Volleyball Injury

VOLLEYBALL INJURIES ARE GENERALLY DEFINED AS EITHER:

  • Cumulative (overuse)
  • Acute (traumatic) injuries.

Overuse injuries occur over time due to stress on the muscles, joints and soft tissues without proper time for healing. They begin as a small, nagging ache or pain, and can grow into a debilitating injury if they aren’t treated early.

COMMON VOLLEYBALL INJURIES THAT FALL INTO THIS CATEGORY INCLUDE:

  • Rotator cuff tendonitis
  • Shoulder Tendinitis, Bursitis, and Impingement Syndrome
  • Frozen Shoulder (Adhesive Capsulitis)
  • Tennis Elbow (Lateral Epicondylitis)
  • Bursitis of the Elbow
  • Glenohumeral Arthritis
  • Wrist tendinitis
  • Achilles Tendinitis
  • Osteoarthritis of the Knee
  • Muscle Strains of the Back
  • Low Back Pain

Acute or traumatic injuries occur due to a sudden force, or impact, and can be quite dramatic. The more common traumatic injuries in volleyball include:

  • Torn Rotator Cuff
  • Shoulder Dislocation
  • Shoulder Separation
  • Wrist Sprains
  • Finger Fractures

Sports injuries are injuries that occur in athletic activities. In many cases, these types of injuries are often due to overuse or acute trauma of a part of the body when participating in a certain activity.

CLASSIFICATION:

Sports injuries can be broadly classified:

  • Traumatic : Traumatic injuries account for most injuries in contact sports such as soccer, rugby league, and American football because of the dynamic and high collision nature of these sports.
  • Overuse : An overuse injury results from wear and tear on the body, particularly on joints subjected to repeated activity. It can occur in contact and non-contact sports such as cricket, tennis, golf and soccer.

MUSCLE PULL:

  • Probably the most common sports injury is a muscle pull, which can happen to almost any muscle in the body.
  • You may pull a muscle from overuse, fatigue or taking a fall.

CAUSES
A muscle pulls when a sudden, severe force is applied to the muscle
And when the fibers are stretched beyond their capacity.

NECK PAIN :

CAUSES

  • A pulled muscle or a muscle spasm in the neck can happen when a tennis player looks up to serve or hit an overhead smash.
  • The pain is on one side of the neck, and the neck may be pulled over slightly to that side.
  • It is particularly painful to turn the head in the direction of the pain.

SHOULDER IMPINGEMENT:

Shoulder impingement can happen as a result of overuse often associated with sports such as softball, tennis, volleyball, swimming and weight training.

  • Overstretching of rotator cuff muscles.
  • If the head of the shoulder is loose, when the arm is extended backwards over the shoulder the head will slide forward.
  • If the arm is raised to the side above parallel to the ground.
  • Tennis players feel the pain when they try to hit an overhead or serve.
  • During backswing and the follow-through phase in golfers when their shoulders are above parallel to the ground.

LOWER BACK STRAIN:

Almost everyone who participates in sports experiences lower back strain at one time or another, usually from twisting awkwardly, lifting a heavy weight or doing some unpracticed activity.
CAUSES

  • Virtually all lower back injuries are due to weak or tense muscles or muscle strain.
  • Suddenly overloading muscles may pull or tear muscle fibers, sending the back muscles into spasm and causing pain.
  • Weightlifters, golfers, martial artists and tennis players are prone to back injuries because these sports involve unilateral motions.
  • A golfer rotates the lumbar spine in only one direction, which is the equivalent of lifting weights with only one side of body.

TENNIS ELBOW:

Tennis elbow is really an inflammation of the muscles of the forearm and the tendon that connects the muscles to the bones in the elbow.
CAUSES

  • These muscles bend the wrist backward and cause the wrist to turn the palm face up.
  • When the muscles and tendon become inflamed from overuse, the pain is felt on the outside of the elbow (lateral epicondylitis).
  • Golfers also suffer from tennis elbow, but on the non-dominant side, that is, a right-handed golfer will feel the pain in the left elbow.
  • Pulling the club through the swing with the left wrist causes irritation in the left elbow.

RUNNER’S KNEE:

The most common cause of knee pain is runner’s knee, known medically as chondromalacia patella. This is due to misalignment of the kneecap in its groove. The kneecap normally goes up or down in the groove as the knee flexes or straightens out.
CAUSES

  • If the kneecap is misaligned, the kneecap pulls off to one side and rubs on the side of the groove.
  • This causes both the cartilage on the side of the groove and the cartilage on the back of the kneecap to wear out.
  • On occasion, fluid will build up and cause swelling in the knee.
  • Runners are not the only ones who develop runner’s knee.
  • Pain can develop around the back of the kneecap or in the back of the knee after participating in any running sport.

ANKLE SPRAIN:

The most common ankle sprain happens when the foot rolls to the outside and sprains the ligaments on the outside of the ankle.
The outside of the ankle swells up and throbs, and may turn black and blue around the injury.
CAUSES

  • When a tennis player lunges out over a poorly planted foot, partially tearing the fibers of the ligament that is considered a moderate sprain.
  • When a basketball player jumps and lands on another player’s foot, twisting and forcing the ankle violently to the court, most or all of the fibers tear, and this is a severe sprain.

ACHILLES TENDINITIS:

Achilles tendinitis is an inflammation of the tendon, usually due to overuse, such as frequent jumping in basketball or volleyball.
CAUSES

  • The most common cause is excessive pronation of the ankle and foot, which causes the Achilles tendon to pull off center.

ARCH PAIN:

The elastic covering on the sole of the foot–the plantar fascia–runs the length of the foot and holds up the arch. When this shock-absorbing pad becomes inflamed, this is called plantar fasciitis, causing a dull ache along the length of the arch.
CAUSES

  • The ache is due to over-stretching or partially tearing the arch pad. This happens most often to people with rigid, high arches.
  • They feel the pain when they put weight on their foot or when pushing off for the next stride.
  • Pain is particularly intense upon arising or after sitting for a long while.
  • Runners are most susceptible, but almost any sport that keeps the athlete standing can lead to arch pain.
  • Inappropriately fitting shoes or a weight gain of 10 to 20 pounds can also contribute to the condition.

GOALS OF PHYSIOTHERAPY:

  • Pre on-field assessment is to be done.
  • Off-field assessment is to be done.
  • Check the player’s ability to perform.
  • Precaution should be given while playing sports.
  • Maintenance or restoration of normal range of motion in affected joints.
  • Improves pain through advanced modalities/equipments.
  • Reduces inflammation.
  • Reduces spasm.
  • Reduces tightness.
  • Increases strength through resisted bands.
  • Alignment correction through manual therapy.
  • Taping technique
  • Laser therapy for instant pain relief.

GOALS OF PHYSIOTHERAPY:

Sports injuries can be treated and managed by using the P.R.I.C.E.S… DR. ABC and T.O.T.A.P.S regimes:

P – Protect
R – Rest
I – Ice
C – Compression
E – Elevation

S – Stabilize

D – Danger
R – Response

A – Airway
B – Breathing
C – Circulation

T – Talk
O – Observe
T – Touch
A – Active movement
P – Passive movement

S – Skills test

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