Xtreme Action Sports Medicine Presents: Sports Medicine 101

Sports Medicine 101
Erik Nason, MBA, ATC, MS, CSCS

RODEO
Xtreme Action Sports Medicine

Wakeboarding

Motorsports

• Understanding your body
• Understanding the physical and psychological side of an
injury
• How does inflammation effect recovery
• Differential diagnosis
• Quick overview of two key body parts: the spine and
shoulder
• Do you use ICE or HEAT
• Stretching and how it works

Sports Medicine 101

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Lose weight
Increase strength
Simply become more physically active
Overall better health
The thrill of something new
Competition/Personal Challenge

What are your goals?

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Pain and exercise
High speed, high impact can cause injury - fact
Careful not to push your body to fatigue….regularly
Don’t compromise form for speed and numbers
Vomiting and exercise
Continued inflammation
The older you get, the longer it takes to heal

Listen To Your Body

• The body’s response
to injury.
• Beginning stage to
healing.
• 5 cardinal signs of
inflammation:
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Heat
Redness
Swelling
Pain
Loss of Range of
Motion

Inflammation

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Anterior Shoulder Pain = Rotator Cuff Impingement
Low Back Strain = Facet Joint Syndrome
Plantar Fasciitis = Trigger Points in Posterior Tib Muscle
Sciatic = Herniated Disc
Cervical Disc Herniation = Thoracic Outlet Syndrome
Anterior Knee Pain = Lateral Retinaculum Adhesions

Differential Diagnosis

• What does ICE do?
• Constricts blood vessels to decrease blood flow
• Decreases Inflammation

• Decreases muscle spasms
• Decreases pain

• What does HEAT do?
• Increases blood flow to treatment area for healing
• Improves flexibility and stretching abilities
• Relaxes soft tissue (muscles)

Ice vs. Heat

Use Ice

Use Heat

• Acute injury (new)
• Presences of swelling,
discoloration, and loss of
function.
• Pain
• Contusions
• First degree burns

• Pain has diminished
• No presence of
discoloration or swelling.
• Chief Complaint:
stiffness, loss of ROM

Ice vs. Heat

ICE

HEAT

• Ice Pack – 15-20 Minutes
• Ice Bath – 15-20 Minutes

• Moist Heat Packs - 15-30
Minutes
• Warm Bath (100-105dg)

• For extremities (52dg)

• Ice Cup (massage) 7-10
Minutes
• RICE

Ice vs. Heat

• 15-20 minutes

• Dry Heat Pad – 15 -20
Minutes

Tips on Stretching

• How does a muscle
work?
• Muscle guarding –
Protection

• Stretching muscles
means you are
lengthen nerves too

Stretching

• Do not bounce!
• Slow steady hold. Hold for at least 20 seconds. Repeat 3-5
times.
• Stretches are more effective after a warm up.
• Protect your joints when stretching.
• Breathe normally when stretching.
• Cool down and stretch post exercise.
• You shouldn’t be in pain. Go until you feel a moderate
stretch and hold it. Repeat. Each repetition you should go
further.

Tips on Proper Stretching

The Shoulder

Current Concepts in the Treatment of
Impingement Problems
 75% of shoulder
impingements are treated
non-operatively
 Classical pinching of
anterior or superior
rotator cuff or bursa
manifested by pain


Shoulder Impingement
• Saran wrap folded on itself
with oil between layers
• 1/3 have down slopping
acromions
• Anterior 1/3 create
impingement


4 Major Curves in the
Spine
• 7 Cervical Vertebra
• Forward curve (lordosis)

• 12 Thoracic Vertebra
• Backward curve (kyphosis)

• 5 Lumbar Vertebra
• Forward curve (lordosis)

• Coccyx
• Backward curve (kyphosis)

Lifting and Back Injuries

Discs


Shock Absorber

Spacer

Role of the Disc

Damaging Disc Life
 Caused by both
repetitive stress and
microtrauma
 Faulty posture and
inflexibility
 Poor lifting mechanics
 Most common at L4/L5
and L5/S1


Degenerative Disc Disease

First X-Ray

20 Years Later

Herniated Discs

Radiating Pain

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Understanding your body – makes you a healthier person.
Listen to your body – it doesn’t lie.
No Pain, No Gain is not true for strength training
Inflammation won’t go away- cause you won’t let it!
Recovery and Rest are ignored but key to injury healing.
Active Rest – Requires exercise modification, not
stopping.

Take Home Points

THANK YOU!!!!!
• What questions do
you have?
• What topics would
you like to learn
about?

What Questions Do You Have?

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www.xtremesportsmed.com
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Xtreme Action Sports Medicine Presents: Sports Medicine 101

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Editor's Notes