Sport and Exercise Medicine
Sport and exercise medicine (SEM) is a relatively new National Health Service (NHS) specialty that was set up in 2005 in response to the growing need to manage musculoskeletal and exercise-related injury and illness. SEM consultants are trained in musculoskeletal medicine, exercise prescription and promotion and public health and as such provide a crucial solution to the medical problems associated with exercise-related and musculoskeletal injury, as well as physical activity.
SEM consultants aim to reduce NHS costs and improve musculoskeletal management by offering a service to individuals who do not require referral to orthopaedic care for surgery. Through primary care referral, this enables increased orthopaedic operating time and reduces waiting lists. SEM doctors also provide exercise prescription advice, assessing the cumulative risk for individuals with multiple pathologies and advising individuals to undertake safe levels of physical activity.
- Running-related injuries are commonly seen in general practice;
- It is important to consider underlying biomechanical abnormalities when assessing individuals with musculoskeletal injury;
- A sudden change in training may precipitate musculoskeletal injury and must be addressed during management of such cases;
- Cautious fluid intake during endurance exercise will help prevent severe dilutional hyponatraemia; and
- Extreme volumes of exercise may result in adverse physical and psychological outcomes.
Further Information and Reading
Further information for individuals can be found at www.patient.c.uk, which offers user-friendly advice regarding each of the specific running-related conditions mentioned in this article. Another website, www.physioadvisor.com, provides a description of each running injury listed in this article, as well as a comprehensive list of rehabilitation exercises.
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