Types of Push Up Injuries and Prevention Tips

Trying to get in new exercise routines can be exciting but also dangerous if you’re not sure of the prevention tips you need to keep injury at bay. One of the easiest exercises to do to build your upper body is a push up. However, push up injuries can cause you to be in a lot of pain and reduce the exercise routine you’re wanting to do. It can also stop your progress if you’re having to recuperate. Here are a few of the common injuries seen with this type of exercise and also some push up injury prevention tips you can use to protect yourself.

Common Push Up Injuries

When you’re doing a push up there are a few places you can typically experience injury and pain if not done properly. One of those places is in your wrist. If you have a previous injury or your wrists are not strong enough, you can experience pain and discomfort in the wrist area.

Other areas that can be injured during your push up exercises include the rotator cuff in your shoulder, chest injuries, injuries to your back and elbows as well.

Prevention Tips

Doing a push up properly will help you to prevent any injury during the popular exercise. Make sure that your position and method of doing the specific exercise is correct. Incorrect positioning of your hands, shoulders, and elbows are key factors in push up injuries. When you’re not positioned correctly, you can end up in a lot of pain and have to restrict your exercise routine.

You must also make sure your back is aligned properly during the exercise itself. If you let your body hang to low when pushing up, you can strain your lower back area. Keeping your back straight and aligned over top of your arms will help to prevent that.

Make sure that your hand positioning is not turned out or in and that you are not spread too far apart with your arms. This can cause injury to your wrists and elbows, and possibly your shoulders if not done correctly.

Be sure that when you’re doing push ups that you are performing them in slow steady motions. You do not want to jerk back up and down as this can cause push up injuries as well. Be sure that you’re keeping the proper positioning and keeping your movements smooth and steady.

Push up injuries can be quite often and can take you down for several weeks if you’re not careful. Be sure to follow these push up injury prevention tips above to keep your exercise routine moving forward.

Nursemaid’s Elbow: Cause, Symptom & Prevention

Children are always playing, jumping around, running and generally having a great time. However, there is an injury that can occur to a child that happens suddenly and is cause for a visit to the pediatrician. The commonly termed phrase is pulled elbow or nursemaids elbow, but it is known in the medical community as a radial head subluxation. What is that and what can you do to prevent it from happening to your child? Here are a few things you need to know about this common injury and how you can keep it from happening.

What is Pulled Elbow?

Basically, nursemaids elbow is when the joint of the elbow is pulled partially out. The ligaments around the elbow and the bones in the arm are still growing and are not as tight as the ligaments in adults. This can lead to young children suffering from this injury where they have a small separation of their radiocapitellar joint. Some children have ligaments that are very loose around this joint and thus can suffer from this injury multiple times.

How Does It Happen?

The nursemaids elbow or pulled elbow injury can happen multiple different ways. If children are playing with their friends and someone pulls on their arm too hard it can pop out of place. If you or their care giver is holding their hand and you must pull them quickly out of harm’s way, it can cause the joint to dislocate. When friends or family swing your child around by their arms it can also cause this radial head subluxation to take place. Another way that it can be done is if you’re holding the hand of your child and they happen to pull back on you rather harshly or sometimes even when they fall down and are still holding your hand. It is very rare that it happens from a fall such as this but it does.

How Can You Prevent It?

While it can be a common injury to your children, you want to make sure to try and prevent it as much as possible. Be sure you do not swing your child around while only holding their arms or hands. This can be an easy way to have the pulled elbow injury pop up. Also pick your children up by grasping them under the arms. Do not try to lift them up by their hands or arms. Make sure you also avoid tugging on their arms or hand as this can cause nursemaids elbow as well.

Top 4 Baseball Injuries: Prevention

Baseball is an all-time favorite pastime not only in America, but around the world. From the backyard family games to the pitcher’s mound in the big stadiums, baseball is a game everyone can enjoy watching or playing. While this game is fun and exciting, it can also be dangerous to the players if the proper caution and preventative measures are not taken. From elbow injuries to hurting the pitcher’s shoulder, there are several different injuries that can occur when one plays on a regular basis. Here are the top four common baseball injuries and what you can do to prevent them from happening to you or your children.

Top Four Injuries

When it comes to the sport, there are several injuries that are commonly seen. One of the most common is muscle strains or soft tissue type injuries. This can occur when you pull a muscle during pitching, catching, or running bases. Two more types of injuries that are commonly seen include cuts and bruises. This happens due to running into another player, sliding into the bases, or even getting hit with the ball during a play.

One other type of typical baseball injury is a ligament injury. This includes spraining the ligament which happens a lot when pitching, catching or running the bases. All of these can be minor injuries but others can be quite detrimental to the player. It can cause you to miss a full season if the injury is severe enough.

How do you stop these injuries from happening? What can you do to avoid elbow injuries such as overuse or avoid injuring your pitcher’s shoulder? Here are a few tips to help you prevent these most common injuries from happening.

Tips to Prevent Injuries

Always make sure to warm up gradually and properly each time you go to play. Do not skip the warm up as this can help you get your muscles and body prepared for what you are about to do.  Start with easy slow pitches, running at a slow pace around the bases, and getting your body prepared for the game.

Rotate the pitchers to other positions. Make sure that you do not overuse your pitcher or overuse your arm as the pitcher. Also as the coach of a baseball team, follow the guidelines on age appropriate pitching. For example, teens and adults can typically pitch two games a week while the younger crowd should max out around 75-100 pitches a week. This will help to prevent them from injuring their shoulder.

Always wear your protective equipment such as helmets, shin guards and catcher’s mitt if you’re playing baseball. This can help you to prevent any major injuries and keep you playing your favorite sport.

Top 4 Badminton Overuse Injuries

Overuse injuries are commonly experienced by badminton players. Due to overtraining and improper use of techniques, stress is constantly impacted on the same parts of the body, leading to tendon tears and chronic pain over time if left untreated. The pain comes gradually and may not affect the performance of players immediately. As such, many ignore the symptoms until the condition worsens.

  1. Tennis Elbow

Also called the Lateral Epicondylitis, Tennis Elbow is caused by the repetitive motion of using backhand to hit the shuttlecock. Patients would feel pain in the elbow and arm, especially when raising the hand or gripping an object. Other causes that contribute to the injury could also be the high tension of the strings and unsuitable racket grip size. While the backhand move is necessary for all racket sports, it is important to use the correct techniques and warm up before every training session.

  • Jumper’s Knee

Another name for Jumper’s Knee is Patellar Tendonitis. It is called the Jumper’s Knee as the condition is usually caused by the action of jumping during sports, with the impact striking the knees upon landing. Patients complain of pain and aching on the front side of the knee though they have never had an injury in the area before. It may not be felt significantly in the early stages but eventually, if left untreated, can result in tendon rupture.

  • Golfer’s Elbow

Golfer’s Elbow, or Medial Epicondylitis, is the damage to the elbow muscles and tendons that control the wrist and fingers. It is caused by the repetitive flicking motion of the wrist required in badminton. Usually due to compensation from inadequate use of arm strength, the force used with the wrist might be more than the muscles can take. Patients would feel pain and tenderness on the inside of the elbow and along the forearm, with stiffness and difficulty to grip. Tape and elbow guard can be worn to give more support to the arm. However, it is best to stop all activities and allow the arm to rest once pain is felt during or after training.

  • Shoulder Injuries

One common shoulder injury is a shoulder strain. Due to the nature of the sport which requires impactful swinging of the shoulders, the rotator cuff of the shoulder is often strained or damaged over time. Symptoms to look out for are pain and stiffness that gradually worsens with activity. Injury could be avoided by using the correct techniques and getting plenty of rest to allow the muscles to recover.

Lateral Humeral Condyle Fracture: Causes & Treatments

Lateral humeral condyle fracture most commonly occurs for ages 5-10. It takes up to 20% of paediatric elbow fractures and is the second most common fracture of the lateral humeral condyle among children after supracondylar fracture.

Classification

Usually a displaced fracture, lateral humeral condyle fractures are classified into types based on the severity of the fracture line. To know the type of fracture, examination has to be done by a radiograph, CT scan or MRI.

Type I: Less than 2mm displacement

Type II: 2-4mm displacement

Type III: Completely displaced with rotation

Causes

There are two mechanisms that result in the fracture. The pull-off theory is when the lateral condyle tears away, usually caused by pulling of the extensor muscle. The push-off theory happens when the impact of a fall hits an outstretched arm, causing the radial head to push into the lateral condyle.

Diagnosis

There are certain difficulties in diagnosing the injury. If the bones are not yet ossified, which only happens at age 9-10, the child may be more susceptible to this kind of fracture and it is difficult to diagnose. Though the patient experiences lateral pain in the side of the elbow, the fracture line might not be apparent until 7-10 days after being injured.

Late diagnosis is not uncommon. The fracture line might not be clearly visible on the radiograph. Usually several radiographs have to be done before determining if the fracture is displaced or non-displaced. A late diagnosis could reduce the chance of recovery after surgery and increases the risk of avascular necrosis.

Treatments

Type I fractures with minimal displacement may be treated without surgery. The arm is immobilized in a cast for 3-4 weeks with close follow-up in case of late displacement or malunion. If the fracture is not well taken care of during the period of immobilization, the bones might be further displaced or not completely jointed. A surgery might be necessary then.

Type II and III fractures have to be treated with surgical methods, usually an open reduction and fragment stabilization. For this technique, K-wires are placed to stabilize the anatomic reduction and two pins are laterally inserted. The arm is then immobilized in a cast for 4-6 weeks.

The risk of complications is generally low with a good chance of full recovery. However, patients will most likely retain scars or abnormal appearance of the elbow shape.

Olecranon Bursa Aspiration: Technique & Complications

Olecranon Bursitis, or elbow bursitis, is the inflammation of small sacs of fluid at the back of the elbow (or bursa), causing a bump. The bursa is found around the joints to facilitate smooth movement between the bones. This condition is also known as Popeye elbow because of how the elbow bump juts out like the elbow of the cartoon character Popeye.

Causes

The most common cause of Olecranon Bursitis is inflammation from pressure on the bursa or from inflammatory conditions. It can also be caused by a sudden blow or injury on the elbow, leading to fluid buildup or bleeding. Infection in tissue near to the bursa could also spread to the bursa, causing inflammation. A blood-borne infection is also a possible cause, though it’s a rare condition.

Symptoms

Some of the symptoms of Olecranon Bursitis include experience pain when moving the elbow or when pressure is applied. The back of elbow might swell and form a lump from the fluid buildup and tender when touched. The patient affected might run a fever, get redness around the back of the elbow, breaks in the skin around the swell and lymph nodes in the armpits.

Treatment Technique

To treat a serious condition of Olecranon Bursitis, excess fluid may have to be drained from the bursa by inserting a needle and aspirating the fluid. The elbow is first placed in a 90 degrees position and the patient is asked to relax. The fluid is easier to drain when the patient is relaxed. The doctor would first aspirate to ensure that the needle is not in a blood vessel. Then the injection would be applied on the lateral side of the elbow, in the head of the elbow radius. After this is done, medicine is injected to decrease inflammation.

For treatment of infected bursitis, repeated drainage of the fluid is required and antibiotics are prescribed. Sometimes, the infected bursa may have to be completely removed with a surgical procedure.

Complications

Certain risks are involved when using the joint aspiration technique. Patient may experience infections such as Septicaemia and Osteomyelitis. Persistent pain may occur followed by decreased functional use of the elbow. The affected area may also experience skin atrophy, with the sign of sensitive skin that is prone to tears.

Prevention & Care

Patient should avoid excessive pressure on the elbow after the procedure and to avoid any elbow movements. However, wearing a compressive elbow sleeve would be good to give it just the right pressure to prevent bursa fluid from building up again. Make sure that the elbow does not go through any further trauma.

Elbow Arthrocentesis: Technique & Complications

Elbow Arthrocentesis, also known as joint aspiration, is a procedure to drain synovial fluid from the joint. The synovial fluid is a non-Newtonian fluid found between the articular cartilages to reduce friction of the joints.

This procedure is done to reduce swelling and pain from the fluid collected around the elbow. It may also be done to examine the fluid to determine causes of swelling and arthritis. Some of these causes could be infection, gout or rheumatoid disease. It is important to remove the inflamed fluid and the enzymes in the white blood cells to stop further harm on the joint.

Before the surgery, make sure to let your doctor know of your full medical condition and known allergies to prevent complications. Firstly, the area to be aspirated would be cleaned and applied with local anesthetic. A sterile needle and syringe would then be inserted into the elbow where synovial fluid is extracted. Sometimes, medication is injected after the extraction. Dressing is then applied. The fluid would be sent to the lab for examination.

As with any wounds, the dressing has to be kept clean and dry. You might feel slightly sore for the next few days but some painkillers prescribed by the doctor should suffice. It is advised to avoid strenuous use of the arm for the next 5 days.

Even though this is a low-risk surgical procedure, there is still a possibility that complications may occur. These might include infection, swelling, bruising or discomfort at the aspiration site. If any of these symptoms are experienced, notify your doctor immediately:

  • Fever
  • Redness, swelling or bleeding at the aspiration site
  • Increased pain around the aspiration site

 

If cortisone-related medications are injected into the joint, complications are uncommon but may be serious if occur. Keep a close watch for these symptoms:

  • Inflammation
  • Increased blood sugar (Worsened condition of diabetes)
  • Aggravation of preexisting infection
  • Weight gain
  • Puffy face
  • Easy bruising

Floating Elbow: Symptoms & Treatment

Floating elbow is a medical term that was first introduced by Stanitski and Micheli to describe an injury in children that involves concomitant fractures of the forearm axis and supracondylar humerus in the same extremity. This medical term has also been extended to include adult patients who suffers from ipsilateral fractures of the humerus and forearm. Floating elbow is usually associated with an elbow dislocated in patients suffering from high impact injuries following a serious incident such as a car crash. The “floating” term is used when the elbow remains dislocated from the hand and shoulder.

The most likely cause of such injury for children is due to a fall on the outstretched arm with the forearm pronated and wrist hyperextended. Direct trauma can also result in this injury. Adult patients suffer from floating elbow largely due to high speed trauma such as an accident or falls from extreme heights.

The most obvious symptom in patients with floating elbow is tremendous pain and an obvious deformity in the affected elbow. There is also a possibility of injuries to the surrounding soft tissues such as the ligaments and tendons and this will depend on the mechanism of injury and severity of pathology.

The severity of injury varies among patients depending on several factors such as the position of the arm and impact of force. The nature of treatment is likewise affected by such factors. Management of floating elbow differs slightly between children and adults. However, the initial management is ultimately provisional immobilisation of the fracture. The injured extremity will be protected by a cast and supported by an arm sling.

Surgical options include either a rigid plate fixation or locked intramedullary nailing of the fracture. Both options will provide stability and a high chance of union. Rigid plate fixation will decrease the downtime and will promote early regaining of the full range of motion in the affected joint. In children however, a closed reduction surgical technique is preferred as it provides the highest chances of union with the least possibility of deformity. A mixture of surgical options is accompanied by post-surgery complications. In rare cases, neurovascular injuries may be initiated by a floating elbow injury although chances are slim. These neurovascular injuries can be in the form of nerve palsy to branchial plexus lesions. Infection following surgery is also a possible factor especially for patients who have open fractures and immediate internal fixation.

 

 

Coronoid Fracture: Cause & Symptoms

Coronoid fractures often happen in the ulna although they are relatively uncommon. However, coronoid fractures can be critical injuries. They usually occur in conjunction with elbow dislocations and will lead to elbow instability. The coronoid is designed to strengthen the elbow, increasing the stability. Therefore, a fracture will lead to unstable elbows and a possible loss of motion.

Traumatic elbow injuries such as a coronoid fracture will usually result in a dislocation of not only the bony structures but also injuries to the soft tissues. Very often, the posterior elbow is dislocated and managing it is extremely difficult. Unlike other fractures, coronoid fractures do not respond well to close reduction or splinting.

Causes

Coronoid fracture usually comes hand in hand with an elbow dislocation as dislocation itself involves a large energy impact onto the surrounding bones and soft tissues, leading to several severe soft tissue injuries. This usually happens during high impact sports such as rugby or accidents. One of the most common cause is a fall from a certain height, landing on an outstretched arm when trying to break the fall. The main mechanism involves a combination of twisting and flexing. When the elbow is loaded axially, it is in its weakest state and will lead to the weakening of the coronoid.

Symptoms

Patients suffering from coronoid fractures often have the following symptoms. Patients will be in tremendous pain with diffuse swelling and tenderness. The level of tenderness can be multifocal and depends of the area of injury. Range of motion including flexing, extension and rotation will be severely limited or totally impossible.

Complications

Coronoid fractures may lead to complications if it is not treated properly. The ends of broken bones are sharp and they can cut and tear surrounding blood vessels, nerves and tendons. Fractures may also lead to excessive bleeding and swelling in the elbow region, causing blood clot formation and the disruption of normal blood flow to the rest of the arm. This will lead to a loss of sensation and even function of the arm, requiring emergency attention.

Management

Patients suffering from coronoid fractures will have unstable elbows and it can be fixed by suturing the bone and anterior capsule to the anterior ulna. Surgery will involve either internal fixation or replacement of the fractured radial heads. The injured ligaments need to be surgically reconstructed and if the elbow is still unstable, hinged external fixation will be required.

Olecranon Fractures: Treatment & Management

Our elbow is a complex hinge joint made up of three different bones. It can also perform various functions. The elbow is able to bend and straighten up, rotate and turning up and down. When you try to bend your elbow, the sharp tip protruding out is called the olecranon. Olecranon fractures are injuries that affect the particular bone.

Treatment

After a patient suffers from an Olecranon fracture, the first thing a doctor will administer is ice and pain relief medication followed by elbow immobilization. The doctor will then determine if surgery is required depending on the extent of the fracture.

Nonsurgical treatment

Patients who do not have a severe fracture will not be required to undergo surgery. Nonsurgical treatment is fairly straightforward. The patient will need to immobilize the fractured elbow using a splint or sling during the healing process. The patient will also need to visit the hospital once a week for X-ray imaging to monitor the healing process. If there are no protruding bone fragments, movement will resume after a month. During the healing process, a physiotherapist will be assigned to teach basic strengthening exercises. If the fracture shifts during this process, the patient will eventually surgery to piece the bones together.

Surgical treatment

Surgery will be needed for patients who have serious fractures such as an open fracture or displaced fracture. In a displaced fracture, the fracture is out of place. This is due to the strong attachment of the bicep muscles to the olecranon. Once the fracture is out of place, the elbow will be unable to straighten at all. An open fracture on the other hand means that the bone fragments have cut the skin, leading to an increased risk of infection. This is a much more serious condition and patients will be administered with antibiotics and tetanus shot. An incision will be made at the back of the elbow where the surgeon will piece the bone fragments together again. Large pieces of bones may be joined together using pins, wires, screws or plates and these metal implants can be permanent or biodegradable.

Management

Following surgery, rehabilitation will be required in order to regain the elbow to its previous condition. As the healing process is lengthy, bone resorption could have taken place. As such, the region is much weaker. A physiotherapist will thus concentrate on regaining bone mass and muscular strength in the elbow.