| Sports Medicine One of the specialty areas at the INSTITUTE FOR ORTHOPAEDIC  SURGERY is Sports Medicine.The entire team has a focus of  managing and treating musculoskeletal injuries with a goal
 of returning the athlete to his/her sport as soon as  possible.  At IOS, a multidisciplinary team
 of  physicians, physical therapists, and an orthopedic  surgical staff are trained in the diagnosis,
 treatment, prevention, and when indicated  surgical repair of athletic injuries.  IOS offers
 outpatient invasive diagnostic procedures  including arthroscopy; arthroscopic surgical
 repairs  including anterior cruciate ligament repairs; and  other surgical repairs of injuries.
 If a patient’s injury  requires inpatient surgical treatment, a patient is  admitted to the
 inpatient "Over Night Care Unit".   The IOS Rehabilitation Department through
 physical therapy and occupational therapy treats injuries that have undergone  invasive
 intervention and those  that have not.
  Prevention of sports injuries is also a key focus.   IOS  staff cooperates with theOrthopaedic Institute of  Ohio (OIO), in conducting pre-participation sports  physicals.
 These physicals are done annually in  the spring on the OIO/IOS campus.  Another key
 area of Sports Medicine is the regional involvement of many of the
 IOS Medical
              Staff Orthopedic Surgeons as team physicians for universities and high
 schools in the
              area.  As team physicians they work closely with the athletic trainers in the
 area
              in preventive and sports medicine treatment modalities.
 Return To Sport (Golf)
The therapy team at IOS understands that returning to sport may be the number one concernfor an injured athlete. Recognizing the physical requirements of each sport is a critical
 component in preparing the injured athlete to return to sport. Identifying the physical demands
 placed upon the recreational and competitive golfer is one example of how we help return
 patients to their sport.
 
 Participating in the sport of golf has continued to be a priority for many of the patients we treat at the Institute for Orthopaedic Surgery.  With the repetitive nature of the sport, there is a significant number of golfers who suffer from back, shoulder and other orthopaedic conditions. Regardless of whether the injury was a direct result of participating in golf, we recognize the importance of returning to competition.
  
The Physical Therapists at the Institute for Orthopaedic Surgery perform comprehensive evaluations to identify the physical limitations which may impede performance on the golf course. Following the evaluation process, the Physical Therapist design's a comprehensive treatment program to address limitations in strength, flexibility, balance and coordination.  With the assistance of a well-designed treatment program, patients have been able to return to the sport they love and prevent future injuries.    
 Prevention TipsFive Quick Prevention Tips
              Have a physical exam before starting a strenuous exercise programHave properly fitting equipment designed for the sport, including good shoesUse proper protective equipment, i.e., mouth guard, helmet, hand, wrist, knee guardsDrink plenty of water to stay hydrated during strenuous sports activityDo stretches and warm-ups before beginning activity Safety EquipmentThere are many benefits to participating in sports, some of which include; physical, psychological and interpersonal. Although the benefits are tremendous, there are varying degrees of risk depending on the activity.  The use of protective equipment has been shown to drastically reduce the frequency and severity of injuries. Although there are costs associated with the equipment, preventing injury and medical bills will offset the costs.   Some key points to remember:
              When purchasing sporting/fitness equipment, purchase the safety 
                equipment that goes along with it, at the same time.Spend the time to obtain the correct fit.  Without the correct fit, most safety   
                equipment will not provide the level of protection it was designed for.   When 
                needed, ask for professional help. The correct fit means the item will not be   
                too loose or to tight. Do not purchase protective equipment for children that is too large, with the 
                expectation that the child will grow into it.  The device will not provide the 
                needed protection during this time.The safety equipment should fit snug enough to insure that it will move with the  
                body part. Include kids in the selection of safety equipment when possible.  This may 
                increase their acceptance and improve compliance with the use of safety 
                equipment.Regularly check safety equipment for damage.  Even minor damage can 
                decrease the effectiveness of safety equipment. With the majority of injuries occurring during practice, it’s imperative to wear 
                the protective equipment during practice and games. Stretches, warm-ups, and cool downs  Prior to participating in sports or other strenuous activity, we recommend completing a brief warm up and stretching program.  To get the most from this activity we suggest you keep the following tips in mind
             
               Perform a five minute warm up prior to exercises such as biking, walking or light jog.  Perform three repetitions of each stretch and hold for 30 seconds. Take the muscle to the point of pulling, stop prior to pain.  Do not bounce when holding the stretch. Performing the stretches again upon completion of strenuous activity is a beneficial part of the cool down process. Acute Injury ManagementWhen treating acute sprains and strains we recommend following the "R.I.C.E." principals. Rest
              Following an acute sprain/strain, the injured body part should be rested to help avoid stress and allow for the initiation of healing.  Although total immobilization is not used as often to treat sprains/ strains, as with a fracture, we do encourage patients to minimize the stress to the affected body part until pain is under control.   Ice
              Traditionally, ice has been used for the first 24-48 hours following an injury, then switch to heat.  Although this time frame is appropriate in some cases, we prefer to monitor swelling to determine when to switch to heat. When swelling is present, even after the 48 hours, the use of cold will be beneficial.  Heat may increase swelling if applied while there is already swelling present.  Compression
              Compression bandages, such as Ace wraps, can help to control swelling in the arm or leg following an injury.  It is difficult to use Ace wraps for injuries to the trunk/spine and they are not often used for this purpose. When applying the wrap, start below the injury and then wrap back toward the heart.  This will help to push fluid out of the extremity.  Monitor the extremity for changes in skin color or sensation and loosen the wrap if there are any changes.  Elevation
              Elevating the injured area above the level of the heart will help to move swelling out of the extremity and back into the circulation.   Ice may be applied while elevating the extremity.  |