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Nutrition and Performance: How our Sports Medicine Doctors optimize Diets for Athletes

Nutrition and Performance: How our Sports Medicine Doctors optimize Diets for Athletes

4 August 2024

Sprinter's legs pushing off a red running track
Photo by Nicolas Hoizey on Unsplash

The world of sports is not just about raw talent and rigorous training; it also hinges on the foundation of optimal nutrition. The dietary choices of athletes play a critical role in determining their performance, recovery, and overall well-being. While athletes often follow disciplined training routines, it is the guidance of Sports Medicine doctors who fine-tune diets, which helps athletes unlock their full potential.

The Role of Nutrition in Athletic Performance

Nutrition forms the cornerstone of athletic performance. An athlete’s diet fuels their body, affecting their energy levels, strength, and endurance. Carbohydrates are essential for providing quick energy, making them vital for athletes engaged in high-intensity sports. On the other hand, proteins aid in muscle repair and growth, while fats act as long-lasting energy provisions during endurance activities.

Moreover, vitamins and minerals are indispensable for various physiological processes, such as metabolism, oxygen transport, and nerve function. Athletes can maximize their performance potential by optimizing their nutrient intake to achieve peak results in their respective sports.

Inadequate nutrition and athletic injuries

High-intensity sports training for athletes demands high functional joint mobility, and a solid musculoskeletal system, making it essential to ensure physical fitness levels and optimal nutrition. Athletes often overexert their bodies and ignore optimal nutrient intake, which can result in athletic injuries that include:

  • Sprains and Strains are injuries to ligaments (sprains) or muscles/tendons (strains) due to overstretching or tearing.
  • Muscle Cramps are painful contractions of muscles caused by dehydration, overuse, or electrolyte imbalances.
  • Tendinitis is an inflammation of a tendon, often caused by repetitive movements or overuse.
  • Stress Fractures are small cracks in bones due to repetitive impact or over training.
  • Concussions are head injuries resulting from a blow to the head, common in contact sports.
  • Shin Splintsis the pain along the shinbone caused by overuse or improper footwear.
  • Knee Injuries include anterior cruciate ligament (ACL) tears, meniscus tears, and patellofemoral pain syndrome.
  • Ankle Sprains are ligament injuries in the ankle, often from twisting or rolling the foot.
  • Groin Strains are strains or tears in the muscles of the inner thigh.
  • Shoulder Injuries  include rotator cuff tears and shoulder impingement and are common in sports involving overhead movements.

Sports Medicine Doctors: The Architects of Athletic Nutrition

Sports Medicine Doctors at specialised clinics such as Opus Biological play a crucial role in athletic success. Their expertise in athletic nutrition, exercise physiology, and injury prevention helps them take a personalized approach, ensuring they meet each athlete’s unique nutritional requirements.

Assessment and Tailoring Dietary Plans

Crafting an athlete’s optimal diet begins with a comprehensive assessment. Sports medicine doctors consider the athlete’s sport, training intensity, body composition, medical history, and specific goals. They may conduct blood tests and other investigations to evaluate nutrient levels and identify any deficiencies that could hinder performance. With this information, the sports medicine doctor develops a tailored dietary plan that addresses the athlete’s needs. These plans encompass appropriate caloric intake, macronutrient ratios, and micronutrient-rich food sources. The goal is to provide the body with the proper nutrients at the right time, optimizing performance and promoting recovery.

Impact of Specific Nutrients on Athletic Performance

Nutrients play vital roles in supporting various physiological processes directly influencing an athlete’s abilities and performance. Here are some key nutrients and their effects on athletic performance:
  • Carbohydrates: As the primary energy source for athletes, carbohydrates are critical for maintaining high-intensity performance and replenishing glycogen stores after intense workouts. Sports medicine doctors work with athletes to determine the optimal carbohydrate intake to sustain energy levels during training and competitions.
  • Proteins: Protein is essential for muscle repair and growth, making it crucial for athletes to support their physical demands. Sports medicine doctors help athletes determine the right amount of protein to include in their diet, considering factors such as training intensity and any injuries requiring additional tissue repair.
  • Fats: While often underrated, fats play a vital role in endurance sports. They serve as an energy reserve, especially during long-distance activities. Sports medicine doctors ensure athletes consume healthy fats to maintain sustained energy and support overall health.
  • Hydration: Proper hydration is paramount for athletes to perform at their best. Sports medicine doctors guide athletes on fluid intake, considering factors like climate, intensity, and duration of activity to prevent dehydration and maintain optimal performance.

Recovery and Injury Prevention

Adequate nutrition is crucial for top-notch athletic performance, post-exercise recovery, and injury prevention. Sports medicine doctors focus on the following aspects:
  • Muscle Recovery: Nutrients such as protein, carbohydrates, and antioxidants aid in muscle repair and reduce inflammation. Sports medicine doctors emphasize post-training meals that facilitate the body’s recovery process.
  • Injury Management: Nutritional support is essential during injury rehabilitation. Sports medicine doctors ensure athletes receive proper nutrition to promote tissue healing and boost their immunity.
  • Bone Health: Calcium and vitamin D are vital for maintaining strong bones, reducing the risk of stress fractures and other bone-related injuries. Sports medicine doctors ensure that athletes’ diets include adequate nutrition.

Conclusion

Nutrition is the bedrock on which athletic performance is built. Sports medicine doctors are pivotal in optimizing athletes’ diets, considering their needs, performance goals, and health conditions. By tailoring dietary plans and emphasizing the importance of specific nutrients, sports medicine doctors can unlock an athlete’s full potential, enhance their performance, aid in recovery, and reduce the risk of injuries. At Opus Biological, we understand your sports nutrition needs. Our sports medicine doctors optimize your nutrient intake, enhance recovery, and boost endurance. Additionally, we provide personalized dietary plans and supplements catering to individualized training regimens, ensuring you receive the right nutrients at the right time. With our support, athletes can maximize their potential, improve overall athletic performance, and maintain their competitive edge in the world of sports.
Musculoskeletal Disorders in Menopausal Women

Musculoskeletal Disorders in Menopausal Women

8 May 2024

Menopause causes a deficiency in oestrogen which can result in an increased risk of cardiovascular disease, cancer, cognitive decline, chronic obstructive pulmonary disease, diabetes, metabolic syndrome, depression, sleep disturbances, vasomotor symptoms, migraines and musculoskeletal disorders. The most common musculoskeletal disorders in menopausal women are osteoporosis, sarcopenia and osteoarthritis (Dijk et.al, 2015).

During the menopausal transition, there is an increase of muscle degeneration which can progress to sarcopenia. The decrease in oestrogen and testosterone leads to ‘neuromuscular junction insufficiency, myofiber loss, mitochondrial dysfunction’ (Buckinx and Aubertin-Leheudre, 2022) and reduced muscle regeneration.  These physiological changes increase fat deposits in muscle and increase the difficulty in achieving hypertrophy and maintaining muscle mass (Buckinx and Aubertin-Leheudre, 2022). The prevalence of osteoporosis in menopausal women is extremely high, as more than two million women have osteoporosis in England and Wales. After the menopause, prevalence rises with age from approximately 2% at 50 years to more than 25% at 80 years’ (Peto and Allaby, 2013) This is likely due to the osteoclastic resorption activity increases and the osteoblastic activity decreases, resulting in more bone being absorbed than being formed (Ji and Yu, 2015).

There is an abundance of research illustrating the impact menopause has on osteoporosis and sarcopenia, however there is limited evidence on the impact of osteoarthritis on musculoskeletal disorders (Watt, 2018). However, Richmond et. al found oestrogen receptors in articular cartilage which potentially demonstrates a relationship between oestrogen and articular cartilage health. Zhang et al. discovered that oestrogen has a positive impact on cartilage. These studies illustrate there is relationship between oestrogen and cartilage however unable to identify an explanation for the clinical significance (Hame and Alexander, 2013). Lower back pain (LBP) is also more common in postmenopausal women than men who are within the same age group. This is most likely due to oestrogen deficiency causing postmenopausal women to have increased prevalence of disc degeneration; therefore, resulting in increased risk of spondylolisthesis and facet joint osteoarthritis. Also due to higher rates of osteoporosis in postmenopausal women, osteoporosis related spine fracture, especially at thoracolumbar junction, can cause LBP (Wang, 2017).

There is a wealth of research showing the importance of menopausal women participating in exercise to reduce the risk of musculoskeletal disorders and prevent the worsening of symptoms (Grindler et. al 2015). For example, Mendoza et. al found that exercise reduces osteoarticular pain in postmenopausal women with fibromyalgia or breast cancer (Mendoza et. al, 2016). Research suggests a combination of high impact exercises and weight training is optimal to increase muscle mass and bone density, alongside medical intervention such as hormone replacement therapy and supplementation. Metcalfe et .al found the combination of adding calcium, hormone replacement therapy and weight bearing movement increases bone mass density and muscle strength for post- menopausal women. The weight bearing movements included stair climber or stepping alongside resistance training and balance exercises to reduce the risk of osteoporosis, sarcopenia and fractures (Metcalfe et. al, 2001). Hettchen et. al 2021 also demonstrated the positive impact exercise has on early postmenopausal women with osteopenia or osteoporosis and disorders related to menopausal transition. The exercise regime included a combination of high intensity training, jumping sequences and velocity resistance training (Hettchen et. al 2021).  The evidence illustrates the importance of physical activity for menopausal women, however more research is required to see the impact menopause has on other musculoskeletal disorders.

Reference List

 

Woman jogging outdoors in a teal top
Working from home checklist

Working from home checklist

5 May 2024

Man working at a home desk beside a window with a laptop and lamp
Photo by Ian Harber on Unsplash
Office jobs can often result in several injuries, including back pain and repetitive strains, to name a few. Now, in light of the pandemic, these injuries have been transferred from the workplace to home, with many of us now adopting the working from home life. The most prevalent injury in the workplace is back pain, with sedentary office jobs causing this to develop from long periods of physical inactivity, incorrect posture, and poorly designed workspaces.
Making the shift to working from home offers us an opportunity to address these injury risk factors and make work as comfortable as possible. But what do we suggest?
  1. Create an ergonomic workspace. The word ergonomic has been thrown around a lot in recent months and refers to a space designed for efficiency. This includes positioning everything you will need for your working day, whether that be pens, phones, or a water bottle, within an arm’s reach. How does this help prevent injuries? Well, if you can reach anything you need by reaching out your arm, there will be no need for you to lean and stretch, potentially causing strains. An ergonomic workspace also means adjusting your monitor height, ensuring the screen brightness is optimal and adjusting your desk and chair height to ensure maximum comfort.
  2. Choose the correct office chair. This is one of the most important points of the working from home checklist. The correct office chair can be the difference between back pain and no back pain. A good office chair will promote proper posture by having an adjustable height, an adjustable backrest, and adjustable armrests, alongside lumbar support and the ability to swivel.
  3. Practice good posture. Following on from a good office chair is practising good posture throughout the day. When sitting for extended periods of time, we often subconsciously slouch or lean, which can cause severe back pain if not corrected. Using correct posture reduces the gravitational pressure that is placed on your spine, improving comfort and reducing the risk of back pain.
  4. Take frequent short breaks. Short and frequent breaks minimise the length of physical inactivity during the day. Even if this solely involves standing for five minutes every hour and stretching your back and legs, this can have a profound impact on the incidence of workplace injuries.

If you are still experiencing back pain even after taking these suggestions into account, there may be something deeper going on, and it is worth you coming in to get this checked out by the team at Opus. An assessment from one of our sports medicine specialists may identify exercises and changes you can incorporate into your daily life that will ease any pain your are experiencing.

Why is sports medicine so valuable?

Why is sports medicine so valuable?

1 May 2024

Athlete throwing a medicine ball on an artificial pitch
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.
Things you may not know about an injury to the AC joint

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

20 April 2024

Athlete in an orange shirt catching a ball outdoors
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.

Lower Back Pain and Pelvic Floor Dysfunction

Lower Back Pain and Pelvic Floor Dysfunction

3 April 2024

Lower back pain (LBP) is the most prevalent musculoskeletal injury, as approximately 80% of the population will experience LBP in their lifetime (Arab et. al 2010). Transverse abdominus activation is often prescribed for LBP however pelvic floor muscle (PFM) is not always incorporated into treatment. PFM aids in supporting the abdominopelvic organs and there is an abundance of research on the role of the PFM in urinary and fecal incontinence. Nevertheless, it is important to remember the PFM role in lumbar and pelvic stability and intra-abdominal pressure (Mohseni-Bandepi et. al 2011). Research illustrates that the combination of pelvic floor exercise alongside routine treatment can provide significant pain relief in LBP compared to routine treatment alone (Bi et. al, 2013), demonstrating the importance of PFM exercises.

The link between LBP and PFM helps to provide insight into the correlation between LBP and pelvic floor dysfunction (PFD). PFD is an umbrella term to describe weakness, poor endurance and hypertonicity of the PFM which can impact incontinence, prolapses and pelvic pain. Dufour et al. found that 95% of women with LBP had PFD, ‘71% of the participants had pelvic floor muscle tenderness, 66% had pelvic floor weakness and 41% were found to have a pelvic organ prolapse’(Dufour et. al 2018), further highlighting the importance of incorporating PFM in treatment. Arab et al. also examined PFD in women with and without LBP. The results show PFD in participants with LBP compared to those without. This is valuable for health care participants when assessment and treating LBP (Arab et. al 2010). It is also important to recognize PFD in pregnancy-related lower back pain (PLBP). Pool-Goudzwaard et. al discovered ‘52% of PLBP, significantly more than in the healthy control group’ (Pool-Goudzwaard et. al,2005) and promote addressing both LBP and PFD during pregnancy.

There are a variety of methods to help activate, strengthen and relax the pelvic floor in order to aid recovery in PFD.  Kegels or reverse Kegels are often prescribed to promote awareness and strengthen PFM (Torgenu et. Al 2021). Transverse abdominus contraction has also been shown to help activate and strengthen PFM. Sapsford et al. found ‘that abdominals contract in response to a pelvic floor contraction command and that the pelvic floor contracts in response to both a “hollowing” and “bracing” abdominal command’(Mohseni-Bandepi et. al 2011), therefore proving the PFM can be activated by engaging the abdominals. Hypopressive exercises (HE) have also shown to aid recovery from PFD. HEs lowers the intra-abdominal pressure which enables an involuntary contraction of the PFM and transverse abdominus. Navarro-Brazález et. al suggests the combination of HEs and pelvic floor muscle training improves PFM strength and quality of life for patients with PFD (Navarro-Brazález et. al 2020).

Reference List

 

  • Arab, A.M., Behbahani, R.B., Lorestani, L. and Azari, A. (2010). Assessment of pelvic floor muscle function in women with and without low back pain using transabdominal ultrasound. Manual Therapy, 15(3), pp.235–239. doi:https://doi.org/10.1016/j.math.2009.12.005.

  • Bi, X., Zhao, J., Zhao, L., Liu, Z., Zhang, J., Sun, D., Song, L. and Xia, Y. (2013). Pelvic floor muscle exercise for chronic low back pain. Journal of International Medical Research, 41(1), pp.146–152. doi:https://doi.org/10.1177/0300060513475383.

  • Dufour, S., Vandyken, B., Forget, M.-J. and Vandyken, C. (2018). Association between lumbopelvic pain and pelvic floor dysfunction in women: A cross sectional study. Musculoskeletal Science and Practice, 34, pp.47–53. doi:https://doi.org/10.1016/j.msksp.2017.12.001.

  • Mohseni-Bandpei, M.A., Rahmani, N., Behtash, H. and Karimloo, M. (2011). The effect of pelvic floor muscle exercise on women with chronic non-specific low back pain. Journal of Bodywork and Movement Therapies, 15(1), pp.75–81. doi:https://doi.org/10.1016/j.jbmt.2009.12.001.

  • Navarro-Brazález, B., Prieto-Gómez, V., Prieto-Merino, D., Sánchez-Sánchez, B., McLean, L. and Torres-Lacomba, M. (2020). Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial. Journal of Clinical Medicine, 9(4), p.1149. doi:https://doi.org/10.3390/jcm9041149.

  • Pool-Goudzwaard, A.L., Slieker ten Hove, M.C.P.H., Vierhout, M.E., Mulder, Paul.H., Pool, J.J.M., Snijders, C.J. and Stoeckart, R. (2005). Relations between pregnancy-related low back pain, pelvic floor activity and pelvic floor dysfunction. International Urogynecology Journal, [online] 16(6), pp.468–474. doi:https://doi.org/10.1007/s00192-005-1292-7.

  • Torgbenu, E.L., Aimakhu, C.O. and Morhe, E.K.S. (2020). Effect of Kegel Exercises on Pelvic Floor Muscle Disorders in Prenatal and Postnatal Women – A Literature Review. Current Women’s Health Reviews, 16. doi:https://doi.org/10.2174/1573404816999200930161059.

Woman performing a single-leg balance exercise indoors