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Return to Sport: Running Injuries in Student-Athletes: Summary
Common Running-Related Injuries
Return to Sport
Anatomy
Incidence/Symptoms Risk Factors
Intervention
Plantar Fasciopathy
• Plantar pain when first standing • Improves with movement but worsens with prolonged weight bearing • Tender at proximal attachment
• Training errors (too much, too fast)
• Foot intrinsic strengthening (toe yoga, doming) • Soft tissue mobilization • Stretching gastrocnemius, hamstrings, plantar fascia • Gait retraining** (increase cadence, soft landing) • Taping • Heel cup or lift (limited evidence) • Activity modification • Improve flexibility of quads • Strengthening of hips/ quads • Correct gait mechanics • Dynamic warm up prior to activity
• Palpable fibrosis • + Windlass test
Apophysitis
• Osgood Schlatter— tibial tubercle tenderness • Sinding–Larsen– Johansson syndrome—inferior pole of patella tenderness • Bilateral 25% of the time • More common in track athletes • Hamstring strain most common in sprinters
• During time of a growth spurt • Youth 10–14 years old
• Self limiting, can continue with sport
Strains (Hamstring)
• Muscle weakness (hamstrings, glutes, core) • Ineffective warm up • Poor conditioning • Lack of rest • Overuse
• Strengthening glutes/ hamstrings (deadlifts,
• Pain free walking, jumping • Full ROM
kettlebell swings, front/back squat, Nordic hamstring curls, ADD plank)
• Strength 80% of uninvolved side
RRI—running-related injuries; RTS—return to sport * Best evidence ** Gait retraining is the use of visual, verbal, or auditory cues to change running for
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