101
Return to Sport: Running Injuries in Student-Athletes: Summary
Common Running-Related Injuries
(continued)
Incidence/ Symptoms
Return to Sport
Anatomy
Risk Factors
Intervention
Achilles Tendinopathy
• Progressive Achilles pain/ stiffness • Swelling/ thickening at Achilles • Excessive pronation • Reduced dorsiflexion • Weak/painful plantarflexion • + arc sign or + Royal London Hospital test
• Training errors • Contralateral pelvic drop • Increased ground contact time (slow cadence) • Rapid or excessive pronation • Increased BMI • Crossover running • Contralateral pelvic drop • Reduced knee flexion at initial contact • Excessive eversion • Training errors (too much, too fast)
• 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 • 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)
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 • Plantar pain when first standing • Improves with movement but worsens with prolonged weight bearing • Tender at proximal attachment • Palpable fibrosis • + Windlass test
Plantar Fasciopathy
Powered by FlippingBook