Monday, 27 December 2010

2011 Prohibited List (mobile) - World Anti-Doping Agency

2011 Prohibited List (mobile) - World Anti-Doping Agency has been available since 1st September 2010. Both athletes and coaches should be aware of the various subtances prohibited by sports which could still be inadvertently used by some ignorant medical personnel, personal trainers and nutritionists. One should also be aware of Therapeutic Use Exemption and Monitoring Programme. ADAMS continue to play a major role in the coordinating the athletes data via Athlete Whereabouts notification which has been made available on SMS in US, France and UK.

If you are savvy in social media, you may find some useful interaction on facebook, twitter or youtube.

Downloads of the Prohibited list, Monitoring Program, Summary of Modifications and Explanatory Notes.

Sunday, 26 December 2010

Slipping Rib Syndrome (12th Rib Syndrome)

This basketballer suffered from loin pain at the tip of the Right 12th rib and along the 11th intercostal space after feeling at 'pull' during competition. The pain persisted despite taking oral NSAIDS but reduced slightly with ice application. Similar injuries have been seen previously in martial arts, dancers, boxers and swimmers.

We ruled out fracture by clinical examination and X-rays and progressed to do some PNF stretching and strengthening exercises. An ultrasound scan was not done as we did not suspect a torn muscle. His symptoms subsided significantly after the first visit and was resolved within the next 2 weeks. He was told to strengthen his intercostal muscles and oblique abdominal muscles with rotary torso and stomach crunch exercises. Kinesiotaping was applied to provide a controlled lateral rotation and back extension while reducing pain.

Read articles in swimmers and non-athletes.

Monday, 20 December 2010

Plantar Fascia Rupture

This gentleman suddenly felt a snap followed by sharp pain in the hindfoot (medial tubercle of calcaneus) while playing badminton. He could only place his weight on his forefoot and had to use a pair of crutches to walk.

He was diagnosed with a partially ruptured plantar aponeurosis and told to use a pair of running shoes with a silicone gel pad. However, he was not allowed to bear weight due to the severe pain. His X-rays did not indicate any signs of fracture of the calcaneus.

After vigourous RICE treatment over the next few days and the use of oral Cox-2 inhibitor, the pain reduced significantly and he was able to walk with less pain. He was treated with ultrasound for several sessions and started with toe and foot exercises. We encouraged him to go into the swimming pool for hydrotherapy to maintain his aerobic fitness. He would require at least another 2 to 4 weeks before he can return to training.