Understanding Running Injuries
Shin Splints:
Cause: Shin splints occur when the muscles and tendons around the shinbone aspect become inflamed, often due to overuse or uncomfortable or worn out footwear.
Symptoms: Pain along the inner edge of the shinbone (tibia), tenderness, mild swelling. Pain can occur during or after exercise, be sharp or throbbing in nature.
Treatment: Gradually increase mileage (load management), wear comfortable footwear, strengthening the lower limb and core muscles, and maintain a balanced training routine.
Runner's Knee (Patellofemoral Pain Syndrome):
Cause: Runner's knee is characterised by pain at the front of the knee or around the kneecap, often caused by overuse/overload, running form, or muscular imbalances. A direct hit or fall onto the knee can also be a cause.
Symptoms: Pain when bending the knee, kneeling, swelling, popping or grinding sensations.
Treatment: Strengthening the quadriceps and hip muscles as well as the lower limb, adjusting running form, gradually increase mileage (load management), and consider cross-training to avoid overuse.
Achilles Tendonitis:
Cause: Achilles tendonitis is inflammation at the Achilles tendon, usually caused by overuse/overload, tight calf muscles, or sudden increases in training intensity (distance, speed, incline/decline).
Symptoms: Pain and stiffness in the Achilles tendon aspect, mild swelling, limited range of motion with the ankle.
Treatment: Stretching and strengthening the calf muscles, avoid sudden increases in mileage or intensity, incorporate strength training for calves and ankles routinely, and wear appropriate comfortable footwear.
Plantar Fasciitis:
Cause: Plantar fasciitis is inflammation of the plantar fascia, the tissue that runs along the bottom of the foot, often caused by overuse, tight calf muscles, or uncomfortable footwear.
Symptoms: Heel pain, especially in the morning or after prolonged standing or sitting and stiffness.
Treatment: Strengthening the calf muscles and some stretching at the plantar fascia, wear supportive footwear, avoid running on hard surfaces, and maintain a healthy weight.
IT Band Syndrome:
Cause: Iliotibial band syndrome occurs when the IT band, a thick band of tissue that runs along the outside of the thigh, becomes tight or inflamed due to overuse or biomechanical imbalances.
Symptoms: Pain on the outside of the knee or hip, especially during running or going up or down stairs (descending usually worse).
Treatment: Stretching and foam rolling the IT band may be useful, strengthen hip abductor muscles as well as the lower limb as a whole, avoid over-striding, and cross-training might be helpful.