Injury Management

See how the most common and debilitating injuries in football impact our game and what you can do to help your players return to play more effectively.

Ankle injury diagram

Ankle

Description

As football is a lower-extremity sport, the most common injury site in a football player is the ankle. The ankle is one common area that can sustain injury if we do not prioritise our preparation and recovery. Inadequate warm up preparation, inadequate training, fatigue (both acute and chronic), and poor recovery from previous injury are all factors that can contribute to injury that we can influence.

The most common type of ankle injury is a sprain, while more severe injuries such as fractures, ligament tears and cartilage damage can also occur. Striking a ball, changing direction, and landing while receiving body contact, are all common ways in which someone might injure their ankle.

Initial Steps

You can treat a minor ankle injury at home by following the P.O.L.I.C.E method.

For the first few days after your injury, Protect the injured area, ensure you provide Optimal Loading, Ice it, Compress it, and Elevate it.

If you suspect your injury is severe or if swelling and bruising persists, make an appointment with your doctor, physiotherapist, or go to the emergency department. The following symptoms may be a sign of a severe injury that requires professional care:

  • Severe swelling and pain
  • Visible deformities, such as large lumps or limbs bent at strange angles
  • Popping or crunching sounds when you move the injured area
  • Inability to support any weight with the injured area
  • Instability in a joint
  • Trouble breathing
  • Dizziness
  • Fever

You should also contact a medical professional if you have an injury that seems minor but doesn't improve with home treatment.

Ankle injury return to play

Ankle Injury Prevention

Your first line of defence against ankle injury is an effective warm up. The gradual progression in intensity as well as exposure to wide variety of movements within a warmup gives your body the opportunity to perform movements in a controlled manner. Therefore, when we compete in football, which is more chaotic in nature, and we are reactive to opposition and the game, our body is prepared.

Further, proprioception exercises should be included in our warmup and can be done outside of the warmup to further reduce the risk of injury. Anything where we are jumping and landing, balancing on one leg, or challenging our single leg stability strengthens all the musculature in the lower leg as well as those which provide security to our ankle.

Knee injury diagram

Knee

Description

ACL - The anterior cruciate ligament helps to provide stability during movements of rapid changes of direction, pivoting, and landing. An injury to the ACL is most commonly non-contact (e.g., change in direction), although some ACL injuries can occur from contact (e.g., blow to the knee). A "pop" or "snap" sound is sometimes heard, but not always. Often, a player will experience pain and swelling to the area and will not be able to continue play.

Injuries to this ligament may result in the knee feeling loose or unstable. Surgical reconstruction followed by extensive rehabilitation is the traditional treatment. However, there is still the non-surgical option to treat the injury with rehabilitation, allowing other structures (muscular control and balance) to take over the job of the ACL.

Initial Steps

  • Players should consult with a physician or sport physician to determine the severity of the knee injury. An MRI and other tests may be used to help diagnose the injury.
  • Initially, the goal is to reduce swelling and control pain. Pain relief, such as anti-inflammatory drugs (NSAID), may be needed, in addition to ice.
  • Players will undergo pre-operative exercises to prepare the knee and surrounding muscles for rehabilitation following surgery.
  • Players who undergo non-operative treatment may work with a sport physician or physiotherapist and follow a rehabilitation protocol.
  • Ongoing care and rehabilitation should be led and guided by your sport physician or physiotherapist before returning to training.

Statistics

Knee injury statistics

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