Read below for updates, your questions and answers, latest blogs and tip of the week from our experts.Welcome to the Citizen Sport injury clinic, the online forum that allows you to comment, discuss and ask questions on the sports related injuries, problems and concerns you may have - in association with CMK Therapy - the physiotherapy and rehabilitation specialists.
TIP OF THE WEEK: Sports massage is the most effective therapy for releasing muscle tension and restoring balance to the musculo-skeletal system. Received regularly this may help to prevent injuries, which might otherwise be caused by overuse.
A constant build-up of tension in the muscles from regular exercise may lead to stresses on joints, ligaments, tendons and the muscles themselves.
So if you feel tired before a workout or a competition, make sure that you warm-up and cool down a bit longer than usual (an extra five minutes or so).
Click here to read the team's regularly updated blogsDo you suffer from pain when you play a certain sport?
Do you have an injury that keeps coming back?
Do you feel a twinge or pull on a muscle when you are doing a specific activity?
Do you need advice on injury prevention?
Do you need advice on managing pain?
Do you need advice on getting back into sport after an injury?
These are all questions that CMK Therapy's professional physiotherapists can help you with. If you have any question that you would like answered send them to
info@cmktherapy.co.uk or leave your comments below.
Everyone who sends in a question will be automatically put into a draw to win a FREE sports massage with one of the top physiotherapists at CMK Therapy.
We'd also like to hear your tales of sporting injuries, whether it be playing football, rugby, boxing or bowls. Leave your stories below or send them to
the sports team and we'll update the page with the best.
Here are just some of your questions and answers:"18 months ago I started training regularly at the gym four times a week, taking part in the classes, my knees ached intermittently. I have recently taken a three-month break, where I experienced no problems with my knees.
I have now been back in the gym three weeks and my knees have started aching more than before mainly around the top and a little at the sides. Do you have any thoughts on what the problem could be or how I could improve the problem?"
It sounds like you may have a problem with your patella (kneecap). Sometimes it can rub on the femur and cause some irritation. This can be caused by several things, for example, weak quadriceps, an imbalance of your quadriceps, tight calves or hamstrings or poor alignment.
One solution may be to avoid impact exercises like running or jumping and see if this helps. Otherwise you would need to see a physiotherapist to get assessed. "I've played rugby since an early age I am now 23 but recently I injured my shoulder playing. It happened before and it hurt every time I lent, pulled or pushed with it, but it seemed to heal up on its own. But I injured it the other week and it felt more like bruising than anything, but I'm still unsure and it feels really weak."
Unfortunately weakness in the shoulder can be a number of different things so it is really difficult to diagnose the cause of your pain without seeing it. Importantly you must not play rugby if it feels weak as the shoulder is an unstable joint. If you would like me to take a look at it then please phone the clinic and book a free ten minute assessment so I can look at it in more detail and hopefully work out why you are in pain and let you know if you would benefit from any treatment on it. "I've started going for a run three or four times a week - only two miles or so. But the other night I felt a sudden pain in my knee - not bad enough to make me stop but it came as a bit of a shock. It was alright for the rest of the day but the next morning I woke up hardly able to walk. What should I do?"
The first thing to do is to get your knee checked by a physiotherapist to make sure you have not done any serious damage and whether you are safe enough to continue running. However, before you start running we always advise people to have their running style biomechanically assessed as learning to run correctly will not only enable you to reduce the chance of getting injured but also help you run for longer and faster."I am a long distance runner and after running about 5-6 miles I have started to develop an ache on the outside of my right knee. Although it was not very painful to start with, I did have to stop last weekend due to the pain and put some ice on it, which made it feel better."
If the knee hasn't swollen or given way it is likely it could be one of three things. Firstly, it may be what is known as "runners knee" or "Ilio-Tibial Band function syndrome" to give it it's medical term. This is where the ilio-tibial band rubs or pulls across the lateral femoral condyle causing friction during knee extension and flexion. The ITB is an important stabilising structure of the knee and can get tight if it has to work too hard to stabilise the knee.
Initially rest, ice and stretching may help, if this does not work, a look at your running style would be advised to see if you have any biomechanical problems that may be causing it. Video motion analysis equipment would be able to do this for you.
Otherwise it could be lateral interior knee pain or lateral joint line pain. It is always advisable to see your GP or local physiotherapist to get a correct diagnosis if ice and rest do not alleviate the problem in a week or two."I am 15 years old and a tennis player. In the last three months I have been getting an ache in my lower back when I serve. I have been to see my doctor, who thinks it is because I have grown several centimetres over the last few months. Unfortunately it is getting worse and I have had to miss several tournaments recently because of it. Is there anything I can do to stop the pain or will it keep hurting until I stop growing?"
Pain in the lumbar area from tennis players is often caused by arching their backs too much when they serve. This may be caused by weak core stability, poor technique or both. A visit to a GP or physiotherapist to get a diagnosis is very important as there are many different things it could be, so I won't go into detail.
Also, this could lead to many months out of the game if allowed to get worse. If this is the case, you would need to work with a physiotherapist or rehabilitation specialist and tennis coach to correct your core stability and tennis serve. We have a tennis specific physiotherapist and rehabilitation specialist at CMK Therapy."I am a footballer and have pulled my hamstring three times in the last season. Despite stretching and warming up before every game. I am managing to play this season but only by not sprinting flat out. Is there anything I can do to stop this happening?"
Injuries to hamstrings are the most common soft tissue injuries in the thigh. They often happen when sprinting as forceful flexion of the hip and extension of the knee during the swing phase means that the hamstrings are placed under very forceful loads.
Rest, stretching and an adequate warm up are all advisable, but the cause can be one of a number of things including the lumbar spine, the pelvis, poor conditioning, postural problems, running style and neural adhesions to name a few. As you have had several episodes, I would advise you to visit your GP or a physiotherapist with a background in sports rehabilitation. PLEASE NOTE: The physiotherapists will offer you general help and advice as a guide and cannot diagnose injuries or problems exactly without seeing the injury or pain site to assess it properly. If you feel you would benefit from having a ten minute assessment with a physiotherapist then please quote the MK Citizen and we will provide you with a 10 minute assessment free of charge.
CMK Therapy is a new, purpose-built clinic that specialises in physiotherapy and rehabilitation. It is located centrally in Milton Keynes behind CMK Medical Centre on Bradwell Common Boulevard. There are four individual treatment rooms, a rehabilitation gym and pilates studio. You can contact the clinic on 01908 609555 or visit their website at
www.cmktherapy.co.uk