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Showing posts with label Achilles tendonitis. Show all posts
Showing posts with label Achilles tendonitis. Show all posts

Thursday, June 28, 2012

Injuries Related to the Minimalist Movement

Minimalist footwear can help some people improve their running form... can "cure" others' injuries... and it can leave some with more aches and pains than they started with. There is no one shoe that is perfect for everyone. Some people can benefit greatly from minimalist footwear, while others are better off sticking with traditional shoes. Some things to consider are weekly mileage, the surface you run on, how biomechanically efficient you are, etc. In any event, it's important to ease your way into running in minimalist footwear, or you'll most definitely wind up in the third category of runners (instead of in the first two). However, even the most cautious of runners can still wind up hurt (although the jury is still out on if what they were wearing on their feet is to blame... I mean, how do you determine if your Achilles hurts because of the sneakers you were wearing when you ran 16x100's, or the fact that you haven't sprinted in 5 years?!).

In any event, I found this article talking about some of the more common injuries related to minimalist footwear. We've already talked about Plantar Fasciitis and Achilles Tendinitis, and Metatarsal Stress Fractures are pretty self-explanatory. This brings us to Sesamoiditis, which is an inflammation of the sesamoid bone (help absorb impact and distribute forces acting on the big toe joint) and surrounding tissue; most people experience pain in the ball of their foot by their big toe. Compartment Syndrome can also present a problem. With this condition, pressure in the leg muscles build, causing tightness, burning, cramping, and fatigue in the lower legs (especially the calf and shin regions), and numbness or swelling can also be present.

So, in conclusion, ease into minimalist running!

Thursday, April 5, 2012

Achilles Tendonitis

What is it?
Achilles Tendonitis may account for up to 11% of all running-related injuries. Simply put, it's an inflammation of the Achilles tendon. People suffering from it often complain of pain along the tendon and/or back of the heel (especially early in the morning or after exercising). 

There are two forms-- Non-insertional (the fibers in the middle portion of the tendon break down, swell, and thicken; more common in younger, active people) and Insertional (this affects the fibers in the lower portion where the tendon attaches to the heel bone; can occur at any time, even in people who are not active). In either form, the damaged fibers can calcify, and bone spurs often develop in the Insertional form of the pathology.


What causes it?
  • Sudden increase in activity without adequate time to recover
  • A change in footwear or training surface
  • Running uphill
  • Wearing high heels consistently
  • Tight calf muscles (puts excess stress on the tendon) 
  • Bone spur (causes the tendon to track improperly)

What can I do to prevent it?

What can I do if I already have it?
  • Rest and/or low-impact activities 
  • Ice (fill a foam cup with water and tear off the rim or use a cold compression wrap)
  • Heat (to stimulate blood flow to the area)
  • Tape the back of the tendon to support it
  • Anti-inflammatories
  • Cortisone injections
  • Extracorporeal Shock Wave Therapy (ESWT) or therapeutic ultrasound
  • Surgery 

What are the best shoes for it?
Flexible (or just not overly stiff) sneakers... also, make sure you're in a stability shoe if you need one.