The Acupuncture Handbook Of Sports Injuries Pain Pdf Converter
The Acupuncture Handbook of Sports Injuries & Pain: A Four Step Approach to Treatment. Whitfield Reaves. Insights of a Senior Acupuncturist. The Acupuncture Handbook of Sports Injuries and Pain is a clinical manual that This large 10 1/2' x 8 1/4' paperback book.
A lack of clear definitions of sports injuries have also made it difficult to report accurate injury rates and make comparisons between studies. While clear definitions of sports injuries that represent the holistic views of clinicians, athletes, and sporting institutions have been suggested ( Timpka et al., 2014), there is no consistency or standardized definition of what a sports injury is, and several injury definitions have been proposed from time loss, to medical attention, to any physical complaint ( Clarsen et al., 2013). For example, some sports injury studies define an injury as “an event occurring during a match or training session that required medical attention (including self-treatment), or caused the player to miss at least one scheduled match or team training session” ( McNoe and Chalmers, 2010), others define it as “any injury that prevents a player from taking a full part in all training and match play activities typically planned for that day, where the injury has been there for a period greater than 24 h from midnight at the end of the day that the injury was sustained” ( Blake et al., 2014). As a result of this lack of consensus, and the intricacies of different sports, specific injury definitions have been developed for particular sports, such as cricket ( Orchard et al., 2005) and soccer ( Fuller et al., 2006). The concept of defining injury has also been applied to particular injury types, such as concussion ( McCrory et al., 2009).
A new definition that takes into account the International Classification of Functioning, Disability, and Health proposed by the World Health Organization has been suggested ( Timpka et al., 2014; Table 1). Another issue impacting on comparability of study findings is the manner in which rates have been standardized (i.e., per '000 participants, per 1000 h, time lost from participation) also vary widely, and often population-based data are not reported annually making it difficult to fully understand the current-date impact of sports injuries or monitor trends over time.
Sports injuries are quite common, especially for people who tend to be active or exercise a lot. Over the years I have treated numerous sportsmen / women, applying cupping therapy in conjunction with acupuncture and many times on its own with numerous benefits to the athlete. Although many sportsmen / women come seeking help as a result of an injury, I have also treated many, and in particular long-distance (endurance) runners, before the event took place. Without any overstatement, I can testify that almost all athletes reported some form of improvement to their overall health, including feeling ‘refreshed’, ‘light’ and ‘more flexible’, and having ‘less pain’ and ‘more energy’. For the reasons I have listed below, I believe cupping therapy can be employed quite successfully during the management phase of many injuries as well as before the sporting activity, in order to help the athlete deliver their maximum performance. PrecautionCupping therapy immediately following sports injury should not be attempted at the site of the injury until the practitioner is absolutely certain that the bleeding into the injured tissues has completely stopped. It is of paramount importance that this safety measure is adhered to, in order to avoid further damage to the tissues involved.In the acute stages of sports injuries the normally acceptable treatment is to apply an ice pack to minimize swelling and bleeding into the muscle.
After the initial treatment has been undertaken, rest, physiotherapy or, if necessary in the case of extreme injuries, surgical intervention might be the next course of action. Cupping therapy is most effective in the subsequent stages of the injury (usually around 24 hours later) and is certainly not suggested as an immediate treatment directly following an injury.This is because the instant physiological reaction to injury is a rush of synovial fluid and blood into the injury site in order to ‘protect’ the injured area (hence the swelling of the injured site). If the injury is severe, blood also escapes into the tissues, resulting in a black and blue swelling.
At this stage, cupping therapy is not an appropriate form of treatment, as the condition could worsen owing to the power of suction that is created inside the cup. From the TCM energetic point of view, we can safely conclude that all forms of injury, anywhere on the body, cause local stasis and stagnation of Qi, Blood and Fluids.The purpose of cupping therapy, therefore, is to remove and eliminate this adverse stagnation of Qi, Blood and Fluids by dispersing the stasis and harmonizing their smooth flow.
Consequently, the best time to administer cupping therapy is when the practitioner is quite satisfied that the bleeding has completely stopped, which in most cases will be the next day. The cupping application forces the stagnant Blood, Fluid and Qi into movement towards the cup. When this treatment is administered by means of the Bleeding cupping technique, some blood and fluid will also be removed from the swollen site into the cup.
This action will have the immediate effect of decreasing the localized pressure and reducing both swelling and pain. Consequently, it offers welcome relief and benefit to the patient.With regard to the question ‘Should cupping therapy be administered to an open wound?’, the answer is, most definitely not!
Wound healing takes time and depends on several factors. Local tissue oxygenation, infection, patient-related factors such as diabetes, nutritional deficiencies, smoking and medication are amongst the important healing factors ( Scuderi & McCann, 2005: 103). Once again, to reiterate the point I have made above, cupping therapy is not the appropriate choice of treatment in the acute stages, but is most effective in the healing and recovery phases of the injury. Dr.Kristjan Oddsson, in, 2011 Tendinopathies/tendinosisOveruse tendon injuries account for about 30–50% of all sports injuries ( Kannus 1997). A commonly proposed name for tendon pain problems in general is “tendinopathy” ( Peterson et al. 2001).The most typical symptoms are a combination of local pain, swelling, and impaired performance ( Paavola et al.
The symptoms are more visible on superficial tendons. The pain is commonly sensed before and after physical activity. Morning stiffness in the area and crepitations are common occurrences. Symptoms present from 0–6 weeks can be described as acute, symptoms present from 6–12 weeks as subacute, and symptoms present for more than 3 months can be categorized as chronic ( Fredberg et al. 2008).Alfredson et al. (1998) showed very good results with eccentric exercises as a treatment for chronic Achilles tendinosis. When comparing the efficacy of eccentric vs.
Concentric exercises, it was shown that superior results were obtained by using eccentric contractions in rehabilitation of tendinopathies ( Mafi et al. 2001; Jonsson et al. Ilya Igolnikov. Brian Hainline, in, 2018 Types of injurySports injury classification is primarily tied to chronicity.
The International Olympic Committee defines sports injury as new or recurring musculoskeletal complaints incurred during competition or training that require medical attention, regardless of the potential absence from competition or training ( Engebretsen et al., 2012). Others have suggested that a definition of sports injury should require restricted activity for at least 1 day ( Swenson et al., 2009). Overuse injuryOveruse injuries occur from repetitive submaximal loading of musculoskeletal system when inadequate recovery has not allowed structural adaptation to occur ( Paterno et al., 2013; DiFiori et al., 2014). The injury is the outcome of the difference between the volume and intensity of the force applied to the body and the body's ability to dissipate the stress or force over the course of a training period. Injury may be caused from repetitive microtrauma to otherwise healthy tissue or repeated application of lesser forces to an already damaged tissue.
Overuse injuries mean that athletes are not training at an optimal workload to build physical capacity and resilience in the demands of their sport ( Hulin et al., 2015; Gabbett, 2018). Acute traumatic injuryAcute traumatic injury refers to a singular event that leads to a macrotrauma on previously healthy tissue ( Steindler, 1955). It may be difficult to differentiate between the acute traumatic injury and overuse injury that results in traumatic injury in the acute setting, and therefore a thorough history must be performed to account for improper training. Subacute recurrent injury or chronic degenerative conditionThis classification of injury may form a continuum with overuse injuries or acute traumatic injuries, as singular injuries are often unreported by an athlete and may only become evident after multiple occurrences. A recurrent injury is a subsequent injury at the same site and of the same type linked to a previous injury. The athlete has typically returned to full function from the reported initial incident ( Fagher et al., 2016).
Although degenerative conditions may develop independently of sport injury, some result from prior acute or repetitive overuse injuries and manifest as a chronic overuse injury ( Yang et al., 2012). KeypointMost sports injuries to the eye could be prevented if athletes wore eye protection.Individual athletes should also protect themselves. The eye protectors worn must be capable of dissipating force, but should not restrict the field of vision or the player's comfort. In addition, if they are to be acceptable to a player they must be cosmetically attractive and inexpensive.Each sport will have its own specific requirements.
Where the blow is of great intensity, the eye protector must be incorporated into a helmet, and if there is a danger of irritation (chlorine in a swimming pool) the material used must be chemically resistant. Goggles for skiing must filter out ultraviolet light, while those for shooting may have to be suitable for low light conditions or capable of screening out glare.For general protection in racquet sports, polycarbonate lenses mounted in plastic rather than wire frames are the choice. The nasal bridge and sides of such a protector should be broad and strong to deflect or absorb force.
Freeman, William G. Clancy Jr., in, 2009Athletic injuries to the brachial plexus and peripheral nerves about the shoulder are most commonly seen in contact sports, such as American football. Hirasawa and Sakakida 1 have reported that among 1176 cases of peripheral nerve and brachial plexus injuries treated over an 18-year period, only 66 were related to sports. Router keygen android.
Of these, 16 were compression injuries to the brachial plexus. They also noted a report by Takazawa and colleagues 2 of only 28 peripheral nerve injuries among 9550 sports injuries seen over 5 years. In contrast to these Japanese studies, Clarke 3 has reported the incidence of brachial plexus injury in U.S. High school and college football players over a 4-year period to be 2.2 injuries per 100 players per year. Clancy and associates 4 have noted a 30% to 50% incidence of transitory brachial plexus injuries over the course of high school or college career. Peripheral nerve injuries, although rare, tend to be more prevalent than brachial plexus injuries in sports other than football and wrestling, especially in noncontact sports.
1 Prompt recognition, appropriate assessment, and proper treatment are essential for the safe and timely return of the injured athlete to participation. Although athletic injuries around the hip and groin occur less commonly than injuries in the extremities, they can result in extensive rehabilitation time and considerable cost ( Anderson et al 2001). Accurate diagnosis and treatment plans are essential, together with adequate management of pain-propagating structures in order to facilitate re-education and rehabilitation. Pelvic anatomical, biomechanical, and pain-propagating structures are amongst the most complex in the musculoskeletal system, offering many challenges to management protocols. A multidisciplinary approach is often necessary for optimal management of complex athletic injuries ( Anderson et al 2001) ( Table 8.1).
David Kingsley, in, 2009 SUMMARYAthletic injuries are a serious problem for the shoulder joint. Throwing injuries are of particular concern, because these injuries are common, disabling, and to some extent preventable. During the baseball pitch and other overhand throwing motions, the shoulder is abducted, rotated into maximum external rotation, and then rapidly internally rotated. Large forces and torques are produced to terminate external rotation, initiate internal rotation, prevent distraction, and control abduction and horizontal adduction. These forces and torques may be even larger and more dangerous if the athlete uses improper mechanics.
The shoulder also goes through significant range of motion during underhand and striking motions in sports.An understanding of the kinematics and kinetics of the shoulder during athletic activity is essential for good treatment of shoulder injury. The physician, physical therapist, athletic trainer, or other health care professional must design treatment and rehabilitation appropriate for the demands that will be placed on the shoulder. An understanding of biomechanics is just as critical for the strength coach, technique coach, and others who work with the athlete to optimize performance and minimize the risk of injury. Shoulder biomechanics presented in this chapter serve as a foundation to the sports medicine clinician for reading the rest of this book. Kai-Ming Chan.
Fiona Chui-Yan Wong, in, 2007 Hand injurySports injuries of the hand and finger are quite diversified, and include fractures, dislocation, ligament and tendon injuries. The metacarpal bones are vulnerable to injury after a fall upon the hand or a direct blow with a closed fist or the so-called boxer's fracture.
The usual sites of injury in boxer's fracture are the distal 4th and 5th metacarpophalangeal bones. While fracture of the base of the 1st metacarpal (Bennett's fracture) is also not uncommon, with the same mechanism of injury. The finger joints and bones are more prone to injury upon sudden hyperextension or hyperflexion, thus resulted in fractures of the phalanx, dislocations of the metacarpal or inter-phalangeal joint, or tendon ruptures.
Gamekeeper's thumb (ulna collateral ligament sprain) occurs among athletes with a fall onto an outstretched hand with the thumb hyperabducted.Physical examinations usually reveal localized pain, swelling and tenderness over the injured area, with deformity sometimes obvious. Mallet fingers (extensor tendon injuries) and jersey fingers (flexor tendon injuries) are usually presented with the inability to actively extend or flex the finger, respectively and local tenderness and swelling at the region of the distal phalanx.In cases of joint dislocations, it is best to refer to a trained physician for reduction, no matter how minor the injury may seem. It is mandatory for the team physician to perform a neurovascular and motion assessment before any reduction is made. Closed reduction is done by progressive traction along the long axis of the dislocated bone, and then applying pressure to the proximal base of the dislocated unit in the direction opposite to the dislocating force. A click may be heard or palpated upon relocation.
Whether or not the team physician decides to perform a closed reduction, any suspected dislocations, such as phalangeal fractures, can be managed on the field with a buddy splint, by strapping the injured finger to its neighboring finger. Similarly, mallet finger or jersey finger can be temporarily splinted and referred for further expert care. Waldman, in, 2007 ▪ CONCLUSIONPainful sports injuries are a common problem confronting the clinician given today's ever-increasing interest in physical and cardiovascular fitness. Understanding the problems of misuse and overuse, as well as rapidly identifying potentially dangerous injuries, is the mainstay of the successful diagnosis and treatment of these common afflictions.
The Acupuncture Handbook Of Sports Injuries Pain Pdf Converter Youtube
Often the biggest barrier to successful treatment is the patient's unwillingness to modify his or her exercise routine. The concept of relative rest with the patient resting the affected anatomic area— while continuing to maintain the remainder of the workout routine—can go a long way to overcoming this obstacle to success. Because the areas most frequently injured during sports injuries often have poor blood supplies (e.g., tendon, cartilage, and so on) the risk of further damage if the acute injury is not aggressively treated remains ever present. The use of injectable antiinflammatory steroids is extremely effective in the treatment of many of the foregoing conditions, but it must be used with care to avoid further injury to already compromised and weakened anatomic structures.