Running - Running Injuries

Running Injuries

Because of its high-impact nature, many injuries are associated with running. They include "runner's knee" (pain in the knee), shin splints, pulled muscles (especially the hamstring), twisted ankles, iliotibial band syndrome, plantar fasciitis, Achilles tendinitis, and stress fractures. Repetitive stress on the same tissues without enough time for recovery or running with improper form can lead to many of the above. Runners generally attempt to minimize these injuries by warming up before exercise, focusing on proper running form, performing strength training exercises, eating a well balanced diet, allowing time for recovery, and "icing" (applying ice to sore muscles or taking an ice bath).

Foot blisters are also common among runners. Specialized socks greatly help to prevent blisters.

Another common, running-related injury is chafing, caused by repetitive rubbing of one piece of skin against another, or against an article of clothing. One common location for chafe to occur is the runner's upper thighs. The skin feels coarse and develops a rash-like look. A variety of deodorants and special anti-chafing creams are available to treat such problems. Chafe is also likely to occur on the nipple.

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A cold bath is a popular treatment of subacute injuries or inflammation, muscular strains, and overall muscular soreness, but its efficacy is controversial. Some claim that for runners in particular, ice baths offer two distinct improvements over traditional techniques. First, immersion allows controlled, even constriction around all muscles, effectively closing microscopic damage that cannot be felt and numbing the pain that can. One may step into the tub to relieve sore calves, quads, hams, and connective tissues from hips to toes will gain the same benefits, making hydrotherapy an attractive preventive regimen. Saint Andrew's cross-country coach John O'Connell, a 2:48 masters marathoner, will hit the ice baths before the ibuprofen. "Pain relievers can disguise injury", he warns. "Ice baths treat both injury and soreness." The second advantage involves a physiological reaction provoked by the large amount of muscle submerged. Assuming one has overcome the mind's initial flight response in those first torturous minutes, the body fights back by invoking a "blood rush". This rapid transmission circulation flushes the damage-inflicting waste from the system, while the cold water on the outside preserves contraction. Like an oil change or a fluid dump, the blood rush revitalizes the very areas that demand fresh nutrients.

Some runners may experience injuries when running on concrete surfaces. The problem with running on concrete is that the body adjusts to this flat surface running and some of the muscles will become weaker, along with the added impact of running on a harder surface. Therefore it is advised to change terrain occasionally – such as trail, beach, or grass running. This is more unstable ground and allows the legs to strengthen different muscles. Runners should be wary of twisting their ankles on such terrain. Running downhill also increases knee stress and should therefore be avoided. Reducing the frequency and duration can also prevent injury.

A common acronym used to help the recovery process is RICE: rest, ice, compression, and elevation.

Another injury prevention method common in the running community is stretching. Stretching is often recommended as a requirement to avoid running injuries, and it is almost uniformly performed by competitive runners of any level. Recent medical literature, however, finds mixed effects of stretching prior to running. One study found insufficient evidence to support the claim that stretching prior to running was effective in injury prevention or soreness reduction. Another, however, has demonstrated that stretching prior to running increases injuries, while stretching afterwards actually decreases them. The American College of Sports Medicine recommends that all stretching be done after exercise because this is when the muscles are most warmed up and capable of increasing flexibility. Recent studies have also shown that stretching will reduce the amount of strength the muscle can produce during that training session.

Proper running technique can dramatically lower the risk of running injuries. Engaging the hips, driving the thigh or knee, pushing off with the ankles and not the hamstrings, pawing your legs back, and erect posture are some of the key actions in proper running technique. Running injuries can be from a lack of strength and stride length and pushing off with the hamstrings and not the ankle. The hamstrings and gluteus maximus are not involved in the push off phase of running, contrary to popular belief.

Barefoot running has been promoted as a means of reducing running related injuries though this position on barefoot running remains controversial and a majority of professionals advocate the wearing of appropriate shoes as the best method for avoiding injury.

Recent studies have shown that runners do not have more osteoarthritis than people who do not run.

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