Soccer Injury - Please Help

[physiobob]

I would take a slightly slower approach. Not sure why you would have suffered this injury in the first place. Perhaps a thorough checkup from your GP is necessary. Full blood tests etc. Also a dietary analysis. Have you recently undergone a large growth spurt or put on a lot of muscle in a short time?

It is important to let this thing heal well, and heal now! Especially if you wish to continue to play football as a good standard. I would have it further investigated on review perhaps via MR1 is possible. You need to demonstrate good union or you'll just tear it off again. 4-6- weeks is for basic fracture knitting and the beginning or ossification. 12 months is close to the time for full strength. So don't rush it and get good sports physio advice.

I would not over stretch it and also I would NOT do straight leg raises at this stage as they are pretty darn tough on that insertion. Movements though range would be ok, cycling, swimming, even some kicking of a ball gently against a wall or to another person to regain confidence in the movement. Also start strengthening other areas that might have been week due to overactive quads, e.g. you inner thigh (adductors) and hamstrings. Let us know how you get on.

Here's a bit more general info:

Avulsion Fractures of the Pelvis

· Avulsion fractures result when the fracture fragment is pulled from its parent bone by forceful contraction of a tendon or ligament

· Avulsion fractures are most common in younger individuals engaging in athletic endeavors

· In the pelvis, the newly formed secondary centers of ossification, the apophyses, are the most likely portions of the bone to avulse

· Since the apophyses tend to form at the time of puberty, most of these pelvic avulsions occur at the time of puberty

· In general, they are uncommon injuries, seen almost exclusively in adolescent athletes with a 2:1 male to female preponderance

· They occur most often in track events like hurdling and sprinting, or games like soccer or tennis

· Most common to avulse is the ischial tuberosity followed by anterior inferior iliac spine (AIIS) and the anterior superior iliac spine (ASIS) about equally

[Riz14]

Hi physiobob,

I guess im at the quick growing phase now as im 16. Im getting taller by the day so it seems .Anyway , about the straight leg exercises its not difficult to do at all as i used to do it last time so dont know if that will be a concern. Also, the orthopedic said that i need not to even go for physio.He only mentioned to give it some time and "slowly" get back into it ,whatever that means.lol. I am trying the stretches and it looks good so far. Well, can you tell me what to do exactly since you are a physio yourself, as i am only a kid and dont know much about this type of things because i wanna do it right and not to injure it again.It has to be the worst part of my life now as i am going through all of this. (cant join the school team for my pre-senior year )

[physiobob]

Suggest working in your passing techniques for now. Learn to push the ball with force rather than 'walking' the ball. This will get the whole quads and inner thighs working together to create a stronger movement.

Contact speed/force as your foot hits the ball perhaps depends as much on hamstring strength just before that contact (in opposition to the speed of the quads). This is true in most movements, the muscles on the opposite site (antagonists) work to slow down the prime movers e.g. quads, on the way to kicking the ball in order to protect the knee joint from hyper-extending. The stronger the hamstrings are in that activity of slowing down the quads speed the later in the range they can kick in. Therefore you would end up with more speed/force at ball strike for the same initial force generated by the quads.

In return the above means you can put less quads force into a kick with strong eccentric hamstring strength and get the same result. This is also very applicable to sports like golf where ball contact speed is important (and so is protection of the back). Ask your coach for activities for work on your passing and build your skiils for a biut during this growth phase. The coach will understand.

[Riz14]

Hmmm.. thats a much easier for me to understand .Thanks Physiobob. I will start the stretches and try to pass the ball outside my house everyday . Hopefully i will get better in time.On the same time i would like to get Bigger/bulky-er cause im kinda skinny and growing tall FAST. hehe so ive been eating alot these past few weeks but i dont seem to gain any weight. Probably cause im doing alot of endurance training? Im also drinking milk everyday just to get my bones stronger again. I was also wondering are those protein powder thingy any good or will it just mess up my whole body. dont know if i should even lift anything cause i heard it will only make me shorter . is that true?Got any tips? :P thanks TruckLoads!