Return to Sport: Running Injuries in Student-Athletes: Summary
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CASE STUDY
A 14-year-old male high school athlete with a history of swimming (since the age of 6) joins the cross country team. He complains of “shin splints” after about a half mile of running and is unable to continue running after 1 mile. On exam he demonstrates increased pronation in static stance, loss of dorsiflexion ROM, weakness in glute medius (3+/5), pain with resisted dorsiflexion, tenderness only posteromedial tibial boarder, poor balance valgus collapse with single leg step down and single leg squat. He also wore a 0 drop shoe.
Interventions: First he was instructed to stop running and focus on low impact (cycling, elliptical). He was given mobility exercises and manual therapy to improve dorsiflexion range of motion. Gluteus medius strengthening was performed progressing from side lying hip abduction to side planks. Finally, his footwear was changed to allow him to return to running sooner.
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