Common Running Injuries (2/3) By Dr. Steven Bartz

(1/3), (2/3), (3/3).

Achilles Tendonitis Achilles Tendonitis is an inflammation of the Achilles tendon. Initial symptoms are a dull, aching pain in the tendon after running. Improper treatment of Achilles Tendonitis can lead to major problems. Cross friction massage often irritates this area, extending the period of recovery rather than reducing. Problems often arise in the treatment of this syndrome when a therapist uses heavy direct pressure and tension over the Achilles tendon.

When standing, the Achilles tendon is constantly under pressure resulting in limited blood circulation to the tissue. Inflammation of the Achilles tendon is often caused by the tissue just in front of it. After treatment, Cold Laser therapy along with stretching, strengthening, and balance work continue to be key components in correcting the problem.

Plantar Fascitis The plantar fascia is a band of fibers which runs from the heel bone to the base of the toes. Plantar Fascitis occurs when these tissues are irritated and inflamed. Bone spurs often form on the heel if this condition is not correctly treated. Biomechanical or training flaws such as over-pronation, flat feet, a tight Achilles tendon, a high arched foot, or a sudden increase in training mileage often cause Plantar Fascitis.

Conventional therapy (without surgery) usually requires six weeks to three months. With ART, we have seen resolution of this problem in 90% of cases with just one to three treatments.

Runners Knee / Iliotibial Band Syndrome Runner's knee is the term given to diffuse pain around the knee, under the knee cap, often with stiffness under the knee joint. It is often related to too rapid increase in mileage, tight hamstrings, and imbalances between the hamstring and quadriceps. Other physical structures that are often involved include: The knee capsule, Meniscus, Collateral ligaments and Patellar tendon. Even the posterior knee is often involved especially a muscle called the Popliteus. This muscle is involved with rotary stability of the knee. The Psoas muscle is also often involved with knee problems.

The psoas muscle is a primary hip flexor. When the psoas muscle becomes shortened, fibrotic and weakened the quadriceps has to exert more force to make the hip flex. This is a major (and often undiagnosed) cause of unresolved knee pain.

Continued .... Next Page (3/3)

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