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Injury Prevention Common Running Injuries
Information about common injuries in runners
Running is a sport of passion; why else would we torture our bodies with miles of punishment every day? Running injuries are an unfortunate, but all too common, occurrence. Understanding a running injury is the key to effective treatment. Here you will find resources that explain common problems, and offer information about types of treatment for a running injury.
Achilles Tendon Injuries
Bunions
Heel Pain - Plantar Fasciitis
Hip Pain
Iliotibial Band Syndrome
Neuromas
Runner's Knee - Patellofemoral Pain Syndrome
Shin Splints

Neuromas

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SYMPTOMS

  • Pain in area of "ball of foot"
  • Burning or tingling sensation in the foot and maybe some numbness
  • Pain may be sharp or stbbing
  • Cramping may also occur
  • No swelling or bumps

DEFINITION

  • Neuroma
  • A bundle of nerve endings whose covering is inflamed
  • Occurs when the tissue surrounding a nerve become enlarged - thickened
  • Usually a pinching of the third and forth metatarsal bones which compresses a nerve
  • Generally occurs in adults and more common in females

PRIMARY CAUSE

  • Excessive Pronation
  • Pronation is a normal movement of the foot, that allows the arch to flatten to a degree, which helps the body to absorb shock and adapt to different ground surfaces.
  • In analyzing ones gait, first contact is on the heel and outside of the foot; followed by a shift of body weight continuing forward, toward the arch and toes.
  • If the foot is weak or tired and/or the footwear is not supportive, then the arch can flatten more than normal, which is excessive pronation.
  • Flattening of the arch (excessive pronation) places pressure on the foot and can decrease the metatarsal arch thus increasing the chance of compression on the nerve creating a neuroma.
  • With excessive pronation, increased stresses can be placed on the foot.

CONTRIBUTING FACTORS

  • Flat feet
  • Wearing of tight, poorly fitting shoes such as pointed high heeled shoes
  • Aggravated by prolonged standing
  • Increased stress such as kneeling or ladders
  • Mechanically there is too much movement of the metatarsals (bones of the foot)

TREATMENT - ADVICE GIVEN MOST OFTEN IN CURRENT LITERATURE

  • The 3 S's - Stretching, Strengthening and Supporting, along with ICE and REST, have been found to be the simplest and most effective treatment for most foot and lower extremity, overuse injuries.
  • Stretching of the foot and massage can help to decrease pressure between the toes and metatarsals.
  • Strengthening of the foot with the toe curl can help to strengthen the arch.
  • Supporting the foot with the proper shoes and insoles, can help prevent, improve or eliminate the vast majority of foot problems.
  • Make sure the shoe has enough room in the toe box.


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