Sports injuries are mainly of acute or chronic in nature. With acute injuries, it is relatively more unpredictable. However, with chronic injuries, there is usually underlying intrinsic and extrinsic causes which are predictable and within control. When appropriate measures are taken more seriously, these injuries could be minimized. This presentation gave a current update on the efficacies of the commonly practiced conservative management in sports injuries e.g. cryotherapy, heat, contrast bath, ESWT, electro physical agents, manual therapy, taping, stretching and exercise. In addition, systematic reviews of current practices for the commonly seen conditions such as tendon injuries to the shoulder, elbow, hip, plantar fascia, and Achilles as well as ankle sprains were highlighted. In the management of sports injuries, there is a current gap in the proactive approach i.e. a lack of focus on injury prevention. We as medical professionals who understand the causes and consequences of injuries should be more proactive and take conservative injury management to a higher level, changing mindsets and be involved in injury prevention. (Sports Medicine Association SIngapore 2009)