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Evidence-based assessment, treatment, and rehabilitation for athletic injuries
Sports injuries span a spectrum from acute ligament ruptures and muscle strains to chronic overuse tendinopathies and stress fractures. At Dr. Bodh Raj’s clinic, sports injury management follows a structured return-to-play pathway: accurate diagnosis (clinical examination augmented by ultrasound or MRI), risk stratification for return to sport, evidence-based treatment (operative vs non-operative), and graduated rehabilitation with objective return-to-play criteria. The emphasis is on evidence over tradition — many commonly used treatments lack strong evidence.
Kathmandu Neurology Clinic & Cognitive Center
Authored and reviewed by Dr. Bodh Raj Gautam (MBBS (KU), MS-Orthopedics (GMC), Cert. Podiatry & Diabetic Foot (India), NMC 23071). Evidence-based, no fabricated outcomes.
Sports injuries span a spectrum from acute ligament ruptures and muscle strains to chronic overuse tendinopathies and stress fractures. At Dr. Bodh Raj’s clinic, sports injury management follows a structured return-to-play pathway: accurate diagnosis (clinical examination augmented by ultrasound or MRI), risk stratification for return to sport, evidence-based treatment (operative vs non-operative), and graduated rehabilitation with objective return-to-play criteria. The emphasis is on evidence over tradition — many commonly used treatments lack strong evidence.
Reviewed by Dr. Bodh Raj Gautam, MBBS, MS-Orthopedics — Consultant Orthopedic Surgeon & Foot Nail Specialist (NMC 23071), Kathmandu Neurology Clinic. For evaluation, book an appointment.
Acute injuries include ligament sprains (graded I–III), muscle strains (graded I–III), meniscal tears, cartilage lesions, and fractures. Chronic overuse injuries include tendinopathies (Achilles, patellar, rotator cuff), stress fractures, and exertional compartment syndrome. Accurate classification guides prognosis: Grade I sprains/strains return in 1–3 weeks, Grade II in 3–6 weeks, Grade III and complete ruptures in 3–12 months (often with surgical reconstruction). The mechanisms and forces involved, the patient’s age, and the level of sport all influence management.
Return to sport is guided by time-based criteria, functional testing, and psychological readiness — not by a fixed calendar. Time alone is insufficient: return before tissue healing increases re-injury risk 2–3-fold. Objective criteria include isokinetic strength testing (>90% limb symmetry), hop testing (single-leg hop, crossover hop, triple hop, 6-meter hop), sport-specific functional testing, and psychological readiness (ACL-RSI for ACL injuries). Graduated return progresses from non-contact skills to full training to competitive match play.
Guidelines referenced:
Diermeier T et al. IOC consensus statement on return to sport after ACL injury. Br J Sports Medvan Melick N et al. Evidence-based clinical practice update: return to sport after ACL. Br J Sports MedMalliaras P et al. Patellar tendinopathy: clinical diagnosis, load management, and advice. Br J Sports MedContent on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.