Transcript SPORTSINJURIES

SPORTS INJURIES
BY
NATASHA DAY
CHARTERED
PHYSIOTHERAPIST
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DR NEIL
TOWNSEND
LOCAL GP
RAN LONDON, NEW YORK
MARATHON AND GREAT
NORTH RUN IN 2007
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AIMS
 Identify four most common running injuries
 How to self manage injuries
 Give general advise about management of
lower back pain
 Prevention of injuries
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Four Most Common Injuries
 Runners Knee
 Shin Splints
 Plantar fascitis
 Achilles tendinopathy
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INTERESTING FACTS
 Cramps
 Muscle strain
 Ligament sprain
 Fracture
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KNEE
 Most common injured joint
 2 joints- patellafemoral joint and tibiofemoral
joint
 4 ligaments
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SPECIAL QUESTIONS
Sound at time of injury- POP or SNAP
Swelling- immediate or later
Giving way
Locking/ catching
Night pain
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RUNNERS KNEE
 Patella femoral pain
 Occurs when patella fails to move smoothly
and centrally through femoral groove
 Often due to muscle imbalance
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SIGNS
 Ache in knee cap with sudden stabbing pain
 Aggravated by stairs, running
 Eased with rest
 More common with people whose jobs
involve sitting
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TREATMENT
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ICE
NSAIDS
REST
REDUCE AGGRAVATING FACTORS
SWIMMING
PHYSIOTHERAPY- Stretching and
Strengthening Quads, stretching
hamstrings/calfs
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ILIOTIBIAL BAND SYNDROME
 Lateral knee pain
 Worse going downhill or down stairs
 Starts with twinge and gets worse
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TREATMENT
 PRICE
 SWIM/ CYCLE
 PHYSIOTHERAPIST- to stretch ITB, soft tissue
work to help stretch fibers, strengthening VMO,
Often notice leg length difference
 ORTHOTICS- Trainers
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SHIN SPLINTS
 Medial Tibial Stress Syndrome
 Pain inside of shin during exercise and at
rest
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TREATMENT
 PRICE
 Change running shoes
 Often excessive pronation ( flat feet)
Require arch supporting inner soles
 Pool running
 Avoid downhill running
 Physiotherapy- Deep tissue massage, calf
and shin stretches
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PLANTARFASCITIS
 Inflammation of the fascia that runs along
the length of the sole of the foot
 Pain- heel, inside of sole of the foot
 Pain- with activity
 Worse AM
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PLANTARFASCITIS
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TREATMENT
 Ice- Frozen Water bottle, roll along bottom of foot
 NSAIDS
 Physiotherapy- stretching the fascia, along with
gastrocnemius and soleus
 Taping
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ACHILLES TENDINOPATHY
 Pain achilles tendon (specific)
 AM stiffness
 Stiff with inactivity
 Occurs most commonly when runners have
quickly increased distance
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ACHILLES TENDINOPATHY
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TREATMENT
 3-4 days rest
 Ibuprofen as least damage with the tendon
repair
 Physiotherapy- Eccentric strengthening
Pain free when performing loading exercises
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PREVENTION OF INJURIES
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Warm up
Ballistic stretching
Cool down
Suitable equipment
Running shoes
Surface running on
Rest days
Variety of training
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