Browsing Category

Health

Health

Effectively Prevent an Ankle Sprain

January 9, 2018 • By

An ankle sprain is one of the most common injuries, making up a quarter of all sporting injuries. But luckily, whether in sports or just in everyday life, there are two fantastic ways that are scientifically proven to reduce ankle sprains and protect ankles.

Millions of ankle sprains worldwide

In the Netherlands alone, they see a massive 580 000 ankle sprains a year and the US it is estimated that there are 628 000 per year! And keep in mind that half of those are from athletic participation, so it is just as common to injure your ankle off the sporting field in day-to-day life. (1)

Given this high occurrence of ankle sprains, one would think that everyone knows just what to do to rehab them back to 100% and prevent them happening but it seems that it is almost the opposite. It seems that because ankle sprains are so common – they are brushed off as “normal” with comments like:

“It’s alright, my ankle rolls all the time, it’s just an ankle sprain”

Or

“I’ve got weak ankles”

But really, there are proven ways to prevent ankle injury that are cost-effective and they work and given that the risk of re-injury is DOUBLE in the first year after injury – why would we not do more to prevent this?

That’s where a couple of great recent studies come into play that shows what non-surgical options help heal an ankle sprain well and help prevent re-injury:

And don’t worry, they are just brief summaries, not a big write up!

Study 1: An earlier study (systematic review – the highest level of evidence) in 2010 found that taping, bracing and neuromuscular (balance) retraining are each individually linked to a 50% reduction in ankle sprain risk. Who could say no to a 50% less chance of reinjury right? (3)

Study 2: Following on from this study some researchers went a step further to figure out actually what was MORE effective between bracing and neuromuscular retraining.(2)

This is what they found:

  • Bracing is superior to neuromuscular training for the prevention of self-reported ankle sprain recurrences.
  • Bracing is associated with an added 47% reduction in risk of recurrence versus neuromuscular training.
  • bracing was proven effective when prescribed during sports for 12 months, the prescription period of brace use in athletes needs to be extended, instead of being phased out.

credit YLM sportscience

So if you had sprained your ankle in the past 1-2 years or have issues with ankle instability, our evidence-based advice would be to keep a good ankle brace and massively reduce the risk of reinjury.

Our recommendations:

Comprehensive ankle support


Health

How to Prevent Ankle Sprains in Basketball | Infographic

December 12, 2017 • By

prevent ankle sprains in basketball

 

More in-depth:

What is the most common lower limb injury? Ankle Sprains

What is the most common basketball injury? Ankle Sprains

With ankle sprains being as prevalent as they are, it’s handy for basketballers to know what helps and what hinders their continued playing. Luckily, there are some brilliant studies that have looked into just that and today we have summarised a large study from the BJSM.

Main study components:

  • 10 393 basketball players were observed for the study
  • 3.85 players injured per 1000 players
  • 45% were injured when landing

What are the risk factors for ankle sprains in Basketballers

A previous ankle sprain is a massive risk factor due to a couple of reasons:

  • Large sprains can leave some laxity on the ligament and joint
  • Athletes not fully rehabilitating sprains back to 100%

Ankle sprains are too often brushed aside with a week or two off sport and rest before getting back to it but the trouble is then that there is normally some muscle weakness that needs to be addressed.

It is very interesting to see a massive 4.3 X risk of ankle sprain in those that wear air cell shoes (can be the more expensive shoes) compared to those that don’t. This is part of the reason there has been less of these type of shoes on the market recently.(1) This could be down to the fact that the air cell makes you slightly higher off the ground and also the fact that it takes away feeling and proprioception, worsening you muscles reaction time.

In terms of a warm-up, we find a lot of people think they get injured because they haven’t stretched but it is actually more likely to sprain your ankle if you don’t warm up – with dynamic stretches or game-like drills.

 

Prevention

This is fairly straightforward:

    1. As you have probably guessed, an easy one is to warm up well. You can use a guide such as the FIFA 11+ which has been shown to be effective for basketball as well as football(2) or this one from Jeff Haefner at Breakthrough Basketball
    2. Rehab injuries fully – challenge you dynamic balance until both limbs are even at least
    3. Use a lace-up ankle brace for up to 12 months after injury such as the DonJoy Ankle Brace

 

Conclusion:

Rehab well, protect injured ankles and don’t take them lightely.


Health

Knee Cracking: Noisy Knees are No Worry

September 28, 2017 • By

Knee cracking, popping and creaking are very common complaints but are actually nothing to worry about. Today’s post is an explanation of what causes the cracking in your knees, why it is no issue and what you can do to help it if it still gives you or a family member the heebie-jeebies…

knee cracking - what causes itWhat causes knee cracking?

Firstly, in the majority of cases, the cracking IS NOT FROM ARTHRITIS.

The most common cause of knee cracking or crackling are:

  1.  Gas bubbles within the main knee joint. We have a lubricating fluid within our joints called synovial fluid and within this can be gas bubbles. The change in joint pressures with movements of the knee causes these gas bubbles to move and pop – causing the cracking or popping noise
  2. Fluid movement behind the kneecap causes more of a fine crackling noise when bending the knee back and forth
  3. Another common cause of knee cracking is extra-articular (outside the joint) tendons or ligaments snapping back and forth over a knobbly bit of bone.(1)

Either way – these are not usually painful but if you are getting pain with you knee cracking then you should see a physio to get it assessed and treated.

The cracking can happen at any age but is more common as you get older and can be in one or both knees

 

Painful knee cracking

This is far less common but it can be caused by wear and tear (degeneration) of the cartilage and can be treated well with good treatment and rehab exercises – particularly if caught early, so if in doubt, go see your physio.

 

The video below gives a great explanation of crepitus and how it has no correlation to pain or pathology (Watch from 1 minute onwards)

 

How to decrease swelling and support your knee

For those that DO have painful knees, as well as seeing your physio, a compressive knee support can help a lot. There are two main types for you:

  1. A slip on compression sleeve with patella support. Having support for the kneecap at the front helps maintain alignment and compression of the support is key for helping keep the knee warm and decrease fluid from swelling.
  2. For those of you with large thighs, a wrap around knee support can be better fitting and more comfortable as the above braces and more cylindrical in shape and can slip or roll down.

Another great way to support the knee is to get the muscles around it stronger! A great place to start on that is some wall sits, which is a very safe way to lay a base of strength without aggravating any knee pain. Check out more on that here


Ankle, Health

Ankle pain, The Best 3 Support Braces

August 2, 2017 • By

Our ankles get little reprieve and time to rest so when we get ankle pain we need a way of looking after them while keeping going. We have outlined the best supports and given a guide so that you can find the perfect support for your ankle pain.

Recent research has proven beyond a doubt what the best thing is for ankle pain and it isn’t what everyone would think. In the past, the need for rehab and strengthening ankles up has been pushed as the most important. But actually, what has been shown to be even more effective in recent research, is wearing an ankle brace.(1

Here is a quick summary of the study from YLM Sports Science

Ankle pain support

Why do braces work so well for ankle pain?

They support you, allowing you to keep moving. That is the key.

Often when we have ankle pain, we aren’t as active, we start walking differently and avoid certain activities. But, with the right support, we avoid the muscle dysfunction and stiffness that comes from this. That is why ankle braces and the most popular item in most physical therapy clinics and that is why you have nothing to lose and everything to gain in getting one for yourself.

We have put together a guide for you below of the different types of ankle support to help you decide on what is best for you:

TypeLevel of supportUsed forLink to example product
Compression sleeveMild support- Ankle pain
- Compression in early stage rehab
- Reduction of swelling
- Mild ankle sprains
- mild instability
Support with strapsModerate support- Ankle pain
- Maintaining warmth
- Moderate support
- Mild instability
- Mild and moderate ankle sprains
Lace-up ankle braceComprehensive ankle support- Moderate and severe (grad 2 and 3) ankle sprains
- Moderate to severe ankle instability
- Dynamic sports

For those of you that don’t have a lot of room in your footwear, there are types of low-cut and low profile ankle braces like THIS Mueller brace that are also a great option.

Further information on ankle pain

For those of you that are information orientated, we have decided to go more in-depth into the many causes of ankle pain, why it can hang around and the many more things that you can do to help it as the more we can do to get rid of ankle pain faster, the better right?

Causes of ankle pain:

  • Tendinopathies: Overload injuries to the tendons around your ankle is common, including peroneal tendons, Achilles tendinopathy and more. Note tendonitis is a common term that is still used a lot but research over the last 10 years has shown that the majority of tendon overuse injuries are not inflammatory after the first 1-2 weeks.
  • Broken ankle: Following ankle fractures and subsequent casting you can be left with stiffness and pain for up to a year. An ankle support can really help with this as well as stretching if you don’t have the full range. You can test your range with an easy test in our past blog post here
  • Arthritis: The top two braces above can help a lot with this as they maintain warmth of the joint
  • Plantar fasciitis

The majority of ankle pain can be helped with decreasing the aggravating activity, supporting the area well and strengthening the ankle back again and there are a lot of great exercises in our past blog posts like THIS one that is great for not just ankle sprains but all sorts of issues down below!

Information on ankle sprains

The most common type of sprained ankle is the lateral ankle sprain (85%), and that is what we are going to discuss and sort out today.

Mechanism of injury: The plain and simple is that a sprained ankle is typically when your foot is forced inward (inversion) and down at the same time (often when changing direction, turning and/or on uneven surfaces). This puts the ligaments under too much stress too fast which causes a tear of one or more of your ankle ligaments.

 

sprained ankle - lateral ligamentsQuick anatomy: The lateral (outer) ankle has 3 ligaments supporting, with the weakest of these (and so most often injured) being the ATFL. The ATFL is the Ligament at the front of the ankle shown here and in most simple sprains, this is the one torn with or without the ligament below it.

Sprained ankle recovery time: The general recovery time is 2-6 weeks (if looked after properly) and keep in mind, even if it feels bad now if you do all the right things you will be one of the 95% who returns to sport and activity within 6 weeks.


Back pain, Core strengthening, Health, physical therapy, physiotherapy

Beating Low Back Pain – Must know Physiotherapy Exercises

July 20, 2017 • By

Don’t put up with low back pain and Sciatica. Below are the best and safest exercises to treat your low back pain yourself.

With 80% of the population experiencing low back pain in their lifetimes, and 84% of those having a recurrence within the same year, this is a huge problem, but a problem that can be helped… alot! As with most other pain and injury, treatment and exercises combined lead to optimal results, so below are five exercises for you

As with most other pain and injury, treatment and exercises combined lead to optimal results, so below are five of the best exercises for you to rehabilitate your low back pain at home.

1. Bridge, level one:

Start by lying on your back on the floor or bed with your knees bent. Squeeze your buttocks together and lift buttocks off the floor until your body is aligned. Hold for 5 seconds, then lower down. Repeat 10 times twice.

Brideg - up

Bridge level 2:

For the next level up if the above is too easy, keep one leg straight out in the air and perform with one leg. 10 reps each side, 2 sets.

For the next level up if the above is too easy, keep one leg straight out in the air and perform with one leg. 10 reps each side, 2 sets.

SL bridge 1SL bridge 2

2. Glute sling stretch:

Our favorite stretch!

glut and Lat stretch - Hip flexibilityglut and Lat stretch - Hip flexibilityglut and Lat stretch - Hip flexibility

 

Start on your hands and knees then bring one knee between your hands. stretch the other leg out behind you and across to the other side. Now slowly walk out over your knee with your hands until you feel a good stretch.

Hold for 1 minute each side.

Tip – If that is too much of a stretch then go down onto your elbows first.

3. Bird-dog: 

Instructions: In four point kneeling slowly raise one arm and leg on opposite sides, making sure to keep your back straight (imagine your dinner is sitting on your hips – it is all about control). Lower down in a controlled manner and repeat, 10 times each side twice.

Beginners: Start by raising one leg only.

birddog 2birddog 1

4: Hip flexor stretch: This is important to unload the Low back and pelvis:

hip flex 1hip flex 2

Tip: to get a good stretch “tuck your bum in” or draw the bones at the front of your pelvis up towards the roof. You should feel it in the front of your hip or top of your thigh.

Hold for 1minute.

5: McGill Curlup

Place your hands down on the floor underneath the natural arch in your lower back (Don’t flatten your back.) Only lift your head and shoulders off the ground – unlike crunches, there should be no movement of your lumbar spine. Your hands are there to make sure your back is not curling off your hands or crushing them.

Once you have good spine control then you can take your hands onto your thighs and slide them to the top of your knees to do the curl-up. It doesn’t feel like you are going far but with repetition, it can get your abs firing well.

Begin with 20 at a time, and build up.

mcgill curl up

The key to all of these exercises is to maintain control and don’t rush them.  Do these exercises twice daily for 6weeks and notice the difference (but don’t stop there!)

Also see Slipped disc: what is it and how to fix it.

And if you want more and harder exercises to strengthen up your low back: Get into some QL strengthening!

 

Please Share, like and comment to let me know how you go.