Sports Injury

Sports Injuries

Sports Injuries

Sports & Musculoskeletal Medicine is a field of medicine that specialises in the prevention, diagnosis and management of sport- and exercise- related injuries, disorder, dysfunctions, and disease processes.
Dr Ralph Rogers specialise in the non-surgical management of sports injuries and painful musculoskeletal conditions by strengthening weaknesses, correcting imbalances and enhancing performance.

Sports Physicians are in a unique position to be the first point of contact for medical and musculoskeletal injures for accurate diagnosis, imaging and co-ordinated treatment plans with other clinical specialities.

Sports & Musculoskeletal Physicians are ideal physicians for non-athletes as well, and are an excellent resource for individuals who wish to become active or begin an exercise program.

For the “weekend warrior” or “industrial athlete”, the same expertise used for the competitive athletes can be applied to return the individual as quickly as possible to full function.

“You Don’t Have To Be A Professional Athlete To Be Treated Like One”

Filed in: Sports Injuries • Thursday, September 3rd, 2009

Comments

By Julie Jones on October 13th, 2009 at 10:20 am

Hi Dr Rogers – I twisted my ankle playing netball – I seem to have had the problem for a while now but my doctors keep telling me its only a sprain. Is that just a term for a lot of other problems as I have had sprains before and they never lasted this long?

There are may type of sprain Julie – as you mention they come in different severity.
The most common type of ankle sprain is when your foot turns inwards and the lateral ligaments are injured, this is called an inversion. This injury is often caused by low-impact accidents. Approximately 30-40 percent of all ankle sprains lead to chronic symptoms. Failure to accurately diagnose and treat this injury often leads to significant morbidity in the form of recurrent instability and post traumatic arthritis.
Sprained ankles are divided into grades
Grade 1 sprain: Some stretching or even minor tearing of the lateral ligaments.
Grade 2 sprain: Moderate tearing of the ligaments.
Grade 3 sprain: Total rupture of a ligament.
Initial treatment of a sprain centres on reducing swelling and pain. This should consist of the PRICE principle.
• Protect the ankle from further harm.
• Relative Rest.
• Ice. It is advisable to place a cloth between your skin and the ice to avoid burns.
• Compression: gives support and helps to decrease swelling.
• Elevation: elevate your foot above the level of your heart also helps to decrease the swelling.
It is also important to take simple analgesia to reduce pain
Early and aggressive rehabilitation is the mainstay of long term treatment and should include range of motion exercises, strengthening and proprioceptive training. If torn ankle ligaments are not getting better your doctor may recommend surgery.
Express your concerns to your Doctor – he will give you more detail as you need. If you remain concerned my clinic is open or I can suggest a specialist close your location.

Hello Dr Rogers.I have been just been informed that i have ACL in the left knee resulting from a mountainbike accident.I have also been told I have a Bakers Cyst.Please can you tell me if there are any non-surgical procedures available anywhere to remedy these problems.I have recently read about PRP.Many Thanks in advance.

Dear Mr Bahia,

Thank you for your message.
I am sorry to hear about your mountain bike accident.
I can confirm there are non surgical options for your 2 problems. I have sent you a private message so we can discuss your case in more detail.

Dr Rogers

Hi,
I have bilateral chronic hamstring pain and tightness after an intial injury 5 months ago which I aggravated by going hiking before I’d fully recovered. I can no longer run and even walking on the flat is difficult. The pains are behind the knee…..I have tried conservative treatment but if anything the physio exercises seem to make it worse. I am at my wits end. Could PRP be an option? Have you performed PRP with success on a hamstring tendinopathy before?

Thanks

PRP therapy is definitely an option and has been used successfully in this area. Contact my office should you wish to discuss the matter privately – there are many case studies for you to review.

By andy munro on January 2nd, 2010 at 7:44 pm

Dear Dr Rogers,
I heard about you through recently reading a book called ‘Matchday’ by Chris Green.Coincidentally as an active 59 year old I recently injured my knee after playing five-a-side soccer.In the past I’ve wasted time either going to my GP or going to a physio(I’m in a private health care scheme for physio)..with the latter treating me for a month for a sprained ligament when in fact it was an ‘old age’ cartilage tear…I’ve had several over the last 20 years.Is this the sort of diagnostic problem that you could assist with through a consultation?Regards Andy Munro

Hi Andy

Yes it was a great pleasure to meet Chris Green I am a fan of his work.
Age should be no barrier to fitness and many of my friends ,colleagues and indeed patients continue to be active.
In the book Chris refers to my practice in Birmingham which revolved around the MOST Clinic.
Whilst I still have patients and links to organisations in Birmingham I have now moved and I am based at the London Orthopaedic Clinic.
If you wish I can send you a private mail or you can call the clinic and book to see me the details are located on this site.
Make a note to the receptionist that you made an enquiry from my personal site
best of luck Andy I look forward to hearing from you
Dr Ralph Rogers

By David Jones on January 24th, 2010 at 7:10 pm

Hi Ralph,

I’ve had trouble with both achilles tendons for about 18 months now which has just been diagnosed by x ray and mri as chronic non insertional tendonopathy – apparently there’s a 15mm tear in both tendons. I’ve had courses of accupuncture and physio and I’m currently doing eccentric exercises and having more physio, but is there anything else you would suggest?
Look forward to hearing from you

David Jones

I am a runner and have a chronic hamstring problem on my left which frequently result in pain around and behind my knee. More mysteriously, I also frequently get pain, and sometimes numbness, in the middle toes of my left foot. This pain is alleviated only when I stop to re-stretch the hamstring. None of the doctors or physiotherapists from whom I have received treatment can explain this pain in my toes or suggest what might help. I’d be very grateful if you could help me on this score.

You may need to come for an appointment. Whilst I can openly discuss sports medicine and weight management theory on my blog, specifics, relating to personal requests I always require more information. Call me at my clinic and we can discuss your case on a one to one basis

By RICHARD GOAD on April 8th, 2010 at 9:24 am

I have two lesions in my right knee articular cartilage,tibia platfrom, and have lost alot of the lateral meniscus.I have had ACT and many operations to try and solve/halt the degeneration. My consultant said there is nothing more that can be done but did reccomend PRP treatment. I am a runner and am able still to do a limited amount of running.
All the people I have asked said PRP is tendon specific and would not help bone.Your advice would be appreciated.

By andre dever on August 1st, 2010 at 8:51 pm

Dear Dr Roger
In the last two months I have been trying to play football put every time I sprint,I pull both of my hamstrings.
Every day I stretch my hamstrings and once a week, weight train my legs.
Will I ever play football competivly again, Im only 27 yrs old please HELP!!!

Hi Dr Ralph,

I am 30yr old female. I have chronic pain and burning in both my feet, primarily my right foot but is now beginning in my left foot. I can no long wear any kind of a heel, as my achllies and calf muscles are litterly rock hard. I can nolonger run, cycle or doing any kind of excersie as the buring, tingling and pins and needles sensation are too painful. Also, my feet are continually sweating. I cannot stand for any lenght of time as both my feet and back, hips to neck ia very painfull. My body feels all out of sorts and is extremely sensitive to any touch. Foe example, if I rub/ touch or hop off any surface the pain, stinging/ burning is and can be unbearable at times. I went to doctor & told to take pain killers which have no effect. I also feel notice that the veins in my legs are becoming more and more prominent and constantly feel lushish, tired and very little energy. I was a very active person up until it became to painful to exercise. In the morning when I get out of bed is the worst,putting weight on my feet. I have to sleep with my feet over the covers.

Please can you help as I feel I am not being listened to.

Elaine.

Hi Elaine
Thank you for your post.
In order to assist you correctly I would need to examine you in detail to deliver a correct analysis of your predicament.
In my blog I am happy to discuss general areas of Musculoskeletal Sports Medicine and Nutrition but will refrain from giving specific diagnosis “over the internet”.
I am always happy to see patients at my clinic in London and should you wish you can call for an appointment.

Hi Andre
Thank you for your post.
In my blog I am happy to discuss general areas of Musculoskeletal Sports Medicine and Nutrition but will refrain from giving specific diagnosis “over the internet”.
I am always happy to see patients at my clinic in London and should you wish you can call for an appointment.
Whether you play again can be determined on a number of factors such as severity of the injury , your ability to recover as well as the treatments undertaken.

 

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About

Dr. Ralph Rogers MD PhD MBA
FACN FECSS FACSM FFSEM
London Orthopaedic Specialist
My London Sports Medicine Clinic on google maps

30 Devonshire Street
London W1G 6PU

t: 020 7186 1009
f: 020 7084 6957