April 19th, 2013

Health N

Staff Report

Health N
photo from cw.ua.edu

Louisville Orthopaedic Clinic shares treatment advice

As a part of the Louisville Orthopaedic Clinic, the Sports Rehab Team physical therapists are knowledgeable and trained in the latest advancements and techniques available in sports rehabilitation.

On a weekly basis, the Health N’ Sports Update will give information on prevention, recovery, and include special offers, as well as general health tips that would be beneficial to all. If there is a specific topic you’d like to know or hear more about, email future suggestions to editor@catholicsportsnet.com.

Acute abrasions are nothing new in the sports world. Softball and baseball players are well acquainted with “raspberries”. Wrestlers have their mat burns and cyclists have their road rash. Abrasions are produced when the granular and keratinized skin cells are abruptly removed from the underlying dermis. The pin point areas of bleeding within the larger patch of skinned tissue contribute to what is clinically referred to as the raspberry or strawberry.

Treatment consists of irrigation of the affected area of dirt and debris. Water is ok, if that’s all that is available, but your team’s medical kit may have an irrigation solution to flush the wound with a non-toxic surfactant, such as Saf-Clens AF or a 0.9% sodium chloride solution. Cleansing is followed by application of a Hydrocolloid or semioclusive Hydrocel bandage. The hydrocolloid patches are waterproof and self-adherent, no need for additional tape. Trade names include: Duoderm, Granuflex, or 3M Tegaderm. The moist conditions produced under the dressing are intended to promote fibrinolysis (prevention of blood clots), angiogenesis (the process of new blood vessels form from pre-existing blood vessels), and wound healing.

The patch provides the perfect healing environment, which eliminates a need for any other ointments or salves. Soap/water, dry 4x4‘s, and antibacterial ointments are not the preferred treatment plan. You may want to re-visit the proper sliding techniques, and the importance of wearing sliding pads, as these play a key role in prevention.

Addition insight from St. Margaret Mary Athletic Director Cres Bride on general baseball injuries: 

"In baseball, a coach needs to be cognizant of the heat in the summer. Make sure that the kids have plenty of liquids and that the heat index is not too high. Also, make sure that the kids only swing bats in an area that has a large amount of space. Kids can develop issues with their throwing arm if they are allowed to pitch too often or if they are allowed to throw certain types of pitches like a curve ball. As coaches, we need to ensure that the kids do not throw too many pitches a week. Stretching is important before a game or practice, particularly a child's throwing arm. Start practices by throwing lightly at medium distances and then work up to throwing at longer distances. Young, developing athletes can develop arm problems through over usage. (With any injury) it is always wise to seek the opinion of a doctor."


Louisville Orthopaedic Clinic & Sports Rehab Center

Main Office: 502-897-1794

Physical Therapy: 502-897-1790

Website: louortho.com

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