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banner Friday, 10 August, 2001, 00:03 GMT 01:03 UK
GB's medicine man
Dean Macey
Dean Macey: Many visits to the treatment room
By BBC Sport Online's Tom Fordyce in Edmonton

With Dean Macey's body falling apart, Denise Lewis pulling out sick and Dwain Chambers, Iwan Thomas and Mark Richardson all struggling with injury, the busiest member of the British squad has been team doctor Malcolm Brown.

The Scot's day can begin as early as 5.30am, when he will catch a bus to the stadium with any athlete who is competing in the morning.

Whilst there, he will deal with any niggles that athletes may feel, accompany them to doping control after events and supervise the masseur and four physios who, along with fellow doctor Bryan English, make up his medical team.

If anyone requires treatment after events, he can find himself working long into the evening as well.

To the layman, track and field athletes seem to be injured much more frequently than other sportsmen.

Why should this be, particularly when you consider that there is no physical contact with other competitors?

Dwain Chambers
Chambers: 200m injury woe

"Think about the rev counter on a car," explains Brown.

"You want to get as close to that red line as possible, but if you go a little bit too far there's a danger of the engine blowing up.

"If you don't push it far enough, you're going to be beaten because all your competitors will have taken it further.

"The competition program is also very crowded, especially with the Worlds now every two years.

"With the Olympics being so late last year, the athletes have had very little time off for regeneration.

"Sometimes an athlete should plan to take a year off from competition, like Cathy Freeman has.

"It was a very enlightened attitude to take, and I think that sometimes our younger guys should think about doing that."

In the case of some athletes - decathlon bronze medallist Macey included - Brown has to let them compete when traditional medical advice would rule them out.

"We are not over-conservative. We will give the go-ahead for athletes to compete when they're carrying an injury," he says.

"When it comes to an Olympics or World Championships - when an athlete has otherwise prepared extremely hard for it - even if there is a risk that the injury might be made worse, you might give the go-ahead to compete.


We have a very holistic approach - we will use homeopathic and herbal treatments.
  Malcolm Brown

"A muscle injury might get worse, but if there's a chance of a gold medal you'd let them compete.

"If you advised every athlete with an injury not to compete, you'd have very few people out there taking part.

"I find Dean incredible. When we saw him before the 100m hurdles at the start of day two, we thought there was no way he could take part.

"And he yet ran a PB and then threw a great discus. He's a phenomenal competitor.

Brown, 44, has been involved with the senior British team since the World Cup in 1989, which means he has dispensed advice at three Olympic Games and six World Championships.

His day-to-day work was transplant surgery, although he was a qualified middle-distance coach, and he has an open-minded attitude to sports medicine.

"We have a very holistic approach - we will use homeopathic and herbal treatments," he says.

"We will use whatever proves to be beneficial, no matter which branch of sports medicine it comes from.

"But rather than sending athletes overseas, we're trying to learn these treatments within our own system."

In the wake of Mark Richardson's positive test for nandrolone, Brown's role now includes a thorough screening of the dietary supplements that athletes take.

Iwan Thomas
Thomas: Sick of injury

Medical evidence suggests that Richardson unwittingly took the banned steroid in a supplement that was supposed to be clean.

"We ask each athlete to have their supplements checked," says Brown.

"We'll go through each one and not only look at the list of ingredients, but look at the manufacturer.

"The supplements industry is not at all well regulated, and we have more confidence in some manufacturers than others."

The team's preparations were hit by the withdrawal through injury of medal hopes Darren Campbell and Katharine Merry before the squad even left for Canada.

There was little that could be done in the case of either athlete, but UK Athletics does have a screening program designed to spot potential problems before they occur.

British team head Max Jones backs up Brown's belief that more money needs to be spent on sports medicine in the UK.

"We want to stop athletes from getting injured, but when they do we need for them to get the best treatment as quickly as possible," he says.

"I have just employed a full-time physio but everyone else is part-time. They do a fantastic job and are all highly talented, but it is no way to run a world class performance plan.

"Athens is only three years away and if we continue just talking, we will have the same problem that we have had here, with people who could have won medals sitting at home watching it on television."

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