Healing Shortcut

Following an injury, it is often hard having to sit out and wait to recover. This is when a new therapy has been called into play,  platelet-rich plasma (PRP) surgery. The therapy consists of placing athlete’s blood in a centrifuge and reinserting it in the wound. The end result is healed tissue. This therapy is often claims to speed up recovery.

However, studies published by the Journal of the American Medical Association have found that PRP was no better than a placebo injection of saline in treating Achilles tendinopathy. PRP has also been proven not to be effective in acute sport injuries. The reasoning for the lack of consistency is because there has yet to be an ideal formula.

One of the main controversies associated with this therapy is that the World Anti Doping Agency has judged that the process unfairly increases muscle strength. Not to forget the therapy does not come at a low cost. The $1000 price tag may put off athletes that can wait the few weeks for the injury to recover through other therapies and/or treatment.

This all leads to the question, is it all really worth it? There are alternatives to PRP, the most prominent being physical therapy. This is a much less painful and cheaper alternative. PRP should be a last resort, athletes should try all non surgical procedures before considering going under the needle.

Source from the SIRC Collection 

Reynolds, G. (2011). Heal Thyself. Outside, 36(8), 98-99.

Overcoming the Fear of Re-injury

Athletes often push their bodies to the limits to keep them fit and make them faster.  While this attitude keeps athletes at the top of their game, it also comes with a risk.  Injuries are commonplace in the sport community, freak accidents happen to the best of us even with extra precaution and care.

After a major injury, an athlete may become 'injury-prone'. This can happen when fears, conscious or sub-consciously, produce tension in the body.  Tension then interferes with circulation and flexibility and athletes end up hurting themselves more often.

A number of emotions are experienced when an athlete is afraid of getting injured:

• anxiety
• tension
• depression
• anger
• frustration
• fatigue

While the body may heal easily enough, psychologically, the athlete may need a little help with the fear of hurting themselves again.  Good therapists can really help athletes by offering reassurance and teaching them to use positive imagery and self-talk to cope with anxiety. If a therapist is not an option, social support is one of the best coping mechanisms for an injured athlete because they can provide emotional support and encouragement for someone feeling discouraged or fearful.

In order for an athlete to gain the confidence that the injured area is completely healed, they should be brought back into sport gradually and systematically starting with drills and strength training while slowly increasing the intensity.

Sport is a physical and mental game and dealing with injuries can be one of the toughest challenges an athlete can face. Understanding that these emotions are a normal response to a serious injury can help athletes, coaches, and their families help an athlete through a difficult recovery and eventual return to play.

References from the SIRC Collection: 

1. Cooper B. ATTACK OF THE NAGGING FEARS!. Runner's World. September 2011;46(9):60-67.
2. Crawford C. FEAR OF INJURY. Skitrax. Spring2012 2012;22(4):14.
3. Kvist J, Ek A, Sporrstedt K, Good L. Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy. July 2005;13(5):393-397.
4. McCloy J. Over coming fear of re-injury. Coaching Youth Sports. March 2004.
5. McCollom B. Conquering the FEAR factor. Ski Racing. November 29, 2005;38(5):18-22.
6. Podlog L, Dimmock J, Miller J. A review of return to sport concerns following injury rehabilitation: Practitioner strategies for enhancing recovery outcomes. Physical Therapy In Sport. February 2011;12(1):36-42.