102
Return to Sport: Running Injuries in Student-Athletes: Summary
Common Running-Related Injuries (continued) Anatomy Incidence/Symptoms Risk Factors
Intervention
Return to Sport • 30% recover in 1 month
Medial Tibial Stress Syndrome
• “Shin splints” • Diffuse pain at posteromedial tibia with activity • Tenderness along posteromedial tibia • Weakness in tibialis posterior, soleus, flexor digitorum longus • Progressive Achilles pain/stiffness • Swelling/thickening at Achilles • Excessive pronation • Reduced dorsiflexion
• Training errors • Contralateral pelvic drop
• Hip strengthening • Foot strengthening (control eversion) • Footwear • Stretching gastrocnemius • Gait retraining** (increase cadence) • Hip strengthening • Intrinsic foot strengthening • Cross training • Footwear— heel lift (limited evidence, avoid minimalist shoes • Gait retraining** (reduce forefoot strike, increase cadence) • Relative rest— avoid stairs, cycling • Hip/core strengthening • Stretching ITB • Gait retraining**- reduce transverse plane movement
• Increased ground contact time (slow cadence) • Prolonged rearfoot eversion • Hip abduction weakness/evertor dominance • Increased BMI
Achilles Tendinopathy
• Training errors • Contralateral pelvic drop
• Increased ground contact time (slow cadence) • Rapid or excessive pronation • Increased BMI
• Weak/painful plantarflexion
• + arc sign or + Royal London Hospital test
Iliotibial Band Syndrome (ITB)
• Due to friction of the ITB shifting over lateral femoral condyle • Lateral knee pain • + Noble compression test • Poor flexibility in ITB and hip flexors
• Crossover running • Contralateral pelvic drop • Reduced knee flexion at initial contact • Excessive eversion
Powered by FlippingBook