Sports Specific Training

Children, teens, and adults participate in organized and recreational sports activities for fun, exercise, and social benefits. Individuals and parents are used to scrapes, bumps, bruises, sprains, and strains. However, internal abdominal injuries from the body colliding with another player or object are less common but dangerous. Abdominal injuries make up less than 4 percent of sports injuries but can be severe when they occur. 

These injuries are common in sports like wrestling, gymnastics, soccer, basketball, football, skiing, snowboarding, BMX freestyle, motocross, skateboarding, ice/field hockey, and lacrosse. Early symptoms are not always obvious or apparent and can be mild or seem to go in a different direction away from the abdominal region, which is why it is essential to know what to look for.

Internal Abdominal Injuries Athletes

There are about 3oo 000 abdominal sports-related injuries. Kids and young athletes risk injuring their abdominal organs because their abdominal wall is thinner and still in development. However, internal abdominal injuries to the stomach, small and large intestine, spleen, liver, and kidneys can and do happen in adults.

Injury Types

Sports-related internal abdominal injuries are considered rare, but studies suggest they are increasing. The most common sites include:

Liver

• This causes pain in the upper right side of the abdomen.
• The liver has two lobes.
• The right lobe is the one that gets injured more often because it is bigger and presses against the ribcage.
• A torn liver can cause severe bleeding.
• Shock can develop from the bleeding, causing heart palpitations, rapid breathing, shortness of breath, and a pale, grey, and/or sweaty appearance.

The liver and spleen are the most commonly injured organs in sports. They are filled with blood and can get bruised, or ruptured, and can cause severe bleeding when torn or cut. Bleeding in the abdomen can irritate the diaphragm, which can cause pain in the shoulder. Sometimes shoulder pain is the only symptom making it difficult to diagnose and because bleeding can take time to develop, the symptoms might not present for several hours.

Spleen

• This causes pain in the upper left side of the abdomen.
• The spleen filters around 10% of the body's blood supply every minute.
• A torn spleen can cause rapid and life-threatening internal bleeding.

Kidneys

• The kidneys can be injured by a blow/hit to the back or flank that causes bruising or laceration.
• This injury can cause flank/side pain, blood in the urine, nausea, and/or vomiting.

Abdominals

• A single organ or multiple organs can be injured.
• This can be the pancreas, diaphragm, stomach, gallbladder, bladder, or intestines.
• Bruising discoloration or bruising, particularly around the belly and flanks.
• This can cause abdominal pain with movement that does not get better that could be accompanied by fever, nausea, or vomiting.

Running into an object, another player, or falling hard can cause bruising, laceration, or create a tear/opening of a bowel wall. Symptoms can be delayed days to weeks after the injury when inflammation or infection develops.

Recognizing Internal Injuries

Signs and symptoms to look for include:

• Abdominal pain
• Bruising around the abdominal area.
• Tenderness over the injured area.
• Rigid abdomen.
• Left-arm and shoulder pain.
• Right-sided abdominal pain and right shoulder pain.
• Blood in the urine.
• Cold, sweaty skin.
• Nausea and vomiting.
• Rapid heartbeat.
• Low blood pressure.
• Loss of consciousness.

Treatment

Chiropractic focuses on whole-body health and can help with abdominal injuries. The nervous and digestive systems are interconnected, meaning that damage could lead to viscerosomatic reflexes even if not directly injured. If internal damage or bleeding has occurred, individuals will be referred to a specialist, surgeon, or another emergency medical professional. If internal damage is ruled out, a chiropractic treatment plan that includes adjustments, massage therapy, manual and mechanical decompression, exercises, stretches, and health coaching will help with tissue injuries and problems that are causing gastrointestinal distress.

Spinal Non-Surgical Decompression

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Arumugam, Suresh, et al. "Frequency, causes and pattern of abdominal trauma: A 4-year descriptive analysis." Journal of emergencies, trauma, and shock vol. 8,4 (2015): 193-8. doi:10.4103/0974-2700.166590

Barrett, Cassie, and Danny Smith. "Recognition and management of abdominal injuries at athletic events." International journal of sports physical therapy vol. 7,4 (2012): 448-51.

Kucera, K. L., Currie, D. W., Wasserman, E. B., Kerr, Z. Y., Thomas, L. C., Paul, S., & Comstock, R. D. (2019). Incidence of Sport-Related Internal Organ Injuries Due to Direct-Contact Mechanisms Among High School and Collegiate Athletes Across 3 National Surveillance Systems. Journal of athletic training, 54(2), 152–164. https://doi.org/10.4085/1062-6050-271-17

Slentz, Cris A et al. "Effects of aerobic vs. resistance training on visceral and liver fat stores, liver enzymes, and insulin resistance by HOMA in overweight adults from STRRIDE AT/RT." American journal of physiology. Endocrinology and metabolism vol. 301,5 (2011): E1033-9. doi:10.1152/ajpendo.00291.2011

High school football takes a toll on the body. The sport can cause all kinds of injuries that can range from mild - severe. Areas that are commonly injured include:

• Head
• Neck
• Shoulder
• Arms
• Hands
• Spine
• Legs
• Knees
• Ankles
• Feet

Chiropractic has become a medically recommended form of treatment and rehabilitation for these injuries but also injury prevention. Today all NFL teams utilize a chiropractic team for players and staff. College teams are also discovering the benefits that chiropractic offers. There are significant benefits that high school football players can attain from chiropractic care.

Enhanced Mobility

A chiropractic adjustment, technically known as chiropractic manipulative treatment/CMT, is a primary therapy in sports medicine. It helps to increase flexibility and minimize or eliminate pain during motion/movement. Adjustments have been shown to improve athletic performance.

Injury Prevention

Athletes who regularly use chiropractic experience a decline in sports-related injuries.

Treatment increases flexibility and mobility, allowing for optimal agility that has been linked to preventing injuries. This is because the body is relaxed and stays loose, even when tackled, instead of tensing up, which is a major contributor to strains and injuries. 

Enhanced Strength

Chiropractic adjustments also help increase muscular strength, making the body stronger, and more resistant to injury. It has been shown to promote strength in the muscles after a few sessions effectively. The strengthened muscles also help avoid injury by being able to withstand the hits and recover faster. The strengthened body also helps to increase endurance and stamina.

Pain Relief

Many high school players use chiropractic to ease the general pain that comes from general practice and games. Adjustments and massage are highly effective for pain management and alleviate headaches, especially those that come from constant impact to the head and neck. It helps to alleviate soreness, stiffness, and pain from the entire body.

Sports Hernia

Athletes often experience athletic pubalgia. This is one of the most common causes of injury-related groin pain. Chiropractic can relieve the discomfort within 8 weeks in combination with rehabilitative stretches and exercises. Chiropractic plays a critical role in whole-body care, pain relief and keeps the body operating and performing at the highest level.

Body Composition

Water Intoxication

When an individual overwhelms their body’s ability to excrete water and waste products consumed, water intoxication can develop. Water intoxication causes disturbances in the body's electrolyte balance. This can cause a life-threatening condition known as hyponatremia. With a rapid decrease in the sodium levels in the blood, relative to the amount of water, symptoms can develop rapidly:

• Early symptoms include:
• Confusion
• Disorientation
• Nausea
• Vomiting
• Changes in mental state
• Symptoms of psychosis
• If left untreated, later symptoms can develop into: 
• Seizures
• Coma
• Death

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Hession, E F, and G D Donald. “Treatment of multiple lumbar disk herniations in an adolescent athlete utilizing flexion distraction and rotational manipulation.” Journal of manipulative and physiological therapeutics vol. 16,3 (1993): 185-92.

Pritchett, J W. “A statistical study of physician care patterns in high school football injuries.” The American journal of sports medicine vol. 10,2 (1982): 96-9. doi:10.1177/036354658201000206

Shane, Eric R et al. “Sports chiropractic management of concussions using the Sports Concussion Assessment Tool 2 symptom scoring, serial examinations, and graded return to play protocol: a retrospective case series.” Journal of chiropractic medicine vol. 12,4 (2013): 252-9. doi:10.1016/j.jcm.2013.08.001

Running Shoes: Feet are important. By the time the typical American reaches the age of 50, they will have walked 75,000 miles.

Runners put even more miles on their feet, and stress. Your feet are your foundation. A problem with your feet can throw your entire body out of balance. That is why when it comes to running shoes, it is important to find the right type. This guide will help you find the running shoes that are right for you.

Running Shoes

Before You Shop

Know the type of runner you are.

Different types of running require different features in shoes.

Some questions to consider:

• Do you run or jog?
• What surface do you run on – asphalt, treadmill, or trails?
• How far do you run each week?
• Are you training for a marathon?
• Are you a competitive sprinter?

Know your body type.

A larger person will not move and run the same way a thin, wiry person does. An overweight person will put more stress on their feet – and shoes.

Know your running style.

The way you run, the motion of your stride and how your foot strikes the ground has great bearing on the type of running shoe you need. When your foot comes in contact with the ground, what hits first? Does the inside of your forefoot hit first? The center of your heel? The outside of your heel? Where your foot first hits is where you really want the cushion.

Know what injuries you may have sustained from running.

Plantar fasciitis, shin splints, tendonitis, and blisters are a few common injuries can be reversed or improved when you wear running shoes that fit properly.

Know the type of arch you have.

Whether you supinate (foot rolls to the outside) or pronate (foot rolls to the inside) is determined, at least in part, by the shape of your arch. While supinators are rare, quite a few people over pronate. This can be the source of injuries due to overuse. 

When You Shop

Give it the 360-degree test.

When people try on shoes they typically check for fit in the toe box, but look no further than that. When you try on running shoes, you do need to make sure you have adequate space in the toe box, but you also need to check that your entire foot fits on the shoe’s platform.

Give your foot enough space.

The upper should have enough room but should not be loose. It shouldn’t squeeze your foot either though. It should fit well with no pinching or binding.

Shop later in the day.

Throughout the day your feet swell. When you run they also swell so when you shop for shoes, going when your feet are the largest will help ensure that you get the most accurate and more comfortable fit possible.

Bring your old running shoes along when you shop.

Having your old shoes with you when you shop will help the sales person determine what kind of running shoe you need. They can look at the wear on the shoe to see your running patterns and help you find a shoe that works best for you.

Get your foot measured.

As you age your feet actually change; they can expand or flatten. Don’t every assume your shoe size, get your foot measured every time. A comfortable fit is dependent upon wearing the right size shoe. You also need to keep in mind that shoe sizes may differ from brand to brand.

Dress for the run.

When you are shopping for a new pair of running shoes, dress as you would when you run. Don’t show up wearing flip flops or when you are dressed for the office. Definitely don’t show up without socks.

Forget the latest trend or what’s fashionable; think functionality.

There are plenty of sharp looking shoes, but that doesn’t mean they are the right running shoe for you. Go for fit and functionality first and fashion second.

Take them for a test drive.

Once you have settled on a pair or two, try them both on and try them out. Many stores that specialize in running shoes have a treadmill or area where runners can try their shoes. That is the only way you can tell for shoe if the shoe is right for you.

Injury Medical Clinic: Sport Injury Treatment

Bicycling at any level is excellent healthwise, but the specific physical repetitive motions and postures can wear on a cyclist's body, causing strains and injury to the:

• Muscles
• Ligaments
• Tendons
• Nerves
• Spine

Injuries can be caused by falls, overused muscles, joints, posture, and/or balance problems, whether riding a bicycle for fun, health, or sport. Chiropractic decompression can treat cycling-related injuries and help prevent common injuries by helping cyclists with conditioning and exercises. Chiropractic adjustments, combined with health coaching and nutrition planning, can maximize the body's overall athletic ability and increase/improve:

• Endurance
• Strength
• Flexibility
• Respiration
• Heart rate variability

Common Cyclist Injuries

Competitive cyclists, commuters, and weekend riders all experience common cycling injuries that include:

• Delayed onset muscle soreness
• Cyclist's palsy, carpal tunnel, and ulnar neuropathy
• Tennis elbow and/or elbow dislocation
• Cyclist's knee
• Quadriceps tendonitis
• Thigh and hip flexor strains
• Foot pain, arch pain, numbness, tingling
• Plantar fasciitis
• Shoulder joint sprains
• Clavicle fractures

Back Soreness and Pain

Many cyclists suffer from back pain overuse injuries that are caused by:

• Incorrect saddle/seat height or an uneven seat/saddle
• Not bending the knee at the end of a pedal stroke forces the cyclist to rock the pelvis side to side to generate enough power, placing added stress on the low back muscles.
• Handlebars that are too far forward can cause over-stretching of the spine.
• Constantly tilting the head can cause neck and shoulder pain.
• Staying in the same position for an extended period strains the spine.
• Repetitive hip flexion causes the muscles to become tight and perform less efficiently, straining the rest of the body to make up for the lost support.
• Hamstrings that become tight can shorten in length, causing the body to pull on the pelvis and the spine.
• Lack of core strength allows more stress to penetrate the glutes, back, and hips.
• Riding on bumpy or rough terrain increases body jarring and spinal compression.

Chiropractic Decompression

Chiropractic decompression for cyclists can rehabilitate the body from injuries, alleviate pain, improve blood and nerve circulation and maintain the body's flexibility. Advanced decompression techniques personalized to the individual realign and release the body from obstructions and toxins in the neural pathways. Nutritional and supplementation recommendations are incorporated to enhance the body's natural healing abilities, and exercise/stretches to sustain the adjustments.

Spinal Decompress

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Schultz, Samantha J, and Susan J Gordon. "Recreational cyclists: The relationship between low back pain and training characteristics." International journal of exercise science vol. 3,3 79-85. 15 Jul. 2010

Silberman, Marc R. “Bicycling injuries.” Current sports medicine reports vol. 12,5 (2013): 337-45. doi:10.1249/JSR.0b013e3182a4bab7

Streisfeld, Gabriel M et al. "Relationship Between Body Positioning, Muscle Activity, and Spinal Kinematics in Cyclists With and Without Low Back Pain: A Systematic Review." Sports health vol. 9,1 (2017): 75-79. doi:10.1177/1941738116676260

Thompson, M J, and F P Rivara. "Bicycle-related injuries." American family physician vol. 63,10 (2001): 2007-14.

Virtanen, Kaisa. “Cyclist injuries.” Duodecim; laaketieteellinen aikakauskirja vol. 132,15 (2016): 1352-6.

Chiropractic treatment and physical therapy are treatment methods/approaches that are conservative, non-invasive, and are both practical options. Both address health concerns, like various types of pain, automobile, work, sports, and personal injuries. Both are focused on helping individuals achieve long-term results and maintain health.

Chiropractic and physical therapy are usually done in combination, as they complement one another. There are benefits and similarities between the two treatment options. Here are some general guidelines to decide which treatment option is best for your needs.

Primary symptoms

Chiropractors are known for the ability to provide quick relief to individuals dealing with pain and stiffness in the joints, particularly the spine. They are experts in spinal realignment and proper posture. If flexibility is limited or the joints are locking up, a chiropractor is the recommended choice.

Physical therapists or PTs are the experts in body biomechanics and soft tissue injuries. If an individual finds themselves moving differently because of pain or injury, training and exercise will help movement and maximum recovery.

Treatment style

Chiropractors follow a meticulous expert-based protocol for achieving the best results. They provide a hands-on approach to treatment that requires regular follow-ups and maintenance. This is an approach that some individuals prefer. Physical therapy treatment/rehabilitation programs are typically short-term. The average treatment usually lasts only 12 weeks. A physical therapist's primary objective is to provide a fundamental understanding of how to move properly and self-manage symptoms for the long term. This usually includes a balanced exercise program.

Insurance coverage

Insurance plans vary in what is covered. The first step is to see what an individual's insurance will cover. Benefits can be found online or by calling a representative to see how to get the care/treatment needed. Most plans cover some form of physical therapy. Chiropractic is also usually covered by insurance providers. Skipping the insurance can also be done with chiropractic clinics providing affordable options.

Options

There is no clear-cut answer as to which to see. A physical therapist or chiropractor. Individuals should follow a doctor's recommendations as to which treatment type would benefit them. If no recommendations have been given then take a look at a clinic’s website to see what they are about. Fortunately, many chiropractic clinics include physical therapists as part of their medical team. Both chiropractic and physical therapists provide dynamic benefits for increasing and maintaining overall health.

Body Composition

Hydration Guidelines

Drink according to thirst

The body knows when it needs water. Therefore drink when you are thirsty, not before. An adequate fluid intake should be timed according to feelings of thirst.

Estimate hourly sweat loss

Those that exercise or engage in regular physical activities for prolonged periods should weigh themselves before engaging in the exercise/activity. Then drink according to thirst as the event goes on, then weigh yourself after the activity. The goal is to maintain the same weight or be slightly less. If an individual weighs more than what they drank, then they drank too much.

Excess water consumption

If an individual is not thirsty, the recommendation is to not drink water in excess. Nausea and even vomiting could ensue. A simple indicator to determine if enough water is being consumed is to check urine color. If it is colorless or slightly yellow then an individual is drinking enough water.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

American Association of Physical Therapists. www.apta.org

Cherkin, DC et al. “A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain.” The New England journal of medicine vol. 339,15 (1998): 1021-9.

doi:10.1056/NEJM199810083391502

Fritz, Julie M. “Physical therapy in a value-based healthcare world.” The Journal of orthopedic and sports physical therapy vol. 42,1 (2012): 1-2. doi:10.2519/jospt.2012.0101

Shrier I. Does stretching help prevent injuries? Evidence-based Sports Medicine. Williston, VT: BMJ Books; 2002.