Three Common Running Injuries, Prevention and Treatment

on Tuesday, 07 June 2011.

Three  Common Running Injuries, Prevention and Treatment

Iliotibial band friction syndrome  is a condition characterized by pain localized over the lateral femoral epicondyle (outside part of the hip) that occurs during vigorous running, especially downhill . The iliotibial band is a tendinous extension of the fascia covering the gluteus maximus and tensor fascia latae muscles proximally. It descends distally to attach to the lateral condyle of the tibia (knee).  Several anatomic factors predispose someone  to developing ITB syndrome. Hip abduction contracture (ITB tightness) , Genu varum (Bow legging) ,Heel and foot pronation , Tight heel cords  and Internal tibial torsion (Inward rotation of the leg). Treatment includes Rest , Ice ,Stretching of iliotibial band ,avoid hills, shorten stride, and run on alternate sides of road  , and Anti-inflammatory medicine ,Orthotics (if appropriate) , appropriate running shoes with good cushion and arch support and changed about every 6 months or 250 miles.

Medial tibial stress syndrome (shin splints) overuse causes irritation to the tendons and the attachment of these tendons to the bone. The pain from shin splints can be due to either problems of the muscles, the bone, or the attachment of the muscle to the bone. Caused by several factors in athletes who have very high demand training levels, such as marathon runners, Change in training pattern, such as increased distance, addition of hills, Overpronation occurs when the foot becomes too flattened out causing the foot to roll inwards. This can cause increased demand on the muscle over the front of the leg and lead to complaints of shin splints . Risk factors include Women are at least twice as likely to develop MTSS as men, particularly if they have a body mass index (BMI) of less than 21 kg/m, Overtraining, too frequent, Decreased regional bone density, Running Surface, Running Shoes. Studies have shown that a running shoe may lose greater than 60 percent of its shock-absorbing capacity after as little as 250 miles.

Stress fractures in the tibia, and metatarsals come from repetitive over use and other risk factors. Prevention includes the following Gradual increase in activities, Changes running shoes every 250 miles, Medium firmness running surface, Full range of motion , normal and balanced Muscle Strength, correction of  overpronation ,The female athlete triad (amenorrhea, disordered eating and osteoporosis) has been linked to decreased bone marrow density and increased risk for bone stress injuries .

If you have one of the above injuries that fails to improve , is severe , is limiting your activities or just want to prevent them from occurring , then see a Medical Doctor who Specializes in Sports Medicine and Rehabilitation.

Dr. Todd Schlifstein

Director of Fountain Medical Group,

Board Certified , Physical Medicine and Rehabilitation , Consultant, Manhattan Orthopedics at Lenox Hill Hospital

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