August is Tradies National Health Month!

By Alayne Hamilton

The term ‘Tradies’ refers to technicians and trades workers, labourers, machinery operators and machinery drivers.

We can’t go through this month without first addressing a stereotype; 

TRADIE (ˈtreɪdɪ) noun: The pie eating, iced coffee drinking trades worker who never exercises, gets up early and stays up late and drinks too much beer. The tradie breezes through their 20’s then as time goes on suffers from all those aches and pains that used to just “go away on their own in a couple of days’’. 

Fortunately; 2019 data from the APA shows that 70% of today’s tradies’ report that they are trying to eat a healthy diet and only 20% reported that they never engage in exercise. This is great news!

Although it’s time to rethink the stereotype, there’s no denying that by the nature of their occupation and workplace environment, tradespeople are at an increased risk of suffering a workplace injury. 

This has significant ramifications for the individual, business and client as people are removed from the workplace during their recovery, sometimes for a long period of time. This can also have the flow on effect of high stress and declining mental health. The juxtaposition of when to return to work financially and professionally vs. physical recovery can be a difficult one to balance, especially for the self employed.

So, how can we make sure our tradies are safe at work? 

Prevention!

Prevention of musculoskeletal injury is the best approach. An osteopathic preventative approach includes manual treatment as well as targeted exercise and rehabilitation activities to ensure that the body is biomechanically functioning optimally and activities are being carried out in a safe way; not unlike training for sport. Making sure that the body is capable of withstanding the physical stresses it encounters throughout the work day is vital. 

Again, focussing on parallels with sport, we all see professional athletes warming up before a game and generally accept that when we exercise, warm ups are a good idea. However, only 24% of tradies reported that they warmed up before work in the 2019 APA Australian Tradies Health Research report. Workplace attitude/culture was largely blamed for this low number. 

If you’re interested in learning more about what conditions you (or the tradie in your life) is at risk of developing, have a look at this interactive tool from WorkSafe Victoria;

http://injuryhotspots.com.au/#/.

Injury hotspots allows you to browse the conditions that are frequently reported in different occupations and even gives suggestions on how to minimise risk with “Safety Solutions”.

For example, the 3 most common areas of injury for a labourer are; 

Axial: low back pain/injury

Lower limb: Knee injury

Upper limb: Hand/finger injury

Whatever your role and whatever the occupational environment, prevention is the key to success in looking after yourself and your team at work!

Return To Sport

By Cameron Allshorn

Gyms are open, boot camp is back, trails and national parks are opening their gates, community sport is on the horizon and we’re all excited!!

The lockdown has impacted each and everyone of us and we are all ready to get out a back into our hobbies and activities as soon as we can. 

With the excitement of this return comes an increased risk of injury due to the lengthy lay-off period and overall decrease in movement and activity over the past 8 weeks, add to that the cold Hobart winter days and there is a discussion to be had. This blog to outline how to safely return to activity and reduce the risk of picking up a pesky injury that could see you with another stint on the sideline just as things get going again.

The Risk

Injuries to soft tissues are the most likely to occur in this type of situation due to shortening of muscle fibers during inactivity as well as lack of load exposure. “Soft tissue injuries” cover most muscular or ligamentous injuries, in which hamstring, calf, quad and rotator cuff have the highest increased risk of injury. 

A recent ABC article has outlined the increased risk and rate of incident we have seen as sport has returned across various professional leagues.It is expected that this will spread all the way down to community level as the majority of us return without the network of a professional grade support team. 

A lot of us have turned to running and/or cycling over the past 2 months in an effort to keep active and fit which is great for our wellbeing and aerobic fitness however it does not replicate or correlate to sport specific actions such as landing, pivoting, throwing, kicking and so on. Now is the time to get back into sport specific training situations.

4-6 weeks of graded gradual sport-specific return is recommended to reduce the risk of injuries upon return which means starting now is imperative. It is likely that competitions will be eager to reboot their seasons and with calendar restrictions and venue clashes also to consider it could see match-day competition return in a quick turnaround that will not account for such a training period to occur.  

Snapshot of Professional Returns

Bundesliga (German Premier Soccer League) returned on May 24 and has seen an approximate  rate of injury increase of 3 times the pre lockdown records (.27injuries per game pre lockdown, .88injuries per game since restart) injuries have predominantly been of soft tissue nature (hamstring, calf, quad). Locally we have seen the AFL and NRL return over the past month and while there hasn’t been large spate of injuries across the board. The restart began with a number of players unavailable due to similar soft tissue injuries sustained in a shortened “pre-season” prior to the return (predominantly lower limb soft tissue injuries).

Who’s at risk

• Age >25, 

• Previous injury history (particularly in past 18 months) 

• Returning to a sport involving a lot of change of direction, quick decelerating/accelerating or lateral movement (tennis, hockey, AFL, netball, basketball) 

What can you be doing now 

Each sport and venue is likely in the process of opening up training facilities and you should check with them about access and the guidelines in place. Some restrictions may be placed on access time and amount of people allowed.

To reduce risk, you should now be considering sport-specific programs that are tailored to the requirements of your sport. However some broad protocols to follow are; 

• Warm up/ cool down with stretches and mobility exercises. 

• Lower limb eccentric exercises (hamstrings, calf, hip flexors) (these help increase overall muscle length reducing risk of tearing) 

• Gradual increase of load, duration and intensity of training.

• Sorting out any existing niggles (tight hamstring, sore hip, stiff lower back etc) before jumping into training.  

For any information or advice regarding getting you back into playing sport and the activities you loved before covid-19, feel free to contact your Osteopath for what is best suited to you.