Netball Injuries

Netball Injuries

Netball injuries can be a mix of both upper and lower limb injuries, as well as acute, impact injuries and gradual, overuse injuries.

Shoulder injuries are the most common in the upper limb due to repeated throwing. Sometimes finger and hand injuries may also occur doe to impacts from the ball or an opponent grasping for the ball at the same time.

Lower limb injuries are similar to basketball when pivoting and quick changes in direction cause ankle sprains, as well as repeated jumping resulting in patella tendonitis.

Most common

Finger sprains

A sprained finger occurs when the finger is bent causing damage to the ligaments which connect bones together. It is a common injury in ball games such as netball, American football, basketball, cricket, handball etc. Symptoms include pain in the finger at the time of injury with swelling likely to develop over the joint and restricted movement in the finger. Later on pain is likely to be more specific when bending the finger. Read more on treatment for finger sprains.

Thumb sprain

A thumb sprain occurs when the thumb is bent out of it's normal range of movement, usually backwards. Damage occurs to the ligaments supporting the joint at the bottom of the thumb. Symptoms include pain when the thumb is bent backwards, also pain in the web of the thumb when it is moved. There may be swelling over the metacarpo-phalangeal joint at the base of the thumb and the patient may have laxity and instability in the joint. Watch video of  how to treat and tape a thumb sprain.

Rotator cuff injuries

A rotator cuff strain is a tear to any of the four rotator cuff muscles in the shoulder and is common in throwing and racket sports. They are so called because their job is to rotate the arm at the shoulder and provide a supportive cuff around the joint. Treatment consists of reducing pain and inflammation followed by a full rehabilitation program consisting of mobility, strengthening and sports specific exercises. Read more on the treatment and rehabilitation of rotator cuff strain.

Ankle sprain

A sprained ankle is one of the most common sports injuries and is also the most frequently re-injured. In the majority of cases the ankle rolls inwards (inversion) under the weight of the rest of the body, resulting in damage to the ligaments on the outside of the ankle. Read more about treatment and prevention ankle sprains.

Achilles tendonitis

Achilles tendonitis (also known as Achilles tendinopathy or Achilles tendinosis) is an overuse injury causing pain, inflammation and or degeneration of the Achilles tendon at the back of the ankle. If this type of injury is not caught early this can be difficult to cure but with the right treatment and particularly eccentric strengthening exercises a full recovery can usually be achieved. Read more on treatment and rehabilitation of Achilles tendonitis.

Jumpers knee

Jumper's knee or patellar tendonitis is an overuse injury that results in pain at the front of the knee, localised at a point towards the bottom of the kneecap. Repetitive strain from too much running or jumping causes inflammation or degeneration of the patella tendon. Patellar tendonitis can be a tricky condition to treat and requires a substantial period of rest and a thorough treatment and rehabilitation program. Read more on the causes and treatment of Jumper's knee.

Petellofemoral pain

Petellofemoral pain syndrome (PFPS) also known as runners knee, chondromalacia patellae is a generic term used to describe kneecap pain at the front of the knee. Symptoms include an aching pain in the knee joint, particularly at the front of the knee around and under the patella. Treatment includes rest, applying ice or cold therapy to reduce pain and inflammation along with a full rehabilitation program of specific exercises along with knee taping. Read more on patella pain treatment.

Hamstring strain

Hamstring strains commonly know as a pulled hamstring is a sudden sharp pain at the back of the thigh. Treatment for this injury involves immediate first aid of rest, ice and compression followed by a full rehabilitation and exercise program. Symptoms of a hamstring strain include pains whilst sprinting or a fast stretching movement or high kick. Read more on treatment of hamstring strains.

Shin splints

Pain at the front of the lower leg is commonly referred to as shin splints. Usually symptoms occur at the front inside of the shin bone but can arise from a number of causes. We explain the symptoms, treatment and rehabilitation of medial tibial stress syndrome to cure and prevent it recurring. read more on how to prevent and treat shin splints.

 


Should I seek professional treatment?

If you have any of the following symptoms you should seek further medical assistance.

  • Severe pain, especially on walking
  • Severe swelling (oedema)
  • Altered sensation in the foot – such as a feeling of “pins and needles” (paresthesia) or a “loss of feeling” (anaesthesia).
  • Unable to complete normal daily activities after the initial 72 hours.

Further medical assistance can be sought through either your local GP or a private clinician such as a podiatrist, physiotherapist, sports therapist, osteopath or chiropractor. If you have followed the P.R.I.C.E. principles (see below) and are still unable to walk after 72 hours or still have severe pain that is not subsiding after the first 72 hours you should visit your local A&E department for further assessment.

Secondly, if you have applied for P.R.I.C.E. principles and still have weakness that lasts a long time (more than 2 weeks) or have ongoing discomfort in your foot or heel, you are highly recommended to seek advice from a specialist expert - such as a podiatrist or physiotherapist, osteopath, or chiropractor - who can provide you with advice and an appropriate and effective recovery and rehabilitation program.


Immediate first aid for acute injuries

The PRICE principles are the gold standard set for treating acute sports injuries. The acronym stands stands for Protection, Rest, Ice, Compression and Elevation and should be applied as early as possible and continued for at least the first 24-72 hours.

Protection

Protection of the damaged tissue is vital to prevent further damage and enable the healing process to start efficiently and effectively. There are a number of ways to protect the injured area all with the same aim of limiting further movement and use of the joint/muscle/ligament/tendon. One way this can be achieved is using a support or splint.

Rest

In the early stages, rest is one of the most important components of the P.R.I.C.E principle but is often neglected or ignored. It does not only refer to the prolonged period of time that the athlete will be out of action but also to the immediate period after the injury.

An athlete must know when to stop training and allow the injured area to heal otherwise repetitive minor injuries can often result in a more severe injury that keeps the athlete out for much longer.

If an injury is sustained during sporting activity some athletes have a tendency to 'run it off'. This implies that by continuing to participate in the exercise, the injury will simply go away. In fact, in the majority of cases this is not true and is not advisable.

Ice

Ice therapy, also known as cryotherapy, is one of the most widely known and used treatment modalities for acute sports injuries. It is cheap, easy to use and requires very little time to or expertise to prepare.

The application of ice to an injury, in the acute phase can substantially decrease the extent of the damage. It achieves this in a number of different ways:

  • Decreases the amount of bleeding by closing down the blood vessels (called vasoconstriction).

  • Reduces pain (pain gate theory)

  • Reduces muscle spasm

  • Reduces the risk of cell death (also called necrosis) by decreasing the rate of metabolism

Ice is usually applied to the injured site by means of a bag filled with crushed ice which is wrapped in a damp towel. The damp towel is essential as it forms a barrier between the bag of ice and the skin and reduces the risk of an “ice burn”. DO NOT leave the ice on for more than 15 minutes as you could cause an “ice burn”.

There are a small number of areas that you should not apply ice to which include the neck, the outside bone of the elbow, the collar bone (upper end), the front of the hip (bony part) and the outer bone of the knee. The reason for this is there is a superficial nerve just below the skin in these areas that can be damaged by applying ice to it. Always check for contraindications.

Compression

Applying compression to an injured area minimises the amount of swelling that forms after an injury in two ways and should be applied for the first 24 to 72 hours from the onset of injury. Compression can be applied through a number of methods. The most effective of these is by using a compression bandage which is an elasticated bandage that simply fits around the affected limb.

Elevation

Elevation of the injured limb is the final principle of PRICE but is equally as important as the other 4. Elevation allows gravity to drain the fluid away from the injured site. This aids in decreasing the swelling which in turn may decrease the pain associated with the oedema (swelling).

Read more on PRICE principles


Preventing Netball injuries

Injury prevention strategies are very similar in most sports, although variations relating to protective equipment and conditioning will be present. the following is a simple guide to help you to avoid injury:

Warm-up

A warm-up is a vital part of injury prevention in every sport. It also helps to prepare you mentally and physically. Warm-ups should get the heart rate up to increase the flow of blood around the body, in preparation for more strenuous activity. It should also warm and stretch the muscles to ensure they are working to their optimum and do not sustain an injury due to being cold and inflexible.

A warm-up should consist of a minimum of 5 minutes cardio, pulse-raising exercise such as jogging, cycling, skipping etc. This should be followed by dynamic stretches. These have more recently replaced the use of static stretches. They include drills such as running with high knees, heels to bum and cariocas. This should be performed for a minimum of 5 minutes, up to a maximum of 20 minutes, with movements gradually becoming larger and faster. This is preferable to static stretching as it keeps the body warmer and heart rate higher, and more resembles the type of movements which are required in most sports.

Protection

Generally most netball players do not wear any form of protection, such as padding or head guards. The most important piece of equipment for a netball player is footwear, which must offer the right support for the player and for the surface of the court they are playing on (i.e. inside - sometimes slippery, or outside - usually concrete)

Rest

Resting is an important part of any athletes training program! Physiological changes within the cardiovascular, respiratory, and muscular systems in our bodies, occur when we are at rest. Overtraining often results in injuries due to fatigue causing poor technique and overuse type injuries. If you feel at all unwell, tired or in pain, you should rest until better.

Training

In order to play in the higher levels of any sport, training is vitally important. Training not only the cardiovascular and muscular systems but also techniques and tactics are required to make sure the body is strong, coordinated and flexible as well as the mind being prepared and focused to name but a few.

Nutrition and Hydration

Proper nutrition is important. A bad diet will prevent you from recovering from training sessions making you more prone to injury. A balanced diet is what you should aim for:

  • Carbohydrate is important for refueling muscles
  • Protein rebuilds muscles
  • If you become dehydrated then less blood will flow through muscles. The muscles will be more prone to injury
  • Vitamins and minerals are required for a number of reasons related to recovery

Much of what is discussed above should be part of your sporting routine. A biomechanical analysis can help identify possible injury risks. Orthotic devices can help. Also an assessment from a sports therapist or specialist can identify weak areas and possible injury risks. A course of exercises specific to your needs can give you the best chance of avoiding injury.

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