Metamorphic MassageNikki Nicols, LMP, RN, BSN

January 2009

Metamorphic Massage Newletter

Anterior Cruciate Ligament Injury

Dear injured Skiers and Boarders
Don't be discouraged - Get a massage.

Lori, an injured skier, came to Nikki at the end of the season with a knee injury, fearful she'd never ski again. After just a few sessions, her knee was healed and she was skiing the next season without any problem. Here are her words " my knee feels just fine and has not had any pain at all, it's as if it never had the injury!"

It's winter and the snowy mountains are beckoning you to ski or snowboard; BUT be careful because there are about 22 injuries that can occur while boarding and downhill skiing!

The most typical snowboarding injuries occur at the wrist, elbow, and shoulder (esp. the rotator cuff). Broken collarbones, concussions, head and neck injuries are common, too.

For skiers the most common disabling injuries occur at the knee. 25% of all ski injuries are knee injuries. The two most common knee injuries are to the medial collateral ligament (MCL) ( interior knee) and the anterior cruciate ligament (ACL).

Medial collateral ligament (MCL) injuries occur most frequently in beginning and intermediate skiers since beginning skiers use a snowplow type of stance to stop and turn.

*Fortunately, a majority of these injuries can be treated without surgery. A brace, physical therapy and the tincture of time usually takes care of these injuries. In rare cases, surgical reconstruction is undertaken to treat these injuries.

Anterior Cruciate Ligament (ACL) injuries are ones that sports fans hear and read so much about. ACL injuries tend to occur in more advanced skiers and can be attributed to specific falling patterns. Despite wonderful engineering or equipment, there is an alarming (240%) increase in ACL injuries.

* The ACL is one of the major stabilizing ligaments in the knee, running diagonally behind the kneecap. It connects the thigh bone (femur) to the shin bone (tibia).

* The ligament can become torn or stretched with a sudden twisting and or transfer of weight while skiing. It often has a loud painful pop when first injured followed by swelling due to an effusion of blood in the knee joint. The knee may feel like it is giving way when doing pivoting or twisting movements. ACL injuries usually occur with other injuries. Women sustain ACL injuries at a higher rate than men-possibly due to hormones, or strength imbalances between the hamstrings and quadriceps

* Treatment: RICE* Rest with knee Elevated, Ice frequently to reduce the swelling, compression-wrap with ace wrap, Anti-inflammatory medications and/ or ointments; if the condition is severe, then crutches and intense rehabilitation and possibly surgery.

* MASSAGE - Although the ACL can't be palpated, and massage doesn't address the actual ligament tear or strain, massage is helpful for returning the balance to surrounding muscles that are in protective spasm. Strength training of the quads and hamstrings helps with muscular coordination around the knee.

A CELEBRATION FOR THE COUNTRY

Now that we have a new president, I hope you are celebrating, as am I!

"The inauguration of President Barack Obama breathed new life into our nation's oldest and highest values." He gave us hope and inspired us to action reminding us that "democracy has never been a solo act nor a spectator sport." ( quotes from Seattle Medium). A St Olaf college professor has two ways of spelling citizen: with an"s" for those who sit around and complain about the way things are going and with a "c" for those who are actively engaged in making the USA a country of the people, for the people, and by the people. Obama's inaugural words need to be reviewed often so that we each will remember our role in making our country a democratic leader in the world.

The following excerpts from President Obama's inaugural speech stood out for me, especially as I focus on health care -the care of you my clients.

"We have chosen hope over fear.

Everywhere we look, there is work to be done (our goods and services are no less needed than they were last week or last month or last year.)

The state of the economy calls for action.....
We will restore science to its rightful place, and wield technology's wonders to raise health care's quality and lower its cost.

What is demanded is a return to those values upon which our success depends - hard work and honesty, courage and fair play, tolerance and curiosity, loyalty and patriotism.

What is required of us now is a new era of responsibility - a recognition, on the part of every American, that we have duties to ourselves, our nation, and the world, duties that we do not grudgingly accept but rather seize gladly, firm in the knowledge that there is nothing so satisfying to the spirit, so defining of our character, than giving our all to a difficult task."

My hope is that we will each take a step to put into action the things Obama spoke about and that the economy and health care greatly improve rapidly.

Metamorphic Massage
"where injuries are transformed into wellness"
Specializing in athletes with injuries

Nikki LMP -- provider of massage at 3 Olympic Games
WA Sports Massage Team - active member for 12 years

Call or e mail to schedule a massage.
Nikki Nichols LMP, RN, BSN
Metamorphic Massage
206-499-4281
Nikki@metamorphicmassage.biz

© 2006-2010 Nikki Nichols, Metamorphic Massage