Sports Physiotherapy for Common Boxing Injuries

Boxing is a combat sport which involves two people throwing punches on each other with gloved hands according to prescribed rules in a roped square ring. A punch is considered a scoring punch when it lands cleanly on the torso or head with sufficient force. Any boxer repeatedly hitting the lower body is disqualified.

Boxing involves forceful, repetitive punching to the face and the skull, causing damage to bones in the head. An average boxing punch delivered at a velocity of 9 meters/second can generate an unbelievable force of 0.2 ton, which can damage the surface of brain, cause internal bleeding, and tear nerve networks. Concussions and sub-concussive blows to the head may lead to dementia pugilistica (DP). DP, also known as traumatic boxer’s encephalopathy, is a neurodegenerative disease that is characterized by problems with memory, unsteady gait, speech problems, tremors and lack of coordination. Researchers believe that scaring of brain tissue, loss of neurons, senile plaques and damage to the cerebellum are responsible for the disease. The symptoms of dementia pugilistica develop progressively over a long period.

Being hit on the torso can cause fractures to the ribs and damage to internal organs. Also, cuts, bruises and sprains frequently affect both amateurs and professional boxers. Boxer’s fracture (a break in one of the bones in hand) is a common injury among boxers, which often occurs when a boxer punches his or her opponent with a closed fist. Eye injuries, broken teeth, broken nose, and rotator cuff tears are also common injuries in boxers.

After any kind of a boxing-related injury, it is advisable to see a physiotherapist expert at your earliest convenience. Not only does an early diagnosis start the healing process, but it also helps stop further damage. In addition, physio experts instruct patients about how to manage each recovery stage.

Shoulder injuries can be treated by performing stretching and strength training exercises. Strengthening the back muscles and rotator cuff ligaments will improve power and endurance in the affected shoulder, thus speeding up the healing process. A combination of physical and mental rest has been shown to be very effective in treating the concussion-related head injuries. Aside from the injury management and pain relief that physical therapy provides, one of the great benefits of treatment is the lack of drug use.


A boxer’s fracture is diagnosed with an X-ray. If there is separation of the metacarpal bone near the fracture site, a manual reduction may be required by a physiotherapy expert. Once the fracture is reset, the affected hand is immobilized with a cast or a splint to ensure proper healing. Modalities and exercise make a main component of your physiotherapy program following a boxer’s fracture. Range-of-motion and strengthening exercises help improve hand function and strengthen muscles of the forearm. Electrical stimulation and acupuncture can be used to reduce pain and swelling. Sports massage and soft tissue techniques help improve mobility of the muscles and tendons around the wrist, reducing pain and improving function in the hand.

Call (08) 9272 7359 for expert physio help today!