TENNIS
 TOP 5 TENNIS INJURIES:
Calf Strain
The calf muscle group consists of the Gastrocnemius, Soleus and Plantaris muscles, situated at the back of the lower leg. Their function is to pull up on the heel bone and these muscles are most active during the push-off when a tennis player has to move quickly to react to an opponent's shot. A strain occurs when the muscle is forcibly stretched beyond its limits and the muscle tissue becomes torn.
PREVENTION
Diet can have an affect on muscle injuries. If a tennis player's diet is high in carbohydrate in the 48 hours before a match there will be an adequate supply of the energy that is necessary for muscle contractions.
However, if the muscles become short of fuel, fatigue can set in, especially during long matches. This fatigue can predispose a player to injury. Carbohydrate and fluids can be replenished during matches by taking regular sips of a sports drink between games.
TREATMENT
The immediate treatment consists of the 'PRICE' protocol: Protection of the injured part from further damage, Rest, Ice, Compression and Elevation. The aim of this protocol is to reduce bleeding within the muscle tissue. Ice therapy in the form of ice pack applications should be continued until the acute pain has settled.
Many people find that a neoprene Calf support provides reassurance and therapeutic heat following a Calf muscle injury. Recovery of the injured muscle can be improved with the use of electrotherapeutic modalities when you visit your physiotherapist.
The rehabilitation after this period involves gradually stretching the muscle to elongate the scar tissue and progressively increasing the muscle strength. Once this has been achieved, the player can begin tennis-specific exercises. To reduce the risk of re-injury, this should be done under the supervision of your physiotherapist.
Top of page
Stress Fracture of the Back
A stress fracture of the back, or lumbar spine, is one of the more common bone injuries in young tennis players. Lower back stress fractures are usually characterised by an ache in the lower back which is exacerbated by sporting activities and eased by rest, although a small percentage of people with a stress fracture can be pain free. Typically it is sore when the patient bends backwards, particularly if standing on one leg. If a lower back stress fracture is suspected, a doctor may decide to refer the patient for a scan to confirm the diagnosis.
PREVENTION
Serving in tennis requires a combination of spinal hyperextension (bending back) together with rotation and side bending of the trunk. This puts a lot of stress on an area of the vertebra called the Pars Interarticularis and this is where stress fracture develops.
Practising the service should be carefully monitored by the coach to ensure the lower back is not being overloaded. This is particularly important in adolescent players who have just experienced a growth spurt as they are known to be more at risk from this injury. Core stability exercises and clinical pilates can help prevent back problems in tennis players.
TREATMENT / MANAGEMENT
In most cases, complete rest from tennis is the treatment of choice. This would usually be for a period of 6 weeks to allow the bone to heal. In the early stages, a soothing heat pack can reduce back pain and alleviate back muscle spasm. During this period, a progressive exercise programme may commence, under the supervision of a chartered physiotherapist. This usually starts with exercises to increase the muscular stability in the lower back.
Research has shown that a lack of muscular stability in the lumbar and pelvic regions can lead to low back pain and stress fractures. The principle behind the core stability exercises is that if certain specific muscles can be recruited or contracted, the spine will have much better support. This prevents postural faults which can predispose a person to back pain.
Top of page
Tennis Elbow
Tennis elbow is inflammation of the muscles and tendons of the forearm as they attach to the humerus (upper arm) bone. This inflammation is caused by prolonged gripping activities such as hammering, driving screws, weight lifting, playing certain musical instruments, canoeing, digging in the garden, driving and, of course, racquet sports.
Tennis elbow causes pain when the lateral epicondyle (outermost part of the elbow) is touched and also if the elbow is straight and the hand is moved forward and back at the wrist. The pain is exacerbated by gripping activities and in some cases simple things like turning a door handle can cause intense pain.
PREVENTION
Tennis elbow is usually caused by gripping activities, and gripping either too hard or for too long can bring on the pain. Make sure the item that you are gripping, whether it's a tennis racquet, a hammer, or a canoe paddle, is the correct size for your hand. If it is too small it will cause you to grip too hard. If you play tennis for the first time in a long while, or you have to do a strenuous activity such as decorate a room in one weekend, make sure you take regular breaks and stretch the muscles which work over the wrist by doing 'limp wrist' and 'policeman halting traffic' type stretches.
For those who have suffered from tennis elbow in the past it may be a good idea to wear a tennis elbow compression strap. They work by preventing the wrist extensor muscles (that run along the outer side of the forearm) from contracting fully, thus reducing the strain on the elbow.
 TREATMENT
The success of rehabilitation of tennis elbow is dependent upon first controlling the inflammation. Depending on the severity of the condition, this may be alleviated simply by rest, electrotherapeutic modalities used by your physiotherapist or with the use of anti-inflammatory medication or a Corticosteroid injection. However, in longstanding cases where there is degeneration of the extensor tendons, anti-inflammatory medication, especially corticosteroid injections, should be avoided. This is because they can hinder tissue healing and in fact cause more degeneration.
Ice therapy, using an ice pack, can be very effective in relieving the symptoms of Tennis Elbow.
The final part of Tennis Elbow rehabilitation is an eccentric strengthening programme for the extensor tendons. It's crucial that the load and number of repetitions are carefully recorded and progressively increased under the supervision of your physiotherapist. This ensures that the overload on the tendon is carefully controlled and gradually increased.
Top of page
|
