The Young Athlete
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in youth sports is becoming increasingly popular. Many children participate in
year round sports and during adolescence some may reach peak performance. It is
not uncommon for pre-teens to train 20 or more hours each week. Engaging in
sports activities at a young age had numerous health benefits, but it also
involves risk of injury. The young athlete may be particularly vulnerable to
sport injury due to the physical and physiological processes of growth. Injury
risk factors that are unique to the young athlete include nonlinearity of growth,
maturity-associated variation, the adolescent growth spurt, and unique response
to skeletal injury. They may also be at increased risk because of immature or
underdeveloped coordination, skills and perception.
sportspeople suffer many of the same injuries as their adult counterparts.
However, there are also some significant differences in the type of injuries
sustained by children and adolescents because of the differences in the
structure of growing bone compared with adult bone.
disease is an osteochondritis that occurs at the growth plate of the tibial
tuberosity. The condition is extremely common in adolescents at the time of the
growth spurt. The pain is exacerbated by exercise. It is usually associated with
repeated forced knee extension, especially in sports involving running and
jumping. Examination will reveal severe tenderness on palpation of the tibial
tuberosity. There will also be associated tightness of the quadriceps muscle.
The symptoms may persist for a number of years but it is a self-limiting
condition that settles at the time of bony fusion of the tibial.
is no evidence that rest accelerates the healing process, a reduction in
activity reduces the pain. Management also requires activity modification but
there is no need to rest completely. Pain is the main guide as to the
limitation of activity.
Cryotherapy is the application of ice for therapeutic purposes. Cryotherapy
aims to decrease edema through vasoconstriction, and reduce secondary hypoxic
injury by lowering the metabolic demand of injured tissues. Localized analgesic
is thought to occur when the skin temperature drops below 15degrees because of
decreasing nerve velocity.
Therapeutic ultrasound is a treatment method that uses high-frequency sound
waves (ultrasound) to speed healing in injured joint or muscle tissue.
Ultrasound works by increasing local blood flow to the area, increasing
cellular metabolism, increasing extensibility of connective tissue and
and massage: The athlete should commence a stretching program to
increase the length to their quads. Deep tissue release and myofascial release
of the quads will also be beneficial for pain relief. We will teach you how to
do self myofascial release of your own quads using a fitbar.
Heel pain is
a common complaint in the skeletally immature athlete. This condition is a
noninflammatory chronic repetitive injury to the actively remodeling trabecular
metaphyseal bone. The athlete will complain of activity related pain. Palpation
of the area will reveal localized tenderness and swelling at the site of
insertion of the Achilles tendon. There will be associated tightness of the
soleus and gastrocnemius and dorsiflexion at the ankle may be limited. The
problem will typically settle in 6-12months but it may persist for a couple of
consists of activity modification until the athlete is pain free. A heel raise
should be inserted in the shoes. Stretching of the calf muscles is also
advisable. Strengthening exercises for the ankle plantarflexors should be
commenced when pain-free and progressed as symptoms permit.
Apophysitis of the tarsal navicular bone
Pain on the
medial aspect of the tarsal navicular in the older child may result from a
traction apophysitis at the insertion of the tibialis posterior tendon to the
navicular. This condition is often associated with the presence of an accessory
navicular or a prominent navicular tuberosity. Mangement involves modification
of the activity, local electrotherapy, and NSAIDs, with orthoses to control
excessive pronation, if present.
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Our Physio & Rehab Expertise
Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
- physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
- hand therapy: forearm, wrist, hand and fingers
- podiatrist: leg, calf, ankle, foot and toes
- read more on our specializations here
All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.
Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
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We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.
The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx, thanks!