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Why is sports medicine so valuable?

Why is sports medicine so valuable?

May 1, 2024

Photo by Gordon Cowie on Unsplash

Sports medicine emphasises the importance of physical activity in promoting excellent physical and mental health benefits, but by nature, there is an inherent risk of injury. Addressing both athletes and non-athletes, sports medicine works to bridge the gap between exercise science and medicinal practice for the prevention and treatment of sporting injuries. Sports-related medical practices can vary from strength and conditioning for injury prevention to treatments such as injections, rehabilitation and osteopathic manipulation. But why is this so important?

Injury prevention

Exercise is one of the best things we can do for our body; however, injuries are common and can often impact our daily lives. The most common causes of sports injuries are improper or poor training practices, wearing improper sporting equipment, being in a state of poor health, or incorrectly warming up and stretching before participating in exercise or sporting events. Sports medicine focuses on preventing injuries through education and by:

  • Developing a fitness plan that incorporates strength training, cardiovascular exercise, and flexibility/mobility,
  • Addressing any underlying issues that may result in recurring injuries,
  • Ensuring you use the correct equipment and perform exercises in the correct way to prevent injury,
  • Encouraging participation in adequate rehabilitation following a sports injury,
  • Looking at alternative treatment options, such as regenerative medicine, if you suffer from recurring injuries at the same site. 

Shorter recovery times

Returning to sports following an injury can often be a lengthy and difficult process; however, having your recovery overseen by a sports medicine specialist can significantly improve this process. Physical therapy is a crucial component of sports medicine and assists recovery in the following three ways, shortening recovery times:

  1. Provides pain relief. The first priority following injury is to reduce pain and discomfort as much as possible as this often limits your ability to move freely and use your muscles. Physical therapy techniques, including taping, electrical stimulation, and ultrasound, can assist in reducing this pain in the short-term, shortening the recovery process whilst you focus on rehabilitation.
  2. Improves mobility. If an injury arises, you are often immobile for a period of time which can have a drastic impact on your mobility. Sports medicine can help you regain this lost mobility using strength exercises and stretching, enhancing your recovery. Moreover, if needed, our specialists may suggest the use of crutches to help promote movement in the short-term.
  3. Avoids unnecessary surgery. Surgery is the final option if all other recovery techniques have been exhausted, as it can often be career-ending for athletes or result in lengthy recovery periods. Sports medicine may prevent surgery by offering injury prevention. However, if surgery is still required, sports medicine is crucial in recovery. 
Our team of sports and exercise medicine experts at Opus will work with you to rapidly assess, diagnose and plan your treatment and rehabilitation. Get in touch to find out more about how our expertise and skills can assist you in your treatment and recovery.
Why exercise is good for your joints

Why exercise is good for your joints

Apr 29, 2024

Photo by Towfiqu barbhuiya on Unsplash
It comes as no surprise that exercise has an endless list of benefits for our body; it reduces the risk of heart diseases, helps maintain your blood sugar and insulin levels, improves your mental health and mood, and increases strength and flexibility whilst reducing pains and combatting fatigue. However, the benefits of exercise for our joints is often overlooked.
The most common example of the advantages of exercise for our joints is in people with arthritis. Let’s look at this in more detail.
Arthritis is a common condition that results in substantial pain and inflammation to the joints, with over ten million people in the UK alone suffering from this condition. It can affect people of all ages and is categorised into different types depending on the location of the inflammation. The most prevalently discussed types of arthritis are osteoarthritis and rheumatoid arthritis, both of which we provide treatment for at Opus. We discuss the types of arthritis in more detail here.
During exercise, people with arthritis and joint pain describe a significant reduction in their pain alongside a notable increase in their range of motion. But how does physical activity exert these effects? Below are five benefits that exercise yields and how this is advantageous to the joints:
  1. Synovial fluid lubricates the joint. Each joint in the body is surrounded by soft tissue, also known as the synovial membrane, that is capable of producing fluid. This fluid acts as a lubricant, enabling the bones at each joint to slide past one another in a smooth motion. During exercise, the circulation of this fluid is increased and, therefore, reduces any pain at the joint.
  2. Blood flow increases. During physical activity, our heart increases at a much faster pace. This results in an increase in blood circulation throughout the body, including at the joints. This exposes the synovial membrane to an increased and steady supply of both oxygen and nutrients.
  3. Joint-repair genes are switched on. This is a relatively unresearched area; however, studies have shown that genes play a significant role in joint repair, with these being activated by physical activity and joint movement.
  4. Cellular waste is removed. During exercise, a process called autophagy is triggered. Autophagy refers to the biological process in which damaged cells are broken down and removed. The build-up of these cells at the joint can often cause severe pain and limits movement; therefore, ensuring these are removed can instantly decrease the pain experienced.
  5. Increase in muscle mass. It is no surprise that exercise strengthens muscles, ligaments, and tendons in the body; this includes those surrounding the joints. When these elements are strong, they behave like a brace, protecting the join from harm. Moreover, physical activity also increases your overall range of motion, enabling your joints to withstand more pressure.
At Opus, we can assess the root cause of your joint pain and recommend specific sports medicine-backed exercises to lessen this discomfort. Beyond this, we also provide regenerative treatments that may provide long-term pain relief. Get in touch to discuss how we can assist you on your journey.
Why are injuries so common in athletes?

Why are injuries so common in athletes?

Apr 25, 2024

Photo by Jonathan Chng on Unsplash

Sports injuries are extremely common, with figures estimating that amongst the younger population alone, over 3.5 million children and teens are injured each year as part of organised sports or physical activity. This does not even account for unreported injuries. Given their prevalence, it is important that we understand why injuries are more common amongst athletes and those that regularly participate in sporting activities so that we can prevent and treat these accordingly.

A sports injury can occur as a result of several scenarios, including accidents, impact, insufficient training, improper equipment, lack of conditioning, or poor warming up and stretching, to name a few.
Although joint injuries represent the most common site of damage, accounting for both sprains and strains, any part of your body can get injured during physical activity. When we exercise, a significant number of our muscles and tendons are involved; therefore, the chances of developing an injury are much greater.
Moreover, especially during competitive sporting activities, we tend to stretch our bodies and push ourselves farther than we usually would, resulting in us moving in ways that we often wouldn’t. Although this can be harmless, in some instances, this leaves our muscles and tendons torn, damaged, and in pain.

In athletes, the above factors are exacerbated, with the most common sports injuries amongst this population being:

  1. Strains: A strain is defined as an injury to either a muscle or a tendon that primarily results from overuse, force, or stretching. The severity of the injury depends on the nature of its cause, with strains ranging from a simple overstretching of the muscle or tendon to a partial or complete tear.
  2. Sprains: Alongside strains, sprains represent the most common type of injury across all sports, being especially common amongst athletes. A sprain is characterised by a torn muscle or ligament that results from overuse or excessive force, whether that be a collision, a fall, or other causes.
  3. Knee injuries: Damage to the knee joint is most common in contact sports and is usually caused by a sprain, strain or tendonitis. There are a vast number of different conditions that may result from an injury to the knee, including ACL tears, MCL/LCL ruptures, runner’s knee, IT band syndrome and jumper’s knee, anterior knee pain, and patella-femoral maltracking.
  4. Fractures: The most prevalent fractures seen amongst athletes are fractured wrists, hands, collarbones, and bones in the ankle and feet. The highest rate of fractures is seen in contact sports, such as football and rugby.
  5. Tennis elbow: If you experience persistent pain around the outside of your elbow, you may be suffering from tennis elbow. This injury primarily results from overuse of the forearm due to a repetitive or strenuous activity; however, it may sometimes occur following force to the elbow.
  6. Plantar fasciitis: Do you have pain in the bottom of your foot? Or around your heel and arch? This may be plantar fasciitis. Plantar fasciitis is one of the most common causes of heel pain and arises following inflammation of the thick band of tissue that runs across the bottom of your foot, connecting the heel bone to the toes. This injury is most common in endurance athletes, such as runners
  7. Back injuries: It is estimated that 80% of UK adults experience back pain at some point during their lives. Back pain is most common in athletes that participate in sports that have frequent hypertension of the lumbar spine, including gymnastics and football. The primary issue with back injuries is that athletes can cause strain to other parts of their bodies if they change their techniques to reduce the pain experienced.
  8. Concussion: Injuries to the head and neck represent the most frequent catastrophic sports injury, with concussion being the most common athletic head injury. In the UK, an estimated 8.5% of all concussion-related hospital admissions are of sporting origin.
At Opus, we treat a range of sports injuries with our novel techniques, including elbow, hand and wrist sports injuries, shoulder injuries, foot and ankle damage, knee injuries, shin splints and stress fractures, hip sports injuries, neck and back pain, and sprains and strains. Contact us today to discuss your needs and how we can assist you on your journey.
Things you may not know about an injury to the AC joint

Things you may not know about an injury to the AC joint

Apr 20, 2024

Photo by Riley McCullough on Unsplash

The acromioclavicular joint, or AC joint as it is more prevalently known as refers to the shoulder joint and the point at which the collarbone and scapula meet. Injuries to the AC joint account for between 40% and 50% of all shoulder injuries in contact sports and are most common in males under the age of 35.

The role of the AC joint is to underpin normal physiological conditions and allow gliding movement of the arms. It permits an additional range of motion to the scapula and assists in any movement to the arm, including shoulder abduction and flexion. At this joint, something known as three-dimensional motion occurs; internal rotation, upward rotation, and posterior tilting, which allows for movement as we know it. An injury to this joint, therefore, can have a profound effect on conducting daily activities. We discussed the severity of AC joint injuries in a previous post. Here, we will focus on things you may not know about an injury to the AC joint.

1. Symptoms of an AC joint injury

Shoulder injuries are common, and it can often be challenging to determine whether your injury is simply a strain to the limb or if it is an injury to the AC joint. When you have an AC joint injury, the pain and discomfort experience often extends to everyday activities, significantly hindering movement throughout the day. Below is a list of common symptoms that you may experience:
  • Shoulder or arm pain,
  • A visible bump, bruise, or swelling of the shoulder,
  • Limited shoulder mobility,
  • Weakness in the shoulder, extending to the arm,
  • Pain when lying on the shoulder,
  • A popping sound when you move your shoulder
If you are experiencing any of the above symptoms, it is likely that you have an AC joint injury and should get in touch with our team to assess your condition and treatment options.

2. Should you leave an AC joint injury untreated?

It is often very easy to ignore mild pain and discomfort of our joints and dismiss it as simple overuse; however, leaving an AC joint injury untreated can, in some cases, cause your condition to worsen. Although serious consequences are rare, it is better to play it safe when it comes to these sorts of injuries and seek medical assistance to ensure you recover fully. In most cases, getting the correct treatment can also result in a shorter healing time.

3. The role of regenerative medicine in treating AC joint injuries

For the majority of people with an AC joint injury, a full assessment followed by reduced activity and rest often does the job. However, if you are experiencing repeated pain in this joint, then a more long-term option may benefit you, specifically platelet rich plasma (PRP) injections or mesenchymal stem cell therapy. The goal of these treatments is to assist in the healing process by activating your cells to regenerate new, healthy tissue. Several case studies have shown immense success in patients with AC joint injuries using these techniques, and we discuss these in more detail on our research page.

At Opus, we ensure that your injury is fully assessed so that you receive the best possible treatment that is tailored to your needs. Get in touch to discuss your recovery with one of our world renowned specialists.

Keep it simple? Can simple aerobic exercise assist in the management of lower back pain?

Keep it simple? Can simple aerobic exercise assist in the management of lower back pain?

Apr 16, 2024

The World Health organisation (WHO) stated that in 2020, 619 million people were affected globally by lower back pain, with non specific lower back pain accounting for 90% of these cases, making it the single leading cause of disability worldwide (5).

Based on these figures it is of no surprise that here at Opus, and I am sure at many, if not all other MSK treatment centres, we see a large number of patient’s coming through the door looking for assistance with this matter. As with any injury we see, the case will vary from patient to patient and every individual will require a bespoke treatment plan, aimed at their particular presentation and tailored towards their overall goals. However, is it worth considering that something as simple as low intensity aerobic exercise could be of use to a high percentage of these patients at some point in their recovery?

Lower back pain is a pervasive issue, which can be impacted or triggered by a number of factors including: trauma, deconditioning, muscle imbalances, fatigue, obesity, sustained sedentary positioning and many more . Whilst there are several approaches to managing this issue, one possible tool could be the use of aerobic exercise. Aerobic exercise includes: walking, light jogging, cycling, use of a cross-trainer or aerobics in a swimming pool.

To harness the benefits of aerobic exercise for lower back pain relief, consistency is paramount. NHS guidelines (2), recommend engaging in aerobic activities for a minimum of 150 minutes per week, spread across several sessions. This equates to approximately 30 minutes of moderate-intensity exercise, 5 days a week. However, it’s essential to start sensibly and listen to your body, gradually increasing the duration and intensity as your fitness improves. In those individuals with lower back pain, the pain levels experienced during completion of their aerobic activity will also be an important factor in guiding the duration of their session and whether they need to include small rest breaks or alterations in the intensity of the exercise, to enable them to continue for the necessary time.

Aerobic exercise initiates a series of complex physiological responses within the body. Firstly, aerobic activities stimulate the cardiovascular system, increasing heart rate and promoting blood flow to various tissues, including the muscles of the trunk and lower back as per Sany, S.A., Mitsi, M., Tanjim, T. and Rahman, M. (2022) (3) This enhanced blood circulation delivers oxygen and nutrients essential for tissue repair and regeneration, while also aiding in the removal of metabolic waste products and reducing inflammation. It also triggers a chemical response through the release of endorphins, neurotransmitters produced by the central nervous system, often referred to as the body’s ‘natural painkillers’. Endorphins bind to opioid receptors in the brain, effectively reducing the perception of pain and promoting feelings of well-being and relaxation. This analgesic effect can significantly alleviate discomfort associated with lower back pain.

Research has demonstrated the efficacy of aerobic exercise in reducing the incidence and severity of lower back pain, as well as improving functional status and overall quality of life. The subsequent recurrence of back pain episodes can be reduced by 30% just through the use of aerobic exercise Shiri, R., Coggon, D. and Falah-Hassani, K. (2017) (4). Incorporating aerobic exercise is a cost effective and easily accessible way to attempt to alleviate lower back pain. By adhering to a consistent aerobic exercise regimen, individuals can mitigate discomfort, improve functional capacity, and promote overall well-being Gordon, R. and Bloxham, S. (2016) (1).

Now none of the above is to say that other types of exercise: strength training, pilates, yoga, mobility, aren’t of benefit or in fact more suited to some patients. What it does suggest though is that even when someone feels they are severely limited in what they can do, whether it be due to the lower back pain itself, or the time and resources available to them, something as simple as a walk, jog or bike ride can physiologically benefit them and reduce their pain levels.

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