Common Diving Injuries In Physiotherapy

Diving is a sport where athletes perform acrobatic maneuvers while diving into a pool from a springboard or platform. It requires a combination of strength, flexibility, coordination, and precise timing. Athletes execute dives that are judged based on their degree of difficulty, execution, and entry into the water. 

Common Injuries in Diving: 

Shoulder Injuries

  • Rotator Cuff Tears: Overuse and repetitive motions can lead to tears in the rotator cuff muscles or tendons. 

  • Shoulder Impingement: Compression of tendons and bursa in the shoulder due to overhead movements. 

Back Injuries

  • Lower Back Strain: Strain or sprain of the muscles or ligaments in the lower back, often due to the impact of entry into the water. 

  • Vertebral Fractures: Occur rarely but can result from high-impact landings or incorrect diving techniques. 

Wrist and Hand Injuries

  • Sprains: Ligament injuries due to the impact of hitting the water. 

  • Fractures: Especially of the wrist from improper hand positioning or landing. 

Head and Neck Injuries

  • Concussions: Can result from hitting the water at a high speed or incorrect diving positions. 

  • Cervical Spine Injuries: Serious injuries to the neck, though less common, can occur from diving accidents. 

Knee Injuries

  • Patellar Tendonitis: Inflammation of the patellar tendon due to repetitive jumping and landing. 

  • Ligament Sprains: Particularly the ACL or PCL from improper landings or sudden changes in direction. 

Physiotherapy Management of Common Diving Injuries: 

Rehabilitation Exercises

  • Shoulder: Strengthening of rotator cuff muscles and scapular stabilizers. 

  • Back: Core stabilization exercises and flexibility training. 

  • Wrist/Hand: Grip strengthening and range of motion exercises. 

  • Knee: Strengthening quadriceps and hamstring muscles to support knee stability. 

Manual Therapy

  • Techniques such as massage, joint mobilization, or manipulation to reduce pain and improve joint mobility. 

Modalities

  • Heat therapy to relax muscles and increase blood flow. 

  • Ice therapy for pain relief and reduction of inflammation. 

  • Ultrasound for deep tissue heating and enhancement of healing processes. 

Technique Correction

  • Analysis of diving technique to identify biomechanical issues contributing to injury. 

  • Corrective exercises and drills to improve diving form and reduce stress on vulnerable body parts. 

Return to Sport Protocol

  • Gradual reintroduction to diving activities to ensure proper healing and prevent re-injury. 

  • Monitoring of progress and adjustment of rehabilitation program as needed. 

Summary of Key Points: 

Diving is a high-risk sport requiring rigorous training and skill development. Athletes often face injuries such as shoulder tears, back strains, and wrist fractures due to the impact of diving maneuvers. Physiotherapy plays a crucial role in rehabilitation, focusing on strengthening, manual therapy, technique correction, and a systematic approach to return athletes safely to diving activities.

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