Dear Doc; YOUR HEALTH AND FITNESS MAILBAG.
GOT a sports injury sports injury A injury sustained practicing or competing in a sport Sites Thigh, foot, knee, lower leg, ankle, hip, finger Types Contusion, strain, sprain, heat exhaustion, lacerations, etc Sports with most Martial arts–judo, tae kwon do, wrestling, or general fitness problem? Don't suffer in silence. Drop John a line at: Dr John MacLean, Hampden Park, Glasgow G42 9ED or e-mail him at info@ sportsmedicinecentre.orgQ. I take Ibuprofen ibuprofen (ī`byprō'fən), nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, fever, and inflammation. for sports injuries occasionally and am a bit concerned about the recent withdrawal of one of the anti-inflammatory medicines.
Should I keep taking them?
S. JARVIS, AIRDRIE A. Anti-inflammatory medicines are used in sports injuries to reduce swelling and relieve pain. All these medicines are based on Aspirin, which was the original anti-inflammatory but can cause stomach irritation among some users.
New drugs have been developed to minimise this risk and it is one of the most recent products on the market, Vioxx, which has been withdrawn due to other adverse effects.
The medicines commission are currently looking at the others available but, at present, patients are advised to continue their current treatment.
Q. I am in my 50s but still play regular badminton. Over the last year or so I have noticed pain in my neck and a creaking sound, particularly when I play overhead shots. Could this be arthritis?
B. WHITE, GLASGOW A. As your symptoms have been present for some time it does not sound like an injury but more likely to be due to cervical spondylosis.
This is known as degenerative osteoarthritis osteoarthritis
or osteoarthrosis or degenerative joint disease
Most common joint disorder, afflicting over 80% of those who reach age 70. It does not involve excessive inflammation and may have no symptoms, especially at first. which affects the bones in the upper part of the spine. Wear and tear of the bones is quite often the cause. Injury can also sometimes start off the symptoms, though, which are commonly pain in the back of the head or neck.
Some patients suffer pain and tingling tin·gle
v. tin·gled, tin·gling, tin·gles
1. To have a prickling, stinging sensation, as from cold, a sharp slap, or excitement: tingled all over with joy. down their arms due to nerve pressure from the worn bone or dizziness due to pressure on the blood vessels, especially when turning their head.
Cervical spondylosis cannot be cured but the symptoms can be treated with painkillers and anti-inflammatory medicines. Physiotherapy can strengthen the surrounding muscles and improve neck mobility.
Q. I play golf twice a week and recently have suffered from increasing pain in my wrist. It is now almost impossible to grip the club without this discomfort. Do I have tendinitis?
D. MITCHELL, WHITECRAIGS A. This does sound like inflammation of the tendons, which control wrist movement.
The tendons are attached to the muscles that move the wrist, and assist in the grasp, so this is why you have pain when gripping the club.
The cause may be poor technique or an increase in the frequency of playing.
Pain is felt over the particular tendon or tendons involved and is increased by turning the wrist especially against resistance. There will be local tenderness and possibly swelling.
Treatment consists of measures to reduce the inflammation. This comprises initial rest from the activity which aggravates the pain, physiotherapy, anti-inflammatory medicines and possibly the use of a splint splint, rigid or semiflexible device for the immobilization of displaced or fractured parts of the body. Most commonly employed for fractures of bones, a splint may be a first-aid measure that allows the patient to be moved without displacing the injured part, or it to limit movement.
Occasionally a local steroid injection or surgery is needed for persistent cases.
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