The information provided here comes from a variety of sources including running
coaches and sports medicine doctors. If you are experiencing severe pain, you
should seek medical attention. Most injuries can be treated at home using the
RICE method (Rest, Ice, Compression, Elevation).
These
are
some
of
the
common
running-related
injuries
and
things
you
can
do
to
prevent and/or treat them:
Shin Splints
First thing to know is that there is a difference between shin soreness and shin
splints. Shin soreness is an overuse problem that most runners experience, especially
when they are beginners. It can usually be overcome if treated properly within
72 hours (RICE).
Actual shin splints are a bigger problem. The true condition is called Medial
Tibial Stress Syndrome (MTSS). There are many muscles and tendons that make up
the lower leg.
The tibia and fibula are the two bones in the
lower leg. The tibia is situated on the medial, or inside of the lower leg. The
fibula is situated
on the lateral, or outside of the lower leg.
There are also a large number of the muscles that attach to the tibia and fibula.
It's these muscles, when overworked, that pull on the tibia and fibula and cause
the pain associated with shin splints. Specifically, the pain associated with
shin splints is a result of fatigue and trauma to the muscle's tendons where
they attach themselves to the tibia. In an effort to keep the foot, ankle and
lower leg stable, the muscles exert a great force on the tibia. This excessive
force can result in the tendons being partially torn away from the bone.
Causes:
*Exercising on hard surfaces, like concrete
*Exercising on uneven ground
*Beginning an exercise program after a long lay-off period
*Increasing exercise intensity or duration too quickly
*Exercising in worn out or ill fitting shoes
*Excessive uphill or downhill running
Other causes:
*Poor running mechanics
*Tight, stiff muscles in the lower leg
*Running with excessive forward lean
*Running with excessive backwards lean
*Landing on the balls of your foot
*Running with your toes pointed outwards
Prevention:
*Wear the right shoes!
*Warm up before exercise. Get those muscles and tendons warmed up and ready for
activity. There will be limited blood flow to the lower legs, which will result
in a lack of oxygen and nutrients for those muscles. So it makes sense to warm
up first.
*Stretch! The more flexibility you have, the greater the range of movement.
*Strength training! Keep those muscles strong and conditioned and you will be
less likely to suffer injury to them.
Iliotibial Band Syndrome (IT band)
The iliotibial band is actually a thick tendon-like portion of another muscle
called the tensor fasciae latae. This band passes down the outside of the thigh
and inserts just below the knee.
IT Band Syndrome occurs when the tensor fasciae latae muscle and iliotibial band
become tight. This causes the tendon to pull the knee joint out of alignment
and rub against the outside of the knee, which results in inflammation and pain.
Causes:
*Exercising on hard surfaces, like concrete
*Exercising on uneven ground
*Beginning an exercise program after a long lay-off period
*Increasing exercise intensity or duration too quickly
*Exercising in worn out or ill fitting shoes
*Excessive uphill or downhill running
Other Causes:
*Leg length differences
*Tight, stiff muscles in the leg
*Muscle imbalances
*Foot structure problems such as flat feet
*Gait, or running style problems such as pronation
Prevention/Treatment:
1. RICE. Use this method for 48-72 hours and your problem should greatly decrease.
2. Properly warm up before exercise.
3. Stretch. Keep your muscles flexible.
4. Strength training. Keeping the muscles around your knee strong can prevent
pain and injury.
Plantar Fasciitis
Symptoms: Pain in the foot between the heel and toes. Your foot
may
feel
very
tender
when
you begin a run or step out of bed in the morning.
Treatment/Prevention: The best way to prevent this is to wear the right shoes.
Some runners with especially high arches use orthodics. If you experience this
pain you should take some time off from running (maybe 1-2 days). Use the RICE
method. A good option is to freeze a water bottle and use it to massage your
arch. If you have hard floors, don't walk around in bare feet. Wear comfortable,
supportive shoes all the time.
Achilles Tendonitis
Symptoms: Pain along the calf muscle toward your foot.
Treatment/Prevention: RICE first. Keep stretching. If the pain persists up to
two weeks, you might want to schedule an appointment with your doctor just to
be safe.
Here's a good stretch for Plantar Fasciitis and Achilles Tendonitis...
Stand straight with your hands against a wall and your injured leg slightly
behind your other leg. Keeping your heels flat on the floor, slowly bend both
knees. You should feel the stretch in the lower part of your leg. Hold the stretch
for 10 to 15 seconds. Repeat the stretch six to eight times. This stretching
exercise may be helpful for plantar fasciitis, achilles tendonitis and calcaneal
apophysitis.
