Understanding Injuries Related to Sport
Dr Joe de Beer has worked with many sportsmen over many different sports. Hes knowledge within sports injuries is diverse, listed below is some of the information he has acquired over his career.
Injuries Related to Cricket
Shoulder injuries can occur from direct falls onto the shoulder or indirect forces where the arm is outstretched and causes an injury to the shoulder- the force is applied to the lever of the arm which injures the pivot (the shoulder joint).
The diagnosis of the cause of shoulder pain can be made easier by taking into account certain principles. The age and gender of the person experiencing the pain, certain types of shoulder pain and disorders occur with frequency in certain ages and genders – commonly these conditions should be considered in such a person.
Rollover the yellow dots below depicting the possible injury areas and injuries within cricket.
Managing Shoulder Problems
Management of throwers shoulder injury includes appropriate diagnosis and identification of all the potential causes of the shoulder pain. Pain management and rehabilitation are the two mainstays of treatment for this condition.
Rehabilitation is focused on both stability and strength around the shoulder joint. It is essential that there is a balance of strength around the joint.
Rehabilitation and correction of the cricketer’s throwing technique is important to prevent the recurrence of injury.
Management of traumatic injury of the shoulder includes appropriate diagnosis, which in some cases will require referral to an orthopaedic surgeon. If the injury is significant, surgery may be necessary.
Following this, it is essential that the cricketer is appropriately rehabilitated to prevent weakness of selected muscles, which may in turn lead to a future overuse injury.
The R.I.C.E. method:
- Do not apply heat during the first two days as this will only increase swelling.
- Use paracetamol for the first day of the injury, since it will reduce pain without increasing bleeding.
- Thereafter, ibuprofen (or other nonsteroidal antiinflammatories) or aspirin is a good choice. Don’t give aspirin to a child younger than 16 years.
- Arnica oil works well to reduce swelling.
- After 48 hours, start moving the limb gently, but only enough not to cause pain.
- Gradually increase the range of movement – let pain be your guide.
- Strains usually heal in about a week. Sprains may take up to three weeks to heal.