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Sometimes it's difficult to highlight everything in a single tweet.  Here's some recent topics in more detail...

@RealSociedad:    Asier Illarramendi recently had successful surgery on a fractured left fibula which had to be stabilised by inserting a fixed plate. 

He's also had a screw inserted in the upper part of the ankle joint to address a syndesmosis injury.  The fixation screw will need  to come out after 6 - 8 weeks.  

An injury to the syndesmosis is often referred to as a 'high ankle sprain'.  This is because the injury occurs at the lower aspect of the tibia and fibula in the area that forms the upper aspect of the ankle joint.   

Additionally, there was some damage noted to the medial deltoid ligament of the ankle.  Ligamentous injuries to the inner / medial side of the ankle are not as common as those on the lateral aspect of the ankle; with injuries to the anterior talo-fibular ligament (ATFL) by far the most common. 

This was a nasty injury sustained in the derby against Athletic and Asier will likely be out of action for several months.  On the plus side though, he should make a complete recovery following treatment and rehabilitation.


@UDLP_Oficial:  Maikel Mesa of Las Palmas had surgery in Madrid recently to address a herniated lumbar intervertebral disc and will be out of action for roughly three months. 

With a herniated disc, a tear occurs in the outer wall of the disc and part of the inner substance actually protrudes through; resulting in intense pain. 

This is usually accompanied by pressure placed on adjacent spinal nerves which can result in symptoms referring into the back of the thigh or groin depending on which nerves are involved.​   For a graphic image, think of a burst tyre with part of the inner tube protruding through the tyre wall!

This happened last year to Pedro Leon at Eibar.  Pedro also underwent surgery for a similar injury to Maikel’s and made a full recovery. 

More information on inter-vertebral disc injuries can be found here.

@RiverPlate:  Santiago Sosa needed treatment earlier this season for Pubalgia; an inflammation that occurs in the pubic bone region.   

Incidences of this painful condition have increased considerably due to the amount of twisting and turning involved in modern football.

Often the diagnosis of is one which combines insertional tendinopathy with that of osteitis pubis.  The condition can be incredibly painful. 

Pubalgia describes the symptoms of groin pain on exercise characterised by intense localised pain which can be felt on the pubic bone at the site of the origins of the adductor muscles. 

Routine investigations by ultrasound scanning are used to confirm the suspected diagnosis and identify areas where the symptoms are noted to increase. 

In conditions where increased severity is noted, additional investigations may include specialised X-ray or bone scans to highlight the affected areas and to guide injury management. 

Santi’s initial treatment at River Plate will include medication, physiotherapy, and rest from aggravating activities such as running, twisting and turning. 

The condition can be difficult to resolve so coach Marcelo Gallardo will need to be patient!

@white_crespito3 & @Mendi158:  Head injuries in women’s football occur almost every week; and this includes cuts and lacerations in addition to facial injuries. 

We don’t really know why head injuries are more prevalent in women’s football than in the mens’ game; but the research indicates this is true. 

Various theories have been put forward ranging from hormonal factors to women having potentially weaker neck muscles but clearly further research is needed into this vital component of the game.   

Currently no single cause or effect has been identified to explain the high incidence of head injuries in women’s football.  Further discussion available at: http://www.injuriesandmore.com/injuries-women-s-football-cont.html 

​​@SergioRamos:  Sergio Ramos isn’t the first player to have had injections before games and he certainly won’t be the last. 

But from a legal standpoint, the use of certain substances has to be approved by the game’s governing bodies via the World Anti-Doping Agency (WADA). 

Pain-killing injections administered before a game have been widely used in football for years and although not fully condoned by the game’s authorities, their use is acknowledged. 

However, certain categories of drugs including Dexamethasone (which belongs to the Corticosteroids group) are prohibited in competition but their use is permitted out of competition for medical purposes.

Sergio Ramos’ use of this before the Champions League final in Cardiff was legal as technically the drug was administered out of competition, i.e. the day before the game.  

In these situations, the authorities do have to be informed even though the drug was administered for therapeutic use. 

The fact that Madrid's doctor erred on this point appears to be the only basis for the criticism of how the situation was managed by Real Madrid’s medical team; and the club haven’t denied this.

Needless to say, the critics had a field day.  Not  least because it was Sergio Ramos and Real Madrid of course...


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​Explaining injuries in a way that's easy to understand!!