Latest / Health Matters / Sports injuries: Could the wrong footwear lead to knee injury?

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Sports injuries: Could the wrong footwear lead to knee injury? · Health Matters

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  Speaker 1: Health Matters, brought to you by Farrer Park Hospital. If
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  Speaker 1: it's a matter of health, it matters. Health Matters with
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  Speaker 1: Daniel
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  Speaker 1: Martin.
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  Speaker 2: Welcome in as I continue my series with experts from
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  Speaker 2: Fair Park Hospital. Today's topic has to do with sports injuries. Now,
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  Speaker 2: so many of you are taking up brand new sports,
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  Speaker 2: becoming really popular in Singapore that could be new, your
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  Speaker 2: paddle balls.
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  Speaker 2: Becoming really new. I see people doing lots of frisbee
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  Speaker 2: stuff in the parks. Uh, I mean if you are
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  Speaker 2: in the traditional going to the gym and the heavy
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  Speaker 2: deadlifting is very popular amongst the young people as well.
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  Speaker 2: We know that some of you might be the weekend warrior,
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  Speaker 2: playing your football with your buddies or heading to the
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  Speaker 2: volleyball courts. All great, because you're trying to be fit
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  Speaker 2: and active. And that's wonderful. You, we should be doing that, right?
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  Speaker 2: But
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  Speaker 2: Some of the ways that we're doing it, some of
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  Speaker 2: the styles that we're doing it, some of the patterns
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  Speaker 2: in which we're doing it, could it lead to some
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  Speaker 2: sports injuries that can truly cause some long-term recovery problems.
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  Speaker 2: We're joined on today's edition by Doctor Ahmad Mashriko Siddiqui,
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  Speaker 2: Doctor Mash, as his patients know him, a senior orthopedic
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  Speaker 2: surgeon and minimally invasive spine surgeon out of Fair Park Hospital.
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  Speaker 2: Dr. Bash, it's been a long time since we spoke.
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  Speaker 2: Welcome back to the studio. Thank you, Daniel, for having me.
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  Speaker 2: Is it OK? So I mean, bread and butter obviously
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  Speaker 2: by default, because of your specialty, you're going to see
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  Speaker 2: a lot of sports related injuries, but I'm curious, what
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  Speaker 2: are the most common areas or sports injuries that you're seeing? Um,
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  Speaker 2: common ones that I see would be injuries to the
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  Speaker 2: lower limb, which is the knee, the ankle, uh, the shoulder,
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  Speaker 2: and the spine, you know, and as you mentioned about
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  Speaker 2: this weekend warrior thing, also we see a lot of uh.
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  Speaker 2: Um, patients who are basically really the weekend warriors just
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  Speaker 2: go all out on the weekends, no conditioning, and they
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  Speaker 2: get an injury and then they come and see me.
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  Speaker 2: But that's the irony, right? You think like, OK, I'm
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  Speaker 2: busy during the week. OK, I'll I'll do it on
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  Speaker 2: the weekend and I'll still be active and healthy, but
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  Speaker 2: because of the lack of conditioning and the, the lack
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  Speaker 2: of regular.
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  Speaker 2: Um, you know, strengthening, that's when the injury. So I
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  Speaker 2: mean there's nothing wrong with being a weekend warrior, but
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  Speaker 2: you got to know your limits, you know, some very
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  Speaker 2: basic thing if you want to do any sports, I mean,
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  Speaker 2: of course, we encourage you to do sports, right? It's
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  Speaker 2: good for not just your cardiovascular, but in fact, your
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  Speaker 2: bone health as well, you know, as you get older, right,
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  Speaker 2: because of the loading resistance, right, exactly, right. So, um,
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  Speaker 2: if you want to do any some sort of sports,
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  Speaker 2: first thing.
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  Speaker 2: Pick one that you actually are familiar with or you know,
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  Speaker 2: you know, uh, if you do something completely unfamiliar, you
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  Speaker 2: don't even know what are the possible injuries, you're probably
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  Speaker 2: going to get something.
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  Speaker 2: You want to suddenly take up uh road cycling, you
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  Speaker 2: get a pair of cleats which you know may not
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  Speaker 2: be suitable. You can get an injury during that or
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  Speaker 2: for example, we're talking about football, for example, you go
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  Speaker 2: on a turf grass, uh, get a pair of shoes
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  Speaker 2: which may not be suitable. Yes, get one for turf.
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  Speaker 2: This is interesting. Develop this one for me. How does
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  Speaker 2: the turf shoe link lead to a lot of knee injuries? OK,
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  Speaker 2: so I mean, um, you got to get one.
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  Speaker 2: Which doesn't
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  Speaker 2: Grip is hard and get stuck there, you know, because
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  Speaker 2: if you get stuck there and your ankle will go
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  Speaker 2: one way, your knee will go another way, you can
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  Speaker 2: get an injury in the joints, right? So if you
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  Speaker 2: bought cleats that are used for traditional grass field, those
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  Speaker 2: are the longer, deeper, they grip a little bit harder,
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  Speaker 2: but then on the astroturf.
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  Speaker 2: That is the wrong kind of grip. You don't want
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  Speaker 2: that kind of strong grip. Yes, yes, you got to
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  Speaker 2: have a little bit of gift, right? There are actually
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  Speaker 2: Astroturf boots. It's like little rubber studs. They're shorter. The
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  Speaker 2: hockey players would know what it looks like, that kind
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  Speaker 2: of stuff. Ah, so people bring their regular football cleats,
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  Speaker 2: use it on that, and then foot gets locked, knee
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  Speaker 2: upper body goes one way, knee goes another. Yeah, I
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  Speaker 2: mean basically the foot is not going where you want
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  Speaker 2: it to go.
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  Speaker 2: You know, and then the knee goes the other way,
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  Speaker 2: foot goes the other way, right? So ankle and knee, right?
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  Speaker 2: I mean lower limb injuries are the commonest, right? Let's
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  Speaker 2: talk about that. What are the sports that leads to
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  Speaker 2: all these lower limb injuries? OK, so commonest joint is
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  Speaker 2: a knee, right? Um, of course you can get things
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  Speaker 2: like knee sprains and all that, which is, which is,
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  Speaker 2: you can get anywhere, but any sports that is pivoting movement, right?
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  Speaker 2: So basically you use that particular leg, you pivot on
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  Speaker 2: it and you turn. So things like soccer we mentioned.
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  Speaker 2: Um, even any of the things like rugby, anything on
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  Speaker 2: the field that makes you pivot, even things like tennis, badminton,
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  Speaker 2: if you're going, you've got a pivot on the leg
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  Speaker 2: to turn, right? So, so then that is one of
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  Speaker 2: the sports where you can injure, very common ligament that
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  Speaker 2: is injured is the ACL, the anterior cruciate ligament, right, uh,
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  Speaker 2: which you need to stabilize the knee for pivoting. Um,
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  Speaker 2: you don't really need it for just walking, but, but
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  Speaker 2: if you have instability.
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  Speaker 2: Um, you know, you can't do any of these sports.
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  Speaker 2: So that is, that is one of the injuries that
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  Speaker 2: you get from these sports. I thought, I don't know,
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  Speaker 2: I just assumed when you said knee that maybe it
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  Speaker 2: would be linked to things like I've seen a rise
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  Speaker 2: in cycling. Cycling has proven very popular. And of course,
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  Speaker 2: traditionally running has always been a favorite sport in Singapore.
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  Speaker 2: I mean, both are very good sports. I mean, I
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  Speaker 2: personally like non-contact sports. I stopped running.
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  Speaker 2: contact with the ground doesn't count. I just don't like
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  Speaker 2: the contact with the ground. Yeah, so, so, so running,
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  Speaker 2: cycling are good. I mean some people are worried that
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  Speaker 2: if you run, you know, you injure your knee, but
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  Speaker 2: it's if you're going to run on, I mean nowadays
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  Speaker 2: with nice PCNs where, you know, which is flat, very
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  Speaker 2: unlikely to get an injury, you know, if you, if you,
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  Speaker 2: if you just do it properly, right? So as I
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  Speaker 2: was mentioning before, conditioning is important, right?
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  Speaker 2: Um, warm up and warm down is extremely important, you know.
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  Speaker 2: Some of the weekend warriors, they have a short of time,
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  Speaker 2: you know, you say, I want to quickly go and
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  Speaker 2: run 5 click within this time and then go for
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  Speaker 2: some Makan, you know, after that, right? So, uh, they
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  Speaker 2: try and finish it quickly. If you don't warm up
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  Speaker 2: properly and warm down properly, you're going to get an injury.
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  Speaker 2: So they have to get to the prata shop by
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  Speaker 2: a certain time, no. That's the problem.
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  Speaker 2: So but time management, everybody. So the conditioning before and after,
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  Speaker 2: that's the thing that people often forget. They just come
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  Speaker 2: out of the car we go for the activity. That's right,
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  Speaker 2: that's right. Get in the car breaks. That's right. And
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  Speaker 2: then quite often, you know, if you haven't run for
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  Speaker 2: a while, for example, if you're going to do a
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  Speaker 2: 5 click run, first click, you should not go too fast,
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  Speaker 2: you know, you got to get slowly get the engine
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  Speaker 2: going as we say, right? And then after that, if
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  Speaker 2: you do it properly, you should be OK.
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  Speaker 2: Uh, some people get this thing called DOMs, you know, DOMS.
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  Speaker 2: You heard of that muscle soreness. Yes, that's right, you know, so, um,
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  Speaker 2: I hate that's the one thing that annoys me about
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  Speaker 2: starting something new, something new exactly, then you get it,
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  Speaker 2: you know, or if you've overdone it, right? So, um,
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  Speaker 2: if you, if you keep getting it, that means you
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  Speaker 2: may be overdoing it a little bit for that particular
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  Speaker 2: thing that you're doing and just moderate a little bit
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  Speaker 2: and and you should be OK. Nothing wrong with exercising
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  Speaker 2: or even picking up something new, but at least know
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  Speaker 2: something about it.
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  Speaker 2: Potential injuries that can occur, you know, um, could get
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  Speaker 2: good shoes, uh, running, you know, you should really get
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  Speaker 2: good shoes, right? I like to have good cushion shoes. Um,
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  Speaker 2: some people like to wear these carbon plated shoes, gives them,
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  Speaker 2: you know, they can go faster, but, um, there's a,
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  Speaker 2: there's a risk of injury if if you if you're
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  Speaker 2: just starting out with those kind of shoes. I've seen
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  Speaker 2: some people do the running thing.
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  Speaker 2: Yes, um, some people, I mean, anecdotally, they do feel better,
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  Speaker 2: you know, I'm not sure why, but some people they do.
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  Speaker 2: I prefer to wear cushioned shoes, you know, less impact, um,
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  Speaker 2: on the knees, the ankles, the lower limbs in general. OK.
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  Speaker 2: Some of the other very popular sports in Singapore, can
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  Speaker 2: we link them to some of the injuries that you're seeing,
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  Speaker 2: golf and tennis, for example. OK, so golfer, you know.
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  Speaker 2: Woods has I think 4 or 5 spinal surgeries, right? So,
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  Speaker 2: so you think it's a sedentary sport, but actually if
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  Speaker 2: you swing that hard with, with that force, you know,
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  Speaker 2: you can get an injury. So golf injuries associated with, um,
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  Speaker 2: I mean spine spinal problems, right, slipped discs, right, which
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  Speaker 2: I see a lot. So, um, again, so a sport
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  Speaker 2: injury can lead to a slipped disc.
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  Speaker 2: All the slip disc has caused a sports injury, sports
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  Speaker 2: injury leading to the slipped disc, right? I mean, golf
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  Speaker 2: is traditionally, I mean, there's some um spinal injuries, especially
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  Speaker 2: the lower back. A lot of the golfers, if you
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  Speaker 2: don't do it properly, if you overdo it, swing too hard,
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  Speaker 2: incorrect swings. So again, the technicality thing, right, so you're
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  Speaker 2: going to pick something, make sure you do it correctly, right?
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  Speaker 2: You got to get a coach to make sure you
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  Speaker 2: do it correctly, um.
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  Speaker 2: The other thing about uh low back injuries that we
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  Speaker 2: see is, for example, weightlifters. A lot of people like
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  Speaker 2: to go to the gym and doing a lot. Yes,
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  Speaker 2: free weights, right? So free weights, um, free weights, you
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  Speaker 2: got to be careful again, so, um, if you're gonna
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  Speaker 2: do it, get a spotter.
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  Speaker 2: Make sure you do it correctly, right? Good, um, you
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  Speaker 2: do squats and all that with deadlifts with heavy weights,
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  Speaker 2: make sure your posture is correct. Wear the belt, the
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  Speaker 2: belt is good when you do that, you know, so
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  Speaker 2: it keeps your, your core strong, right, um, and then
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  Speaker 2: you can go ahead and do it. But generally I
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  Speaker 2: say if you keep getting injuries with the weights, um,
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  Speaker 2: you can do machine weights, kind of isolates your muscles,
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  Speaker 2: so less likely to get um.
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  Speaker 2: To get injuries or slower, yeah, yeah, yeah, exactly, yeah,
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  Speaker 2: you don't want to suddenly max out, you know, slowly
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  Speaker 2: condition yourself, so conditioning is always important whenever you pick
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  Speaker 2: up any spot or even if you're doing it doing
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  Speaker 2: it for a long time.
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  Speaker 2: Just go slowly. That's the key factor here at the
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  Speaker 2: end of the day. You might say that you're playing
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  Speaker 2: golf 3 times a week and thinking that that's fitness,
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  Speaker 2: but are you going into it cold without the conditioning,
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  Speaker 2: without the warming up, without the cooling down. Correct, yes.
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  Speaker 2: And you should be stretching up and down. We've seen
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  Speaker 2: the rise of a new sports. Can we link any
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  Speaker 2: of those to something that you're seeing, I mean,
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  Speaker 2: Um, I remember I did a whole story on spinning
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  Speaker 2: linked to something else, rhabdomyolysis. Yes, yes, correct. I've seen,
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  Speaker 2: I've seen a couple of cases, you know, yes, yes. So, um,
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  Speaker 2: it's just basically because you know when you're doing the spinning,
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  Speaker 2: you've got the loud music, your adrenaline is high, you know,
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  Speaker 2: you're going to be pumping as hard as you can,
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  Speaker 2: much afraid of losing out to all the people shouting
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  Speaker 2: at you. Yeah, the old lady next to you may
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  Speaker 2: be faster than you, you know, so you got to
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  Speaker 2: go really fast, so.
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  Speaker 2: Um, so you can get muscle breakdown, you know, and
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  Speaker 2: rhabdomyolysis is serious, right? So if your muscle breakdown, you
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  Speaker 2: can damage your kidneys, right? So that's one thing, um,
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  Speaker 2: any of the cycling sports, you know, you can have like, um,
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  Speaker 2: some upper limb neuropathy, like for example, carpal tunnel, the
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  Speaker 2: angle that you're holding the handlebars, holding it or really
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  Speaker 2: gripping it tight, right, you can, you can get a
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  Speaker 2: bit of those symptoms, right, but those are quite minor, um,
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  Speaker 2: you can get shoulder injuries, of course, of course, road cycling.
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  Speaker 2: You know, that's very popular, right? So the worst injury
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  Speaker 2: you can get is get hit by a bus, you know, obviously, right, trauma, right? But, um,
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  Speaker 2: but if you fall off at that kind of speed,
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  Speaker 2: shoulder injuries, clavicle fractures, you know, collarbone fractures is pretty common.
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  Speaker 2: My issue with the cyclist is in terms of the angle.
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  Speaker 2: I, I get the health angle. I get wanting to
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  Speaker 2: see the parts of Singapore, but a lot of them
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  Speaker 2: might be the weekend warrior as well, where they're only
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  Speaker 2: doing it on the weekend and putting your body through 1012,
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  Speaker 2: 15 kilometers, 30 kilometer cycles. Yes, is that an issue
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  Speaker 2: as well? Yes, exactly. So you want um cycle that
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  Speaker 2: hard or that long, um, again, build it up, you know.
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  Speaker 2: Uh, I mean 30 kilometers actually for some of these
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  Speaker 2: cyclists is pretty short. Some of them go much, much further,
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  Speaker 2: you know, right, 50, 60 km or around around the
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  Speaker 2: islands like almost 100 something km, right? Yeah, so, um,
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  Speaker 2: if you got, you can, I mean, there's no restriction
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  Speaker 2: why you can't do it, but again, do it, do
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  Speaker 2: it slowly. Just, uh, just a few days ago, my
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  Speaker 2: son asked me to run a 4.
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  Speaker 2: meters with him, you know, but I'm not gonna, he
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  Speaker 2: challenged me to see whether I can beat him, you know, but,
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  Speaker 2: but of course not, right? So, so you got to
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  Speaker 2: know your limit. I already know, I know I'm going
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  Speaker 2: to lose to him, so I just, I just took
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  Speaker 2: it easy, you know, let him beat me. So it's OK.
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  Speaker 2: Even if it's short, I mean, if you're going to
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  Speaker 2: push 400 and you haven't run that kind of distance
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  Speaker 2: that fast for a while, you're gonna get an injury.
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  Speaker 2: Bottom line, when it comes to all the things that
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  Speaker 2: we've just discussed, the sports related injuries, some of them
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  Speaker 2: could be sprains and musculoskeletal in nature, some of them
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  Speaker 2: could be serious injuries like the spinal disc issues that
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  Speaker 2: you talked about as well. Bottom line, what is the
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  Speaker 2: approach when it comes to sports related injuries? Is it
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  Speaker 2: about physio? Is it about medication? is it about surgery?
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  Speaker 2: OK, so most of the sports injuries fortunately are self-limiting.
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  Speaker 2: You know, they were healed by themselves, right? Even if
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  Speaker 2: you get things like an ankle sprain or something, you
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  Speaker 2: ice it, you know, rest it, elevate it, compress it
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  Speaker 2: a bit, or ICE, right, and usually, usually they'll heal, right?
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  Speaker 2: Most of them. Sometimes you may want to go to
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  Speaker 2: a physio, right, uh, just to get that extra edge.
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  Speaker 2: I mean, nowadays you can find a lot of exercises
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  Speaker 2: that you need to do on YouTube and all that anyway, right,
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  Speaker 2: but the physio, of course, is more trained, right, so
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  Speaker 2: they can help you with that. Uh, surgery is actually
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  Speaker 2: Kind of like the last resort, right? ACL. Yeah, OK,
• 12:28
  Speaker 2: so some things, some things you may need it, right?
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  Speaker 2: So for example, ACL and you want to go back
• 12:32
  Speaker 2: to soccer, it's impossible. You cannot play it, right? You
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  Speaker 2: can't play badminton, you can't play squash, you can't play
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  Speaker 2: tennis with a torn ACL because you're going to pivot
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  Speaker 2: on the leg. It's impossible for you to play without
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  Speaker 2: getting an injury, right, recurrent injuries, and every time you, you,
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  Speaker 2: you get an injury of the knee without an ACL,
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  Speaker 2: probably going to be a bad one. You may tear
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  Speaker 2: your meniscus, you can get a cartilage injury, right?
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  Speaker 2: So those ones, if you're gonna, if you want to
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  Speaker 2: go back to that spot and you're young, probably get
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  Speaker 2: better to to do it, you know, to reconstruct the ACL.
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  Speaker 2: If you're 50 years old, you say, I'm just gonna
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  Speaker 2: cycle now and then walk a bit, you know.
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  Speaker 2: Not necessary in in that sense, right? So you can
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  Speaker 2: do a lot of strengthening of the cords, the hamstrings,
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  Speaker 2: the muscles around it to kind of supporting musculature, exactly. Um,
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  Speaker 2: some things, for example, like we talked about the disc,
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  Speaker 2: for example, you've got a bad disc pressing on a
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  Speaker 2: nerve with a foot drop, I'm not going to wait
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  Speaker 2: and see how it goes, you know, then you need,
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  Speaker 2: but again, most of the time, even if it's a
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  Speaker 2: slipped disc, the treatment for most patients would be physio,
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  Speaker 2: and they often get better, yeah, some exercises like swimming.
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  Speaker 2: Right, so swimming swimming is good swimming I think is
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  Speaker 2: the best. OK, I, I, I mean, I always tell
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  Speaker 2: my patients swimming is really good, you know, it's a
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  Speaker 2: whole body workout, no contact, less likely to get injured.
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  Speaker 2: You're training your lungs. There's some resistance involved and there's no,
• 13:46
  Speaker 2: no resistance. Maybe you just get a bit of chlorine
• 13:49
  Speaker 2: in your eyes. That's about it brown hair and brown hair.
• 13:53
  Speaker 2: I put the cap on because I was scared of
• 13:54
  Speaker 2: losing the hair.
• 13:55
  Speaker 2: Uh, we had a question before we wrap up for
• 13:57
  Speaker 2: one of our listeners at 96301-938. This person asks, are
• 14:01
  Speaker 2: these massage guns that are very popular, useful in terms
• 14:04
  Speaker 2: of injury prevention? I see them everywhere now. People are
• 14:06
  Speaker 2: buying them.
• 14:07
  Speaker 2: And some gyms even provide them as well. It's not
• 14:11
  Speaker 2: for injury prevention, but it can help. It's a bit
• 14:13
  Speaker 2: like a massage, really like a massage, you know, if
• 14:15
  Speaker 2: you've got a bit of soreness, you go for that
• 14:17
  Speaker 2: and that can help you with the symptoms, but it's
• 14:19
  Speaker 2: not a preventive measure. Doesn't it help you like if
• 14:22
  Speaker 2: you do it before and after the workout, does it
• 14:24
  Speaker 2: help with warm up and cool down?
• 14:26
  Speaker 2: Maybe, maybe, but I think probably the, the classic stretchings
• 14:30
  Speaker 2: that you, you know, that most of us do is
• 14:32
  Speaker 2: still probably better. OK. What is the key indicator that you,
• 14:36
  Speaker 2: you need to go and see a doctor as opposed
• 14:38
  Speaker 2: to treating a sports injury yourself? If it's not getting better, right?
• 14:41
  Speaker 2: If it's not getting better, of course, if it's, you know,
• 14:43
  Speaker 2: really swollen.
• 14:44
  Speaker 2: You see a bone sticking out of the skin. Definitely
• 14:47
  Speaker 2: you got to see, you know, if you've got an
• 14:48
  Speaker 2: open fracture in a cyclist, you know, for example, right? So, so, but, um,
• 14:53
  Speaker 2: most of the things, if it doesn't get better, you
• 14:55
  Speaker 2: should go and see a doctor. No pain, no gain
• 14:56
  Speaker 2: does not apply here. No, no gain doesn't apply here.
• 15:01
  Speaker 2: I just flew by. We're out of time. That was
• 15:03
  Speaker 2: amazing because we're talking about all these sports that people
• 15:05
  Speaker 2: are taking as well. It's fascinating and I think it's
• 15:08
  Speaker 2: we're gonna have to keep talking about this as people
• 15:10
  Speaker 2: start taking up new sports as well. There was this
• 15:11
  Speaker 2: one time that mixed martial arts became very popular, for example,
• 15:14
  Speaker 2: in Singapore, so the situation contact sports.
• 15:19
  Speaker 2: High, high, high, high, high risk of injuries. OK, I'm
• 15:22
  Speaker 2: gonna keep calling. Doctor Ma, pleasure. See you. Thanks for
• 15:24
  Speaker 2: your time. Thank you. My guest on the program, senior
• 15:26
  Speaker 2: orthopedic and minimally invasive spine surgeon from Farrer Park Hospital,
• 15:29
  Speaker 2: Doctor Mohammad Masviko Siddiqui, who's also known as Doctor Mash
• 15:32
  Speaker 2: to his patients. It's Daniel Martin talking about sports injuries
• 15:34
  Speaker 2: on this edition.
• 15:41
  Speaker 1: Before making any decisions based on the information in our program,
• 15:45
  Speaker 1: please consult a medical professional.
• 15:49
  Speaker 1: Health Matters, brought to you by Farrer Park Hospital.