Showing posts with label running injuries. Show all posts
Showing posts with label running injuries. Show all posts

Saturday, August 3, 2013

10 Tips to Help You Recover Quicker Post-Marathon @brisbanerunning


You’ve just finished your marathon. Now the trick is to recover quickly and start planning for your next running event.
Immediate Recovery
Rehydrate & Replenish
Immediately after the race, you should consume simple foods and fluids to replace the water and electrolytes you consumed in the race.
Most events provide a sponsors packs of goodies.  These will immediately replenish salt, and add some quick carbohydrates, glycogens and nutrients. The secret is to have these simple sugars and electrolytes within 30 minutes of your event.
Your should also weigh yourself before and after the race. Drink one litre of water for each kilogram you have lost during the event. If you’ve been particularly sweaty, you may also need to replace electrolytes.  The right dose here is best ascertained by your sports dietitian who have some nifty formulas based on your specific preparation for the event.
Active Relax
Sitting or lying down after hours of running can be a shock to the body. As much as you want to rest after the race, it's important to keep moving. That can mean short walks, a gentle cycle or pool walking. Just keep it low intensity.
A gentle post-event massage can help you to loosen some very tired muscles. There’s no need for this to be hard - and doubly punish your muscles.
Gentle relaxing stretching is good to do for 15 or 20 minutes to lengthen and relax your tight muscles. Do sustained stretches rather than bouncy types.
Ice Bath
If you’ve got access to an ice bath, go for it. The professionals do it for good reason - to control post-exercise soreness and bleeding. No ice bath, that fine just ice the areas you are sore and note them. They are the body parts that may need some attention from your massage therapist or physiotherapist in the next week or two.
Don’t Party Too Hard
The aim is to replenish your water loss in the first 24 hours. Drinking alcohol has the opposite. Drink in moderation post-event.
Day 2+
Eat Well
Grazing is good. Eat small amounts of nutrient-rich foods every two to three hours. Good meals could be high protein foods such as steak to rebuild your muscles. Vegetables are also recommended.
Get a Massage within a few days after the race.
Schedule a massage for a few days after the race. The fitter you are the quicker you can have a massage since your muscles will be less traumatised. A flushing-style massage is recommended. Ensure your massage therapist knows that you just ran a marathon. They’ll perform a different massage rationale based on that knowledge.
Return to low-impact exercise
Your body will tell you when you are feeling right to recommence low intensity exercises. Only start exercising when you are feeling ready. This can take from a few days to a month depending on your fitness. Cycling, cross-trainer, and exercises in the pool (swimming, underwater running) are ideal way to start before running again.
Sort out your Niggles and Injuries
Running a marathon is a great way to highlight what can go wrong with your body. Make note of where you hurt and tell your physiotherapist. They work with you to address the cause of your symptoms before they become a major reason for you to stop running with pain in the future.
Wait at least 5 days after the race before running again.
Start with low intensity on soft surfaces. As a guide start with about 25% of your pre-marathon training. Another good rule of thumb is: perform one week of reduced intensity training for every hour.
Finally
Feeling sore after a marathon is normal. Pain and swelling are the body’s ways of indicating that something is wrong. If it persists more than a few days see you physiotherapist or massage therapist.
More information about Running Injuries

Tuesday, May 7, 2013

What is Shin Splints? What Causes? How Can You Prevent or Cure Them?

What is Shin Splints?

Shin splints is a common complaint, especially among participants of running sports. The term 'shin splints' is colloquially used to describe shin pain along the inside or front edges of the shin.

There are two regions where you can suffer shin splints:
  1. Anterior
  2. Posterior
Shin Splints

What Causes Shin Splints?

Shin splints are caused by overstraining of your muscles where they attach to your shin.

The most common cause is overuse or overtraining associated with poor foot and leg biomechanics.

Shin splints can be caused by a number of factors which are mainly biomechanical (abnormal movement patterns) and errors in training. 

Here are some of the most common causes:
  • Overpronation of your feet
  • Oversupination of your feet
  • Inappropriate footwear
  • Increasing your training too quickly
  • Running on hard or angled surfaces
  • Decreased flexibility at your ankle joint
  • Poor knee flexion alignment
  • Poor buttock control at in the stance phase
  • Poor core stability
  • Tight calf muscles, hamstrings
  • Weak quadriceps, foot arch muscles
Generally shin pain arises from a combination of three structures:
  1. Muscles
  2. Tenoperiosteum
  3. Shin bone (tibia)

Muscle

As a result of repeated overuse, one or more of your muscles in the lower leg may become injured through excessive loading stress. This can result in muscle tenderness, inflammation or knots.

The most common muscles that cause shin splints are tibialis anterior (anterior shin splints) and tibialis posterior (posterior shin splints).

Tenoperiosteum

All bones are covered in a 'shell', called periosteum. The tendons, which connect the muscle to the bone, attach on to this periosteum. This zone at which the tendon meets the bone is known as tenoperiosteum.

Almost all cases of 'shin splints' have some element of inflammation of the tenoperiosteum. Inflammation of different tendons leads to pain in different areas of the shin.

Bone

Damage to the shin bone usually concentrates in the lower one-third of the shin bone (tibia). The bone damage may be mild, such as a simple stress reaction, or may be a severe stress fracture. Except in the worst cases, bone damage is not visible on normal x-rays. A bone scan or MRI may be recommended if your physiotherapist or doctor need to exclude or confirm a bone injury.

What are the Symptoms of Shin Splints?

Shin splints cause dull, aching pain in the front of the lower leg. Depending on the exact cause, the pain may be located along either side of the shinbone or in the muscles. The area may be painful to the touch.

The Four Stages of an Overuse Injury:

  1. Discomfort that disappears during warm-up.
  2. Discomfort that may disappear during warm-up but reappears at the end of activity.
  3. Discomfort that gets worse during the activity.
  4. Pain or discomfort all the time.
Injury identification and treatment in stage 1, allows continuing activity as long as the injury does not worsen.

A stage 2, activity may continue at a modified pain-free level while being treated. Treatment must continue until completely healed. If the injury progresses to stage 3 or 4, activity must immediately cease. Your supervising physiotherapist will allow a return to activity after identifying the cause and you are comple tely symptom-free. Competitive athletes, depending on the individual circumstances, may return to activity with stage 1 symptoms. 
Your physiotherapist will guide you.

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How is Shin Splints Diagnosed?

Shin splints are usually diagnosed based on your medical history and a physical examination by your physiotherapist.

In some cases, an X-ray or other imaging studies such as bone scans or MRI can help identify other possible causes for your pain, such as a stress fracture.

Treatment for Shin Splints

Phase 1 - Early Injury Protection: Pain Reduction & Anti-inflammatory Phase

As with most soft tissue injuries the initial treatment is - Rest, Ice and Protection.
In the early phase you may be unable to walk or run without pain, so your shin muscles and bones need some active rest from weight-bearing loads. Your physiotherapist will advise you on what they feel is best for you.
Ice is a simple and effective modality to reduce your pain and swelling. Please apply for 20-30 minutes each 2 to 4 hours during the initial phase or when you notice that your injury is warm or hot.

Anti-inflammatory medication (if tolerated) and natural substances eg arnica may help reduce your pain and swelling. However, it is best to avoid anti-inflammatory drugs during the initial 48 to 72 hours when they may encourage additional bleeding. Most people can tolerate paracetamol as a pain reducing medication.

As you improve a kinesio style supportive taping will help to support the injured soft tissue and provide some stress reduction for your shin bone.

Phase 2: Regain Full Range of Motion

If you protect your injured shin muscles while they heal and strengthen. This may take several weeks.

During this time period you should be aiming to optimally remould your scar tissue to prevent a poorly formed scar that will re-tear in the future.

It is important to lengthen and orientate your healing scar tissue via massage, muscle stretches, neurodynamic mobilisations and specific exercises.

Your physiotherapist will guide you.

Phase 3: Normalise Foot Biomechanics

Shin splints commonly occur from poor foot biomechanics eg flat foot.

In order to prevent a recurrence, your foot will be assessed. In some instances you may require a foot orthotic (shoe insert) or you may be a candidate for the Active Foot Posture Stabilisation program.

Your physiotherapist will happily discuss the pros and cons of both options to you.

Phase 4: Restore Muscle Strength

Your calf and shin muscles will need to strengthened to enable a safe resumption of sport or training.

Phase 5: Modified Training Program & Return to Sport

Most shin splints occur due to excessive training loads. Running sports place enormous forces on your body (contractile and non-contractile).

In order to prevent a recurrence as you return to sport, your physiotherapist will guide you with training schedules and exercises to address these important components of rehabilitation to both prevent a recurrence and improve your sporting performance.

Depending on the demands of your chosen sport, you will require specific sport-specific exercises and a progressed training regime to enable a safe and injury-free return to your chosen sport.

Your PhysioWorks physiotherapist will discuss your goals, time frames and training schedules with you to optimise you for a complete return to sport. The perfect outcome will have you performing at full speed, power, agility and function with the added knowledge that a through rehabilitation program has minimised your chance of future injury.

What Results Should You Expect?

There is no specific time frame for when to progress from each stage to the next. Your shin splints rehabilitation status will be determined by many factors during your physiotherapist’s clinical assessment.

You’ll find that in most cases, your physiotherapist will seamlessly progress between the rehabilitation phases as your clinical assessment and function improves.

It is also important to note that each progression must be carefully monitored as attempting to progress too soon to the next level can lead to re-injury and frustration.

The severity of your shin splints, your compliance with treatment and the workload that you need to return to will ultimately determine how long your injury takes to successfully rehabilitate.

How Can Shin Splints Deteriorate?

Left untreated and with continued overtraining, shin splints can progress into tibial stress fractures, which will require a minimum of six weeks resting on the couch. Less commonly, if your muscle sheaths become compressed by engorged muscles - muscle compartment syndrome can develop. Muscle compartment syndrome is a very serious shin complaint that often requires surgical intervention to prevent permanent muscle damage.
For more information please contact your physiotherapist.

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Common Treatments for Shin Splints

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FAQs about Shin Splints

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Helpful Products for Shin Splints

Shin Splints

Related Injuries


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