Dr. Sanjay Barik
Knee & Shoulder Surgeon
Dr. Sanjay Barik
Knee & Shoulder Surgeon
Meet Our Doctor
Dr. Sanjay Barik
Orthopedic and Joint Replacement Surgeon
Dr. Barik's Orthocare Clinic
- MBBS
- MS - Orthopaedics
Dr. Sanjay Barik is an experienced Orthopedic Doctor in Ramdaspeth, Nagpur. He is a qualified MBBS Bachelor of Medicine and Bachelor of Surgery, MS – Orthopaedics.
Best Sports Rehabilitation Guidance In Gondia
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Sports rehabilitation:
Sports rehabilitation is an important aspect of an athlete’s journey and focuses on a comprehensive process that allows injured athletes to safely resume training and competitive activities. In sports, injuries are an inevitable result of the physical demands and stress associated with intensive training and competition. Athletes, both professional and amateur, experience a variety of injuries.
The most common types of sports injuries treated in sports rehabilitation include sprains, strains, Achilles tendon ruptures, and rotator cuff injuries. A sprain occurs when a ligament, the connective tissue that connects two bones in a joint, stretches or tears. A strain involves overstretching or tearing a muscle or tendon. Tendons are bundles of fibers that connect bones and muscles. Achilles tendon rupture occurs at the back of the ankle and causes sudden, severe pain and difficulty walking. Rotator cuff injuries that affect the muscles that allow shoulder movement can weaken the entire shoulder.
Sports rehabilitation professionals play an important role in the management and treatment of these injuries. The rehabilitation process involves a systematic approach such as therapeutic exercise, physical therapy, and targeted interventions to promote healing, restore function, and prevent future injury. These professionals assess the severity of the injury, develop an individualized rehabilitation program, and monitor the athlete’s progress.
The ultimate goal of sports rehabilitation is to safely and effectively return to sports activities and minimize the risk of reinjury. It is about collaboration between athletes, trainers and rehabilitation professionals to optimize performance, increase recovery and promote long-term sports health. Through a combination of medical expertise, customized training programs, and ongoing support, sports rehabilitation makes a significant contribution to the overall health and longevity of athletes seeking to achieve peak performance.
Rehabilitation is an important aspect of medical care that focuses on restoring optimal form and function to individuals who have sustained musculoskeletal injuries or face limitations due to various health conditions. The term ‘rehabilitation’ comes from the Latin words ‘re’ meaning ‘again’ and ‘Habitare’ meaning ‘to make healthy’, emphasizing the process of making a person healthy again. The goal of this process is to minimize losses associated with acute injury or chronic disease, accelerate recovery, and maximize function, fitness, and overall performance.
Musculoskeletal injuries are often caused by sports activities, and leisure activities and competitive sports play an important role in the occurrence of injuries. Catastrophic injuries are especially common in soccer, gymnastics, and ice hockey. These injuries can be broadly divided into macro-traumatic injuries caused by strong forces such as falls and collisions, and micro-traumatic chronic injuries caused by overuse during activities such as swimming and cycling.
Rehabilitation Planning:
The rehabilitation process should begin as soon as possible after injury and form a continuum with other therapeutic interventions. If surgery is required, it may occur before or immediately after surgery. The goal of a rehabilitation plan is to help the patient (often an athlete) return to the same activity or environment in which he or she was injured. The ultimate goal is for post-rehabilitation functional capacity to equal or exceed pre-injury levels.
Multidisciplinary Approach:
Rehabilitation requires a multidisciplinary team with physicians as leaders and coordinators of care. The team consists of sports doctors, physical therapists, orthopedic surgeons, physical therapists, rehabilitation staff, sports educators, trainers, athletic trainers, psychologists and nutritionists. Effective communication within this team is essential for successful rehabilitation. A lack of coordination between medical professionals, strength and conditioning professionals, and team trainers can prevent athletes from returning to peak performance and increase the risk of new injuries.
Principles of Rehabilitation:
Rehabilitation is guided by his seven principles summarized in the mnemonic “ATC IS IT”.
Principles of Rehabilitation:
Rehabilitation is guided by his seven principles summarized in the mnemonic “ATC IS IT”.
Avoid aggravation: It is important to avoid aggravation of the injury during rehabilitation. Treatment exercises must be performed carefully to prevent further damage.
Timing: To quickly return to full activity, it is important to begin therapeutic exercise as soon as possible without worsening symptoms. Rest is necessary at first, but prolonged inactivity can be harmful.
Compliance: Patient compliance is critical to the success of a rehabilitation program. Setting goals and involving athletes in decision-making can motivate them to stick with the program.
Individualization: Everyone responds differently to injuries and rehabilitation programs. Recognizing individual differences in physiological and chemical responses is important for developing effective rehabilitation plans.
Specific Sequence: Therapeutic exercises should follow a specific sequence that aligns with the body’s physiological healing response.
Intensity: The intensity of therapeutic exercises should load the patient without burdening the patient. Observe the patient’s response and consider the healing process to determine the correct intensity.
Whole Patient: Whole patient treatment includes maintaining cardiovascular health, range of motion, strength, coordination, and muscular endurance of unaffected body parts. This comprehensive approach prepares patients for complete rehabilitation both physically and mentally.
Components
However, regardless of the specifics of the injury, the basic components that should be included in any successful rehabilitation program are:
Pain Management
Medication is a mainstay of treatment for injured athletes, both for pain relief and for curative effects. It is recommended that they be used with caution, especially considering the risks and side effects as well as potential benefits such as reduced pain and earlier return to competition. Treatment plays a small but important role in sports injury rehabilitation. These help reduce pain and edema and allow exercise-based rehabilitation programs to be implemented. Understanding the physiological basis of these treatments allows selection of safe and appropriate treatments, but their effectiveness ultimately depends on the patient’s personal and subjective response to treatment. To do. Massage therapy aims to relieve pain, reduce swelling, improve performance, and aid recovery. Sports massage is the manipulation of soft tissues to correct soft tissue problems and imbalances caused by repetitive and strenuous physical activity or trauma .
Flexibility and Joint Mobility
Injury or surgery can reduce joint mobility, primarily due to fibrosis and wound contraction. Additionally, decreased flexibility is common after an injury due to muscle spasms, inflammation, swelling, and pain. This not only affects the injured area, but also the joints above and below the problem, causing motor dysfunction. Flexibility training is an important part of rehabilitation to minimize loss of joint range of motion. Additionally, various stretching techniques can be used to improve range of motion, including PNF, ballistic stretching, and static stretching .
Strength and Endurance
Musculoskeletal injuries can cause skeletal muscle atrophy and weakness, loss of aerobic capacity, and fatigue. Maintaining cardiovascular endurance is important when rehabilitating from a sports injury. Regular cycling, single-leg or arm cycling, a training program in a pool wearing a wet vest, or a general training program for the main muscles with relatively high intensity and short rest periods (circuit training with weights). Very important.
proprioception and Coordination
Proprioception can be defined as “a special type of sensitivity that provides information about deep organ sensation and the relationships of muscles and joints” . Loss of proprioception occurs due to injury or immobilization of ligaments, tendons, and joints. Proprioceptive reeducation must activate muscle receptors to enable rapid motor responses (Scott et al. 2000). Restoring proprioception is an important part of rehabilitation. Treatment should be individualized depending on the type of injury and the stress experienced by the athlete during sports practice.
Use of orthoses
The use of orthoses to support musculoskeletal function and correct muscle imbalances and reduced flexibility in uninjured areas should be brought to the attention of the rehabilitation team. Proper orthopedic application creates a restraining force that counteracts unwanted movement (Kilmartin & Wallace 1994). A complete orthotic prescription should include a patient diagnosis, consider the type of footwear to be used, the joints the footwear will encompass, and specify the desired biomechanical placement and materials of construction. Communication with the prosthetist who creates or installs the brace is paramount to achieving good clinical results.
Psychology of Injury
Injury is not just physical. That is, athletes must be psychologically prepared for the demands of their sport. Sports injuries threaten an athlete’s career and success, can be career-ending, and have multiple impacts on an athlete’s quality of life . The most immediate emotional response to an injury is shock. Severity ranges from mild to severe depending on the severity of the injury. It is important to note that denial itself is an adaptive response that allows individuals to manage extreme emotional reactions to situational stress. Many can support the athlete’s recovery process and promote psychological readiness. However, it can also identify people who have recovered physically but need additional time or intervention to be fully ready to return to competition. Therefore, rehabilitation and recovery are not only physical but also psychological.
When an athlete is injured, it affects not only their physical performance, but also their situational and psychological aspects. In fact, in certain situations, an injury can leave an athlete without compensation and increase life stress, leading to fear of reinjury, feelings of loss, negative emotions, and other mood disorders.
Mental skills in sports are considered part of an individual’s personality and cannot be taught. Many doctors believe that injured athletes either have the mental strength to proceed with rehabilitation or they don’t. However, mental skills can be learned. One example is proper goal setting. It plays a very important role in sports rehabilitation, as it can accelerate recovery from injuries. Goals should be measurable and expressed in a behavioral way. Research shows that goals should be challenging and difficult, but also achievable. It is important to help physicians focus on short-term goals in order to achieve long-term goals. For example, setting daily and weekly goals during the rehabilitation process and ultimately reaching a long-term goal, such as returning to play from an injury. It is important for sports medicine professionals to help patients set goals that are related to the process of performance rather than the outcome, such as: B. Return to the game.