Everything You Need to Know About Oblique Injuries in Hockey

For many athletes, injury is an unfortunate part of their sport. In hockey, one of the most common injuries is the oblique injury, which can sideline players for an extended period of time. In this article, we will cover everything you need to know about oblique injuries in hockey, from common causes and symptoms to treatment and recovery options. Whether you’re a seasoned player or a fan of the sport, it’s essential to understand the risks and challenges that come with this injury.

Oblique injuries are painful and often require significant time and attention to recover from. They can be caused by a variety of factors, such as sudden movements, overuse, or direct impact. While oblique injuries can be debilitating, there are many effective treatments and preventative measures that can help athletes get back on the ice as quickly and safely as possible.

Throughout this article, we’ll explore the causes, symptoms, treatments, and prevention strategies for oblique injuries in hockey players. We’ll also provide tips for returning to play after an injury, so you can get back in the game with confidence. So, whether you’re a coach, player, or simply a fan of the sport, keep reading to learn more about this common hockey injury and how to prevent it from impacting your game.

Get ready to dive into the world of oblique injuries in hockey and learn everything you need to know about how to prevent, diagnose, and recover from this painful injury. So, grab your stick and let’s get started!

Common Causes of Oblique Injuries in Hockey

Oblique injuries are a common injury among hockey players, particularly those who participate in contact leagues. The twisting and turning motions required during gameplay, combined with high-speeds and sudden stops, can put significant strain on the oblique muscles. These muscles run along the side of the abdominal wall and are essential for core stability.

Another common cause of oblique injuries in hockey players is overuse. Hockey is a physically demanding sport, and players who overwork their bodies may find themselves at higher risk for developing an oblique injury. Additionally, players who have already suffered an oblique injury are at greater risk for re-injury if they don’t give themselves enough time to fully recover before returning to play.

Poor technique is also a contributing factor in many oblique injuries. When players don’t have proper form or use improper techniques, they can put unnecessary strain on their oblique muscles and increase the risk of injury. Coaches and trainers can help players prevent oblique injuries by providing guidance on proper form and techniques during training sessions and games.

Finally, some oblique injuries in hockey players are caused by trauma. For example, players who take a hard hit to the side of their body may experience an oblique strain or tear. It’s essential that players report any injuries immediately and seek proper medical attention to prevent the injury from worsening.

Twisting and Overextension

1. Awkward twisting: When a player takes a sudden, awkward twist while moving at high speeds, their oblique muscles can easily become overstretched or torn.

2. Overextension: When a player reaches too far or overextends their arms while shooting or stickhandling, they put their oblique muscles at risk of injury.

3. Body checks: A hard body check from an opponent can cause the player’s body to twist or overextend, resulting in an oblique injury.

4. Improper warm-up: Failure to properly warm-up before a game or practice can lead to stiff muscles, making it more likely to suffer from an oblique injury during play.

5. Repetitive strain: Continuous twisting or overextending movements can lead to a gradual weakening of the oblique muscles, making them more prone to injury over time.

In order to reduce the risk of oblique injuries, it’s important for hockey players to ensure they have a proper warm-up routine, and to work on their flexibility and core strength. Additionally, players should always use proper technique when shooting, stickhandling, and body checking, to avoid overextension or awkward twisting that can cause an oblique injury. By being proactive in their training and taking steps to prevent injuries, players can stay healthy and continue to enjoy the sport they love.

Slap Shots and Body Checks

Two other common causes of oblique injuries in hockey players are slap shots and body checks. A slap shot is a powerful shot that involves a player winding up and hitting the puck with the full force of their stick. This motion can put a lot of strain on the oblique muscles, especially if the player doesn’t use proper technique. Body checks, on the other hand, involve one player hitting another with their body, usually with the intent of knocking them off the puck. These hits can also put significant stress on the oblique muscles.

Players who don’t properly warm up or stretch before games and practices are also at a higher risk for oblique injuries when they perform slap shots or body checks. In addition, players who have weak oblique muscles or have already suffered an oblique injury in the past are more prone to sustaining this type of injury again.

It’s important for hockey players to receive proper coaching and training on how to perform slap shots and body checks safely and effectively. Coaches should also emphasize the importance of warming up and stretching before games and practices, and encourage players to address any weaknesses or previous injuries with their medical team.

If a player does sustain an oblique injury from a slap shot or body check, they should seek medical attention immediately and follow a proper treatment plan to avoid further damage and ensure a full recovery.

Inadequate Warm-up and Conditioning

Proper warm-up and conditioning are essential in preventing oblique injuries in hockey. Not warming up adequately before a game or practice can cause muscle stiffness and tightness, increasing the risk of injury. A lack of conditioning can also lead to muscle weakness and fatigue, making players more susceptible to injuries.

Here are a few factors that may contribute to inadequate warm-up and conditioning:

1. Short or rushed warm-up sessions before games or practices.
2. A lack of knowledge on proper stretching and warm-up techniques.
3. Skipping warm-up altogether.
4. Not engaging in enough physical activity outside of hockey.
5. Ignoring muscle soreness or tightness and not taking the necessary rest or recovery time.

Preventing oblique injuries in hockey requires a commitment to proper warm-up and conditioning techniques. By taking the necessary steps to prepare your body before engaging in physical activity, you can reduce the risk of injury and stay healthy on the ice.

Symptoms of Oblique Injuries in Hockey Players

Pain: The most common symptom of an oblique injury in hockey players is pain, which is usually felt in the side of the body, just below the ribcage.

Difficulty Breathing: In some cases, hockey players with an oblique injury may experience difficulty breathing. This can occur if the injury is severe and affects the muscles used for breathing.

Swelling: Another symptom of an oblique injury is swelling, which may be visible around the injured area. This is often accompanied by bruising, as the injury can cause damage to blood vessels.

Restricted Movement: Hockey players with an oblique injury may find it difficult to move their torso or raise their arms above their head. This is because the injury affects the muscles that are used for these movements.

Nausea and Vomiting: In some cases, hockey players with a severe oblique injury may experience nausea and vomiting. This is a result of the body’s natural response to pain and can be a sign of a serious injury that requires medical attention.

Pain in the Abdominal or Rib Area

Pain in the abdominal or rib area is the most common symptom of oblique injuries in hockey players. This pain can range from mild discomfort to severe pain that affects the player’s ability to move and breathe properly.

Swelling in the abdominal or rib area may also be present along with the pain. The swelling can cause additional discomfort and limit the player’s mobility on the ice.

Tenderness is another symptom that players may experience with oblique injuries. The affected area may be sensitive to touch, making it difficult for players to perform even simple movements.

Bruising can also occur in the affected area. This can be a result of trauma to the muscles, causing small blood vessels to rupture and form a bruise. Bruising is often accompanied by pain and tenderness.

Difficulty Breathing is a symptom that can occur when the oblique muscles are strained or torn. The pain and swelling can make it challenging for players to take deep breaths, affecting their performance on the ice.

Difficulty Breathing or Coughing

Breathing difficulties are another common symptom of oblique injuries in hockey players. The pain associated with the injury can make it difficult to take deep breaths or even breathe normally. This can lead to coughing, which further exacerbates the pain and discomfort.

If you experience breathing difficulties or coughing, it’s important to seek medical attention right away. These symptoms could indicate a more serious injury, such as a punctured lung, which requires immediate treatment.

It’s also important to note that difficulty breathing or coughing can be a sign of COVID-19, a respiratory illness that has affected many athletes in recent years. If you are experiencing these symptoms along with other COVID-19 symptoms, such as fever, fatigue, or loss of taste or smell, you should get tested for the virus.

Swelling and Bruising

Swelling and bruising are common symptoms of an oblique injury in hockey players. The affected area may appear swollen and tender to the touch. The injured player may also experience redness or discoloration around the affected area.

The swelling and bruising may make it difficult for the player to move around comfortably, which can affect their performance on the ice. It’s important for players to take the necessary steps to reduce swelling and bruising, such as applying ice to the affected area and taking anti-inflammatory medication.

It’s worth noting that not all cases of oblique injuries result in visible swelling or bruising. Some players may only experience internal swelling, which can be just as painful and uncomfortable as external swelling.

If you notice any swelling or bruising after an injury, it’s important to seek medical attention as soon as possible to prevent further damage and promote proper healing.

Treatment and Recovery for Oblique Injuries in Hockey

Rest: The first step to treating an oblique injury is to rest the affected area. This means avoiding any activities that aggravate the injury, including playing hockey or any other sport.

Ice and Compression: Ice and compression can help reduce swelling and pain in the affected area. Apply an ice pack for 20 minutes at a time, several times a day. Use compression bandages or wraps to help reduce swelling.

Pain Relief: Over-the-counter pain medications, such as acetaminophen or ibuprofen, can help manage pain and reduce inflammation. Your doctor may also prescribe stronger pain medication if necessary.

Physical Therapy: Once the initial pain and swelling have subsided, physical therapy can help to restore strength and flexibility to the affected area. Your physical therapist will develop a program that includes stretching, range-of-motion exercises, and strengthening exercises to help you regain your full range of motion.

Surgery: In severe cases, surgery may be necessary to repair a torn or severely damaged oblique muscle. This is usually a last resort after other treatment methods have been unsuccessful.

Rest and Ice Therapy

Rest: One of the most important steps in treating an oblique injury is to rest the affected area. This means avoiding any activities that may cause further damage and reducing physical activity. Rest can help reduce pain, inflammation, and speed up the healing process.

Ice Therapy: Applying ice to the injured area can help reduce inflammation and pain. The ice should be applied for 15 to 20 minutes every two to three hours for the first two to three days after the injury. It’s important to use a barrier between the ice and the skin to prevent frostbite.

Physical Therapy: Once the pain and swelling have subsided, physical therapy can be helpful in restoring strength and flexibility to the injured area. Physical therapy may include stretching exercises, massage, and strengthening exercises to help prevent future injuries.

Pain Relief Medications: Over-the-counter pain relief medications, such as ibuprofen and acetaminophen, can help reduce pain and inflammation. However, it’s important to consult a healthcare professional before taking any medication to avoid any potential side effects or interactions with other medications.

Physical Therapy and Rehabilitation

Stretching and Strengthening Exercises: A physical therapist can design an exercise plan that focuses on stretching and strengthening the muscles in the affected area. This helps improve flexibility and restore muscle function.

Manual Therapy: This therapy includes massage and other hands-on techniques that help improve blood flow, reduce muscle tension, and promote healing.

• Ultrasound Therapy: This therapy uses sound waves to help promote healing and reduce pain and inflammation in the affected area.
• Heat and Cold Therapy: The use of heat or cold therapy can help reduce pain and inflammation in the affected area. A physical therapist can advise on which therapy to use based on the stage of the injury and the symptoms experienced.
• Electric Stimulation: Electric stimulation therapy is used to reduce pain and promote healing. It involves the use of small electrical currents to stimulate the muscles and tissues in the affected area.
• Aerobic Exercise: Once the injury has healed, aerobic exercise can help maintain fitness and prevent future injuries. A physical therapist can help design an exercise plan that is appropriate for the player’s level of fitness and the demands of hockey.
• Pain Management: A physical therapist can provide advice on managing pain during the rehabilitation process. This can include the use of pain medication, as well as non-pharmacological interventions such as relaxation techniques.

It is important to follow a physical therapist’s rehabilitation plan to ensure a full recovery and prevent future injuries. This plan may include regular check-ins with the physical therapist and gradual increases in activity level.

Surgical Intervention (in severe cases)

If the oblique injury is severe and conservative treatment methods do not provide relief, surgery may be necessary. Surgery is usually considered a last resort and is only recommended in cases where there is a complete tear of the oblique muscle or significant damage to the surrounding tissues.

The surgery may involve repairing the torn muscle with sutures or using a graft to repair the damaged area. Recovery time for surgery can be longer than other treatment options, and it may require extensive rehabilitation to regain full function and strength in the affected area.

Preventing Oblique Injuries in Hockey Players

Proper Warm-Up: A proper warm-up routine, including stretching and dynamic exercises, can help prevent oblique injuries by preparing the muscles for physical activity.

Core Strengthening: Building a strong core can help prevent oblique injuries by supporting the trunk and improving the stability of the spine during physical activity.

Proper Equipment: Wearing properly fitting equipment, such as a well-fitting abdominal protector, can help prevent oblique injuries by providing support and cushioning to the abdominal area.

Gradual Progression: Gradually increasing the intensity and duration of physical activity can help prevent oblique injuries by allowing the body to properly adapt and avoid overexertion.

Proper Stretching and Warm-up Before Play

Prevention is key when it comes to avoiding oblique injuries in hockey players. One important measure to take is to make sure players engage in proper stretching and warm-up before playing. This can help improve flexibility and range of motion, which reduces the risk of strains and pulls.

Static and dynamic stretching can both be effective. Static stretching involves holding a position for a set amount of time, while dynamic stretching involves moving through a range of motion repeatedly. A combination of both may be ideal. Players should focus on stretching the muscles of the lower back, hips, and abdomen.

Gradual Increase in Intensity and Duration of Training

Avoiding oblique injuries can also involve taking steps to gradually increase the intensity and duration of training. This allows the body to adapt to the demands of playing hockey without being overwhelmed, reducing the risk of injury.

Start Slow: If you are a new player, start slow and gradually build up your training intensity and duration.

Listen to Your Body: Pay attention to how your body feels during training. If you experience any pain or discomfort in your oblique muscles, reduce the intensity of your training or take a break until you feel better.

Train Regularly: Consistency is key when it comes to avoiding oblique injuries. Train regularly, but make sure to take rest days to allow your body to recover.

Incorporate Variety: Mix up your training routine to avoid overusing any one muscle group, including your obliques. Incorporate strength training, cardio, and stretching exercises to keep your body balanced and reduce the risk of injury.

Core Strengthening Exercises and Conditioning

Another key component to preventing oblique injuries is to engage in core strengthening exercises and conditioning programs. Strong core muscles provide stability and support to the spine, pelvis, and hips, helping to distribute forces evenly throughout the body during physical activity.

Examples of effective core strengthening exercises include planks, side planks, bird dogs, and Russian twists. These exercises target the muscles of the abdomen, lower back, and hips, helping to improve overall core strength and stability.

In addition to core strengthening exercises, conditioning programs that focus on building endurance and agility can also help reduce the risk of oblique injuries. Incorporating activities such as running, jumping, and plyometric exercises can help improve overall fitness and reduce the likelihood of muscle strain and injury during intense physical activity.

Returning to Play After an Oblique Injury in Hockey

Consult with Your Healthcare Provider: Before returning to play, it is crucial to consult with your healthcare provider to ensure that the injury has fully healed and to get clearance to return to the sport.

Gradual Return: Returning to the game should be gradual and done in stages, starting with low-intensity activities and gradually increasing the intensity and duration of play over time. This helps to avoid re-injury and further damage to the oblique muscles.

Continue Rehabilitation: Even after getting clearance to return to play, it is essential to continue with the rehabilitation program prescribed by your healthcare provider to ensure that the muscles are fully healed and strengthened.

Protective Gear: Wearing proper protective gear can help prevent further injury and provide support to the oblique muscles during play. Ensure that the gear is properly fitted and comfortable to wear to avoid any discomfort or distraction during the game.

Gradual Progression with Physician and Trainer Supervision

When returning to play after an oblique injury, it is crucial to follow a gradual progression with the supervision of a physician and trainer. Re-injury is a significant risk when returning too quickly or without proper guidance.

The progression should start with light exercise and slowly increase in intensity and duration over a period of weeks or even months. The physician and trainer will monitor the athlete’s response to the exercise and adjust the plan accordingly.

It is important to address any muscle imbalances that may have contributed to the initial injury during the rehabilitation process. Focusing on core strength and conditioning can help prevent future injuries and improve performance on the ice.

It is crucial for the athlete to communicate any discomfort or pain to the physician and trainer, as pushing through pain can lead to re-injury and prolonged recovery time. Following the prescribed plan and listening to the body can help ensure a successful return to play.

Frequently Asked Questions