Fysio.Center West

Jan Evertsenstraat 4

Fysio.Center East

Louise Wentstraat 186

06 - 14 89 36 04






13.00 - 22.00

 8.00 - 17.00


 8.00 - 17.00

 8.00 - 17.00





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© 2019 Fysio.Center  I  KVK: 68615809  I  BIG: 19911171404  I  AGB-practice: 04005648  I  AGB-therapist: 04115369  I  Terms and Conditions

Sports injuries

What is an injury? An injury is damage to tissue (for example muscle, tendon, ligaments, bone,) due to a load that the tissue cannot handle at that moment. We distinguish between two types of injuries:


- Injury due to a contact moment (a kick, a sliding,

hooks, a fall, etc.)


- Injury without a contact moment (it shoots out of nowhere)

in the hamstring, calf, back, etc)


Injury due to a contact moment

These are the most obvious injuries because the cause is easy to identify. For example, it is a kick to the leg, a fall on the shoulder or a sliding against the hip. The recovery policy here is also clear: first go through the three phases of the tissue recovery and then train the recovered tissue so that it is strong enough to resume sports.

Injury without a contact moment

Injuries without a contact moment are special injuries because they often seem to arise from scratch. Here too, this concerns tissue damage caused by a load that the tissue cannot handle at that time. The most common causes are not adequately trained for exercise or overtraining (disturbed balance between training and recovery).

Another possible cause is that the body has had to compensate for a longer period of time for movement restrictions in the body. For example, think of a knee that cannot stretch properly. The body will compensate for this by running by stretching the hip a little more. The hamstring ensures stretching in the hip and will now have to work harder. This is fantastic of the body because now you can just run despite the knee not stretching well!


Problems arise when the compensation is not in balance with what is asked of the body. For example: The hamstring that is working hard to stretch the hip extra, is more likely to reach its maximum load. When the maximum load capacity has been reached, only a relatively small moment will be needed to get injured. You start a sprint and it hits the hamstring while that sprint normally always goes well. This causes tissue damage in the hamstring as a result of a knee that does not stretch properly.


In this case, in addition to going through the three phases of tissue repair, the knee will also have to be treated so that the hamstring no longer has to compensate in the future. Only in this way will the injury be permanently remedied.

Recovery from a sports injury

Three phases of tissue repair


1) Acute phase 0-5 days:

During this phase the body will react violently with swelling and pain. Swelling and pain are functional processes. The swelling ensures that many tissue repair processes are set in motion, including the clearing of broken tissue and the supply of building materials. Pain has the function that the damaged tissue is left alone for a while so that it can recover.


2) Proliferation phase 4-21 days:

During this phase the new tissue will be created and applied in the right lines of force. The pain diminishes and the tissue can therefore be better loaded.


3) Remodeling phase 15 days to a year:

This is the most important phase. The body is able to adapt cells to their function. An important process in this phase is the production of nerve fibers in the newly laid tissue. These nerve fibers are important because they provide information to the brain about the position of the body which is important for stability.


For example: the moment you step into a dimple and the foot tends to sprain, the nerve fibers will send a signal to the brain. The brain processes this information and sends a new signal to the muscles on the outside of the foot to contract. This way you prevent the ankle from spraining.

What to do during these phases


1) Ignition phase 0-5 days:

It is important to gently move the damaged area so that the moisture can circulate properly and perform its function. The movement will have to happen within the pain threshold so that the tissue can recover.


2) Proliferation phase 4-21 days:

You are now able to put more strain on the tissue, but keep doing this within the pain threshold. Exercise is important for the supply of blood and oxygen, which ensures a better recovery.

The fibers laid are still fragile and can be damaged if the load capacity is exceeded, so that the recovery falls back to phase 1.


3) Remodeling phase 15 days to a year:

The nerve tissue is created therefore it is important to stimulate this tissue in its function by starting coordination and stability training. Pay attention because the nerve tissue is recovering so not fully recovered. Therefore do not start with too challenging exercises because if you are unable to properly stabilize this exercise, you may be injured again

Injury prevention

Injuries are caused by a contact moment

Sports in which contact moments occur always give an increased risk of injury due to a contact moment. These injuries can only be prevented by avoiding contact moments.


Injuries occur without contact moment

The occurrence of an injury without a moment of contact can arise due to the load on an improperly trained person or as a result of an overtrained body. Ensure a good training structure and gradually train to the level that you want to achieve. It is important to train the different facets of your sport in a safe environment. Consider explosivity, fast force, braking force and plyometry. An important point for attention is periodization. Prepare a balanced schedule with training and rest moments. This depends on the type of sport and the structure of the season



I went to Bram through my agents and I am very happy about that, because Bram is really the best physiotherapist there is and also as a person he is very spontaneous who does everything to make you function painlessly. My groin injury has been corrected and now Bram checks my entire body every month so that I can continue to function at top level without injury.

Ado den Haag

Lucas Leverland


During the summer of 2014 I come to Bram, by chance I met him at an international athletics competition. Back then I had been walking for 6 to 7 weeks with a groin injury that I just couldn't get rid of. Before the competition Bram treated me by looking at the whole body, which I really like. Bram soon discovered that my abdominal muscles were not working properly and that there were some other kinks in the chain of my body. Then I could finally run my race pain-free again.

Read more

Heptathlete / Olympian

Ingmar Vos