Accident & Emergency BY DR. SIMON CHAPMAN


Jersey General Hospital A&E Consultant (Special interest in Sports and Soft tissue injuries)


My role? I am involved in a number of Sports from a Medical perspective. Locally I am the Medical Director for the Jersey Marathon and Team Doctor for the JETS Netball team. Nationally I am a Trauma Doctor for the British Grand Prix and I recently provided Medical support for the SuperleagueTriathlon at their inaugural event in Jersey. I also run Sports injury clinics at the Hospital and I have a well established Private Sports Medicine practice dealing with a diverse range of injuries and complaints.


Why do injuries occur? There are two broad classes of injury; Acute injury from direct force trauma and Chronic injury from repetitive or overuse injuries. The most common predictor for a Sports related injury is having suffered a previous injury, as returning to Sport too soon or with insufficient rehabilitation places people at increased risk. The role of a Sports Medicine Doctor is therefore multi-


faceted: to diagnose, treat, and to return people to Sport as quickly and safely as possible while protecting from future injury.


What type of injuries do I see? Approximately 50% of my Private patients have significant knee injuries. Sports such as Football can result in impact or twist injuries causing cartilage tears or ligament injuries such as Anterior Cruciate ligament (ACL) ruptures. Runners tend to suffer with pain around the knee cap caused by low grade repetitive trauma leading to articular cartilage damage. 20% involve the Shoulder due to ligament sprains, rotator cuff tears or tendonitis commonly from overexertion or traction injuries.


• 10 % of referrals involve the lower leg with complex sprains, Achilles tendonitis, shin splints, muscle tears and Plantar fasciitis.


• 10 % are due to elbow injuries with


Healthplus BY DR. ADAM GARNETT


Consultant in Sports and Exercise Medicine, Fellow of the Faculty of Sport Exercise Medicine


Do you see many sports injuries in a year? Within my work as a Consultant in Sport and Exercise Medicine I see over 3000 patients a year with sports related injuries. These injuries can be acute trauma/contact such as seen at Jersey Reds and Athletic or more chronic injury patterns seen in general and endurance sports.


What are the most common injuries? There is a fantastic diversity of sport in Jersey and injuries are pretty much related to the sports involved. For example, in professional rugby, concussion is now the most common injury. This year at the Jersey Reds we will be researching saliva tests to see whether there are biomarkers in saliva from concussion. This is part of Professor Belli’s new research from the University of Birmingham which is at the cutting edge of concussion intervention and may help to manage such a serious problem.


Otherwise I see lots of knee and shoulder problems, particularly in runners with anterior knee pain that needs to be addressed


with biomechanics and the appropriate strength and conditioning. Shoulder problems normally involve strains and tears to the rotator cuff mainly in racquet sports and swimming. Most sports injuries occur from either acute contact injury or mechanical overload from excess intensity of exercise.


Why do sports injuries occur? If you are increasing the amount you train make sure you increase the frequency, duration and intensity of the training session very gradually. To avoid injury try not to increase the intensity of your workouts or training by more than 5 to 10% increments per week. Also ensure that good attention is paid to core stability, balance and flexibility. I always encourage athletes to mix up their training e.g. if you are a runner do Pilates and some strength work. Mix up your routine – boxing, TRX and CrossFit all challenge the whole body. Do not be put off by age – walk, stretch and keep active. As we get older do less impact exercise, more balance, more stretching and keep the best posture you can.


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tendonitis such as: "Tennis


elbow" or


"Golfers elbow" frequently requiring treatment.


" frequentl


The remainder are a mix of acute or chronic issues involving a varied mix of joint or soft tissue complaints.


How are injuries managed? I provide a comprehensive assessment and utilise specialist diagnostics such as: X-Rays, Ultrasound, CT or MRI Scans. Interventions involve: Ultrasound guided steroid injections, use of splints and braces, co-ordination of multi-disciplinary teams such as Physiotherapists, Chiropractors and where necessary specialist Surgeons. As well as, establishing rehabilitation targets, implementing Return to Sport programs and providing progress reviews.


Who do you refer them to


o to chiropractor or physiotherapist? h siother pist?


My main role is to diagnose and organise appropriate rehabilitation. I use diagnostic ultrasound for a diagnosis and accurately locate injections. There are exciting treatments coming through such as


Shockwave and Platelet injections. I do not have a particular preference for referring patients to physiotherapists, osteopaths or chiropractors but I will use those


practitioners I feel will be most beneficial to the individual patient.


We are lucky to have many fantastic professional practitioners in Jersey. The best way is for all practitioners to work as a multidisciplinary team so the patient gets team approach to the rehabilitation and this will include their therapist, masseur, strength and conditioning and doctor.


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