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Rugby season in full swing

This time of year always brings a smile to my face.

Perhaps it's the changing colour of the autumnal leaves, or the purchase of a warm winter coat. Or maybe it is the knowledge that the rugby season is now in full swing. The Heineken Cup is fizzing with English and Celtic expectation and the Autumn Internationals are just around the corner.

The Southern Hemisphere big 3 are back in town to face the music at Twickenham and I dearly hope England can make them dance to their tune this year. For Derrick Hougaard however, this can only be a source of disappointment after the Saracens fly half ruptured his Achilles tendon against wasps in their Heineken Cup game at the weekend.

The South African has a long road to recovery with many months of physio and rehabilitation ahead of him. But hopefully having David Beckham as an example, can be encouragement enough to anyone having suffered this type of injury. This sentiment had to be applied a little closer to home at Rosslyn Park FC, where as the 1st team physio I have helped managed our very own centre, who ruptured his Achilles at the start of the season.

The aetiology of Achilles ruptures is unclear. Theories include repetitive micro trauma from poor footwear, biomechanics and training loads, a change in training surface or perhaps even an autoimmune reaction.

So how do we attempt to avoid such issues? The only things we can do is ensure our body is prepared for exercising with properly warming up and warming down. Always wear appropriate footwear for your sport or activity and keep your body strong and supple enough to withstand your sports demands.

Remember you need to keep fit to play sport, not play sport to keep fit!

Caroline Fox, Physiotherapist at the Chancery Lane Clinic and Whitelands College, Roehampton

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