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Snow sport injuries… is snow joke

It’s that time of year again where we all take a well-deserved rest and perhaps go on a winter holiday to unwind. A popular choice for many is to go away somewhere to participate in some snow sports. However, it is important to bear in mind how the different the snowy conditions are in comparison to other sports that you may take part in at home. Therefore, you need to make sure you prepare appropriately in order to minimise the risk of injury. Believe it or not, most common injuries in winter and snow sports could have been prevented with planning. See below for some things to think about before you set off. 

Tackling the cold

It is expected when traveling to high altitude environments that the weather is going to be absolutely freezing. The mountain peaks provide optimal conditions for wind making it feel even colder than it is. The cold conditions, as you can imagine, can lead to significant heat loss. When our bodies get cold it very cleverly sends a message for your muscles to shiver to try and warm up, but this can leave to low blood sugar levels which in turn can have an effect on your sporting performance. It is important to take breaks not just to rest but to eat!

Also, occasionally when you get too cold your core body temperature can drop below 35°C, when your body temperature drops this low it is called hypothermia. Therefore, it important to have the correct outwear, which is breathable but warm.

Finally, another reason to make sure you wrap up properly for the cold is so you don’t want to get frostbite. Frostbite happens when the tissues in your skin freeze. The freezing makes ice crystals in and around your skin cells which then create a barrier to blood moving through the fine blood vessels. This then means that the skins is deprived of nutrients and oxygen and dies. Again, something that you could easily get if you don’t have the correct winter wear, such as good quality boots and gloves. 

Slippery conditions

It may seem obvious, but it’s really easy to slip and fall over when doing snow sports. Your knees are particularly vulnerable to injury when falling. Ligament injuries in the knee are common injury, particularly damaging the anterior cruciate ligament (ACL). As well as this when falling sometimes people use their arms to break a fall, this can result in wrist and shoulder injuries. These sorts of injuries such as sprains, strains and even dislocations which can be more severe in the cold conditions. This is because when your muscles are cold the tissues have less elasticity which unfortunately, makes them much more prone to injury. Also, it is not uncommon for people to bump their heads when they slip over which can result in concussion. Therefore, to prevent this make sure you have the correct equipment such as helmets and thick ski jackets help to protect your vital organs. 

Sunburn in the snow 

Ironically sunburn to the skin and eyes are very common in the moutains. This mainly due to the large amount of glare and reflection from the snow. The high altitude (especially above 2000m) provides addition risk as the atmosphere is thinner with less cloudy cover, both of which usually provide protection for us particularly against UVB light. 

As well as bouncing onto your skin UVB will also reflect into your eyes which can sometimes cause temporary or even permanment blindness. Sometimes too much exposure time in the mountains can cause significant damage to our skin and eye cells. So with your suncream make sure you bring some sunglasses or goggles. Make sure they have 95 – 100% UV protection. This will protect your eyes from not only the sun but also act as barrier to anything that may poke you in the eye.

Physical challenges

Winter sports are particularly demanding on the body for a variety of reasons highlighted below.

  • Altitude. Winter sports usually take place at a higher altitude, meaning less oxygen is available and our body’s cardiovascular system has to work much harder to keep us going. It is very common to get short of breath and fatigued much more quickly. 
  • Gear. Its usually very cold so we wear much more gear than we are used to! This increases our body weight and makes moving and working out harder!
  • Physical conditions. Battling the elements and uneven terrain, whilst trying to stay upright on skis/snowboard can be very demanding. Anyone who has tried to walk through deep snow knows how exhausting even a few steps can be!

Preparation

Given the above challenges there is lots we can do to prepare for our trip. Working on strength, coordination and balance is esstential. Training with additional weight e.g. weighted backpack can also simulate conditions on the snow. With an enhanced physical fitness you will be able to spend a longer time out doing snow sports before getting too tired.  When out there, it is important to stop when you do become tired as this is when you are most likely to have an accident. Remember to refuel and rest appropriately. 

Summary

To summarise, your best bet in preventing injury is to prepare adequately for your trip. Make sure you have the correct protective equipment as well as making sure you feel fit enough and know your limits. Don’t push yourself too hard, at the end of the day you’re on holiday to enjoy yourself and relax you don’t want to be coming home with an unwanted injury because you had to try the hardest route before you leave.

Thank you for reading! Any questions please do get in touch with us to discuss. Happy holidays and safe ski/boarding! 

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    Orla Mulligan
    Administration and Social Media Manager
    Administration, LBSM

    Orla Mulligan is the administration and social media manager for LBSM. She has a strong background in sport having herself played netball at an elite standard for the U21s Northern Ireland team in the European Championships as well as the U21s competition for Saracen Mavericks.

    She understands youth sport pathways having herself played and training in the netball Kent regional pathway. She has a keen interest in most sports and a good understanding of how injury and illness can impact on the mind and body, as well as rehabilitation pathways.

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    Associate, LBSM
    Musculoskeletal and Sports Podiatrist

    Maddie treats and manages complex foot and ankle injuries in London and Surrey.

    She is particularly interested in helping her patients improve their quality of life and achieve their personal goals, working closely with Foot and Ankle Consultants, Sports Medicine Doctors and Physiotherapists.

    Maddie has a sporting background herself having previously represented England in Hockey. She understands the demands of elite sport and the importance of physical and mental health. In her spare time, Maddie continues to enjoy an active lifestyle by running, cycling and attending a Pilates class.

    Having graduated from University of Brighton with a MSc (hons) in Podiatry, Maddie focused her career in Podiatric Sports Injuries and Biomechanics. Previously she completed a BSc (hons) in Sport Science at Loughborough University.

    A day in the life of Maddie involves consulting patients in clinic, performing gait and biomechanical assessments, measuring and fitting orthotics and braces. She also regularly teaches and presents at sports medicine and podiatry conferences.

    Outside of work, Maddie still finds time to play hockey and enjoys running and skiing.

    Mr Prakash Saha
    MBBS, PhD, FRCS
    Consultant Partner, LBSM
    Consultant in Vascular Surgery

    Mr Prakash Saha is a Consultant Vascular Surgeon at LBSM. He takes pride in providing the best possible results for his patients by using the most appropriate non-surgical and surgical methods based on clinical evidence, patient results and satisfaction.

    He treats fit and active people suffering with a range of cardiovascular issues, from painful leg swelling associated with exercise to venous insufficiency, post-thrombotic syndrome and leg ulcers. He also treats people with arterial system problems including poor circulation, compression syndromes and aneurysms. He carries out both endovascular and open aortic repair and has some of the best outcomes in the country.

    Mr Saha studied medicine at the United Medical & Dental Schools at Guy’s and St. Thomas’ Hospitals before completing his higher surgical training in London and the South East. During this time, he was awarded the prestigious NIHR Clinical Lectureship in Vascular Surgery at St. Thomas’ Hospital, giving him comprehensive training in open and endovascular techniques for treating arterial and venous disease. Prakash completed his aortic surgery training at the St. George’s Vascular Institute before carrying out a specialist fellowship at the Royal Prince Alfred Hospital, Sydney.

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    A day in the life of Mr Saha involves seeing patients in clinic, operating in surgical theatre or lecturing at his university. He also regularly teaches and presents at vascular and sports medicine conferences.

    Mr Saha is an avid cyclist and tennis player (although yet to get a set of Dr Seth!). Outside of work, he spends time with his family who consists of 3 children and enjoys travelling.

    Dr Gajan Rajeswaran
    MBBS, FRCR
    Consultant Partner, LBSM
    Consultant in Sports and Musculoskeletal Radiology

    Dr Gajan Rajeswaran is a Consultant Musculoskeletal Radiologist at LBSM, with an extensive background of working in elite sport. He is one of the most recognised radiologists in the sports medicine field. He provides top level imaging and medical diagnostic services for patients and athletes.

    Dr Gajan Rajeswaran completed his undergraduate medical training at Imperial College London and his radiology training at Chelsea & Westminster Hospital. He has obtained two post-CCT fellowships in musculoskeletal imaging. He was appointed as a consultant at Chelsea & Westminster Hospital in 2011.

    He has a passion for all sports having worked as a radiologist at the Glasgow Commonwealth Games and London World Athletic Championships and continues to support The Championships, Wimbledon. He also continues to work with a number of Premier League and Championship Football Clubs, Premier League Rugby Clubs, England Sevens Rugby, British Athletics and the Lawn Tennis Association.

    A day in the life of Dr Rajeswaran involves giving his expert opinion on investigations such as MRI and CT scans, x-rays and ultrasound. He also performs injection lists under ultrasound, CT and X-ray including spinal injections. He also regularly teaches and presents at sports medicine conferences.

    Dr Gajan Rajeswaran is an avid football fan and life-long fan of Tottenham Hotspur (for which he offers no apologies!). Outside of work, he spends time with his family and has a keen passion for photography.

    Dr Ajai Seth
    MBBS, BSc, MSc, MRCS, MRCGP, FFSEM
    Medical Director, LBSM
    Consultant in Sport and Exercise Medicine

    Dr Ajai Seth is a Sport and Exercise Medicine Physician. He has dedicated his career to helping people with sport and exercise related injury and illness. He consults and treats everyone from the elite athlete to the weekend warrior.

    Dr Ajai Seth is part of the British Tennis Sports Physician team at the LTA and has also provided cover to elite athletes at Wimbledon Tennis, European Tour Golf, Premier League Football, British Athletics, and the Men’s England Football academies as part of the FA.

    He also prides himself for working in disability sport and is currently the Chief Medical Officer for Team GB Wheelchair Tennis which has taken him to the Olympics and Paralympics.

    Dr Ajai Seth is dedicated to education, training and research and is a Senior Lecturer in Sports Medicine at King’s College London where he lectures in all aspects of Sports Medicine and Science.

    He also has a passion for travel and Expedition Medicine, which has seen him accompany medical, scientific and charity expeditions all around the world. He also has vast experience in treating musculoskeletal injuries from children and adolescents to veteran exercisers, both male and female.

    Dr Seth also has positions in leading Sport Medicine organisations, including the non-executive board for the UK’s largest Sports Medicine charity, BASEM and Past President for the Royal Society of Medicine. 

    A day in the working life of Dr Seth involves consulting his patients in clinic, performing diagnostics and ultrasound guided injections. He also regularly lectures and tutors students and presents at sports medicine conferences internationally. He also spends part of the working week at the National Tennis Centre, LTA, supporting British Tennis players.

    Outside of work, Dr Seth enjoys playing club tennis, triathlon, golf, running and skiing (but will give any sport a go!). He enjoys keeping fit and active and good quality family time with his wife and three children.