Overland, KS Sports Injuries
Having run 65 marathons, I can relate to most running injuries. I’ve also competed in triathlons including two Ironman events. Both biomechanics and training have a significant role in the runner’s health and potential injury. During our first visit with a patient, we assess the nature of the injury and redmediate it as necessary with conservative treatment. On follow up we may ask you to bring shorts for a gait analysis. I attend many professional meetings each year and I’m always attentive new products and methods to help keep the runner on the road.
Many sports are hard on the feet because of quick repetitive movements, constricting footwear, and/or increased exposure to injury or trauma. Following is a brief overview of some of the most common injuries that result from particular sports.
The six most common running injuries I’ve seen are heel pain, nail trauma, tendinitis, stress fractures, sprains, and “runner’s knee” pain. Most injuries are initially treated with R.I.C.E. (Rest, Ice, Compression, Elevation).
Nail trauma (runner’s black toenails) and blisters can be avoided by trimming the nails before a long run or marathon. Ensure proper shoe fit and use vaseline to lubricate the toes and soles.
Shin splints are a form of tendinitis often brought on by training error or running style. For example, leaning back running down hills can lead to foot slapping and straining of the muscle and tendon at the front of the leg.
Heel pain (see Heel Pain page) from athletic activities requires in-office consultation because the treament options are often connected with the cause and source of the pain. The best recommendation is for you to seek treatment for your injury as early as you can.
One of the toughest dilemmas in sports medicine is chronic Achilles tendinitis. Often, the runner may still be running through the injury. When the tendon is repeatly injured and thickened it goes beyond an “itis” to a more diseased state, a “tendinosis” or “fasciosis” Sometimes these conditions are surgically debulked. (You may have heard that Shaq O’Neill had this surgery for his Achilles.)
New conservative treatments for Achilles tendinitis are being used to help avoid any surgery. Here’s an interesting story of a Swedish surgeon who developed Achilles tendinosis. He wanted to be operated on but his superior did not think it was severe enough and did not want to see him out of work. So the disgruntled surgeon aggressively stretched his tendon standing on the edge of a step, lowering himself on one leg at a time (an “eccentric” stretch of the muscle). Thinking this would force the need for surgery, but his tendon actually started to feel better. A treatment regimen was then developed to do this multiple times for 6-12 weeks without running. Doing it is painful, but rewarding. Certain types of shock wave therapies and other physical therapy modalities will enhance the result. But first and foremost the eccentric stretching program tops other therapies and should be initiated early on.
Treating running injuries is what we do best.
Impact forces from aerobics can reach up to six times the force of gravity, which is transmitted to each of the 26 bones in the foot. Proper shoes are crucial to successful, injury-free aerobics. Shoes should provide sufficient cushioning and shock absorption to compensate for pressure on the foot many times greater than found in walking. They must also have good medial-lateral stability. Aerobic instructors take the most stress on their feet and have to be more cautious in preventing stress fractures and overuse injuries.
Activities such as football, baseball, basketball, soccer, field hockey, and lacrosse often lead to ankle injuries as a result of play on artificial surfaces, improper footwear, and/or inadequate stretching.