Running Injuries- Dr William Sachs

Spring is a great time to get back to your running routine.  But remember, it is always important to take it slowly and to train carefully with the advice of  an expert to avoid injuries.

Before you get started it is always important to stretch before and after running to minimize injury. Choosing proper fitting shoe gear is very important as well. You must have the correct shoe for the type of activity you  participate in. Finally, you want to consult with your Sports Podiatrist should you begin to develop any pain or difficulties when you begin your program.  The foot is a complicated structure that must not only support you,  but it must also be a mobile adapter and shock absorber for the many surfaces you exercise on.  If your feet are not functioning effectively many injuries such as the ones listed below can occur:

Shin Splints are quite painful and occur on the front and inside of the leg.  They are usually a result of running on hard surfaces, overstriding, muscle imbalance or overuse. Treatment consists of stretching, rest, ice therapy, NSAIDS, and rebalancing the foot with and orthotic device.

Plantarfaciitis is the result of an excessive stretch of the tight muscle band on the bottom of the foot(s).  This can result from overuse, poor footgear, or muscle imbalance.  Treatment is  at supporting the foot and reducing inflammation.  These include rest, OTC support , NSAIDS, stretching and custom orthotics.

Stress Fractures occur from overuse or lack of support.  This is an incomplete fracture that can go on to a complete fracture. 
An xray or bone scan is needed to diagnose this fracture.  Treatment includes rest and immobilization in a surgical shoe or walking boot until this fracture heals.

Blisters and Nail Problems can be annoying or debilitating if not cared for properly.  It is common to experience blisters or nail problems due the constant pounding and friction created in the shoe when running.  Blisters result from friction created by an ill fitting shoe or a prominence on the foot.  If a blister occurs it is helpful to drain the blister at its edge and cover with an antibiotic cream and bandaid or moleskin.  Ingrown toenails are caused by improperly trimming the nail or by shoe pressure, injury or poor foot structure.  If an ingrown nail occurs and  becomes red and tender, seek treatment from your Podiatrist.

 The spring is an excellent time to renew your commitment to good health.  Be sure your feet are in good shape so you can reach your goals pain free!

Dr William Sachs


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