THREE COMMON PATHOLOGIES IN SKIERS: Ultimately, three pathologies cover the main accident-related problems in both experienced and beginner skiers:
Acute: anterior cruciate ligament (ACL) rupture and its complications.
Chronic: tendinopathies (patellar tendinopathy) or repetitive strain injuries (spine).
Patellar tendinopathies
ACL
Lower back pain
How the injury can occur / typical patient profile
Direct mechanism: Impact on the knee with the foot fixed to the ground, knee bent (flexed) and turned in (internally rotated) Indirect mechanism: Foot planted, knee caves in (knee valgus), hip rotates in (internal rotation), and the knee bends (flexes).
Tendon overload or repetitive strain
Position of the pelvis in relation to the skier’s needs (pelvic retroversion) Profiles: Impact in beginners Overuse in poor postures with experienced skiers
Treatment difficulties
Arthrogenic Muscle Inhibition (AMI) Pain and swelling Restricted Range of motion (ROM)
Avoid complete stoppage / unwillingness to stop skiing
Beginner: weak muscle profiles
Experienced: unwillingness to stop skiing/stopping them from skiing is a challenge
Potential secondary pathologies
Cyclops lesion Tendinopathies Re-rupture
General muscle imbalance
Low back pain Scheuermann’s disease Compression
It is therefore important to seek treatment early on, and thanks to therapies such as photobiomodulation, shock waves, and electrostimulation, we are able to achieve superior results to standard physical therapy care. 32-34
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