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Sports Hernia (Athletic Pubalgia) Very Painful soft tissue injury that occurs in the lower abdominal...
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Transcript of Sports Hernia (Athletic Pubalgia) Very Painful soft tissue injury that occurs in the lower abdominal...
Sports Hernia (Athletic Pubalgia)
• Very Painful soft tissue injury that occurs in the lower abdominal or groin area.
• Occurs in sports that involve sudden change of direction or intense twisting movement.
• Most often affects the muscles within the lower abdominal.
Mechanism of Injury
• Sudden Change in direction or twisting movement. • Tendons attached to the oblique muscles to the pubic
bone are most vulnerable • Sports hernias occur mainly in vigorous sports such
as ice hockey, soccer, wrestling, and football
Treatment
• 4-6 week injury • Non-Surgical treatment: First 7-10 days, rest and ice
(not directly to the skin) 15-20 minutes, 3-4 times a day.
• 2 weeks in you may start physical therapy exercises to improve strength and flexibility.
• NSAID’s• If pain returns after 4-6 weeks one may need surgery
Treatment cont.
• Surgical Treatment: Can be done as a traditional open procedure or an endoscopic procedure.
• Most athletes are able to return to sports 6 to 12 weeks after surgery.
• Your recovery should be guided by the absence of symptoms, not a specific length of time on the calendar.
Prevention
• Strengthening the Pelvic floor muscles. • Maintain muscle balance.• Never increase training intensity, duration, and
frequency by more than 10 percent a week.• Proper Warm up/cool down• Yearly physical
Blow to Solar Plexus
• Commonly known as “getting the wind knocked out”• Caused by a sudden blow or impact to the stomach or
sometimes from a fall onto the back. • The athlete will have difficulty breathing deeply and
possibly difficulty breathing at all.
Treatment
• Encourage calm slow breathing in the nose and out the mouth
• If the winded athlete suffers from asthma, they may require additional care such as their inhaled medication.
• The player can return if their breathing and pulse return to normal with no pain/deformity
Prevention
• No true way to prevent this type of injury. • If there is still signs of pain or deformity there
maybe a serious internal injury. • Tighten core muscles• Anyone is vulnerable
Rupture Spleen
• Occurs when the capsule-like covering of the spleen breaks open, pouring blood into your abdominal area.
• Can rupture when the abdomen suffers a severe direct blow or blunt force.
• Fist-sized organ under your left rib cage near your stomach.
• Motor vehicle accidents,
Injury during contact sports, such as
football and hockey
Signs and Symptoms
• Pain in the abdomen, left rib cage, or left shoulder region. • Signs of internal bleeding include:
Blurred vision, Confusion, Light-headedness, Fainting, Signs of shock, including restlessness, anxiety, nausea, and paleness.• Diagnoses: Physical exam, CT scan (not recommended), and
Focused abdominal sonographic technique (FAST).
Grading Scale of Injury
• http://radiopaedia.org/articles/splenic_injury_grading
• Treatment:– Require immediate medical attention. – Can be a life threating injury.– Grade I&II may not require surgery.– A risk to live without.
• Prevention:– Using proper equipment– Very vulnerable– No true way of prevention
Sources• http://www.sportsherniasouth.com/ • http://www.webmd.com/a-to-z-guides/sports-hernia-topic-overview• http://orthoinfo.aaos.org/topic.cfm?topic=A00573 • http://kidshealth.org/kid/ill_injure/aches/winded.html • http://www.sportmedbc.com/news/“getting-wind-knocked-out-you”• http://www.sportsinjuryclinic.net/sport-injuries/chest-abdomen-pain/
winded • http://www.mayoclinic.org/diseases-conditions/ruptured-spleen/basics/d
efinition/con-20029359
• http://www.webmd.com/digestive-disorders/ruptured-spleen• http://emedicine.medscape.com/article/432823-treatment