The Hidden Battle: Common Injuries in Combat Sports and the Vital Role of Physiotherapy

The Hidden Battle: Common Injuries in Combat Sports and the Vital Role of Physiotherapy

Common Injuries in Combat Sports:

1. Musculoskeletal Injuries

Musculoskeletal injuries are the most prevalent injuries in combat sports. According to research by

the American Orthopaedic Society for Sports Medicine, strains and sprains account for

approximately 32% of MMA injuries (AOSSM, 2024). These injuries typically result from the

explosive, multidirectional movements required in combat, especially during takedowns and

transitions. Knee ligament tears and ankle sprains occur frequently due to pivoting and kicking

motions. These injuries can significantly impact an athlete’s mobility and stability, making early

intervention crucial (AOSSM, 2024). Hip injuries are increasingly recognised among combat sports

athletes, particularly due to the dynamic movements involved in these disciplines. Common hip

injuries include Labral Tears, Femeroacetabular Impingement (FAI) and Hip Flexor Strains.

The hand is one of the most commonly injured areas in mixed martial arts (MMA), primarily due to

repetitive striking. A study analysing 408 MMA fights, reported an upper limb injury rate of 9.9 per

100 athletic exposures, with the hand being the most frequently injured location (6.61 per 100

exposures). Specific injuries include carpometacarpal (CMC) instability, boxer’s knuckle, and skier’s

thumb. These conditions often result from repetitive stress and impact during training and

competition (Fares et al., 2022).

Shoulder injuries are prevalent among combat sports athletes, particularly due to the demands of

striking and grappling. Rotator cuff tears and labral tears are common shoulder injuries in these

athletes, often resulting from repetitive overhead movements and direct trauma.

2. Fractures and Dislocations

Fractures, especially to the hands and wrists, are common due to frequent striking. Dislocations,

particularly of the shoulder and elbow, are often associated with submission holds and throws

(AOSSM, 2024).

3. Concussions and Head Trauma

Head injuries remain a critical concern in combat sports. Concussions can result from both direct

head strikes and whiplash-type movements. Over time, recurrent concussions may lead to chronic

traumatic encephalopathy (CTE), a progressive neurological disorder (Torres, 2018).

 

The Role of Physiotherapy in Combat Sports

Physiotherapy plays a crucial role in injury management and improving performance for combat

sports athletes.

1. Injury Assessment and Rehabilitation

Physiotherapists conduct detailed assessments and develop personalised rehabilitation plans. These

often include exercises to improve joint stability, mobility, and strength—critical for recovering

from injuries such as ACL tears or rotator cuff strains (AOSSM, 2024).

2. Manual Therapy Techniques

Manual therapy, including joint mobilisations, myofascial release, and soft tissue manipulation, can

significantly reduce pain and facilitate recovery. Trifecta Therapeutics (2023) reports that hands-on

techniques are especially effective in managing joint and soft tissue dysfunctions.

3. Neuromuscular Re-education

This approach focuses on retraining the body to use correct movement patterns, which can prevent

reinjury and enhance athletic performance. It’s especially relevant for post surgical rehabilitation of

the lower limbs, where impaired biomechanics often lead to recurring issues (Kaur & Singh, 2017).

4. Preventive Strategies/ Education

Physiotherapists also educate athletes on injury prevention, emphasising proper warm-up,

stretching, and strength training.

 

Conclusion

Combat sports athletes face a high risk of various injuries due to the physical intensity and

unpredictability of competition. Physiotherapy plays a pivotal role not just in injury recovery, but in

building resilience, enhancing performance, and extending athletic careers. A well-rounded

physiotherapy program should be considered an essential part of every combat athlete’s training

regimen.

 

References
American Orthopaedic Society for Sports Medicine (AOSSM), 2024. Mixed Martial Arts: Injury
Patterns, Trends, and Misconceptions. [online] Available at: https://www.sportsmed.org/
membership/sports-medicine-update/summer-2024/mixed-martial-arts-injury-patterns-trends-and-
misconceptions [Accessed 14 Apr. 2025].
Fares, M. Y., Baydoun, H., Elhassan, B., & Abboud, J. A. (2023). Upper limb injuries in mixed
martial arts. The Physician and sportsmedicine, 51(5), 434–441. https://doi.org/
10.1080/00913847.2022.2123257
Kaur, R. and Singh, J., 2017. Physiotherapy and martial arts. ResearchGate. [online] Available at:
https://www.researchgate.net/publication/319112469_Physiotherapy_and_martial_arts [Accessed
14 Apr. 2025].Torres, R., 2018. Mixed Martial Arts and the Risk of Concussion. Orlando Orthopaedic Center. [pdf]
Available at: https://www.orlandoortho.com/wp-content/uploads/2018/02/Torres-Mixede-Martial-
Arts-min.pdf [Accessed 14 Apr. 2025].
Trifecta Therapeutics, 2023. 5 Ways Physical Therapy Can Knock Out Injuries in Combat Athletes.
[online] Available at: https://www.trifectatherapeutics.com/blog/rehab-for-the-combat-athlete-5-
ways-pt-can-ko-injuries [Accessed 14 Apr. 2025].

Welcoming the New Year: Prioritizing Your Health a Multi-disciplinary Approach

Welcoming the New Year: Prioritizing Your Health a Multi-disciplinary Approach

The New Year is here—a fresh opportunity to focus on health, set goals, and build habits that enhance your overall well-being. While resolutions often center on fitness or diet, a holistic approach involving allied health professionals can provide lasting benefits. This multidisciplinary field includes physiotherapists, podiatrists, chiropractors, exercise physiologists, dietitians, psychologists, occupational therapists, and more, all working collaboratively to improve your quality of life.

Why Allied Health?

Allied health professionals specialize in preventing, managing, and treating a variety of physical and mental health concerns. Whether you’re recovering from an injury, managing a chronic condition, or seeking ways to optimize your health, these experts can help. Beginning the year with a thorough assessment allows you to address any overlooked areas and create sustainable, personalized strategies to achieve your goals.

Setting Realistic and Sustainable Goals

New Year’s resolutions often falter due to unrealistic expectations. By consulting allied health professionals, you can set attainable goals and receive expert guidance to help you stay on track. For example:

  • Physiotherapists can create exercise programs to address injuries, build strength, or enhance mobility.
  • Podiatrists can assess foot mechanics and recommend orthotics or footwear for new sports or fitness routines.
  • Dietitians can provide meal plans tailored to your lifestyle, ensuring sustainable and nutritious choices.
  • Chiropractors can address spinal alignment and posture to improve function, alleviate pain, and enhance overall health.
  • Exercise Physiologists can guide you in developing safe and effective fitness routines, particularly if you’re new to exercise or managing chronic conditions like arthritis, diabetes, or heart disease.

With their expertise, your goals become actionable and achievable, reducing frustration and increasing long-term adherence.

The Importance of Preventative Health

A cornerstone of allied health is prevention. Regular visits to allied health professionals can help identify and address potential issues before they escalate. Examples include:

  • Chiropractic care to prevent postural issues and spinal strain from desk jobs or repetitive activities.
  • Exercise physiology to reduce the risk of injury when starting a new fitness program or transitioning to higher-intensity training.
  • Podiatry to prevent foot problems such as plantar fasciitis or bunions, especially if your routine involves prolonged standing or running.
  • Physiotherapy to address muscle imbalances or joint stiffness before they lead to chronic pain or injuries.

Preventative care not only helps you feel your best today but also safeguards your long-term health.

Holistic Health: Building Your Team

Achieving optimal health often requires a collaborative approach. By assembling a team of allied health professionals, you can address all aspects of your well-being: physical, mental, and emotional. For instance, pairing chiropractic care with physiotherapy may improve posture and mobility, while dietetic advice combined with exercise physiology ensures your body is fueled and conditioned for your goals.

Starting the Year Right

The New Year isn’t just about resolutions; it’s about commitment to your well-being. Whether you aim to recover from injury, manage a chronic condition, enhance athletic performance, or simply feel your best, allied health professionals are here to guide you. Their expertise ensures your approach is safe, effective, and tailored to your unique needs.

This year, let your health take center stage. Consult an allied health professional to craft a plan that empowers you to thrive—not just in January, but all year long. Together, you can build a healthier, more vibrant you. Here’s to a year of well-being and success!

4 Ways to Prevent “Tech Neck”

The short answer is yes. A chiropractor can help neck pain. Neck pain one of the most common presentations at The Wellness Place.

4 Ways to Prevent “Tech Neck”

Text neck is a repetitive stress injury of the neck
from having your head in a forward position for an extended period. This often happens due to
texting or staring at a phone and is prevalent in today’s society.


According to a recent orthopedic review, “text neck directly affects the spine while flexing the
head forward at varying degrees: when the head tilts forward 15 degrees, the force on the neck
surge to 27 pounds, at 30 degrees 40 pounds, at 45 degrees 49 pounds and at 60 degrees 60
pounds.”

That sounds stressful, doesn’t it? Check out our top tips below for preventing this
painful condition.


Raise your phone
Move your phone closer to eye level to prevent your head from tilting excessively forward,
limiting extra stress on your neck.


Take frequent breaks
Spend time away from your phone—or any type of head-forward task. You can set up screen
time limits on your phone for specific apps if needed.


Correct your posture
When using your phone or other e-device, ensure a good posture. Sit up straight with your chin
slightly tucked and your shoulders pulled back. This will help align your body in a more neutral
position.


Exercise regularly
Exercising regularly can create a robust and flexible spine that can better handle the extra
stress. Research indicates that teenagers active in team sports or endurance sports are less
likely to have neck pain.


Keep these tips in mind to stay healthy. And remember, we’re here to help when you’re feeling
uncomfortable.

Call our office if you suffer from neck pain due to text neck (or any other
reason). We can provide customized treatment to get you back on track quickly!

Why not book an appointment online and get a professional medical assessment and the right whiplash treatment plan, today?

Striding into Summer: A Sports Podiatrist’s Guide to Getting into Running Safely

Striding into Summer: A Sports Podiatrist's Guide to Getting into Running Safely

As the summer sun graces us with its warmth and vitality, many individuals feel the call to embrace a more active lifestyle. For those considering taking up running as their chosen form of exercise, it’s crucial to approach this endeavor with care, especially when it comes to foot health. In this blog post, we’ll explore the key aspects of getting into running from a sports podiatry perspective, ensuring that your summer stride is not only enjoyable but also safe and sustainable.

Choosing the Right Footwear:

One of the first steps towards a successful running journey is investing in the right pair of running shoes. Sports podiatrists emphasize the importance of proper footwear to support the unique biomechanics of each individual’s feet. Visit a specialty running store where knowledgeable staff can analyze your gait and recommend shoes that provide the right combination of support, cushioning, and stability. Ill-fitting shoes can lead to a myriad of foot issues, from blisters to more serious conditions like plantar fasciitis.

Some of our current favourite running shoes are the Brooks Glycerin GTS 21, Saucony Endorphin Speed 4 and the Altra Fwd Via.

Gradual Progression:

In the enthusiasm of starting a new fitness routine, it’s easy to overexert oneself. Sports podiatrists stress the significance of a gradual approach to prevent injuries. Begin with a mix of walking and jogging, allowing your body, especially your feet, to adapt to the new stress. This progressive method reduces the risk of overuse injuries such as stress fractures or tendonitis, common pitfalls for newcomers to running.

Proper Warm-Up and Cool Down:

Prior to hitting the pavement, it’s essential to warm up your muscles and joints. Dynamic stretches like leg swings and hip circles can enhance flexibility and reduce the likelihood of strain. After your run, perform static stretches to improve flexibility and aid in muscle recovery. A sports podiatrist can recommend specific stretches targeting the muscles and tendons in your feet, ankles, and lower legs.

Listen to Your Body:

Sports podiatrists often advocate for a mindful approach to running. Pay attention to any discomfort, pain, or changes in your gait. Addressing minor discomfort early can prevent it from developing into a more serious injury. If you experience persistent pain, it’s advisable to consult with a sports podiatrist who can assess your condition and provide tailored advice.

Cross-Training for Foot Health:

Running can place repetitive stress on certain muscles and joints, potentially leading to imbalances and injuries. To mitigate these risks, incorporate cross-training activities into your fitness routine. Swimming, cycling, or strength training can help strengthen supporting muscles and give your feet a break from the impact of running.

Foot Care Routine:

Maintaining proper foot hygiene is paramount for runners. Regularly inspect your feet for blisters, calluses, or any signs of irritation. Keep your toenails trimmed and invest in moisture-wicking socks to prevent fungal infections. If you notice any abnormalities or persistent issues, consult with a sports podiatrist for personalized guidance.

Conclusion:

Embarking on a running journey this summer can be a fulfilling and invigorating experience when approached with care and consideration for your foot health. By choosing the right footwear, progressing gradually, warming up and cooling down effectively, listening to your body, cross-training wisely, and maintaining a dedicated foot care routine, you can ensure that your summer stride is both enjoyable and sustainable. For personalized advice and guidance, don’t hesitate to consult with a sports podiatrist who can support you on your path to becoming a happy and healthy runner. 

 

Ganglions and Cysts

Ganglions and Cysts

What is a Ganglion?

A Ganglion is a cyst, which is a fluid filled sac that is often found on the hands and feet. It originates from a joint capsule or tendon. The cause of Ganglions is not known however could be a consequence of repetitive trauma or a single event.

What does it feel like?

A ganglion can cause some burning or tingling in the hands and feet. This is due to the sac impinging on a nerve. It may make shoes uncomfortable because if irritation against the ganglion.

Diagnosis

A Podiatrist can diagnose a Ganglion in the foot by palpating the area. It will usually move freely beneath the skin when palpated. If there is suspicion of an alternative diagnosis, then the podiatrist may request an x-ray or ultrasound to rule out other causes.

Treatment

If the cyst is causing no issues and the patient just wants clarification on the diagnosis, then the Podiatrist can monitor closely over time.

In the instance that the Ganglion is causing irritation then there are options such as:

-Shoe modifications

-Padding to offload the Cyst

-Insoles that are specific to the region and size of the cyst so that comfort can be achieved.

-Aspiration of the Ganglion can be completed, however often the cyst will return.

– Surgical removal can be completed when the previous treatments have been exhausted. Surgical removal reduces the chance of the Ganglion returning however there is still the possibility of its return.

To conclude, Ganglion cysts may come and go. If the mass is causing pain, there are treatments available to allow you to manage discomfort. See a Podiatrist to confirm a diagnosis and to create a treatment plan specific to you.

Morton’s Neuroma

Morton's Neuroma

What is Morton’s Neuroma?

Morton’s Neuroma is a thickening of the tissue that surrounds the nerve supplying the digits (toes). Patients commonly complain of a pain at the ball of the foot that feels like a stone or marble. The condition can cause nerve pain such as tingling, pins and needles or numbness.  This digital neuritis often occurs at the webspace between the third and fourth toes however can occur between any of the digits.

Who does it effect?

This condition can affect anyone, sprinters may experience it due to the compression of the nerve from pushing off at the start blocks.

Those wearing high heels can experience it, similarly due to the toes/forefoot position because of a heightened heel.

Tight, narrow shoes are a large factor contributing to the condition.

 

What else could it be?

-Stress fracture

– Capsulitis (aggravated joint capsule)

-Systemic causes such as Rheumatoid Arthritis

-Corn, Callus, Verruca.

-Foreign Body.

 

How can A Podiatrist Help?

A Podiatrist will analyse symptoms, medical history, footwear, activity changes and biomechanics. These factors alongside range of motion, mobility and strength tests will guide the Podiatrist to a diagnosis. Imaging such as x-ray can be used to rule out differential diagnosis such as fractures.

Treatment

Treatment can include footwear changes, Orthotic use, stretching and strengthening. Other treatments used for Morton’s neuroma include:

-Corticosteroid injections.

-Shockwave therapy.

-laser therapy.

-Foot and ankle mobilisations.

– Neurectomy (Surgery to remove the affected area of the nerve).

Wart is this on my foot? – Verruca Pedis

Wart is this on my foot? – Verruca Pedis

A plantar wart, also referred to as plantar verruca is a skin condition caused by the Human Papiloma Virus. This virus is very common, and presents on the feet. It infects the skin causing an abnormal reproduction of the skin’s appearance. Verrucas can be embarrassing for some however there is no need to be concerned as there are various treatments for Plantar verruca’s.

Verruca’s can be painful due to their raised appearance on the skin and are often surrounded by hyperkeratosis (callus). They often contain small black dots within them, these are small blood vessels. If you think you may have a verruca, it could be time to visit a Podiatrist.

 

What can Podiatrists do?

Podiatrists will assess the lesion to determine if it is verruca or something else like callus, or a foreign body. We will ask for a medical history so that we can determine the best treatment plan for you. Treatments can include debridement of the tissue and the use of chemicals such as silver nitrate, or salicylic acid. We can modify insoles and use padding to offload the Verruca so that you can stay active and pain free throughout treatment.  Verruca’s that don’t respond to these treatments may require further interventions such as Swift Microwave therapy or Faulkner’s needling.

What can you do?

Verruca is a virus that is transferable through direct contact or surfaces.  If you think you have a verruca it is important to wear socks around the house or public places to minimise the cross-contamination.

Rheumatoid Arthritis and your Feet​

Rheumatoid Arthritis and your Feet

Rheumatoid arthritis is a chronic autoimmune disease whereby your immune system begins to damage tissues such as cartilage and ligaments.   The condition affects the hands and feet most commonly. Females are 3 times more likely to develop this condition and the most common age category for developing it is between 40 and 60 years.

Symptoms can present as swelling and stiffness in the foot and ankle joints. Deformities such as bunions, hammer & Claw toes, pes planus (flat feet), can develop at a progressed stage of the condition.  These deformities can lead to increased pressure on aspects of the foot, causing callus buildup and possible breakdown of the tissues.

After a diagnosis of Rheumatoid Arthritis, treatment can commence in the form of medication known as disease modifying anti-rheumatic drugs (DMARDS) or non-steroidal anti-inflammatory drugs (NSAIDS) following assessment from a Rheumatologist.

A thorough assessment from our health professionals will determine the extent of deformity or progression of the disease. Treatments such as exercise therapy, Orthotic therapy and footwear modifications are excellent for slowing the progression and will often include softer materials that offload any deformities of the condition and to keep you comfortable and active.  

Why Do I Get Swollen Feet And Ankles?

Why Do I Get Swollen Feet And Ankles?

Swollen feet and ankles can be commonly associated with either oedema or an inflammatory response to injury or infection. Standing for too long or consuming excess salt through your diet can also cause excess fluid retention.

Pregnancy can cause the feet and ankles to swell due to hormonal changes, and increased pressure on veins due to extra weight in the uterus.

Acute (short term) and Chronic (long term) injuries can cause an inflammatory reaction, with an increased blood flow to the injured site. Common injuries such as ankle sprains, Achilles tendon tears, broken bones, and underlying conditions such as Diabetes, Gout, and heart failure can all cause swelling in the lower limb, foot, and ankle.

As Podiatrists we take a through history and perform a detailed assessment to determine the cause of your foot and ankle swelling.  We provide a progressive treatment plan specific to you.

The Wellness Place Bassendean Chiropractic Care And Pregnancy

Embracing Pregnancy: Your Chiropractic Guide to a Happy Pelvis

Hey there, soon-to-be moms! Pregnancy is a magical ride, but it does come with its set of changes, especially in the pelvis. If you’re a chiropractic patient, understanding these shifts is key. Today, we’re going to explore how your Sacroiliac (SI) joints and some hormonal magic play a starring role in this journey and why a bit of chiropractic care can make it all a smoother ride.


Meet Your Backbone: Sacroiliac (SI) Joints

Picture this: your SI joints, hanging out at the base of your spine between your hips, are like the unsung heroes of stability, supporting the weight of your trunk. Ladies, your naturally wider pelvis is built for the miracle of childbirth, thanks to these joints and the awesome team of muscles and ligaments backing them up.


Hormones Take Center Stage: Progesterone and Relaxin

Around weeks 10-12 of your pregnancy, cue the hormonal symphony featuring progesterone and relaxin. These rockstars help your body get stretchy, allowing your ligaments and smooth muscles to accommodate that adorable little human growing inside you. Cool, right? But here’s the twist – all this hormonal buzz makes your SI joints a bit more mobile, shaking up their stability compared to your pre-pregnancy days.


Muscles Get a Wake-Up Call: Adapting to the New Normal

Now, as those SI joints start grooving, your belly, glutes, and pelvic floor muscles get the memo: it’s time to step up their game for stability during your everyday moves. Enter chiropractors specializing in pregnancy care. They’re like your personal pregnancy support team, checking out how your pelvis moves, keeping tabs on muscle tension, and making sure everything stays on the stable side.


Everyday Woes: Dealing with Pelvic Changes

Let’s talk real stuff – the increased mobility of your SI joints might bring some not-so-fun conditions like pelvic girdle pain, lower backache, and other discomforts. But fear not! Chiropractors are on it, watching over you throughout your pregnancy journey, providing relief, and helping you navigate these changes like the superhero you are.


Power to You: Chiropractic Care for a Happy Pregnancy

To wrap it up, getting chiropractic care during pregnancy is like giving your pelvis a little extra love. Your chiropractor checks in on your pelvic party, managing the hormonal rollercoaster, stability challenges, and muscle demands. It’s all about making sure you cruise through pregnancy with comfort and confidence, ready for the incredible adventure of motherhood. You’ve got this!

FAQs:

Q1: How does pregnancy affect the stability of the SI joints?

  • During pregnancy, hormones like progesterone and relaxin increase the movement of the SI joints, potentially making them less stable than before.

Q2: Can chiropractic care help with common pregnancy-related pains?

  • Yes, chiropractors specializing in pregnancy care can assess and address conditions such as pelvic girdle pain, lower back pain, and others.

Q3: How often should I visit a chiropractor during pregnancy?

  • Regular check-ins, especially during the different trimesters, can provide ongoing relief and proactive guidance on managing pelvic changes.

Q4: Are there specific exercises to strengthen the pelvis during pregnancy?

  • Yes, chiropractors can recommend tailored exercises to strengthen the pelvis, contributing to a more comfortable pregnancy experience.

If you are going through pregnancy at the minute and want to know how one of our Chiropractors can help you out, give us a call on (08)93793838 or book an appointment here