Accurate diagnosis
This is greatly facilitated by understanding the mechanism
of sporting injury, skilled history-taking and physical
examination, and the appropriate use of diagnostic tools.
For example, an ankle sprain is a collective term that
indicates an injury to a number of possible structures
– therefore the Sports Physician needs to identify
the specific structure that is damaged in order to prescribe
the appropriate treatment.
Rectification of root causes
After the injury has healed, it is
likely to recur unless the root cause has been identified
and removed. For example, one of the causes of a pulled
hamstring is muscle weakness. If a sprinter who has
just ‘recovered’ from a torn hamstring returns
immediately to sprinting, without first strengthening
his hamstrings to a level higher than before the injury,
he is very likely to tear the muscle again. The root
cause may lie in the technique, training method, body
structure, muscle strength or flexibility, agility,
fitness, position awareness, equipment selection, or
training surfaces.
Intensive rehabilitation
For an athlete, being able to walk
comfortably after an injury is simply not good enough
– he needs to be able to train and compete at
or above the pre-injury level. For most injuries, this
requires intensive and stepwise rehabilitation. A good
rehabilitation programme comprises more than just resting
and pain relief. Electrotherapy modalities, correction
of malalignment, taping, core stability, strengthening,
plyometrics, agility, proprioception (position awareness),
stretching, technique modification, etc. are just some
examples of the many components of a rehabilitation
program.
Integrated approach
A Sports Physician does not work alone.
Adopting a holistic management approach, he works with
the Sport Physiotherapist, Sports Trainer, Sports Orthopaedic
Surgeon, Dietitian, Physiologist, Biomechanist, Sport
Psychologist, Podiatrist, Coach, etc. where necessary.
In cases where surgery is required (less than 10% of
the time), the Sports Physician will refer you to a
surgeon.
|