PREVENTION AND - PDF document

1 PREVENTION AND PREVENTION AND REHABILI
PREVENTION AND PREVENTION AND REHABILITATION REHABILITATION Topics of Tonight Topics of Tonight ’ ’ s Lecture s Lecture Common Injur

2 ies and Treatments Common Injuries and T
ies and Treatments Common Injuries and Treatments Causes of Common Injuries Causes of Common Injuries Measures to Avoid Injury Measures to Avoid

3 Injury How To Avoid Injury How To Avoid
Injury How To Avoid Injury How To Avoid Injury Proper shoes Proper shoes Warm Warm - - up up Training methods Training methods Stretching Stret

4 ching Muscle strengthening Muscle streng
ching Muscle strengthening Muscle strengthening Plantar Fasciitis/Heel Pain Plantar Fasciitis/Heel Pain Definition: Definition: Inflammation o

5 f Inflammation of plantar fascia most
f Inflammation of plantar fascia most plantar fascia most often occurring at the often occurring at the origin on the heel origin on the

6 heel (inside edge). (inside edge). Al
heel (inside edge). (inside edge). Also may be associated Also may be associated with heel spurs with heel spurs (not (not necessarily

7 the cause of the necessarily the cause
the cause of the necessarily the cause of the fasciitis) fasciitis) Chronic injury caused Chronic injury caused by repetitive overuse by re

8 petitive overuse (changes in training
petitive overuse (changes in training (changes in training levels) levels) Plantar Fascia of Right FootCommon Site for Pain of Plantar Fascii

9 tis Plantar Plantar Fasciitis Fasciiti
tis Plantar Plantar Fasciitis Fasciitis Etiology: Etiology: – – Repetitive stress (traction) during Repetitive stress (traction) du

10 ring weight bearing and/or push off wei
ring weight bearing and/or push off weight bearing and/or push off – – predisposing factors: rigid pes cavus, predisposing factors:

11 rigid pes cavus, shortened achilles ten
rigid pes cavus, shortened achilles tendon, shortened achilles tendon, hypermobile forefoot hypermobile forefoot Pathology: Pathology: –

12 – Microtrauma/inflammation at the
– Microtrauma/inflammation at the Microtrauma/inflammation at the insertion of the plantar fascia into insertion of the plantar fascia

13 into the calcaneous with w/out bony th
into the calcaneous with w/out bony the calcaneous with w/out bony exostosis exostosis formation (calcaneal spur) formation (calcaneal spur)

14 The Pain of Fasciitis The Pain of Fascii
The Pain of Fasciitis The Pain of Fasciitis Treatments for Plantar Treatments for Plantar FasciitisFasciitis Prevents shortening Prevents short

15 ening of fascia over night. Helps incre
ening of fascia over night. Helps increase flexibility Helps increase flexibility of Plantar fascia. of fascia over night. of Plantar fascia.

16 Foot Foot Pronation Pronation and an
Foot Foot Pronation Pronation and and Tibial Tibial Torsion: Torsion: Achilles Tendonitis Achilles Tendonitis Definition:Definition:–&

17 #150;Inflammation of Inflammation of the
#150;Inflammation of Inflammation of the Achilles the Achilles tendon most tendon most often occurring at often occurring at the insertion on th

18 e insertion on the back of the the back
e insertion on the back of the the back of the heelheel––Often associated Often associated with a with a ““pump pump bumpbum

19 p””or bone or bone spurspur Ac
p””or bone or bone spurspur Achilles Tendonitis Achilles Tendonitis Symptoms: Symptoms: – – Morning Morning stiffness stif

20 fness – – Pain with steps Pai
fness – – Pain with steps Pain with steps (esp. down) (esp. down) – – Pain with Pain with activity activity – –

21 ; Pain can be Pain can be located in
; Pain can be Pain can be located in located in middle of middle of tendon as well tendon as well and can produce and can produce a a

22 “ “ nodule nodule ” Tre
“ “ nodule nodule ” Treatment: Treatment: – – NSAID NSAID ’ ’ s s , physical , physical therapy, heel lif

23 ts, therapy, heel lifts, stretching, i
ts, therapy, heel lifts, stretching, ice/heat stretching, ice/heat – – AVOID steroid AVOID steroid injections! injections! –

24 – Casting if no relief Casting if
– Casting if no relief Casting if no relief with other with other conservative conservative treatment treatment – – Surge

25 ry as an Surgery as an absolute last r
ry as an Surgery as an absolute last resort absolute last resort ” Patella Femoral Stress Patella Femoral Stress Syndrome Syndrome Mech

26 anismMechanism Signs and Signs and Sympt
anismMechanism Signs and Signs and SymptomsSymptoms Iliotibial Band Friction Syndrome Iliotibial Band Friction Syndrome MechanismMechanism–

27 –OveruseOveruse––Running
–OveruseOveruse––Running down hill s Running down hill s ––Over Over pronationpronation––Worn out shoesWorn o

28 ut shoes––Running on Running o
ut shoes––Running on Running on cambered surfacecambered surface––Tight bandTight band––Bow legsBow legs–

29 0;Weak quadricepsWeak quadriceps Iliotib
0;Weak quadricepsWeak quadriceps Iliotibial Iliotibial Band Syndrome Band Syndrome Signs and Treatment Signs and Treatment TreatmentTreatment Ic

30 eIce Relative RestRelative Rest NSAIDsNS
eIce Relative RestRelative Rest NSAIDsNSAIDs ITB StretchesITB Stretches Quad Quad StrengthenignStrengthenign Pelvic Stability ExPelvic Stability

31 Ex Proper ShoesProper Shoes Signs/Sympt
Ex Proper ShoesProper Shoes Signs/Symptoms Signs/Symptoms Pain on outer side Pain on outer side of knee of knee Pain usually Pain usually inc

32 reases with increases with run run Sub
reases with increases with run run Subsides slowly Subsides slowly after run after run Excessive pronation increases internal Excessive pron

33 ation increases internal rotation of the
ation increases internal rotation of the tibia, which accentuates rotation of the tibia, which accentuates the friction of the IT band and femor

34 al the friction of the IT band and femor
al the friction of the IT band and femoral condylecondyleTibialTibialalignment and size of femoral alignment and size of femoral condyle may als

35 o contribute to the condyle may also con
o contribute to the condyle may also contribute to the development of this conditiondevelopment of this condition Chronic Muscle Tears Chronic M

36 uscle Tears Characteristics: Characteris
uscle Tears Characteristics: Characteristics: Gradual rather than sudden Gradual rather than sudden Progresses and makes running Progresses and

37 makes running difficult, particularly
makes running difficult, particularly speed work difficult, particularly speed work Knots appear in affected muscle Knots appear in affected m

38 uscle Common in calf muscle Common in ca
uscle Common in calf muscle Common in calf muscle Develop eccentric muscle Develop eccentric muscle weakness, exposed during faster weakness,

39 exposed during faster running running
exposed during faster running running Chronic Muscle Tears Chronic Muscle Tears Treatment: Treatment: Stretching Stretching Strengthening St

40 rengthening Cross Cross - - friction mas
rengthening Cross Cross - - friction massage friction massage Foot Rehabilitation Strengthening–A number of exercises can be performed Writ

41 ing alphabet Picking up objects Ankle ci
ing alphabet Picking up objects Ankle circumduction Gripping and spreading toes Towel gathering Towel Scoop Discussion ? Discussion ? Comments ?