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what could be the cause of your knee pain ?

Knee pain is incredibly common. Knee pain is a special problem for athletes -- over half of all athletes suffer from this.Sports, exercise and other activities can cause muscle strains, tendinitis, and more serious injuries to ligaments and cartilage. Common causes include
  • Arthritis
  • Ligament injury or tear meniscus (cartilage) tear
  • Tendonitis or bursitis
  • What are the treatment options? Exercise and stretching Stretching and strengthening exercises will be prescribed for you based on your condition. Ice your knee Ice your knee to reduce pain and swelling. Do it for 15-20 minutes every 3-4 hours for 2-3 days or until the pain is gone. Elevate your knee with a pillow under your heel when you're sitting or lying down to reduce swelling. Pain medication Doctor may prescribe anti-inflammatory medication or ice for short-term pain relief. Surgery In severe cases where conservative therapy is not effective or appropriate, the are multiple surgical options available. Dr. Kandil Orthopedics and Sports Medicine Surgeon Call or Whatsapp: +971 529030436.
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    When to seek a medical care after a sports injury?

    It's difficult to know when a sports or activity injury can be treated at home and when to get a medical professional involved. Knowing when to see your doctor is an important step in this process.self-care tactics are usually enough to resolve the injury within a few weeks. But in some cases, it may be necessary to seek medical care for a sports injury. Sport injury - helping hand These are signs that someone with an injury needs immediate medical care in the ER:
    • Symptoms that do not go away after rest and home treatment
    • Any condition that affects training or performance that has not been given a diagnosis or has not been treated
    • Joint swelling, locking, or instability
    • Visible deformity or mass in arms, legs, or joints
    • Inability to fully move a joint, arm, or leg
    • Inability to stand or walk
    • Back or neck pain-especially if there is also numbness, weakness, or pain that runs down the arm or leg
    • Pain that does not go away
    • Pain that disrupts daily actitvity or sleep
    • Inability to support any weight or pressure on the affected area
    • Extreme pain that is progressively getting worse
    • Unsteady breathing or pulse
      Dr. Kandil Orthopedics and Sports Medicine Surgeon Call or Whatsapp: +971 529030436.
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    How to avoid injuries while playing basket ball ?

    basket Injuries while playing basketball are commonly caused by falls, player contact, awkward landings, abrupt changes in direction and being hit by the ball. Common types of injuries are:
    • Injuries to the lower body, mostly ankle sprains
    • Injuries to the hand, fingers, head, face and teeth
    • Knee injuries – females are at higher risk of knee injury than males
    • Overuse injuries – are most common in higher level players due to the duration and intensity of play.
      Basketball tip The five injuries diagnosed most frequently were, in order, ankle sprains, finger sprains, finger fractures, knee sprains, and facial lacerations. Girls had a higher rate of knee sprains and finger sprains, while boys had a higher rate of ankle sprains. To me, the increased risk of knee sprains in basketball among girls is not surprising given the much higher risk of ACL injury in female athletes in all sports   Ankle Sprains When the foot is forcibly rolled inward or outward, ligaments that hold the ankle in place can overstretch or tear, resulting in an ankle sprain. Symptoms:
    • Pain on the overstretched portion of the ankle
    • Swelling
    • Bruising
    • Tenderness
    • Warmth to the touch
    • Rest
    • Ice
    • Compression
    • Elevation (for the first 24 to 48 hours post-injury)
    Dr. Kandil Orthopedics and sports medicine surgeon.
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    How to avoid injuries at cricket ?

    • Good preparation is important
    • Undertake physical training before the beginning of the season.
    • Warm up and stretch before the day's cricket. Bowlers, particularly fast bowlers, should warm up before their bowling session.
    • Elite cricketers, particularly fast bowlers, should undergo pre-participation screening by a professional.
    • Good technique and practices will help prevent injury
    • Restrict the number of overs bowled in any one session. The actual number should take into account the bowler's physical maturity. This is particularly important for young cricketers.
    • Wear appropriate safety equipment
    • Wear body padding when batting including gloves, leg pads, boxes and forearm guards.
    • When batting, wicket keeping or fielding in close wear a cricket helmet with a faceguard that meets the Australian Standard.
    • Wear protective gear during informal play as well as competition.
    • Seek professional advice on appropriate cricket shoes.
    • Modify rules for children
    • Encourage children to play Kanga cricket as a means of developing good technique.
    • Older children should participate in programs such as VicHit, organised by the Victorian Cricket Association.
      Dr. Kandil Orthopedics and sports medicine surgeon.
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    Tennis injuries and prevention tips

    tennis-injuries Tennis safety tip Proper tennis techniques protect you from injury on the court. Keeping your body balanced at all times prevents falls and helps you avoid overuse injuries. For example, bend your knees but keep your back straight on overhead shots, and bend your elbow when hitting a forehand to reduce shoulder stress. Remember that backhand swings begin at the shoulder, not the elbow. A general warm-up is always a good idea before exercising. Take a brisk walk, perform range-of-motion stretches or do some jumping jacks before you start playing tennis. How to prevent injuries while playing tennis Preventing tennis injuries requires just a few simple techniques that can be worked into any tennis player’s training routine. Following these tips will significantly reduce the risk of injury: Stretch: Flexibility is important to every tennis player’s performance, and it is often overlooked. Stretch before and after every practice and game. Here are some examples: Cross-Shoulder Stretch Place one arm across your body, and then hold it in place with your other arm. This stretch loosens up your shoulder, and gets you ready for practice. The longer you hold, the deeper and more effective the stretch! Tennis Elbow Stretch Extend your arm in front of you and point your fingers down, pulling the hand towards your body with your opposite hand. This stretch releases tension in tendons and ligaments in your elbow and prepares it for your set-winning backhand. Train Off the Court: Many tennis players, and athletes in general, believe that the exercise and skills they are practicing on the court are sufficient to reach their top performance. In reality, without training off the court, many tennis players cannot become well-rounded, strong athletes, which could result in major injuries during a game. **Tip: Functional movement training, which includes lunging, sprinting, and weight transfer, and balance training are important types of conditioning that players should engage in outside of tennis. This training will help their footwork, core rotation, and ability to reach for tennis balls coming their way. Pick the Right Racquet and Shoes: Injuries in tennis are commonly caused by not using the correct equipment. If a tennis player’s racquet does not have the correct grip or the strings are too tight, tennis elbow, among other injuries, could result. Shereen Tan, Clinical Director in Chelsea and Certified Hand Therapist, advises players to “choose a grip size/racket that is comfortable. A grip that is too large will force you to squeeze the racket more tightly and tire your arm. At the opposite extreme, a small grip may cause you to whip the racket and eventually cause arm or elbow problems. Always give your racket a test run prior to playing a full match.” Additionally, many players avoid buying tennis shoes, and use running shoes as an alternative. Tennis players need a shoe that supports the foot during the quick side-to-side movements or shifts in weight associated with the game. Buy a shoe that provides stability on the inside and outside of the foot and has ample flexibility in the sole beneath the ball of the foot..
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    Meniscal cartilage injuries

    Meniscal cartilage injuries The knee is commonly injured in sports, especially rugby, football and skiing. You may tear a meniscus by a forceful knee movement whilst you are weight bearing on the same leg. The classical injury is for a footballer to twist (rotate) the knee whilst the foot is still on the ground – for example, whilst dribbling round a defender. Another example is a tennis player who twists to hit a ball hard, but with the foot remaining in the same position. The meniscus may tear fully or partially. How serious the injury is depends on how much is torn and the exact site of the tear. Meniscal tears may also occur without a sudden severe injury. In some cases a tear develops due to repeated small injuries to the cartilage or to wear and tear (degeneration) of the meniscal cartilage in older people. In severe injuries, other parts of the knee may also be damaged in addition to a meniscal tear. For example, you may also sprain or tear a ligament. Meniscal cartilage does not heal very well once it is torn. This is mainly because it does not have a good blood supply. The outer edge of each meniscus has some blood vessels, but the area in the centre has no direct blood supply. This means that although some small outer tears may heal in time, larger tears, or a tear in the middle, tend not to heal. What are the symptoms of a meniscal tear? The symptoms of a meniscal injury depend on the type and position of the meniscal tear. Many people have meniscal tears without any knee symptoms, especially if they are due to wear and tear (degeneration). • Pain. The pain is often worse when you straighten the leg. If the pain is mild, you may be able to continue to walk. You may have severe pain if a torn fragment of meniscus catches between the tibia and femur. Sometimes, an injury that you had in the past causes pain months or years later, particularly if you injure the knee again. • Swelling. The knee often swells within a day or two of the injury. Many people notice that their knee is slightly swollen for several months if the tear is due to degeneration. • Knee function. You may be unable to straighten the knee fully. In severe cases you may not be able to walk without a lot of pain. The knee may lock from time to time if the torn fragment interferes with normal knee movement. Some people notice a clicking or catching feeling when they walk. (A locked knee means that it gets stuck when you bend it and you can’t straighten it without moving the leg with your hands.) Note: a ‘clicking’ joint (especially without pain) does not usually mean you have a meniscal tear. For some people, the symptoms of meniscal injury go away on their own after a few weeks. However, for most people the symptoms persist long-term, or flare up from time to time, until the tear is treated. How is a meniscal tear diagnosed? • The story and symptoms often suggest a meniscal tear. A doctor will examine the knee. Certain features of the examination may point towards a meniscal tear. • Your doctor may sometimes advise an X-ray of the knee – but this is often not necessary. An X-ray will not show cartilage tissue, but it can check for any bone damage which might have also occurred with the injury. • The diagnosis can be confirmed by an MRI scan of the knee What is the treatment for a meniscal tear? When you first injure your knee the initial treatment should follow the simple PRICE method: • Protect from further injury. • Rest (crutches for the initial 24-48 hours). • Ice (apply ice (wrapped in a towel, for example) to the injured area for 20 minutes of each waking hour during the first 48 hours after the injury). • Compression (with a bandage, and use a knee brace or splint if necessary). • Elevation (above the level of the heart). These actions, combined with painkillers, help to settle the initial pain and swelling. Surgery If the tear causes persistent troublesome symptoms then an operation may be advised – although evidence for the benefit of some types of surgery is variable. Most operations are done by arthroscopy (see below). The types of operations which may be considered include the following: • The torn meniscus may be able to be repaired and stitched back into place. However, in many cases this is not possible. • In some cases where repair is not possible, a small portion of the meniscus may be trimmed or cut out to even up the surface. • Sometimes, the entire meniscus is removed. • Meniscal transplants have recently been introduced. The missing meniscal cartilage is replaced with donor tissue, which is screened and sterilised much in the same way as for other donor tissues such as for kidney transplants. These are more commonly performed in America than in the UK. • There is a new operation in which collagen meniscal implants are inserted. The implants are made from a natural substance and allow your cells to grow into it so that the missing meniscal tissue regrows. This is not yet available at all hospitals. Arthroscopy This is a procedure to look inside a joint by using an arthroscope. An arthroscope is like a thin telescope with a light source. It is used to light up and magnify the structures inside a joint. Two or three small (less than 1 cm) cuts are made at the front of the knee. The knee joint is filled up with fluid and the arthroscope is introduced into the knee. Probes and specially designed tiny tools and instruments can then be introduced into the knee through the other small cuts. These instruments are used to cut, trim, take samples (biopsies), grab, etc, inside the joint. Arthroscopy can be used to diagnose and also to treat meniscal tears. Following surgery, you will have physiotherapy to keep the knee joint active (which encourages healing) and to strengthen up the surrounding muscles to give support and strength to the knee. DR. MOHAMED KANDIL M.B,B.CH, MSC (ORTHO), DIP.SPORTS MEDICINE (UK),FELLOWSHIP (GERMANY) Specialist Orthopedic Surgeon.
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