Top 4 Most Injury Prone Activities for Youths

The period of youth is perhaps the most important part of our lives. Our body starts to mature and we have much more energy than before. We are also more motivated and have a higher desire to try new things, especially athletic activities. However, it is also during our youth that we suffer most injuries and due to that, many of us are unable to participate in competitive sports in the future. There are some activities which are especially prone to injuries and let’s take a look at some of them in this article.

Basketball

Basketball is a competitive high impact activity that is extremely popular with people of all ages. However, a large number of youth requires emergency response because of playing hoops. Common injuries associated with basketball include tears of the anterior cruciate ligament, responsible for the stabilisation of the knee. Being a high impact sport, basketball requires frequent sudden changes in direction and the ACL can tear if the foot is still fixed in a direction and the knee moves in another, causing the ligament to tear.

Skateboarding

Skateboarding is classified as an extreme sports and it is not termed like that for no reason. Skateboarding is an extremely dangerous sport that involves frequent falls from different heights on different parts of the body. Although protective gears such as skate shoes, helmets, knee and elbow padding are strongly recommended, many skateboarders ignore those as they find it not so cool.

Cheerleading

Cheerleading is a popular sporting activity that involves a lot of tossing, flips and catching. All of these motion uses the arms heavily and this is very taxing on the joints and shoulder blade. As such, the risk of injury is very high. An incorrect flipping technique can potentially cause further injury to the spinal cord.

Rugby

Rugby is an intensive and exciting full contact sport that is one of the most dangerous activity out there. Shoulder charging, take downs and sudden twisting actions are common throughout the game. Also, studs on the rugby boots are much longer and thicker than soccer boots in order to provide better grip. However, these studs can sink deep into the mud and during sudden twisting actions will cause the foot to be firmly planted in the ground while the knee changes directions, tearing the ACL, MCL and meniscus.

Discussed above are 4 most injury prone activities for youth. In fact, most activities out there carries a certain risk to them but these risk can be mitigated by wearing protective equipment which aims to prevent injury but this is not foolproof. Injuries are inevitable at some point in time but which the correct preventive measures in place, the risk is significantly lowered.

 

Spine Surgery: Orthopaedic Surgeon or Neurosurgeon?

In the event that you require spinal surgery to cure your injured back, the first and most important decision you have to make is to choose between an orthopaedic surgeon or a neurosurgeon. The choice of the right surgeon is extremely important and you have to consider factors such as the experience and success rate of the surgeon. So how different are these 2 doctors?

You will first need to understand that both are able to carry out spine surgery. In the past, neurosurgeons were the only ones that could qualify to perform spine surgery. With the evolution in medical techniques, orthopaedic surgeons are well equipped with the knowledge and skills to carry out spine surgeries for patients as well.

Neurosurgeons are medically trained doctors who have completed at least a 4 to 7 years worth of gruelling neurosurgery residency. Neurosurgeons specialise in disorders affecting the nervous system including the brain, spinal cord and nerves. There is however one distinct part that sets them apart from orthopaedic surgeons. Neurosurgeons are the only people who are able to perform surgery that is inside the dura mater of the spine. If the patient has a tumour in the spinal cord, cysts or spinal cord malfunction, only a neurosurgeon is able to perform the surgery for him.

Orthopaedic surgeons on the other hand are medically trained doctors who have completed a 5 years surgical residency focusing on musculoskeletal disorders such as the bones and joints. Most orthopaedic doctors focus on sports injuries and bone disorders. Some orthopaedic surgeons will choose to focus on spinal injuries and they will have to spend additional few years of their time to complete fellowship training on the spine. Other than the few specialised surgeries that only a neurosurgeon can carry out, orthopaedic doctors are able to carry out other spinal surgeries.

When choosing a surgeon to perform spinal surgery for you, the main question is not to decide on whether an orthopaedic surgeon or a neurosurgeon since both are equally adept to perform the surgery. Instead, you should be asking what is his specialisation. Some are specialised in cervical spine surgeries while some are inclined to lumbar disorders. The important questions you would want to ask is how many similar surgeries have they performed to date and what are the success rates. Spinal surgery being a major surgery, you would want a very experienced surgeon to perform it on you.

What is Slipped Herniated Disc?

Our spine is composed entirely of bones called vertebrae and providing them with cushioning are small discs called the intervertebral discs. Over time, the intervertebral discs can lose their elasticity and will place the spine at a higher risk of injury. Pain in the spinal disc have many different terms, the common ones being “pinched nerve”, “slipped disc” and “slipped herniated disc”. The truth is, all of the terms refer to the same thing. Many patients who suffer from back pain, leg pain and the weakening of the lower core muscles are usually diagnosed as suffering from slipped herniated disc.

Over time as we age, the disc will lose its water content and become less elastic. If the event that it ruptures, the spinal disc will get pushed out of its normal position and if they pinch onto the spinal nerves, it is called slipped herniated disc. Slipped disc can also occur due to other reasons beside ageing such as traumatic injuries or cyclic loading of the spinal area. When the herniated disc pinches onto the spinal nerves, it will affect the normal signalling process of the nerves and can even stop the signals from being passed.

Some common symptoms of a slipped herniated disc include sharp electric shock pain, muscle weakness, loss of bladder or bowel control and numbness. If the pinching of the nerves by the herniated disc causes high pressure, it can cause weird sensation such as a sharp electric shock kind of pain and the pain can travel down from the neck area to the arms and legs. Since there is a loss of signalling functions, the instructions from the brain can be interrupted and that can cause weakening of the muscles. One common way to diagnose this is to test for reflexes. If there is a lag in reflexes, it is a sign of nerve irritation. Another symptom is the loss of bowel and/or bladder function. Since there is an issue with nerve signalling, the body is unable to properly control the bowel and bladder and can cause them to release substances without you wanting to. It can also be the other way round where you wish to urinate or defecate but you are unable to. Another common symptom is numbness of a particular area for a long time as numbness usually indicates nerve damage.

The loss of body functions due to nerve damages can affect our lives greatly and we should always take all precautions to protect our spine. This can be easily done by the usage of protective equipment during high impact sports as well as lifting heavy objects using the correct method.

Microdiscectomy Spine Surgery or Physiotherapy?

Located in our spine are intervertebral discs who acts as the cushioning system for the spine. It helps to balance the forces experience by the spine through actions like standing, jumping, lifting and sitting. It also helps to protect the vertebrae and brain by limiting the amount of movement allowed by each individual disc. Repeated actions over time can cause the disc to weaken and sudden impact or trauma can cause shearing of the discs, resulting in the semi-liquid substances to impinge onto the nerves, causing pain. When things get more serious, daily actions such as bowel and bladder control may not be possible and thus, surgery is often recommended by doctors. However, should you really consider surgery or other options like physiotherapy?

Microdiscectomy

During microdiscectomy, a small part of the bone is removed to create a space between the vertebrae which helps to relieve internal pressure, reduce pain and relieve neural impingement. As a small piece of bone is removed, it will not cause any instability issues with it. Neural impingement can cause pain in places such as the leg and after microdisectomy, an almost instant relief can be felt by the patient. As with all spine injury, there is a certain risk level. It is often the last resort as no surgery is 100% risk free. Unless patients suffer from bowel and bladder incontinence or other neural problems, doctors will not recommend surgery and will often suggest physiotherapy to try to find a solution to the problem. However, risk level is still generally low compared to other forms of surgery.

Physiotherapy

Physiotherapy is one of the options doctors will recommend initially together with pain relief medication. Physiotherapy is non-invasive, relatively safe and helps to strengthen the muscles in the body. Through stabilisation and strengthening exercises, some patients are able to find relief and are able to continue to lead a good quality lifestyle without surgery. Strong muscles are able to help take on some of the burden from the spine and distribute the weight much more evenly, reducing the stresses placed on the spine and reducing pain. Even if surgery is required after physiotherapy, it helps to reduce the recovery time as physiotherapy helps to keep them in a tip top condition and with strong muscles and body functions, they are able to recover faster.

When you suffer from spinal pain, you should consider going for physiotherapy first. There is always a chance that you can recover and lead a pain free life without surgery. However, only when things start to become more serious should you consider surgery.

Top 4 Occupations that Negatively Affects the Musculoskeletal System

Our musculoskeletal system consists of the bones, ligaments, tendons and many more that allows us to move around. Disorders to the musculoskeletal will affect our locomotion and will cause problems to our daily lives. Disorders are often due to cyclic stresses and strains caused by our daily activities. Some occupations have an increased risk for Musculoskeletal disorders and our shoulders, hands, neck and back are the ones that are usually affected.

Carpet layers

Carpet layers are workers who lay carpets for customers. They are required to be in a kneeling position for prolonged periods of times daily and they not only have to kneel on a hard surface, they also have to use a knee kicker to stretch the carpet to ensure proper alignment. Whenever we kneel down, our body weight is fully on our both knees and keeling for long periods of time on a hard surface will cause even more damage to the meniscus and kneecap. Over time, the meniscus will wear off and the kneecap will also get damaged.

Movers

Movers are often required to carry heavy loads on their back and this will cause serious musculoskeletal problems such as chronic back pain, sprains, strains and even slipped disks. Back strains are often caused by overloading and poor lifting techniques. If it continues, the muscle can get torn and that will cause inflammation, causing pain and possibly muscle spasms. An injured back muscle will need to work even harder to protect and support the spine, leaving the spine at an additional risk to getting injured.

Office workers

Office workers work in probably the most relaxed and ideal conditions but they are one of the ones with the highest risk to musculoskeletal disorders. Sitting in a poor posture for a day causes more damage to the body than manual work. Poor posture such as hunching can cause lower back pain and shoulder stiffness. Prolonged sitting in a fixed position can also cause an overload in the muscle structures.

Construction workers

Construction workers are often required to carry heavy static loads throughout the day. To distribute the weight better, they often carry the items over their head in a outstretched position. The muscles are thus unable to contract and this will injure the muscles and even hinder the proper blood circulation around the body. Prolonged period of poor blood flow can cause the arms to swell.

It is easy to prevent musculoskeletal disorders by making small changes to your daily lifestyle. The working environment needs to be changed and you also need to be aware of the hazards you are faced with and overcome them.