Santander League 2018-19TOThe opinion of Angel Villamor
ORInternet users, fans and participants in football gatherings have been wondering ifthe accumulation of setbacks in some clubs will not have to do with bad physical preparation or poor planning of the seasonBut honestly, I do not think that's the key.
As specialists we are obliged to clarify that it is difficult to attribute the origin of the injuries that concern us to deficiencies in the physical preparation or in the level of trainingbecause professional sports takes care of these aspects. In fact, in more than one occasion we have spoken to you about the advantages that all of us who are part of iQtra have, to count among our patients many lite athletes, since then we apply the most sophisticated knowledge and techniques to conventional users. .
But returning to the aluvin of injuries in Spanish football, it is appropriate to insist that those of us who dedicate ourselves toSports Medicine we have been incorporating to the preparation of high level athletes scientific advancesthat have affected not only that they have better physical shape every time, but also that they recover before and better from the injuries they may have in their professional performance. Fortunately,It is becoming less and less common to see players in the dry dock for a long period of time.On the contrary, they return to the field almost without having given time to realize that they have been absent.
However, it is a fact that the sport of lite in general and football in particular have been gaining demand over the years.Very tight competition calendars, advertising commitments that require trips and games in every corner of the planet, very long preseason …they make the players, who this year have also played a World Cup, have to take care every detail of their physical preparation to avoid injury, in addition to following strict protocols of recovery not only when they are damaged: also between a great effort and other.
As we said,all these classic factors are very controlled in the big teams,so that every time we find less acute injuries of acute type caused by not paying enough attention to the previous warm up, to the stretches or to the misdirected training sessions.
On the contrary, what we see with relative frequency are damages that affect the same muscle groups, but for different reasons.That is to say, these muscular injuries are not due to fatigue or bad physical preparation, but to what specialists call "tissue fatigue".This tissue fatigue is due to the demanding and sustained effort to which the players are subjected, which causes the fibers to deteriorate one by one slowly and progressively to cause the injury. That is to say, the player does not break suddenly due to fatigue or overload, but he does it little by little and practically without realizing it.
This new scenario, in which we also have increasingly sophisticated tools and procedures, forces us to apply traumatology and physiotherapyin a preventive manner. Remember when we talked about the concept of preservative surgery? Well this is something similar. In the case of the preservative surgery, it is a question of passing for a surgical procedure to fix an incipient ailment with the objective of avoiding a greater evil in the future. The femoroacetabular shock is perhaps the clearest example of the ailments that we treat with preservative surgery, although there is more.
Femoroacetabular impingement is caused by a malformation in the hip joint that prevents the head of the fmur and the acetabulum that houses it from moving smoothly and naturally.This dysfunction causes a deterioration of the cartilage first and the bone later, giving rise to a premature arthrosis that ends in hip prosthesis at a very early age.Carrying out an arthroscope to mold the bone and give it the anatomically correct shape when the damage is incipient slows the arthritic process, avoids prosthesis and major surgery, much more serious than an arthroscopy even though it is done with minimally invasive techniques.
In the case of traumatology and preventive physiotherapy is something like treating a patient when his injury is very small or even when it has not occurred
And how is this done? Basically, monitoring by ultrasound and protocolized explorations the most vulnerable muscle groups according to the sport we are dealing with.The years of experience make the specialists that serve athletes know what are the most common injuries within each sport, so that in this sense we are very direct towards the most vulnerable points.
In the case of football we already know thathamstrings, adductors, sleo or cudriceps are especially delicate areas, so we extreme the monitoring of these areasto detect any deterioration that exists in these tissues when there has been little or no symptoms, or even when there have been no clear manifestations of injury.
In this way,when we observe fibrillar microrrotures, fatigued tissues, minimal fissures, we apply specific therapies aimed at enhancing the natural repair capacity of the organism by the technique that we consider most appropriate:infiltrations of plasma rich in growth factors and / or stem cells, deep diathermy, percutaneous electrolysis … In short, what we seek with treatments that combine several of these and other procedures, is to equate the capacity of tissue repair to the suffering the athlete when there are only a few fibers affected to prevent the injury from occurring.