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module menu icon Understanding the problem

Understanding the problem

Customers who ask for a topical painkiller will often be doing so as a result of a physical activity that has gone wrong. This may be because of an accident, exercising without warming up first, using equipment wrongly, having incorrect technique or pushing the body beyond what it can cope with. Any of these can result in an injury such as the ones described below. 

Types of joint and muscular injuries:

Caused by abnormal or excessive force being applied to a joint, injuring the ligament. Commonly affected joints include the knees, ankles and wrists. 

These occur when muscle fibres are stretched or torn as a result of being stretched beyond their limits. The knees, legs and back are frequently affected. 

Can occur when a joint, such as the shoulder, is moved beyond its normal range of motion. Dislocation often results in ligament damage. 

Inflammation of the tendons that attach two bones. Tendonitis is usually caused by sudden, sharp movements or repetitive exercise, such as running, jumping or throwing. It is a common injury in the elbow for those who play tennis or golf. 

A serious condition that usually happens suddenly, causing severe pain because of a tear in the tissue. A common example is a ruptured Achilles tendon in the ankle. 

Some customers may also seek advice on topical pain relief because they suffer from osteoarthritis. This condition is caused by damage to the cartilage in a joint which results in swelling, pain and stiffness. 

Preventing sports injuries

Warming up properly

It might seem unnecessary, but it serves an important function in preparing the body for the demands of exercise. It makes synovial fluid less jelly-like and more of a liquid consistency, which means the joints are better lubricated. It also increases blood flow to the muscles, tendons and ligaments. A good warm up could start with marching on the spot for three minutes and should be done before any stretching exercises.

Using the right equipment

Such as choosing running shoes rather than fashion trainers for jogging. It is also important to learn the correct technique for the sport being undertaken by getting advice from a coach or healthcare professional.

Not pushing the body

Don't push the body beyond what it can do and taking rest periods and days to allow the body to recover will help to avoid pain and injury

Stretching muscles

To improve flexibility, before and after exercise.

Staying hydrated

By drinking plenty of water before and after exercise, as well as during, if needed. This will help to replace the fluids lost through sweating and prevent complications from developing. 

When to refer

There are certain red flag symptoms to be aware of. The pharmacist should be alerted if a customer reports any of the following:

  • A joint or limb that looks deformed 
  • A joint that is too painful to move or cannot bear weight
  • Severe swelling or bleeding
  • Persistent joint pain, tenderness or swelling
  • Prolonged or severe morning stiffness
  • Tingling or numbness
  • Sudden or severe pain
  • Anyone who is taking any type of medication
  • A suspected fracture, dislocation, rupture or other serious injury. 
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