Dr. Jiwu Chen

Sports Medicine Specialist

Patient education

Sports Medicine Q&A

Brief, easy-to-understand answers to common sports injury, treatment, and rehabilitation questions.

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Sports hydration

How much should you drink during exercise, and how can dehydration and hyponatraemia be avoided?

Fluid intake should reflect sweat loss, temperature, exercise duration, and individual tolerance. After long sessions, body-weight change can help estimate replacement needs. Avoid forcing large amounts of fluid over a short period, and consider electrolytes during prolonged exercise with heavy sweating. Headache, nausea, confusion, or severe weakness requires immediate assessment.

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Sports nutrition

Can sports supplements improve performance or speed recovery from injury?

Supplements such as protein or creatine may help selected people when used appropriately, but they cannot replace a balanced diet, sound training, and sleep. Products may contain inaccurate doses, contaminants, or banned substances. Competitive athletes should choose independently tested products and consult a doctor or sports dietitian first.

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Training and recovery

Do persistent fatigue and declining performance indicate overtraining syndrome?

Persistent fatigue, reduced performance, sleep or mood changes, an unusual resting heart rate, and recurrent illness can occur when training load and recovery are out of balance. Anaemia, infection, thyroid disease, and low energy availability should also be excluded. Management centres on reducing load, improving sleep and nutrition, and returning gradually.

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Sports nutrition

What is relative energy deficiency in sport (RED-S)?

RED-S develops when long-term energy intake does not adequately support training and essential body functions. It can affect menstrual function, bone health, hormones, immunity, mood, and performance. Recurrent stress fractures, unusual weight change, persistent fatigue, or menstrual disturbance warrant coordinated assessment by sports medicine, nutrition, and other relevant specialists.

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Sports emergency

How can exertional heat stroke be recognised during exercise?

A very high body temperature with confusion, unusual behaviour, poor coordination, seizures, or loss of consciousness should raise strong concern for exertional heat stroke. Start emergency care and rapid whole-body cooling immediately and call emergency services. Continue cooling while transport is arranged.

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Sports concussion

Can an athlete return to play on the same day after a concussion?

No. Anyone with a suspected concussion should be removed from sport immediately, assessed by a qualified professional, and guided through a staged return to learning, daily activity, and sport. Worsening headache, repeated vomiting, altered consciousness, seizures, or limb weakness requires emergency care.

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Ankle conditions

What is a high ankle sprain?

A high ankle sprain injures the ligaments between the tibia and fibula, with pain usually located above a typical lateral ankle sprain. Recovery may take longer, and ankle stability should be assessed.

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Shoulder conditions

Does shoulder clicking require an MRI?

Clicking without pain or weakness can often be observed. When it follows an injury or occurs with pain, instability, or loss of strength, examination should come first and can guide whether MRI or ultrasound is needed.

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Biceps tendon

What does a sudden bulge in the upper arm mean?

It may indicate a biceps tendon rupture, often with sudden pain, bruising, or a change in strength. Some patients do not require surgery, but the location of the tear and functional needs should be assessed promptly.

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Knee conditions

Does a clicking knee need treatment?

Clicking without pain, swelling, or locking often needs no specific treatment. Clicking with pain, restricted motion, or a history of injury warrants assessment of the meniscus, cartilage, and patellofemoral joint.

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