Treatment of sporting injuries using Bowen Therapy addresses myofascial pain and dysfunction (i.e. pain that arises from the muscle and connective tissue.)
Indirect - Overloading muscolo-skeletal system. Common indirect injuries are sprained ankles and torn hamstrings, lower back sprains.
Overuse- usually associated with excessive and repetitive use of the musculo tendinous unit, e.g. chronic inflammation of Achilles tendon, torn hamstrings (long distance running) and lower back strain (cricketers).
Sporting Injuries are usually Acute or Chronic
Acute - The initial stage (up to 72 or 96 hours post trauma (when the natural inflammatory process commences and when blood flow and swelling is occurring, prior to commencement of the repair phase (2 days to 6 week)s. (MASSAGE IS CONTRAINDICATED during the acute phase. The connective tissue would become inflammed. BOWEN THERAPY CAN ASSIST IN DECREASING INFLAMMATION.)
Chronic - The degree of current pain and inflammation defines the stage of repair (acute, sub acute, chronic). Damaged tissue is filled immediately with erythrocytes and inflammatory cells. Phagocytosis of necrotic cells occur within 24 hours. Fibroblasts slowly lay down collagen scar tissue in a cross matrix.
Remodeling phase - 4 weeks to 12 months
Each phase overlaps. Every case will vary in each of the times.
If you put ice on an injury - 6 minutes maximum - because body sends heat to that site. After that the blood comes to the surface and can cause the site to bleed again.
You need to know that the site has stopped bleeding because heat can cause excessive bleeding around the site also.
Sports Injury Management - HARM
For the first 72 hours. What NOT to do!
Heat Don't apply heat or deep heat creams as it increases bleeding
Alcohol Don't consume alcohol as it increases swelling
Run Don't run or exercise as exercising too soon can make the injury worse
Massage Don't massage the injured area as it will increase bleeding and swelling
If you have torn a hamstring it may be 4 - 6 weeks before you can return to sport. (If you have torn your hamstring off the bone then surgical re-attachment may well be needed.)
Referral to a medical practitioner is given if appropriate and when I am unable to assess the condition. The severity of the injury will decide whether to continue the activity and consideration given to the danger of making the injury worse by continuing competition.