SEARCH

The crucial joint

print   ·   T  T  
Watch the ligament
Watch the ligament

Rehabilitation with physiotherapy is essential for an athlete to regain the suppleness of motion

Sportsmen have a very short time in the field and they need to showcase their talents and passion probably in a period of less than a decade. Motivation is the key to success and they cannot let themselves down a wee-bit, lest the pace of sport leaves them far behind. The second factor is the physical health that needs to be at its revving best to scale the peak to achieve another victory. Every sportsman needs to fight and therefore he is. One of the commonest injuries of sports such as tennis and football is concerned with the knee joints, which is called anterior cruciate ligament injury. The knee joint is essentially made up of four bones, the thighbone called the femur and tibia the long bone below the joint and one more bone running parallel to tibia called the fibula. The kneecap over-rides the joint and is called the patella. The muscles of the thigh and calf help give the joint necessary strength to move in the direction warranted. To see that the joints slide over each other easily is the soft tissue like film called the cartilage. But the crucial part of the knee joint especially in the sportsmen is the cruciate ligaments (anterior and posterior), which are smooth and strong, and they hold the joint together. Essentially the anterior cruciate ligament prevents the thighbone to slide backwards on the shinbone or the shinbone to slide forwards of the thighbone. The knee joint does not just bend and straighten but also has a slight rotational capacity. To see that the joint does not rotate much and give way to injury is the function of these ligaments. But in sports, which requires lot of twisting and changing direction like tennis or soccer, slowing down suddenly while running and twisting with the knee firmly planted on the ground, landing from a jump in a game like basketball or due to an impact on the knee during a rough tackle of hockey or football, the ligament can give way and lead to instability of the joint. An athlete can feel a crack or hear a sound of "pop" during the injury. The pain could be immediately so excruciating that he feels the need to take support and sit down. Swelling occurs rapidly over the knee joint and the person cannot straighten the joint. There could also be tenderness or pain that gets worse on touch. Even as the pain subsides in a few days there is always a sensation that the joint could "buckle out" on sudden movement, twisting and turning the joint while walking or most probably while climbing up and down the stairs. An injury of this sort can be a huge blow to the career at whatever stage they may be since the time lost out could bring down the ranking of the individual. A test called arthroscopy is performed through which the joint is visualised and the degree of injury to the ligament is assessed. Homoeopathic medicine has good remedies such as Arnica, Bryonia, Rhus tox, Phytolacca, Mercurius, Apis mel which can relieve the inflammatory changes with pain, swelling and stiffness which thereby improves the mobility of the joint. The improvement of blood supply around the tissues and ligaments further helps in healing at the earliest and Homeopathic medicine augments such a situation. Rehabilitation with physiotherapy is essential for the athlete to regain the suppleness of motion. Amongst the treatment options surgery is one sought after if the conservative mode does not help. DR. VENUGOPAL GOURI

92463 72625drvenugopal@gmail.com

More In: METRO PLUS | FEATURES

O
P
E
N

close

Recent Article in METRO PLUS

A still from Before Midnight

A walk through time

Thoughts on the remarkable Before films — Sunrise, Sunset and Midnight »