SPORTS INJURIES
BY
NATASHA DAY
CHARTERED
PHYSIOTHERAPIST
1
DR NEIL
TOWNSEND
LOCAL GP
RAN LONDON, NEW YORK
MARATHON AND GREAT
NORTH RUN IN 2007
2
AIMS
Identify four most common running injuries
How to self manage injuries
Give general advise about management of
lower back pain
Prevention of injuries
3
Four Most Common Injuries
Runners Knee
Shin Splints
Plantar fascitis
Achilles tendinopathy
4
INTERESTING FACTS
Cramps
Muscle strain
Ligament sprain
Fracture
5
KNEE
Most common injured joint
2 joints- patellafemoral joint and tibiofemoral
joint
4 ligaments
6
SPECIAL QUESTIONS
Sound at time of injury- POP or SNAP
Swelling- immediate or later
Giving way
Locking/ catching
Night pain
7
RUNNERS KNEE
Patella femoral pain
Occurs when patella fails to move smoothly
and centrally through femoral groove
Often due to muscle imbalance
8
SIGNS
Ache in knee cap with sudden stabbing pain
Aggravated by stairs, running
Eased with rest
More common with people whose jobs
involve sitting
9
TREATMENT
ICE
NSAIDS
REST
REDUCE AGGRAVATING FACTORS
SWIMMING
PHYSIOTHERAPY- Stretching and
Strengthening Quads, stretching
hamstrings/calfs
10
ILIOTIBIAL BAND SYNDROME
Lateral knee pain
Worse going downhill or down stairs
Starts with twinge and gets worse
11
TREATMENT
PRICE
SWIM/ CYCLE
PHYSIOTHERAPIST- to stretch ITB, soft tissue
work to help stretch fibers, strengthening VMO,
Often notice leg length difference
ORTHOTICS- Trainers
12
SHIN SPLINTS
Medial Tibial Stress Syndrome
Pain inside of shin during exercise and at
rest
13
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
14
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
15
PLANTARFASCITIS
16
TREATMENT
Ice- Frozen Water bottle, roll along bottom of foot
NSAIDS
Physiotherapy- stretching the fascia, along with
gastrocnemius and soleus
Taping
17
ACHILLES TENDINOPATHY
Pain achilles tendon (specific)
AM stiffness
Stiff with inactivity
Occurs most commonly when runners have
quickly increased distance
18
ACHILLES TENDINOPATHY
19
TREATMENT
3-4 days rest
Ibuprofen as least damage with the tendon
repair
Physiotherapy- Eccentric strengthening
Pain free when performing loading exercises
20
PREVENTION OF INJURIES
Warm up
Ballistic stretching
Cool down
Suitable equipment
Running shoes
Surface running on
Rest days
Variety of training
21