Friday, 23 April 2010

Snickers time...



Living just a stones throw from the start of the Virgin London Marathon has its disadvantages but it also gives unique access to one of the worlds biggest sporting events. On Sunday thousands of nervous runners will anxiously line up at the start in Blackheath hoping to make it to the finish line. For most it will be the reward for the hard winter nights running in the rain and snow, but for those who have followed the Jade Goody marathon diet it will be a cigarette and a can of beer at mile five and a trip to the St John’s ambulance at mile 10. Ok so those people are in the minority but they do exist, I’ve seen them. The organisers rightly ask that if you can’t run 15 miles two weeks before the marathon that you should give up your place and they will very generously give you a place the following year, the catch, well if you are a running for a charity they will still want the cash that you guaranteed when you accepted your place.

In 2009 approximately 32,000 runners started the marathon and around 25,000 finished. Injury is an inevitable part of the marathon but it is not as risky as the media would have you believe, obviously the very occasional death makes the headlines but the chance of that happening is very small.

Marathon Injury Stats:

Likelihood of Injury
 
    • Contact with St John’s Ambulance: 1 in 6
    • Visit to A & E: 1 in 800
    • Hospital admission: 1 in 10,000
    • Death: 1 in 67,414

Injury Classification

Social 2%
Constitutional 4%
Topical 15%
Muskoskeletal 79%

Definitions:

    • Social - Self Treatment/Request for Fluids
    • Musculoskeletal - Cramps, painful joint, bones or muscles;
    • Topical - Blisters, abrasions, runner’s nipple, skin chafing etc.
    • Constitutional - Chest or abdominal pain, diarrhea, fits, vomiting, collapse

Statistics are, as always open to interpretation but these represent the runners who have made contact with any of the medical staff along the route but it doesn’t take into account those who self refer to their own doctor/hospital or Sports Therapist etc. As expected the vast majority of injuries are musculoskeletal but unfortunately I wasn’t able to find a breakdown of the type of injuries sustained. If you are interested in reading more about the injuries and physiology of marathon runners then you should read Marathon Medicine (beware it is 350 pages) as it covers everything from the shoes you should wear, to the role of genetics and why the African nations have dominated distance running.

As an interesting aside to the marathon there are a unique band of 21 runners known as the Ever Presents who have completed every London Marathon to date, no mean feat when you realise that most of these runners are now aged between 50-70 years old. I wouldn’t want to run a marathon now let alone when I was 70. Full details on this year’s marathon can be found here and if you are thinking of watching there is a great interactive map that tells you when the elite runners will be passing by the various stages along the route.

If you are running on Sunday good luck and make sure you hydrate well in the days before the marathon and good luck also to the London Met students who are working at the marathon this weekend.

www.fitfosportclinic.com

Monday, 19 April 2010

Student Conference






Check out the fantastic line up at this years Society of Sports Therapists Student Conference that is once again being hosted by London Metropolitan University. I think one of the key highlights has to be not one, but two talks by sports medicine guru Karim Khan co author of the best sports medicine book around. Should be a great couple of days nicely rounded off with dinner at the Emirates Stadium with Greg Whyte providing the after dinner speech. I look forward to asking him about his claim that he could have have got David Beckham ready to play at the world cup

Full details can be found here - go and buy your ticket. 

www.fitforsportclinic.com

Back in the saddle...

Having realised somewhat belatedly that my sports first aid had run out I am now re-accredited and ready to work again. Having endured a lot of games in terrible weather since the turn of the year it was great to have a glorious day of sunshine yesterday for Glebe FC's 2-1 victory over Welling FC who have one of the best youth set ups in semi pro football. During the time that I wasn't working unfortunately Glebe's title ambitions have come unstuck but it was a good result yesterday and one that will hopefully help us finish second in the league.


Inevitably I am now starting to think about my next steps as a Sports Therapist as I only have another 45 days left as student. Scary thought. Including the foundation year I will have been a student for 5 years and I am more than ready to rejoin the world of work. At least until I find the masters course that I want to do...


www.fitforsportclinic.com

Saturday, 3 April 2010

I could just fancy some cheese Gromit. What do you say?





I’m partial to some, now let’s be honest most cheeses yet I’ve never thought about using gorgonzola or perhaps a nice ripe brie to heal an injury. You haven’t either I hear you say? Well it seems some people have. Lindsey Vonn is the most successful American Alpine woman skier in history and was due to excel at the recent Winter Olympics in Canada following her successes at three consecutive overall World Cup Championships (2008, 2009, and 2010).

However just prior to the Winter Olympics, Vonn revealed that she was suffering from periosteal bruising (bruised bone) to her tibia. The solution was not horse’s placenta which is a favourite amongst Premiership football players of late, but Topfen, a soft, tangy Austrian cheese that has a similar consistency to cottage cheese. I was never partial to cottage cheese. So in addition to more conventional treatments like Laser, painkillers, and stretching   apparently Vonn had her shin regularly covered in Topfen to help reduce the inflammation.



Whilst many in the sports medicine community have been quick to distance themselves from cheesegate (although they were strangely quiet over the horse placenta issue), and dairy scientists have held forth over the healing properties of cheese, it is easy to see why Vonn opted for the fromage. Athletes will try anything to get fit again – especially in the build up to a major tournament. Vonn was in training in Austria when she sustained the injury and it is not uncommon to treat injuries with a poultice in Austria.

Did it work? Almost certainly not but you can’t underestimate the power of placebo. Vonn was helped by the unseasonable warm weather that delayed the alpine events in Canada, but out of the five medals that she was chasing she managed a gold, a bronze and a fractured finger. For Vonn it was a disappointment and inevitably it was the cheese that made the headlines.

So is David Beckham sitting at home with his Achilles tendon covered in dairylea triangles? No, but don’t bet that he’s not trying something. 

www.fitforsportclinic.com