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Running Injury Management (Treatment ideas (orthotics (reduce…
Running Injury Management
Assessment
Subjective Assessment
In depth details of training routine
Other exercises/sport which patient does
History of presenting condition
previous injuries to this leg (Whole leg)
previous injuries to opposite leg (consider compensation
Past Medical History
Specific Running Goals
Medications
Other clinicians which patient has seen for this injury
functional questionnaires (to gauge psychosocial involvement
Objective Assessment
Manual Muscle Tests
Muscle Length tests
Palpation
Biomechanical assessment
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Postural observation
at rest
standing
foot posture
foot posture index?
Walking
Running
Time assessment to be directly after long run if injury takes a while to set in
Hopping
compare sides
Single leg squat
Differentiation from more proximal structures
AROM/PROM
Assessment of footwear
Observation. Observe differences between sides
Treatment ideas
muscle strengthening
lots of reps, then apply to functional
muscle lengthening
fascial rolling vs stretching
taping; kinesio/rigid
kinesio taping for calf activation
gait-re-education
long term running to look for fatigue deficits
orthotics
reduce pronation/supination
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gel heel pads
training alteration
Reduce and then slowly re-introduce
change footwear
change socks!
Lumbar spine core activation
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Running Injury Conditions
Knee
patella tendinopathy
work out reactivity
load
ITB syndrome
Patellofemoral Pain Syndrome
balance between muscles
consider taping and bracing
consider whole kinetic chain
Meniscal Injury
Re-introduce exercise very slowly
tibial stress fractures
Operative
non-operative
casting
muscle strengthening
re-introduce sport very slowly
Major difference to tendinopathy: Sore immediately and only gets sorer. No warm up; very bony
medial tibial stress syndrome
AKA shin splints
consider posterior musculature attaching onto tibia
look at fascial regions
foam rolling?
consider whole kinetic chain
Foot
plantar fascitis
consider calcaneal spur. Need to desensitise. Look more proximally
stress fractures
peroneal tendon subluxation
subluxation test
trauma?
achilles tendinopathy
Hip
Glut Med bursitis/tendinopathy
Hamstring tendinopathy
strengthening of lumbar spine
Other
very particular kind of breed of people
Often seek help when condition is very advanced
Difficult to try and alter training routine