Orthopedic team of Diako: "Listen to your own body"

In the interview, the three doctors of the Agaplesion Diakonieklinikum clarify, among other things, about stretching before training and typical injuries in basketball.

Rotenburg/Scheeßel - "I have a sports -loving team," emphasizes Prof. Dr.Max Kauther, chief physician in trauma surgery and orthopedics of the Agaplesion Diakonieklinikum in Rotenburg.He took his proof together with the specialist Hauke Kröning and Marie Keitsch when the trio in Scheeßel was a guest at the recent home game of the Avides Hurricanes and witnessed the (injury -free) victory against VfL Bochum in the front row.With the second division basketball team, there is now a cooperation.We asked the Diako team.

How did the hurricanes come about and what does it contain?

Prof. Kauther: I have already treated competitive athletes in Essen.My sports -loving team would like to support the Hurricanes at this high level in such a way that they can do their sport again as soon as possible.We would also like to support the sports city of Rotenburg.

Kröning: We can treat almost all problems.And in the past there have been some athletes from this team.

Keitsch: With the cooperation, the processes for the players should now also be simplified.

What are the most common sports injuries?

Keitsch: twisted knees, kinked feet.There are often band injuries, meniscus damage and muscle injuries.

Kröning: In addition to knee and ankle injuries, it is also finger and hand injuries through ball and player contacts.

It is repeatedly said that the susceptibility to injury or the frequency of injuries after the Corona break would have increased.Can you confirm that?

Prof. Kauther: Yes, that's right.In the Corona Lockdown, we initially saw significantly fewer injuries, including sports injuries and fewer injuries in road traffic.The fact that many athletes have paused for a long time, were no longer in training and possibly also increased a few corona kilos, but are still as sporty in the head as before Corona, these injuries have increased when sport resumed.

To person

Sporty specialists

Prof. Dr.Max Daniel Kauther took over the chief physician position in trauma surgery and orthopedics of the Agaplesion Diakonieklinikum in Rotenburg in April and is an enthusiastic water sports enthusiast.He is a specialist in orthopedics and trauma surgery with the additional names for special trauma surgery, special orthopedic surgery, hand surgery, sports medicine, emergency medicine, manual medicine/chirotherapy and physical therapy/balneology.Hauke Kröning and Marie Keitsch are also specialists in orthopedics and trauma surgery.Kröning is the main operator of the Endo Prosthetics Center on Diako and has played basketball actively and higher.Among other things, he took part in the student European Championship.Keitsch became world champion in 2017 in Oslo - "in front of the eyes of the Norwegian king", as she reports.MAF

And often it is muscular injuries ...

Prof. Kauther: This is probably due to the fact that the basics of sport have often been neglected during corona apandemia.You need strength, perseverance, coordination, speed and flexibility - if you have inadequately train it, an overhanged start of sports can lead to injuries.

Kröning: However, this primarily affects recreational athletes than the professional athletes, as they continuously trained last year.If there are football games on Saturday, you can be sure that patients with acute sports injuries always end up with us.

The type of injury is often sport -specific.What are typical basketball-what are typical football injuries, for example?

Kröning: In basketball, knee, ankle, hand and finger injuries are the classics.There are fewer hand injuries in football, but there are injuries that happen due to the influence of strength by the opponent, for example through ruthless rash.

Prof. Kauther: In football, sometimes physically, it is more physically up to business than, for example, in basketball, where we saw a very fair game here.“Blood characters” also create injuries in football that cannot be influenced.

More and more, it seems that athletes also complain about Achilles tendon problems.Is that correct?

Keitsch: We have actually treated them several times recently, also complaints that we have operated on.

Kröning: In fact, after the Corona Lockdown, there was more Achilles tendon tears, but this does not apply so much to the young athletes.

Prof. Kauther: The 40- to 50-year-olds are more at risk, who are still young in the head and often start again abruptly with sport.

And what helps in order not to let it come to the crack?

Keitsch: stretch.Absolutely.Unfortunately, that is always neglected.If you realize it is something, you should listen to your body and also screw down the intensity.

Kröning: And if there are complaints in the long term, it should be better clarified in order to first treat them conservatively so that there is no crack.

Prof. Kauther: Achilles tendon problems are often recommended to have so -called extrinsic training, ice treatments and balancing training.

Some people prefer to use Voltaren or ibuprofen.Can you approve of that?

Keitsch: As a athlete, I can understand that, but it is not recommended for medically.

Prof. Kauther: Especially since often used painkillers also have side effects and can damage kidneys and liver.

What is to be observed in the first units after an injury?

Kröning: That you slowly increase the intensity again.Starting again with 100 percent again, a risk of injuring yourself again.It is also about training the interaction of the muscles, which also decreases if you have not trained for a long time.

Prof. Kauther: And it is more important to listen to your own body than what is on the Internet in the training plan.

What about the classic stretching as warming up before sport?

Kröning: Over the years, stabilization exercises have had a higher priority.

Prof. Kauther: A warming up is good for the muscles to adjust to the sporting stress.Static stretching with long holding the end position, as in the circle in school in the circle, can even have a negative impact on muscle strength and coordination.I have carried out a lot of studies to find out whether stretching reduces sports injuries.But I couldn't prove that.In some sports such as gymnastics and martial arts, flexibility is incredibly important, stretching is a kind of training session.

But with Achilles tendon irritation, they already advocate stretching ...

Prof. Kauther: The extrinsic training already mentioned is a type of stretching of the Achilles tendon.Here you stand with the forefoot on one level and slowly let the tip of the toe.This type of stretch is the safest and most effective treatment for pain in the middle of the Achilles tendon.The right guide is important, for example, through physiotherapy.

And how dangerous are abrupt stop movements - especially on blunt indoor floors - for the knees, hips and feet?

Prof. Kauther: At the world level, joint wear can occur early.Well-known professionals from tennis or football had to be treated with knee or hip prostheses at an early stage- at an age when this is otherwise not common.

Keitsch: For most athletes, however, the advantages of sport clearly outweigh those of the dangers mentioned.This also includes the basketball players and tennis players, who are of course exposed to abrupt stop movements.

How important are the right sports shoes and do it always have to be the expensive branded shoes?

Kröning: The right, modern footwear is important.

Prof. Kauther: In my view, there are differences in the brands.In any case, you should take shoes that are specific for the respective sport.Today almost all sneakers wear in the leisure area and the selection falls more after the design and not according to the function.Athletes with foot problems should definitely get advice and also do a running analysis.

Keitsch: You always have to look closely at your feet in shoes.The shoe often plays a role.

Prof. Kauther: There is also a fairy tale about problematic shoes - Cinderella.This shows that there were never -sitting shoes in the past and that one should not only be influenced by the appearance.