Saturday, May 2, 2009

Sports Medicine Myth: No Pain No Gain?!

There are many people (parents, coaches, etc) say that no pain no gain. But is it true? No so much when you are injured. Pain usually is a signal that there is something not right. You have pain when you twist your ankle because you just damaged (injured) a ligament in the ankle. When doing rehab and trying to come back from an injury, it is not a good idea to keep doing what causes pain.

Soreness is difference from pain. You get sore after lifting weights and doing training that you are not used to, etc. And it goes away in a day or two. It is ok to be sore as long as it goes away. It is a natural response of your body.

But sometimes, you may have to deal with some pain during physical therapy. Let's say you had an ACL reconstructed. The first thing you do is to reduce inflammation. Then, you try to regain lost range of motions. In this phase of rehab, you will be pushed and have some (a lot of) pain to get the range of motion back quickly. Rehabilitation is not pain-free. It sometimes is painful. It can be challenging what pain is ok and what pain is not ok.

So, is it ok to play through pain when you get hurt during practice? The best thing to do is to stop doing what you are doing and take a break. In youth sports, often times there is no health care professional on site to take a look at an injured athlete right away. So, when you are in doubt, the best thing is to not do what causes pain. You do not want to keep playing when injured not knowing what is wrong and make things worse.

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