COMMON RUNNING INJURIES & PREVENTION Presented by Dr. Steve & Dr. Holly Jonas, Race Directors of Injury Prevention and Rehabilitation for The LI Marathon and Festival of Races Runner’s Knee Shin Splints Runner’s knee has many possible causes, poor tracking of the patella, it can occur from overuse, muscle and tendons are overstretched and can not relax. Scar tissue and adhesions develop and result in pain and discomfort. Some of the symptoms typical of runner’s knee are: • Pain behind or around the kneecap, especially where the thighbone and the kneecap meet. • Pain when you bend the knee – when walking, squatting, kneeling, running, or even sitting. • Pain that’s worse when walking downstairs or downhill. • Swelling. • Popping or grinding sensations in the knee. The general recommendation is rest, ice and some type of therapy. Active Release Technique is a very effective type of therapy as it addresses the muscles, ligaments and tendons directly Shin splints are very common in runners. It is irritated and swollen muscles, often from overuse. These are the muscles and fascia in the front of the leg below the knee. The result is the shins throb and ache after or during the run. They can results from many factors including poor running form, worn out running shoes, overuse, over pronation, flat feet or high arches. Additionally, a sudden increase in weekly run mileage or an increase in intensity can be a factor. The treatment is rest, ice, Cold Laser, soft tissue mobilization such as Active Release Technique and Graston Technique. Often compression sleeves and socks are helpful. Plantar Fasciitis Plantar fasciitis is a tightening of the tissue on the bottom of the foot that connects the heel to the toes. The pain is usually in the heel region. Symptoms include pain upon waking and pain while walking and climbing stairs. Treatment includes resting the feet, doing calf stretches and towel stretches several times daily, and wearing shoes with good arch support and a cushioned sole. Proper foot wear is important. Cold Laser treatments along with Radial Shock Wave therapy is helpful in correction. Back Pain Back pain can manifest itself from many different causes in runners. Tight hip flexors such as the psoas muscle can result in lower back stiffness especially after sitting for a while. Hip extensors such as the piriformis and glut muscles can tighten and trap nerves causing pain even Sciatica. The spinal erector muscles can tighten and spasm from overuse. Rest, ice and proper therapy such as traction, decompression, Active Release Technique for tight muscles and ligaments can correct the problem. Iliotibial Band Syndrome The iliotibial band is a band of fibrous tissue that runs down the outside of the thigh. The band of tissue elongates and contracts every time a runner take a stride, providing stability to the knee and hip. Adhesions and scar tissue can build up from overuse. This can result in pain in the leg, hip and knee. Many times Runner’s Knee can result from ITB Syndrome. Treatment consists of rest, ice and soft tissue mobilization either in the form of Active Release Technique or Graston Technique. Certified in: Find out more at www.JonasChiropractic.com About Dr. Holly & Dr. Steve Jonas At Jonas Chiropractic, Drs. Holly & Steven Jonas combine over 30 years of experience as chiropractors and athletes. A combination of intensive postgraduate education combined with their own years involved in athletics enables them to be unique and specific in their approach to athletic and traumatic injuries. Our Philosophy: Correct the cause of your pain. If you are a runner, we take into account your gait, an ice skater, your core and ankle stability, a volleyball player, your ability to absorb the pressure of high velocity jumping, a horseback rider, the strength in your adductors and how they balance with their opposing muscles. We begin by understanding what you do. 33 Queens St., Syosset NY | 516-921-1295 | JonasChiropractic.com