Any fan who watches international soccer knows that Brazilian star Nima is the best man in the game. Playing on the pitch, every time there is a collision with an opponent, the recoil of his fall rolls from one side of the gantry to the other.
early in the year
transfer to another club (professional sports)
After the oil king of Saudi Arabia, Fleet Hilal, suffered a lot of injuries, in mid-October this year, Uruguay in the World Cup qualifying match sprained the anterior cruciate tricuspidatum and meniscus tear in his left knee, in early December, Brazilian
the national team
Team doctor Rodrigo Lasmar performed a hands-on repair surgery on him, and a few days ago on Nima's social media he shared two clips of him being 'rehabbed':
He pretends to be injured already for the opponent's red card yellow card shouting to death, not to mention the real injury he really cried out from the bottom of his heart pain. While the fans who have always hated him may feel that he deserves it when they see him suffer in this way, my colleagues in different parts of the world have lamented: "Is it really necessary to use three pugilistic therapists to subdue Nima, who is struggling with all his strength, and then for the sake of 5 to 10 degrees of flexion in the first two weeks of the operation?
According to Australian Sports Physiotherapist Mick Hughs' "Guidelines for Postoperative Rehabilitation of Anterior Cruciate Knee Tensile Tape Surgery" the rehabilitation goals for 1-2 weeks after surgery are as follows:
However, this is a postoperative recommendation after only the ACL has been repaired. When the meniscus is repaired at the same time, the patient may need to avoid weight bearing for about 6 weeks. Patients need to use crutches to support their weight during this period. Most orthopedic surgeons will recommend 0-90 degrees of knee mobilization, and weight bearing and related stretching activities should not be started until 6 weeks after surgery.
On different social media (Instagram, X, LinkedIn) you can see messages in English that unanimously denied that the patient would have to undergo forced stretching within 3 weeks after the surgery in order to achieve the treatment. These disturbing images, especially from a soccer legend who could cry out for help from a mosquito bite, made the therapists wonder if these three were even qualified therapists at all.
But Nima's social media account of the Portuguese message, but unanimously affirmed that he in order to rehabilitate the game back to exercise the pain suffered is heartbreaking, sportsmanship is admirable, and even with a lot of football stars, when he is a god in general in the worship.
What is even more frightening is that this clip has become the image of Brazilian physiotherapists among their peers. Then a group of Brazilian physiotherapists said that it was a defamation of their entire profession, saying that they had to "resist foreign forces" and so on. They even defended the fact that the joint would be scarred after the surgery, so manual therapy would be needed to bend the knee forward to the angle it should be at that stage of rehabilitation.
It turns out that out of the English-speaking world, there are little pinkies everywhere.
However, three weeks after surgery is not usually enough for the scar tissue to thicken to the point where it needs to be stretched with bare hands. Rehabilitation exercises are available to allow patients to increase the range of motion of the affected limb at a pain level they can tolerate. Do players have the right to know that there are less painful treatment options available to them?
For the time being, the Brazilian Association of Physical Therapists does not have any statement to clarify:-
If you were the doctor who operated on Nima, would you have any input into what Nima's attending physiotherapist could have done?
If you're Nima, do you really want these rehab clips to have to be publicized and judged by other coaches, players, doctors and physical therapists?
Many physiotherapists and physical trainers want to be different and become recruited by patients and athletes. However, because of the need to attract traffic on social media, the tactics displayed on the screen have become more and more extreme and claptrap, and have even attracted different untrained personnel to follow suit, resulting in different degrees of injuries. This is not only whether the part of his knee that was repaired by the doctor was damaged due to the excessive use of force, but also the psychological pressure caused by the rehabilitation process, which not only affects the progress of return to training, but also develops into kinesiophobia, a neurogenic and chronic pain disorder, even if the injured part is repaired properly.
Leave it to the pros, which may sound like it's considered within reach in the ranks of elite sports, but when there are national physical therapists at the World Cup who believe that sprinkles can deal with concussions, nyma this rehab maneuver may have been small potatoes.
[Does physical therapy work or not?]
The most common thing that therapists hear from their patients in the physical therapy office is that "physical therapy doesn't really work".
Because, in a lot of patient information about sports injuries and musculoskeletal strains, many professionals tell us that these are purely structural and mechanical problems of the bones and joints; however, it turns out that these are inextricably linked to the brain, nervous system, immune system, endocrine system, and even mental health and socio-economic conditions of the human body. How does a physical therapist navigate the healthcare system to determine how many of these symptoms can be resolved with non-pharmacologic, non-invasive treatments?
On the one hand, some healthcare professionals promote to the public that "exercise is good medicine". On the other hand, there are many professional athletes who have suffered from various kinds of bone and joint strain and even sudden death due to long-term high-intensity training. Should we do more exercise, or should we take care of our health and "lie down" to avoid joint degeneration? How should we strike a balance between the amount of exercise we do and the benefits it brings to our body without worrying about the aging of our bones and joints?
Professional athletes share all kinds of physiotherapy "space technology" on social media, can it really speed up the recovery of injuries, reduce inflammation and relieve pain, or is it just a sponsored content to sell? Physiotherapists working on the sidelines of professional sports will break down the scientific basis of the treatments one by one, and under what circumstances, "physiotherapy actually works."
