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Rick Csintalan, MD August 20, 2018
Running Injuries Rick Csintalan, MD August 20, 2018
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Runner’s Knee
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Runner’s Knee Pain around the knee cap overuse injury hard surfaces
downhill running tight quads/muscle imbalances weak hips
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Runner’s Knee Rest, anti-inflammatories, ice, cross training
Stretch quads/ITB/HS Strengthen hips (core), quads Run on soft surfaces Sometimes surgery
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Achilles Tendinitis
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Achilles Tendinitis Training error - rapid increase in mileage
Hill Running Improper footwear Tight/weak calf muscles Flat feet
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Achilles Tendinitis Rest, anti-inflammatories, ice, cross training
Heel lift, sometimes orthotics Correct shoes Avoid hills Stretch and strengthen calf muscle
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Shin Splints
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Shin Splints Pain on shin where muscles and fascia attach to the shin bone increased mileage flat feet tight calf muscle hills hard surfaces
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Shin Splints Rest, anti-inflammatories, ice, cross training
Stretch and strengthen calf muscles Sometimes orthotics Soft surfaces and avoid hills
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Iliotibial Band Syndrome
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Iliotibial Band Syndrome
Pain on outside of knee tight ITB weak hips increased mileage downhill running
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Iliotibial Band Syndrome
Rest, anti-inflammatories, ice, cross training Stretch and strengthen hips Foam roller Avoid hills and long distance Sometimes injection or surgery
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Stress Fractures
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Stress Fracture Most commonly shin, feet and hip overload of bone
increased mileage muscle imbalance nutritional/hormonal imbalances
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Stress Fractures Rest, anti-inflammatories, ice, cross training
Correct muscle imbalances Blood tests/nutritional status Some hips may need surgery
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Muscle Pulls
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Muscle Pulls Most common hamstrings Tight and weak muscle
Poor form/over striding Chronic muscle overload Previous muscle pull
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Muscle Pulls Rest, anti-inflammatories, ice, cross training
Stretch and strengthen muscles Correct form Deep tissue work
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