Achilles Tendinitis in Running Athletes Andrew W
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Achilles Tendinitis Causes, Symptoms, Prevention & Treatment by Dr
ACHILLES TENDINITIS CAUSES, SYMPTOMS, PREVENTION & TREATMENT BY DR. ERIK NILSSEN 855.998.FOOT Schedule Consultation ACHILLES TENDINITIS: CAUSES, SYMPTOMS, PREVENTION & TREATMENT Your Achilles tendon is your body’s largest tendon that connects your heel bone to your calf muscles. You use it to run, walk, and jump. It is prone to Achilles tendinitis, which is a condition caused by degeneration and overuse, and is quite common. Achilles tendinitis causes you to suffer with pain down the back of your leg close to the heel. / 2 NILSSENORTHOPEDICS.COM | 855-998-FOOT ACHILLES TENDINITIS: CAUSES, SYMPTOMS, PREVENTION & TREATMENT Schedule Consultation ACHILLES TENDINITIS: CAUSES, SYMPTOMS, PREVENTION & TREATMENT What is Achilles Tendinitis? To put it simply, it is inflammation of your tendon. There are a couple forms of Achilles tendinitis, which are determined primarily by the area of the tendon that is experiencing inflammation. There are two common types. Noninsertional Achilles Tendinitis. Patients who are between the ages of 30 and 40 with an increased level of activity tend to suffer with Noninsertional Achilles tendinitis. Patients with noninsertional Achilles tendinitis are often treated with non-surgical therapy and are able to gradually increase activity. Insertional Achilles Tendinitis. When the area that the heel bone and Achilles tendon connects becomes painful with swelling, this is known as Insertional Achilles tendinitis. There are both non-surgical and surgical treatment options for insertional Achilles / 3 NILSSENORTHOPEDICS.COM | 855-998-FOOT Schedule Consultation ACHILLES TENDINITIS: CAUSES, SYMPTOMS, PREVENTION & TREATMENT Causes of Achilles Tendinitis Often individuals who are poorly conditioned have the higher risk of developing this condition. Other causes include: • Sudden activity increase. -
Fibular Stress Fractures in Runners
Fibular Stress Fractures in Runners Robert C. Dugan, MS, and Robert D'Ambrosia, MD New Orleans, Louisiana The incidence of stress fractures of the fibula and tibia is in creasing with the growing emphasis on and participation in jog ging and aerobic exercise. The diagnosis requires a high level of suspicion on the part of the clinician. A thorough history and physical examination with appropriate x-ray examination and often technetium 99 methylene diphosphonate scan are re quired for the diagnosis. With the advent of the scan, earlier diagnosis is possible and earlier return to activity is realized. The treatment is complete rest from the precipitating activity and a gradual return only after there is no longer any pain on deep palpation at the fracture site. X-ray findings may persist 4 to 6 months after the initial injury. A stress fracture is best described as a dynamic tigue fracture, spontaneous fracture, pseudofrac clinical syndrome characterized by typical symp ture, and march fracture. The condition was first toms, physical signs, and findings on plain x-ray described in the early 1900s, mostly by military film and bone scan.1 It is a partial or incomplete physicians.5 The first report from the private set fracture resulting from an inability to withstand ting was in 1940, by Weaver and Francisco,6 who nonviolent stress that is applied in a rhythmic, re proposed the term pseudofracture to describe a peated, subthreshold manner.2 The tibiofibular lesion that always occurred in the upper third of joint is the most frequent site.3 Almost invariably one or both tibiae and was characterized on roent the fracture is found in the distal third of the fibula, genograms by a localized area of periosteal thick although isolated cases of proximal fibular frac ening and new bone formation over what appeared tures have also been reported.4 The symptoms are to be an incomplete V-shaped fracture in the cor exacerbated by stress and relieved by inactivity. -
The 7 Step Shin Splints Treatment System
The Step SShhiinn SSpplliinnttss Treatment System By Brad Walker TM The 7 Step Shin Splints Treatment System Fix Your Shin Splints Once and For All and get back to Pain Free Running Quickly and Safely. Walker, Bradley E., 1971 7 Step Shin Splints Treatment System™ Copyright © 2012 The Stretching Institute™ All rights reserved. Except under conditions described in the copyright act, no part of this publication may in any form or by any means (electronic, mechanical, micro copying, photocopying, recording or otherwise) be reproduced, stored in a retrieval system or transmitted without prior written permission from the copyright owner. Inquires should be addressed to the publisher. Disclaimers The exercises presented in this publication are intended as an educational resource and are not intended as a substitute for proper medical advice. Please consult your physician, physical therapist or sports coach before performing any of the exercises described in this publication, particularly if you are pregnant, elderly or have any chronic or recurring muscle or joint pain. Discontinue any exercise that causes you pain or severe discomfort and consult a medical expert. Cover picture/s supplied by iStockphoto. The Stretching Institute has purchased the non-exclusive, non-transferable, non-sub licensable right to reproduce the cover picture/s an unlimited number of times in online and electronic publications, and web advertisements. Exercise graphics used with permission from the Physigraphe V2 Pro Clip Art CD-ROM available at ExRx.net. Copyright -
The Painful Heel Comparative Study in Rheumatoid Arthritis, Ankylosing Spondylitis, Reiter's Syndrome, and Generalized Osteoarthrosis
Ann Rheum Dis: first published as 10.1136/ard.36.4.343 on 1 August 1977. Downloaded from Annals of the Rheumatic Diseases, 1977, 36, 343-348 The painful heel Comparative study in rheumatoid arthritis, ankylosing spondylitis, Reiter's syndrome, and generalized osteoarthrosis J. C. GERSTER, T. L. VISCHER, A. BENNANI, AND G. H. FALLET From the Department of Medicine, Division of Rheumatology, University Hospital, Geneva, Switzerland SUMMARY This study presents the frequency of severe and mild talalgias in unselected, consecutive patients with rheumatoid arthritis, ankylosing spondylitis, Reiter's syndrome, and generalized osteoarthosis. Achilles tendinitis and plantar fasciitis caused a severe talalgia and they were observed mainly in males with Reiter's syndrome or ankylosing spondylitis. On the other hand, sub-Achilles bursitis more frequently affected women with rheumatoid arthritis and rarely gave rise to severe talalgias. The simple calcaneal spur was associated with generalized osteoarthrosis and its frequency increased with age. This condition was not related to talalgias. Finally, clinical and radiological involvement of the subtalar and midtarsal joints were observed mainly in rheumatoid arthritis and occasionally caused apes valgoplanus. copyright. A 'painful heel' syndrome occurs at times in patients psoriasis, urethritis, conjunctivitis, or enterocolitis. with inflammatory rheumatic disease or osteo- The antigen HLA B27 was present in 29 patients arthrosis, causing significant clinical problems. Very (80%O). few studies have investigated the frequency and characteristics of this syndrome. Therefore we have RS 16 PATIENTS studied unselected groups of patients with rheuma- All of our patients had the complete triad (non- toid arthritis (RA), ankylosing spondylitis (AS), gonococcal urethritis, arthritis, and conjunctivitis). -
Q & A: Running Injuries Show Notes
Q & A: Running Injuries Show Notes I was told I have multiple imbalances in one leg. One was tight ankles. My question would just be how does multiple imbalances happen? Is it genetic or is it just something that happens from injury? -Johari • Imbalances can be genetic. There are many different structural anomalies found in individuals. • Most imbalances are from chronic poor posture: o Poor sitting posture. o Poor standing posture. o Asymmetries with common movement patterns. For example only crossing your left leg, or always sitting on the couch with your legs tucked under one direction. • Spot train the imbalances and asymmetries as best you can. Work toward gaining symmetry in the body. • Small changes over time will yield big results. Would love to hear about "sleeping" glutes and what can be done to reawaken them! -Britt • Most common cause is chronic sitting. • Poor posture from either standing or sitting. • The treatment is to move more. Not to just stand more (although that is better than sitting), but move more. Focus on activities that activate the posterior chain such as squats, deadlifts, and bridges. • Increase the neural input to the glutes. The more you use them, the more the neural pathways will be established and re-enforced. • Encourage everyone to address his/her glute strength as they are typically weak in most individuals. As part of cross training, implement core strengthening which will help to prevent low back pain. For more information, please refer to: http://marathontrainingacademy.com/low-back-pain http://www.thephysicaltherapyadvisor.com/2014/10/20/how-to-safely-self-treat-low-back-pain/ http://www.thephysicaltherapyadvisor.com/2014/06/30/my-top-7-tips-to-prevent-low-back-pain- while-traveling/ © 2016, The Physical Therapy Advisor www.thePhysicalTherapyAdvisor.com I have a partially torn tendon in the gluteus medius that attaches to the greater trochanter. -
Risk Factors for Patellofemoral Pain Syndrome
St. Catherine University SOPHIA Doctor of Physical Therapy Research Papers Physical Therapy 3-2012 Risk Factors for Patellofemoral Pain Syndrome Scott Darling St. Catherine University Hannah Finsaas St. Catherine University Andrea Johnson St. Catherine University Ashley Takekawa St. Catherine University Elizabeth Wallner St. Catherine University Follow this and additional works at: https://sophia.stkate.edu/dpt_papers Recommended Citation Darling, Scott; Finsaas, Hannah; Johnson, Andrea; Takekawa, Ashley; and Wallner, Elizabeth. (2012). Risk Factors for Patellofemoral Pain Syndrome. Retrieved from Sophia, the St. Catherine University repository website: https://sophia.stkate.edu/dpt_papers/17 This Research Project is brought to you for free and open access by the Physical Therapy at SOPHIA. It has been accepted for inclusion in Doctor of Physical Therapy Research Papers by an authorized administrator of SOPHIA. For more information, please contact [email protected]. RISK FACTORS FOR PATELLOFEMORAL PAIN SYNDROME by Scott Darling Hannah Finsaas Andrea Johnson Ashley Takekawa Elizabeth Wallner Doctor of Physical Therapy Program St. Catherine University March 7, 2012 Research Advisors: Assistant Professor Kristen E. Gerlach, PT, PhD Associate Professor John S. Schmitt, PT, PhD ABSTRACT BACKGROUND AND PURPOSE: Patellofemoral pain syndrome (PFPS) is a common source of anterior knee in pain females. PFPS has been linked to severe pain, disability, and long-term consequences such as osteoarthritis. Three main mechanisms have been proposed as possible causes of PFPS: the top-down mechanism (a result of hip weakness), the bottom-up mechanism (a result of abnormal foot structure/mobility), and factors local to the knee (related to alignment and quadriceps strength). The purpose of this study was to compare hip strength and arch structure of young females with and without PFPS in order to detect risk factors for PFPS. -
Shin Splints
A Patient’s Guide to Shin Splints Orthopedic and Sports Physical Therapy 245 North College Lafayette, LA 70506 Phone: 337.232.5301 Fax: 337.237.6504 Compliments of: Orthopedic and Sports Physical Therapy DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments orA treatments.Patient's The information Guide shouldto Shin NOT be Splints used in place of a visit with your health care provider, nor should you disregard the advice of your health care provider because of any information you read in this booklet. Orthopedic and Sports Physical Therapy Thank you for requesting your Orthopaedic and Sports Physical Therapy Patient Guide and giving us the opportunity to help you better understand your condition. Once you've had a chance to review the information provided, you may have additional questions. If that's the case, we would like to offer you a FREE consultation to discuss your condition more fully, answer all of your questions, and give you our best advice on how you can resolve your pain quickly and easily. To arrange your FREE consultation, please contact us at 337.232.5301 and begin feeling good again! Call today and begin feeling better tomorrow. The OSPT Team Orthopedic and Sports Physical Therapy 245 North College Lafayette, LA 70506 Phone: 337.232.5301 Fax: 337.237.6504 www.ospt.net All materials within these pages are the sole property of Medical Multimedia Group, LLC and are used herein by permission. -
Your Guide to Playing Safe Staying Active by Participating in Sports Is a Great Way to Be Healthy
Your Guide to Playing Safe Staying active by participating in sports is a great way to be healthy. All that running, jumping and stretching, though, carries the risk of injury. Play it safe with this quick guide to common problems. An adult sports medicine overview with contributions from sports medicine experts Sally Harris, MD, and Amol Saxena, DPM. TOP INJURIES BY SPORT Running Knee injuries, particularly irritation of the cartilage on the underside of the kneecap Shin splints Achilles tendinitis Plantar fasciitis (irritation in the tendons and ligaments that run from the heel to toes) Ankle sprains and calf strains General overuse injuries such as sprains, strains and stress fractures Swimming Overuse and repetitive motion injury to the shoulder or knee Cycling Achilles peritondinesis (inflammation of the tendon sheath) Patellofemoral pain syndrome (cartilage irritation on the underside of the kneecap) Lower back pain from hunched posture and poor bike fit Traumatic injury from high-speed falls Pelvic nerve pressure and pain—alleviated with padded bike shorts Nerve inflammation in the hands—alleviated with cushioned bike gloves and padded handle bars Baseball/Softball Shoulder problems (rotator cuff injuries and shoulder tendinitis) Pitchers—tendinitis of the shoulder, back, neck, elbow, forearm and wrist; tears to the ulnar collateral ligament in the elbow Catchers—risk of back and knee problems Ankle sprains and fractures Traumatic injuries due to ball hitting body Basketball Jammed fingers Knee or ankle injuries -
Effects of Q-Angle on Lower Extremity Biomechanics And
EFFECTS OF Q-ANGLE ON LOWER EXTREMITY BIOMECHANICS AND INJURIES IN FEMALE COLLEGIATE TRACK AND FIELD ATHLETES By MYRANDA HOPE HAM Candidate for Master of Science in Engineering, Biomedical Engineering, Mercer University, May 2020 A Thesis Submitted to the Graduate Faculty of Mercer University School of Engineering in Partial Fulfillment of the Requirements for the Degree MASTER OF SCIENCE IN ENGINEERING MACON, GA 2020 EFFECTS OF Q-ANGLE ON LOWER EXTREMITY BIOMECHANICS AND INJURIES IN FEMALE COLLEGIATE TRACK AND FIELD ATHLETES By MYRANDA HOPE HAM Approved: ______________________________________ Date __________________ Dr. Ha Vo, Advisor ______________________________________ Date __________________ Dr. Edward O’Brien, Committee Member ______________________________________ Date __________________ Dr. Richard Kunz, Committee Member ______________________________________ Date __________________ Dr. Laura Lackey, Dean ACKNOWLEDGEMENTS I would like to first thank Dr. Vo for all his help throughout this project. I would not have been able to complete this study without his guidance. Thank you to Dr. Kunz and Dr. O’Brien for serving as member of my committee. Thank you to Amos Mansfield for approving this study to be conducted with Mercer University student-athletes. Thank you to all the Mercer Women’s Track and Field coaches, including Josh Hayman, Leesa Morales, and Jerod Wims, for being flexible and allowing the athletes to participate in this study around their practice schedule. Thank you to every member of the Mercer Women’s Track and -
Achilles Tendon
Achilles Tendon The Achilles tendon, the largest and single strongest tendon in the body, connects the heel bone to the muscles in the back of your leg and thigh. The primary function of the Achilles tendon is to transmit the power of these muscles to the foot enabling walking and running. Why do Achilles tendon injuries occur? Achilles tendon injuries can occur especially when the tendon is subjected to strong forces such as in velocity sports: running, soccer, basketball, tennis, and baseball. Additionally, aging, and the Achilles tendons poor blood supply also increases your chance of injury. The area of the tendon with the poorest blood supply is the area (2 to 6 cm) just above its insertion into the heel bone. The blood flow to this area decreases as you get older. This means, older active individuals are more vulnerable to injury and need especially to take precautions such as wearing appropriate athletic gear, and doing proper stretching. People who over pronate , (flattening of the arch, turning out of the heels and splaying outward of the forefoot) can especially develop in unstable shoe gear foot pain as well as, Achilles tendinitis and Achilles tendonosis, two common overuse disorders that occur in the Achilles tendon, bunions, hammertoes , plantar fasciitis , shin splints and knee pain. Athletes and laborers who routinely put added stresses on their feet are vulnerable to Achilles tendon injuries. Weekend warriors, who are not in proper condition and infrequently, participate in athletic activities also are at greater risk for Achilles tendon injuries. Injury to the Achilles tendon can be sudden or gradual and the healing course can be lengthy. -
For Distance Runners Iliotibial Band Friction Syndrome Is the Second
BIOMECHANICAL INJURY PREDICTORS FOR MARATHON RUNNERS : STRIDING TOWARDS ILIOTIBIAL BAND SYNDROME INJURY PREVENTION John M. MacMahon, Ajit M. Chaudhari and Thomas P. Andriacchi Stanford Biomotion Laboratory, Stanford University, Stanford, California The purpose of this study was to prospectively analyze a large group of marathon runners (n=20) and test for biomechanical determinants of running injuries. The opportunity to prospectively follow runners of organized marathon training teams allowed for testing of the hypothesis that functional biomechanics may lead to iliotibial band syndrome (ITBS). Each runner was gait tested prior to developing any injuries. Injury predictors were generated by comparing those legs which eventually got ITBS injuries (n=7) with those legs that were injury free (n=33). Higher peak hip adduction moments (p<0.05) and higher angular impulses adducting the hip during stance phase (p<0.005) were found to be significant predictors of ITBS. With this prognostic test as a benchmark, training and coaching may produce dynamic injury prevention. KEY WORDS: injury prediction, injury prevention, running injuries, iliotibial band, training techniques INTRODUCTION: The rigor of the marathon is legendary. In 490 BC, the runner Pheidippides ran from Marathon with news of the Greek victory over the Persians, stood on the steps of the Acropolis in Athens and shouted, "Rejoice, we conquer!" and then dropped dead. Less severe injuries await today's marathoner. Nonetheless, marathon running is growing in popularity around the world. With the global dose of Olympic glory about to be dispensed in Sydney this summer, this trend should be expected to increase. Many of these running injuries are due to the repetitive nature of training. -
Plantar Fasciitis Thomas Trojian, MD, MMB, and Alicia K
Plantar Fasciitis Thomas Trojian, MD, MMB, and Alicia K. Tucker, MD, Drexel University College of Medicine, Philadelphia, Pennsylvania Plantar fasciitis is a common problem that one in 10 people will experience in their lifetime. Plantar fasciopathy is an appro- priate descriptor because the condition is not inflammatory. Risk factors include limited ankle dorsiflexion, increased body mass index, and standing for prolonged periods of time. Plantar fasciitis is common in runners but can also affect sedentary people. With proper treatment, 80% of patients with plantar fasciitis improve within 12 months. Plantar fasciitis is predominantly a clinical diagnosis. Symp- toms are stabbing, nonradiating pain first thing in the morning in the proximal medioplantar surface of the foot; the pain becomes worse at the end of the day. Physical examination findings are often limited to tenderness to palpation of the proximal plantar fascial insertion at the anteromedial calcaneus. Ultrasonogra- phy is a reasonable and inexpensive diagnostic tool for patients with pain that persists beyond three months despite treatment. Treatment should start with stretching of the plantar fascia, ice massage, and nonsteroidal anti-inflamma- tory drugs. Many standard treatments such as night splints and orthoses have not shown benefit over placebo. Recalcitrant plantar fasciitis can be treated with injections, extracorporeal shock wave therapy, or surgical procedures, although evidence is lacking. Endoscopic fasciotomy may be required in patients who continue to have pain that limits activity and function despite exhausting nonoperative treatment options. (Am Fam Physician. 2019; 99(12):744-750. Copyright © 2019 American Academy of Family Physicians.) Illustration by Todd Buck Plantar fasciitis (also called plantar fasciopathy, reflect- than 27 kg per m2 (odds ratio = 3.7), and spending most ing the absence of inflammation) is a common problem of the workday on one’s feet 4,5 (Table 1 6).