Injuries Common to Cricketers

It is December and the milder sun implies it’s cricket time in India. The cricketing calendar is at its prime, and Windies has come to India to treat cricket fans with a distinct Calypsos style cricket. However, the one thing that you must have noticed is that many big names are missing from both the teams due to injuries. The question that ponders every cricket fan is how come so many injuries creep up even at the highest professional level of the sport, where the best technology, state of the art infrastructure and the support of elite medical and rehab cover are all available (Pardiwala, 2018).

Hitman “Rohit Sharma”, King of Swing “Mohammed Shami” and gloveman “Wriddhi Saha”, they all have lost matches or series because of their soft tissue injury. Before we delve deep in to find out “why?”, let us first look at “what” are the most common injuries that grapple our cricketing heroes.

Tennis elbow or lateral epicondylitis became known to every Indian household when our Little Master Sachin Tendulkar carried this injury at the peak of his career. It is a condition where the common extensor muscle insertion on the elbow joint suffers from inflammation.
Hamstring or groin muscles pull is amongst the most common injuries seen in cricketers. Fast bowlers, batsmen, and wicket-keepers, all are susceptible to this injury. Non-contact injuries like Hamstring Sprain happens when the ratio of hamstrings to Quadriceps muscles is imbalanced from its ideal 0.7.
Rotator Cuff injury is a common injury in fast bowlers; unfortunately, this injury has cut short promising careers of some very exceptional talented cricketers, for e.g. Jawagal Srinath (Oliver et al.2016). A rotator cuff is a group of muscles that stabilizes the ball of shoulder joint into the socket of the scapula. Sleeping on the shoulder of the injured side leads to dull aching pain, watch out for yourself if you have similar symptoms (Weiss Et al.2018).

The list of such injuries is non-exhaustive and it is beyond the scope of this short article to be covered comprehensively. The notable thing, here, is that despite whatever injury one has, one needs to get the cause of the injury treated, and not the symptoms. Traditionally, we have been treating the injured part only, whereas the culprit lies elsewhere. Re-injuries are common when these traditional approaches are used for treatment.

A thorough biomechanical assessment is the best diagnostic approach that the athletes can rely upon. It gives valuable and tangible data about the injury and/or its causes. Not only the diagnostic tools but factors like, choice of the treatment, exercise prescription, and skills of your physiotherapist, matter a lot when it comes to prevent or treat these injuries. So, please ensure that you are in the right hands.

ABTP, with its state of the art technology, is miles ahead of others when it comes to biomechanical or functional sport-specific assessments. With devices such as Isokinetic, Prokin, Walker view and Care therapy, and backed by highly experienced and professional physiotherapists, we have been using data-driven scientific approaches for treating sportsmen. Come experience ABTP culture at a facility near you.

Do enjoy the cricket fever, and watch out for those mighty sixes…at times, the Windies boys hit them hard and long, so much so that one can feel the ball coming out of the TV screen into the living room.

Hemant Gaidhani

M.S. Sports Med and Rehab. (St Mary’s Uni. London ).

  References:

1.Injuries in Cricket.Dinshaw N. PardiwalaSports Health. 2018 May-Jun; 10(3): 217–222.

2. Which Extrinsic and Intrinsic Factors are Associated with Non-Contact Injuries in Adult Cricket Fast Bowlers? Olivier BTaljaard TBurger EBrukner POrchard JGray J5Botha NStewart AMckinon WSports Med. 2016 Jan; 46(1):79-101.

3. Management of Rotator Cuff Injuries in the Elite Athlete. Curr Rev Musculoskelet Med. 2018 Mar; 11(1): 102–112.

Leigh J. Weiss, Dean Wang, Michael HendelPhilip Buzzerio, and Scott A. Rodeo.

No Fields Found.

What is Knee Arthroscopy?

Knee Arthroscopy is a simple procedure that treats problems in the Knee Joint. However, What can be done post the surgery?

Knee arthroscopy is a surgical technique that can diagnose and treat problems in the knee joint. During the procedure, your surgeon will make a very small incision and insert a tiny camera into your knee called an arthroscope. This allows them to view the inside of the joint on a screen. 

When would I need Knee Arthroscopy? 

Your doctor may recommend that you undergo a knee arthroscopy if you’re experiencing knee pain. Your doctor might have already diagnosed the condition causing your pain, or they may suggest arthroscopy to help find a diagnosis. In either case, an arthroscopy is a useful way for doctors to confirm the source of knee pain and treat the problem. 

Arthroscopic surgery can diagnose and treat knee injuries, including: 

  • torn anterior or posterior cruciate ligaments 
  • torn meniscus (the cartilage between the bones in the knee) 
  • patella that’s out of position 
  • pieces of torn cartilage that are loose in the joint 
  • removal of a Baker’s cyst 
  • fractures in the knee bones 
  • swollen synovium (the lining in the joint) 

What Is Recovery Like After a Knee Arthroscopy? 

This surgery isn’t very invasive. For most people, the procedure takes less than an hour depending on the specific procedure. You will likely go home on the same day for recovery.

Your doctor will recommend a physical therapist to see until you’re able to use your knee normally. The exercises are necessary to help restore your full range of motion and to strengthen your muscles. With the proper care, your outlook after having this procedure is excellent. 

What you can expect at ABTP for Post-operative rehabilitation? 

Pain management: 

Care therapy 

The bio-stimulation created deep in the tissues produces important antalgic, anti-inflammatory and above all tissue repair effects, so as to speed up the time for a complete functional recovery of the patient. 
The effectiveness of Care Therapy is due to the difference in treatment compared to other therapies in which energy is transferred to the patient from the outside. During this energy is stimulated directly from the inside of the muscle tissue, thus favouring a quick recovery. 

Restore ROM and Strength: 

ISOMOVE is the machinery for physiotherapy and rehabilitation, to evaluate and simultaneously increase the strength and endurance of knee muscle groups. It helps to establish a personalized and effective rehabilitation path with the following: 

Continuous Passive Movement: It is utilized to move a joint without the patient having to exert any effort to decrease stiffness. It is highly recommended after the post-operative in knee during early stages of rehabilitation. Additionally, that bends the joint back and forth to a set number of degrees. The amount of movement of the CPM can be adjusted. 

Isometric: It is the type of exercise in which the joint angle and muscle length do not change during contraction 

Isotonic: It is the type of exercise in which the tension remains the same, whilst the muscle’s length changes and that involve eccentric and concentric movements. 

 For evidence based knee postoperative rehabilitation for you and your close ones! Visit an ABTP Centre near you! 

Knee Injuries and Post Injury Rehabilitation

Injury can happen anywhere, be it while playing sports or during training. The sports athletes, in particular, incur injuries to the extreme while trying to keep up with the increasing competition in sports. But the post injury rehabilitation is not just limited to sports population as is believed by many, be it a young or older person everyone needs faster and better recovery from the injury and return to preinjury state. Whether it’s a normal wear and tear of the muscle or knee injury, rehabilitation is very important to get relief from pain and make a safe return to an active lifestyle. This becomes crucial when it comes to sportsperson when post injury recovery time also plays a key role.  

What is Post Injury Rehabilitation? 

Post-injury rehabilitation is a step-by-step process which involves therapy to help you recover better after an injury. Without proper knowledge, people often assume or underestimate the power of physiotherapy although with time it has only gained importance due to better outcomes. The usual post-injury rehabilitation includes treatment for knee ligament and meniscal injuries, thigh muscle injury treatment, knee rehabilitation and injury prevention in sports. The main aim of rehabilitation is to help you lead a life with ease after an injury. 

Knee Injuries that require Rehabilitation 

  • ACL/ PCL ligament partial or complete tear 
  • Any Sprains and Strains 
  • Soft tissue injuries  
  • Broken thigh or leg bones such as tibia, fibula or femur 
  • Associated hip & ankle injuries 
  • Overuse injuries 
  • Bursitis and tendinitis  

ABTP’s Post Injury Rehabilitation Process 

A thorough assessment is carried out by our trained injury rehabilitation specialists to identify and diagnose the problem using a cutting edge medical technology. Based on this, an individualized injury rehabilitation program is outlined keeping in mind the needs and requirements. For example, in a knee injury, rehabilitation program is drawn for a fast, successful recovery. Then physiotherapy exercises are performed using advanced medical technology to remove pain and discomfort and improve functioning. Finally, a real-time feedback is provided by TecnoBody Systems – 21st century advanced medical systems which integrate the use of 3D cameras and sophisticated equipments that ensures that even a single exercise is controlled and effective focusing on quality of movement over quantity. 

The therapy is provided at the center by the specialist physiotherapists till the body is fully restored to a natural state.  

Benefits of Post Injury Rehabilitation

  1. Reduces pain
  2. Better Flexibility
  3. A better alternative to Pharmaceuticals
  4. Improved Posture

Whether you require instant treatment post injury or want to regain muscle movements, you can trust us as one of the best physiotherapy centers that guarantee results. With the help of our trained post-injury rehabilitation specialists and technology, you can meet all your rehabilitation goals. Take a look at all our centers here

ACHILLES TENDINOPATHY

The Achilles tendon is a large structure that joins the calf muscle complex to the heel bone. This is the largest tendon in the human body and is subjected to huge amounts of loads and forces, which can sometimes result in overloading and therefore injury. When a tendon becomes overloaded, we refer to it as a tendinopathy .

What do Achilles injuries look like? 

  • Pain around the back of the ankle 
  • Report recent changes in activity levels 
  • Localised swelling or a small nodule on the tendon 
  • Intermittent pain at the beginning or at the end of exercise 
  • Pain on movement after sitting for a long period or when waking from sleep 

Who is most likely to get it? 

  • Increased Body Mass Index (BMI) 
  • High blood pressure 
  • High cholesterol levels 
  • Diabetes 
  • Altered biomechanics of the foot and ankle 
  • Use of corticosteroids and some antibiotics  
  • Family history 

How do we fix it? 

At ABTP our highly trained physios will provide an individually tailored treatment plan, catering the following factors: 

For the pain and inflammation 

Goals  

  • Reduce pain  
  • Reduce inflammation  

CareTherapy can be used to reduce the pain and inflammation. It is a revolutionary method that arises from the synergy between cutting-edge technology and clinical-scientific skills acquired over more than 20 years of experience in the field of Resistive Capacitive Energy Transfer. It increases microcirculation, vasodilation and increases the internal tissue temperature that will further reduce the symptoms. 

Bio-stimulation deep in the tissues produces important analgesic, anti-inflammatory and above all tissue repair effects, so as to speed up the time for a complete functional recovery of the patient.  

For balance and proprioception   

Goals  

  • Improve balance 
  • Improve proprioception  
  • Prevent falling  

Prokin is an advanced technology that combines classic tilting and static platform connected to a monitor and speaker to create a visual and audio feedback in response to minimal movements of the platform on all planes; analysis and integration of on-screen tracks described by the patient (with the movements that focus on the ankle articulation) is realized by special software in order to generate targeted rehabilitation paths for the areas where the proprioceptive impairment is clearer. With the help of this patient can improve his balance as well as proprioception. 

Functional line  

Goals  

  • Improve muscle strength and coordination 

It combines the technology of the 3D camera and the force platform with the combination of electronically controlled arms and cables powered by pneumatic air giving you the perfect repetition and tracking everything you do.  

Functional line has special exercise programs for improving the strength of lower limbs for the patients suffering with Achilles tendinopathy.  

To avail the best Achilles Tendinopathy physiotherapy treatment services in India, consider dropping by any of the ABTP centres near you. Our advanced physiotherapy centres are equipped with some revolutionary equipment and cutting-edge technology in the field of medical fitness that guarantee you recover as much function as possible. For more information, visit: http://www.abtargetingperformance.com/ 

Physiotherapy for Posture Correction

When you are learning to groom your personality, the way you sit and stand matters a lot! A good posture simply adds to your confidence and makes you look elegant. Yet many people are failing to realize its importance and the need to maintain it well.  

The lifestyle that we have today has made it all the more worse. Our dependency on technology has increased that is slowing turning everyone into couch potatoes. People are sitting in front of their computers and working for straight 8-9 hours, finding it hard to take out time for exercise. As a result, the number of musculoskeletal disorders has increased that leads to bad posture. 

Poor Posture or Postural Dysfunction is defined as when the spine is placed in unnatural positions consistently, that causes various health problems such as: 

  • Back Pain 
  • Neck Pain 
  • Poor Muscle Balance 
  • Arthritis 
  • Difficulty in walking, sitting, bending and standing 

To improve these problems, physiotherapy for posture correction is the best proven method till date. At ABTP, an assessment is carried out by trained medical professionals to identify the cause for bad posture. We make use of advanced medical technology systems from TecnoBody that has the efficiency of detecting even one degree of deviation. Postural bench gives an insight of slightest difference present in the posterior chain muscles at the scapular, lumbar and pelvic region. On the basis of this assessment, we create a customized treatment plan to address all issues related to bad posture. The plan includes physiotherapy exercises for posture correction to sit and stand straight back again! The most common exercises are: 

  1. Chin Tucks 

When the neck muscles are weak, the forward-head posture gets disturbed. You can strengthen them now by doing this chin exercise. While sitting or standing, it can be performed easily anywhere.  

Tuck your chin in, move your head back and look straight. Hold for 4-5 seconds and then release. Repeat 10 times. 

2. Hip Flexor Stretch 

Knee down with left leg resting on the ground and the right foot on the floor in the front. Now slightly lean your hips forward to stretch the hip flexor muscle. Hold this for 30-60 seconds and then switch sides. 

3. Cat Stretch 

Lie down flat facing the floor. Then slowly lift your upper torso up with hips staying on the floor. Stretch as much as you can. Hold this position for 4-5 seconds. Repeat this 10 times. 

4. Shoulder Blade Squeezing 

Lie on your front, facing the floor. With arms placed by your side, squeeze your shoulder blades together as much as you can. Hold for 10-15 seconds. Repeat 10 times. 

Don’t know where to go for trying the above-mentioned physiotherapy exercises? Drop by at any of our ABTP centres near you for training and rehabilitation that ensures you stay on the path of recovery and then finally come out with improved posture. 

Lumbar Disc Prolapse

Lumbar disc prolapse is a displacement of disc material (nucleus pulposus or annulus fibrosis) beyond the intervertebral disc space.  

In India we have numerous activities which involve bending and twisting of the spine. The religious postures, floor sitting for eating food, squatting in an Indian toilet and cleaning the floors are some among them. 

Risk factors for disc herniation include smoking, weight-bearing sports (e.g. weight lifting, hammer throw), and certain work activities, such as repeated lifting. Driving a motor vehicle has been suggested to be a risk factor for disc herniation. 

How do you know if you have a slipped disc? 

  • Low back pain travelling down one or both leg sometimes into your feet. 
  • Pain feels like electric shock or pins and needles sometimes accompanied by tingling and numbness in leg or feet. 
  • Twisting, bending, lifting, prolonged sitting and standing will increase pain. 
  • Back, hip, knee and leg muscle weakness. 
  • Foot drop and bowel bladder disturbance. 

We, at Abhinav Bindra Targeting Performance (ABTP) do a complete biomechanical assessment of your body which gives us complete information about the body mechanics and the root cause behind the pain. We then prepare a customised training program pertaining to you specifically, and guide you on how to go about eradicating this back pain for good. At ABTP, we do not believe in treating the symptom, we believe in treating the cause.  

Exercises that can be done at home: 

Bridging:  

Lie flat on back; bend knees at 90-degree angle, feet flat on the floor. Raise buttocks off floor, keeping abs tight. Tighten buttocks. Shoulder to knees should be in straight line. Hold for a count of five. Slowly lower buttocks to floor. Repeat five times. 

Straight Leg Raise:  

Lie flat on back. Bend left knee at 90-degree angle, keeping foot flat on floor. Tighten abs. Keep the right leg straight and slowly lift right foot to the height of the left knee. Hold for a count of 3. Do 10 repetitions. Switch sides and repeat. 

Prone on Elbow Extension:  

Lie flat on stomach. Place your elbow perpendicular to Shoulder width. Slowly rise up your trunk up to hip level. Hold for a count of 5 to 10. Do 10 repetitions. 

Piriformis stretch:  

Lie flat on back. Eg: If you’re going to stretch on right side, bend knee and hip up to 90° and rotate the heel towards left side. Then push the knee towards left side chest and feel the stretch for 20 to 30 seconds. Do 3 repetitions  

Relief from Back Pain through Physical Therapy

Low back pain treatmententails therapy to decrease the discomfort, improve function and teach the patient a maintenance program to avoid further recurrences. Physical therapy consists of active and passive treatment. Your therapist may begin initially on passive therapy for a couple of days or weeks so as to prepare your body for active treatment which involves therapeutic exercises to strengthen the back and avoid further episodes of low back pain.

Passive Treatments:

Deep tissue releases – this technique helps ease the spasms and muscle tension which builds up due to daily stress. The therapist uses pressure and friction to release the tension in the soft tissues.

Care therapy® – it helps you to give instant relief from back painby fast pacing the recovery process. It significantly reduces inflammation and pain.

Active Physical Therapy:

Once the passive therapy program is complete patients are encouraged to undergo active therapy for better results. Pain is significantly reduced, functions are improved and there are lesser episodes of discomfort. Active exercise plays a significant role in reducing pain and gradually improving function. An exercise program will significantly decrease your chances and severity of future occurrences of low back pain.  Lower back pain treatmentincludes stretching, strengthening of the weak muscles and surrounding areas.

Stretching – Muscles of the lower back, abdomen, hips and legs, are stretched to allow greater flexibility and improve the range of motion in the muscles that have not been used for a long time.

Strengthening – Back strength and stability is increased through exercises which could involve the use of machines and exercise balls. 

Core Strengthening – Low back pain managementinvolves strengthening the adjoining muscles around the spine and lower back too. The stronger the abdominal, leg, hip and lower back muscles, the lesser the stress on the spine. This can be achieved through various exercises and the use of specific machines.

But how to decide on what type and mode of treatment you require that not only helps relieve your pain but also aim at faster recovery?

We, at Abhinav Bindra Targeting Performance (ABTP), do a complete biomechanical assessment of your body which tells us about your stability, balance, gait , and posture- all of which play an important role in causing back pain.

With the use of latest technology and machinery, we can assess the root cause behind pain. We then prepare a customized training program pertaining to you specifically and guide you on how to go about eradicating this back pain for good. 

We are your one-stop solution for back pain. If you are suffering from back pain, come and get assessed immediately.

The Best Exercises for your Lower Back Pain

Our unhealthy lifestyle choices can increase the risk of developing health problems which include lower back pain.  The lower back is the area behind the belly starting from the rib cage and ending on pelvis also known as the lumbar region. Almost everyone will experience pain around this region at some point in their life. As you age, the pain will grow and become debilitating.

What causes lower back pain?

  • Muscle strain or sprains
  • Weight gain
  • Spine injury
  • Spine cancer
  • Compression fractures

For this health condition, exercise is mostly recommended to help alleviate  lower back pain. Even research has shown that exercise provides great relief from lower back pain and increases functionality.

Here are some gentle exercises for lower back pain that don’t require any equipment to help strengthen the back, prevent injury, improve stability and mobility. 

5 bestexercises for your lower back pain

  • Wall sit-ups
    Stand straight with back touching the wall. Then go down the wall slowly till your knees are bent. Stay there for 10 seconds and the slide back up the wall. Do 10 repetitions.
  • Bridges

Lie flat on your back. Bend your knees and then raise your hips off the floor. Hold the positions for 15 seconds and then go back to the starting position. Do 10 repetitions.

  • Hyperextensions

Lie flat on your stomach with hands at your sides. Then slowly lift your chest and hands off the floor. Hold that position for 10 seconds and then back down to the floor. Do 10 repetitions. 

  • Cat Stretch

Lie down flat facing the floor. Then slowly lift your upper torso up with hips staying on the floor. Stretch as much as you can. Hold this position for 4-5 seconds. Repeat this 10 times.

  • Lower Back Stretch

Kneel on all fours with knees directly under your hips and hands directly under your shoulders. Then slowly take hips back towards your heels. Hold this stretch for 15-20 seconds. Finally, bring your body up on all fours again. Do 10 repetitions.

You can start today by incorporating these simple, no equipment exercises for lower back pain into your daily schedule. If some symptoms are more serious requiring a full assessment, visit the ABTP centrenear you. We do a complete biomechanical analysis of your body to identify the causes behind lower back pain. Then our experienced physiotherapists will prepare a customized training program pertaining to your needs. To know more about ABTP, click here.

Low Back Pain

Low back pain is one of the most common reasons for people to visit an orthopaedic or physiotherapy clinic. Nearly everyone will experience some form of back pain in his or her lifetime. The lower back is the area behind the belly from the rib cage to the pelvis and is also called the lumbar region. 

Low back pain can start in a person’s early twenties and continue on throughout adulthood. Studies have shown that up to 80% of the general population are affected by low back pain (LBP) at some time during their lives.

Low back pain symptoms range from sharp and stabbing to a dull ache. The pains can be constant or intermittent and positional. Acute low back pain can appear suddenly after injury. Chronic back pain is defined as pain lasting more than three months. 

Most athletic injuries to the back are sprains of the ligaments or strains of the muscles surrounding the spine. The most common sports injuries occur after repetitive overuse of the spine either through twisting, compression, or flexion. High impact sports such as running, football, badminton or lawn tennis can often cause low back pain. Sports like golf, in which repetitive twisting is often involved, can also cause low back pain. Back pain that occurs after excessive exercise or heavy lifting is frequently a strain injury.

Also, a job that involves pulling, lifting, twisting or even prolonged sitting in an awkward position can cause low back pain. Standing on your feet for hours on end, which can cause lower back pain too.

 Now you are aware of common causes and symptoms of low back ache. Keep reading for some exercise that will help you ease pain