Rick Csintalan, MD August 20, 2018 Running Injuries Rick Csintalan, MD August 20, 2018

Runner’s Knee

Runner’s Knee Pain around the knee cap overuse injury hard surfaces downhill running tight quads/muscle imbalances weak hips

Runner’s Knee Rest, anti-inflammatories, ice, cross training Stretch quads/ITB/HS Strengthen hips (core), quads Run on soft surfaces Sometimes surgery

Achilles Tendinitis

Achilles Tendinitis Training error - rapid increase in mileage Hill Running Improper footwear Tight/weak calf muscles Flat feet

Achilles Tendinitis Rest, anti-inflammatories, ice, cross training Heel lift, sometimes orthotics Correct shoes Avoid hills Stretch and strengthen calf muscle

Shin Splints

Shin Splints Pain on shin where muscles and fascia attach to the shin bone increased mileage flat feet tight calf muscle hills hard surfaces

Shin Splints Rest, anti-inflammatories, ice, cross training Stretch and strengthen calf muscles Sometimes orthotics Soft surfaces and avoid hills

Iliotibial Band Syndrome

Iliotibial Band Syndrome Pain on outside of knee tight ITB weak hips increased mileage downhill running

Iliotibial Band Syndrome Rest, anti-inflammatories, ice, cross training Stretch and strengthen hips Foam roller Avoid hills and long distance Sometimes injection or surgery

Stress Fractures

Stress Fracture Most commonly shin, feet and hip overload of bone increased mileage muscle imbalance nutritional/hormonal imbalances

Stress Fractures Rest, anti-inflammatories, ice, cross training Correct muscle imbalances Blood tests/nutritional status Some hips may need surgery

Muscle Pulls

Muscle Pulls Most common hamstrings Tight and weak muscle Poor form/over striding Chronic muscle overload Previous muscle pull

Muscle Pulls Rest, anti-inflammatories, ice, cross training Stretch and strengthen muscles Correct form Deep tissue work