Pain and fatigue in sport: are they so different?

O'Sullivan, Kieran and O'Sullivan, Peter B. and Gabbett, Tim J. (2017) Pain and fatigue in sport: are they so different? British Journal of Sports Medicine, 52 (9). pp. 555-556. ISSN 0306-3674


Abstract

Pain and fatigue are common reasons for athletes to avoid, or reduce, sporting participation. Despite commonly coexisting, they are usually treated as distinct entities. Both sensations are often interpreted by medical staff as indicating that physical activity should be reduced or avoided, either due to tissue damage (pain) or excessive training (fatigue). But paradoxically, that management plan—relative rest—means that athletes avoid what keeps them healthy, fit and resilient—physical activity.

Coaches sometimes view the sensations of pain and fatigue as indicators of physical and/or psychological weakness; they should be ignored to ‘toughen up’ athletes, sometimes leading to athletes unhelpfully provoking symptoms. These opposing views between medical staff and coaches—which often reflect limited understanding regarding the interaction of training load, beliefs and other external factors on pain and fatigue—often place the athlete in a conflicted state. ‘Should I tell (the medical team) or should I remain stoic’ (figure 1). We discuss the parallels between pain and fatigue, and how their management reflects the lens through which theseare viewed.


Statistics for USQ ePrint 36428
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to ArticleFirst version, in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions
Date Deposited: 13 Sep 2019 04:51
Last Modified: 25 Sep 2019 04:22
Uncontrolled Keywords: fatigue, injuries, physical activity, training
Fields of Research (2008): 11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
Identification Number or DOI: 10.1136/bjsports-2017-098159
URI: http://eprints.usq.edu.au/id/eprint/36428

Actions (login required)

View Item Archive Repository Staff Only