapy. It is supposed to uplift the athlete mood and deal alleviate feelings of despair or hopelessness. Medicines and physiotherapy become more successful in treating a sports injury when coupled with psychological rehabilitation. 

Athletic Injuries - How Effective Is Psychological Rehabilitation As A Line Of Treatment?

Weakness of the muscles due to a genetically inherited condition is known as muscular dystrophy. This condition prevents the body from producing the required protein that can help in building muscles. This protein is also responsible for making the muscles strong and stable. This is most commonly seen in children who may seem clumsy as they begin to grow up and indulge in varied kinds of movements. Let us learn more about this condition and the ways in which it may be treated.

1. Symptoms: In order to better understand the ways of treating this condition, it is important to take stock of the varied signs and symptoms that are associated with the same. The main symptom of this condition includes difficulty in walking as well as constant slips and falls that may be endured by the child. Also, the children suffering from this condition will have trouble in lifting the leg and foot in a normal way.

2. Other Complications: This condition can also affect the heart and lungs by making the muscles in these regions weak. Also, this condition can lead to a number of serious breathing problems that will need immediate medical intervention so that it does not become fatal. It may also lead to accelerated heart beats and affect the hands and feet of the patient in an adverse manner. This condition can be found in different types, each of which will affect the patient in a different manner.

3. Physical and Occupational Therapy: One of the most effective ways of dealing with condition in the long run is to indulge in physical and occupational therapy. With the help of a physiotherapist and other specialists, the patient will be taught to move in a more deliberate and normal manner without falling too often. Also, the patient will be eventually trained to go about life and various functions with certain kinds of movements that will be limited to the issues that the patient may be facing. Bracing will also be required so as to help the child cope better in the physical sense.

4. Prednisone: This medicine may be prescribed by the Pediatrician to ensure that the progression of the heart issues may be slowed down. This will ensure that the heart may function in a more normal manner despite the muscle issues that it may be facing. The doctor will usually recommend that the medicine should be started when the child is around five or six years old.

5. Spinal Fusion: This surgery can lessen the pain and reduce the severity of the symptoms, which can lead to better chances of moving in a normal manner. This will also give the child better posture so that the child may breathe normally.

How Can Muscular Dystrophy Be Treated in Children?

Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.

Some of the causes and risk factors for creating a frozen shoulder are as follows:

    If you are 40 years or older, your chances of a frozen shoulder are higher than others
    Recovering from a damage or surgery
    Hormonal imbalance
    Ladies are more prone to a frozen shoulder
    Cervical disc infection that influences the nerves around the shoulder
    Not moving your arm because of other pain or wounds
    Having a previous medical condition like diabetes or other heart diseases
    Open-heart surgery or spinal surgeries
    Poor diet and unhealthy lifestyle

The most widely recognized symptoms of a frozen shoulder include:

    Stiffness around the shoulder usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
    Restricted scope of movement
    Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)

Treatment:

    Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
    Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
    Acupuncture: Acupuncture is considered one of the best treatment choices for any joint and nerve related problem. The treatment is based on focusing on the trigger points of the pain and putting pressure on them via needles. The treatment is not painful and is known to produce good results in the long run.
    Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfalfa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder.

Best Remedies for a Frozen Shoulder

Gone are the days when bone ailments and damages were detected based on the experience and superficial conversations made by the physicians. These days with the advent of radio waves, medical science has made significant progress that has enabled a detailed overview of what exactly is going on inside your body and what should be the most relevant treatment in that regard. Magnetic Resonance Imaging or more commonly known as MRIs are a boon when it comes to diagnosing orthopedic and musculoskeletal complaints.

Common Uses of the Procedure:

MR imaging is usually the best choice for examining the:

body s major joints.
spine for back pain
soft tissues (muscles, tendons and ligaments) and bones of the extremities.
MR imaging is typically performed to diagnose or evaluate:

degenerative joint disorders such as arthritis.
tears of the menisci, ligaments and tendons (knee) or rotator cuff and labrum (shoulder and hip).
fractures (in selected patients).
spinal disk abnormalities (such as a herniated disk).
the integrity of the spinal cord after trauma.
sports-related injuries and work-related disorders caused by repeated strain, vibration or forceful impact.
infections (such as osteomyelitis).
tumors (primary tumors and metastases) involving soft tissues around the joints and extremities (such as muscles, bones and joints).
pain, swelling or bleeding in the tissues in and around the joints and extremities.
congenital malformations of the extremities in children and infants.
developmental abnormalities of the extremities in children and infants.
congenital and idiopathic (developing during adolescence) scoliosis prior to surgery.
tethered spinal cord (abnormal stretching in the spinal cord) in infants and children.
The Process:

In this process, X-rays and radio waves are subjected upon the affected region to examine the conditions of the bones, tissues, muscles and also detect the presence of tumours. This is majorly a non-invasive test and is painless. It does not use ionizing rays and therefore does not harm the body in any which way. The MRIs capture a detailed picture of the organs and the internal body structures and then transmit them onto a computer screen for the physician to monitor the inside story.

The Benefits: 

MRI is an imaging technique that does not require exposure to radiation.
MR images of the soft-tissue structures of the body (particularly muscles, bones and joints) are often clearer and more detailed than with other imaging methods. This detail makes MRI an invaluable tool in early diagnosis and evaluation of many conditions, including tumors.
MRI can distinguish abnormal tissues from normal tissues much more accurately than most other imaging tests (x-ray, CT, etc.).
MRI enables the discovery of abnormalities that might be obscured by bone with other imaging methods.
The contrast material used in MRI exams is less likely to produce an allergic reaction than the iodine-based contrast materials used for conventional x-rays and CT scanning.
MR images allow the physician to clearly see even very small tears and injuries to tendons, ligaments and muscles and some fractures that cannot be seen on x-rays and CT.

Orthopedic and Musculoskeletal MRI

Unlike muscle aches, neuropathic pain or nerve pain is usually a lifelong condition. This usually affects the feet. In some cases, it can get better over the years but in most cases, nerve pain stays persistent or worsens with time. Neuropathic pain is caused by nerve damage and commonly triggered by conditions such as diabetes or is a result of the side effects of medication or chemotherapy.

Medication is usually the first line of treatment when it comes to dealing with neuropathic pain. Medication prescribed for such conditions can be categorized as:

Antidepressants
Anticonvulsants
Local anesthetics
These may be prescribed individually or in a combination of two or more types of drugs. additionally, topical creams may also be prescribed for pain relief. Conventional medicine can provide temporary relief from nerve pain. However, in the long run, making a few lifestyle changes can help control nerve pain. Here are a few tips.

Exercise: Nerve pain may tempt you to sit in one place, but you must force yourself to walk about and exercise a little on a regular basis. Exercising increases blood flow to the extremities of the body and releases endorphins that act as natural painkillers. It can also expand blood vessels and nourish damaged nerves.
Avoid alcohol: If you suffer from nerve damage, alcohol can aggravate the damage and increase pain. Hence it is best to skip alcohol and all other kinds of stimulants.
Heat therapy: Soaking your feet in a warm bath or using a heat pack can be very effective when it comes to dealing with nerve pain. The heat temporarily increase blood flow and reduces pressure on the nerves. However, be careful to avoid burning yourself.
Get a good night's sleep: Nerve pain is usually aggravated at night, thus disturbing your sleep. To get the required 8 hours of sleep a day, try maintaining a schedule of going to bed and waking up at the same time everyday. Drinking a cup of warm milk may also help you fall asleep faster. Ensure that the last cup of coffee you drink is in the afternoon.
Massage: As with muscle pains; a massage can help ease and reduce nerve pain. Your choice of oils also has a role to play in the effectiveness of the massage. While lavender oil helps people relax and takes their mind of the pain, geranium oil can help directly reduce nerve pain.

Ways to Control Nerve Pain

Being flexible is not always about doing splits or doing some random bending. It is about achieving a level of mobility that will not hold you back from doing whatever you are able to do. Most people think that stretching or flexing your muscles and body as the first method to defend you from pain. But if stretching and flexing can be done correctly, it can lengthen one's muscles and give one relief from pains and aches. Stretching is also done to increase the functional range of one's joints and muscles. There are various ways by which one can stretch their muscles. However, the question which looms over here is which is the correct procedure and which is the wrong one.

The Wrong Vs the Right Way: Before discussing about the correct way, let us talk about the various wrong ways in which stretching can be done. The first rule is that if stretching is causing you pain or if it is hurting you, then you are probably taking it too far. A muscle needs to relax as much as possible, if it needs to stretch. If one is stretching so hard that he or she cannot relax then the muscle will not lengthen. Stretching should never be painful.

One should also avoid stretching for an insufficient length of time. Only a few seconds of stretching will not hold the therapeutic effects of stretching.

The following methods are few of the correct ways to stretch:

Always start with the warm muscles. Warm your muscles by doing some aerobic movement or by applying heat with the help of a warm bath.
After warming your muscles, monitor your level of discomfort. Let it go once you feel pain.
Hold any stretch for at least 30 seconds.
Stretching the Correct Muscle: There are muscles, which need to be stretched and there are muscles, which should not be. So getting to know the correct muscles to be stretched is as important as knowing the correct procedure to stretch your muscles. Every muscle, which does not hurt should not be stretched. There are different types of muscles that cause pain like stiff, tight, short muscles and long muscles. Muscles that are tight should only be subjected to stretching. Stretching muscles that are too long is not a good idea.

Using Physiotherapists: Most people who cannot determine which muscle should be stretched and which should not be should consult a physiotherapist. Physiotherapists can quickly and easily diagnose muscular issues. They will also show ways to stretch which are most effective for particular needs.

Stretching should be made a part of one's life. It is a way by which one can become their healthiest self and avoid muscular imbalances.

Stretches for Tight Muscles 

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