Wednesday, September 16, 2015

Sports injury treatment getting a leg up in Nagpur

Though sports medicine has grown in city in last few years with orthopaedicians and physiotherapists specializing in the field, lack of awareness among players, coaches and parents still keeps the sportspersons away from these doctors.
Orthopaedic surgeons have now specialized in treating injuries like tennis elbow, knee/ankle ligament tear, repeated dislocations of shoulder, rotator cuff repair. Some centres even have the state-of-the-art equipment like the high density video endoscope system of arthroscopy but despite the dedicated facility most players prefer to go to metros for treatment.
Dr Satish Sonar who has developed a dedicated unit, Sports Med Joint Care Centre, in last one-and-half years after obtaining specialized training from Italy and Australia, Dr Sanjay Marwah who runs Institute in Sports Medicine, other orthopaedic surgeons like Dr Satyjit Jagtap, associate professor at Government Medical College and Hospital (GMCH), Dr Mukund Thakur, general surgeon are some doctors who have expertise in treating sports injuries. But unfortunately the dedicated centres too don't attract the sportspersons due to varied reasons.
Dr Sonar has installed radiofrequency machine, high density video endoscope for arthroscopy and also has a platelet rich plasma (PRP) treatment modality. "Majority of my patients however are general ones and not sportspersons as there is lack of awareness among them about the facilities available in my centre or elsewhere," he said.
Robin Simon, lecturer of physical education at the Visvesvaraya National Institute of Technology (VNIT) holds the coaches as well as players equally responsible for the situation. "City players and coaches still do not have the required professionalism. The coaches want to handle every aspect from the diet to the anatomy and physiology of the player which is wrong. Joint, ligament or any acute injuries need special treatment. Unless players and coaches understand that a player is made by team work of many experts and realizes scientific importance of specialized treatment they will not be aware of sports medicine," he said.
Shatrughna Gokhale, secretary of Nagpur District Basketball Association, too supports Simon's views on awareness. But he admits that the awareness in players comes only after certain level of exposure they get by reaching national or international levels. Doctors, he feels, thus should also try to reach players and associations for creating awareness. Principal of Ishwarchand Deshmukh College of Physical Education Anil Karvande says that majority sportspersons in city belong to low income group and cannot afford specialized care. But those who belong to upper income group do not approach sports medicine experts as coaches don't guide them rightly due to their own insecurity.
Interestingly, some players told TOI that they are aware that specialized treatment is available in city but didn't have any answer on why they didn't avail the facility. Sayali Waghmare, a 19-year-old athlete, said largely sportspersons are aware of the latest facilities but feel that local doctors should be more positive and forthcoming for retaining players for treatment in city.
Dr Jagtap says that though many orthopaedic surgeons can treat and operate sportspersons it is the new generation doctors like Dr Sonar who are specially trained in the field can make a dent in the field. "Arthroscopy which involves minimal invasive surgical intervention is a demanding surgery. Though only 10% patients may need it, only trained experts should be taking up such surgeries," he said.
FACILITIES AVAILABLE IN SPORTS MEDICINE
Radiofrequency (RF) treatment for tennis elbow or all racket related sports: The use of RF waves at the injury site recreates the trauma which in turn stimulates the body mechanism to initiate natural healing mechanism.
Platelet Rich Plasma (PRP) therapy: It involves removal of 30-40 cc of blood from the patient, centrifuging it to generate platelet rich plasma which is injected back into the patient on the injury site. This releases growth factors and healing agents which naturally heal the wound.
High density video endoscopic system for arthroscopy: This equipment generates high resolution and exact image of the tissue damaged. It also carries a probe which corrects the damage surgically and can treat rotator cuff problem, repeated shoulder dislocations, knee/ankle ligament injuries.

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