Don't let an injury hold you back

Dr Davina Deniszczyc Medical Executive Director, Nuffield Health Dr Davina Deniszczyc joined Nuffield Health as London Clinical Lead GP in 2010 and was quickly promoted to become Professional Head of Physicians, then Wellbeing Medical Director before accepting her current role in 2016. Davina graduated from her medical degree at the University of Manchester in 2003. Her fascination with science and interest in people made her decision to train to become a GP an easy one, and she gained membership to the Royal College of General Practitioners in 2007. More by this author
From ACL ligament injuries to shin splints, from muscles strains to tendon pain, injuries happen to even the fittest people at times. Dr Davina Deniszczyc, Medical Director at Nuffield Health, shares her top 5 tips for preventing and treating common injuries.
  1. Immediately after an injury, action the P.O.L.I.C.E. principle: 

    Protect: at this stage, you want to avoid further damage, so rest the affected area or limb to protect further damage but this doesn’t mean complete immobilisation. Interspersing periods of rest with time doing regular daily activities provides the injured area with the movement it requires to aid recovery.

    Optimal Loading: all tissue requires some exposure to physical movement to stimulate the healing process. It’s important not to overdo it, however, as you could end up causing further pain and swelling. 

    Ice: Apply a cold pack: try frozen peas or an ice pack. Ice reduces swelling and eases pain. Avoid placing ice directly on your skin or over an area where the skin is damaged.Always shield the skin with a wet towel to prevent burns.

    Compression: Apply compression: try supports or bracing. Compression can help swelling and pain; just make sure it’s not too tight.

    Elevation: Elevate the compressed area: this helps it to rest and reduces swelling. Take regular rest breaks to elevate the injury on cushions or a chair. 

    Note: If you are unable to put any weight on the affected limb, or experience pain that a) comes on at night and keeps you awake, b) is caused by symptoms such as night sweats or lumps, or c) lingers for a week or more, get your injury checked with a professional such as a physio or GP to rule out anything more serious. This is especially important for small children and older people.


  2. Educate yourself.
    When you’re back on your feet and ready to exercise again, don’t proceed until you understand what went wrong last time. Seek advice from a professional such as an appropriately trained Personal Trainer or a physiotherapist regarding your technique, so you avoid making old mistakes. 

  3. Don’t rush.
    Use a trained PT or physiotherapist to perfect your technique, re-familiarise yourself with the exercise equipment, hone your fitness and create a balanced routine that makes allowances for your injury. Likewise, consult a trained PT or physiotherapist before making drastic changes: you’ll do better in the long run if you build up gradually under supervision rather than rushing ahead alone.

  4. Don’t forget the basics.
    It’s understandable to want to hit the gym running, but don’t forget to warm-up and cool down properly during each exercise session and listen to your body during workouts. Rest when muscles are fatigued to avoid overuse.

  5. Stay positive.
    Having an injury can feel like a setback but be reassured: the body has a fantastic ability to heal itself. Most injuries are easily treatable, short term and unlikely to have long term repercussions. 

Still feeling frustrated or worried? Reach out to an expert for personal advice, specific to your condition: your GP or a physiotherapist are useful places to start or speak to an expert here.

Friday 13 September 2019