You are on page 1of 2

November 22, 2008

Runners Injuries
Shin Splints, IT Band Syndrome, Plantar Fasciitis & Knee Pain
By Dr. William Booker, D.C. ere is a rapid increase in the number of people working to improve their overall physical fitness and conditioning through exercise. Unquestionably, the most popular form of cardiovascular exercise is running. Running is inexpensive, requires little equipment and is very convenient. If you can find a sidewalk or a path, you can find a place to run. Although running has been shown to provide several benefits, there are also several risks for injury. e most common injuries include shin splints, IT Band syndromes, Plantar Fascitis and Runners Knee. Most of these injuries present with increased intensity and milage. Fortunately, most can be treated conservatively, without the need for surgery and aggressive medications.

Dr. William Booker D.C.
Dr. William Booker D.C. holds a Doctorate of Chiropractic from the Cleveland College of Chiropractic, Los Angeles. He completed his undergraduate studies at the University of Virginia, where he graduated with a major in psychology and a minor in Biology. After completing his internship in Philadelphia, Dr. Booker relocated to Arlington to open the first Capitol Rehab inside of Gold’s Gym. Dr. Booker established Capitol Rehab-Arlington as the flagship for what would be the eventual opening of eight additional Capitol Rehabs located throughout Virginia, West Virginia and Maryland.

SHIN SPLINTS
Shin splints are characterized by pain on either the inside or outside portion of the shin. Most commonly, the pain occurs after running, but as the symptoms increase, may limit ones ability to run at all. Traditionally, shin splints have been treated by administering anti-inflammatory medications, using ice and strengthening the muscles of the shin. e secret to successfully treating shin splints is to accurately identify the cause. Pelvic imbalances and/or improper movements of the foot and ankle have to be considered as culprits in creating added strain to the shin. In addition to the remedies mentioned above, treatment must include proper corrections of the muscular and joint imbalances of both the pelvis as well as the foot and ankle.

IT BAND SYNDROME
Iliotibial Band Syndrome is characterized by pain on the outside of the knee, thigh and in some cases the hip. e iliotibial band is a thick, fibrous tissue that begins at the hip and extends to the outer side of the shin (tibia) just below the knee. e band works with several muscles of the thigh to provide stability to the outside of the knee joint. Treatment of IT Band Syndromes begin with correcting any leg length

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : drbooker@capitolrehab.com

continued

discrepancies and using proper footwear to address issues of overpronation. Traditional treatment will include icing the affected area, stretching, taking anti-inflammatory medications and in severe cases, administering cortisone injections to further reduce inflammation. An aggressive protocol of deep muscle work and Active Release Techniques to the overactive or tight IT Band is usually very effective in speeding up the recovery time.

PLANTAR FASCITIS
Plantar Fascitis is usually characterized by pain in the area of the heel bone and the sole of the foot. e pain can be pinpoint and local or it can travel along the arch of the foot. Proper assessment of the foot is essential as Plantar Fascitis pain mirrors the pain associated with a bone spur at the heel of the foot. If the initial evaluation of the involved area is inconclusive, it may be necessary to have a plain film Xray performed to rule out the bone spur. One must understand that Plantar Fascitis is a condition that develops over time due to joint and muscle imbalances of the lower leg and foot. Treatment must include, stretching and strengthening the calf muscle and well as improving the balance and strength of the small muscles that make up the sole of the foot. In some cases the patient may require orthotics to control improper foot movements.

Dr. William Booker D.C.
Dr. William Booker D.C. holds a Doctorate of Chiropractic from the Cleveland College of Chiropractic, Los Angeles. He completed his undergraduate studies at the University of Virginia, where he graduated with a major in psychology and a minor in Biology. After completing his internship in Philadelphia, Dr. Booker relocated to Arlington to open the first Capitol Rehab inside of Gold’s Gym. Dr. Booker established Capitol Rehab-Arlington as the flagship for what would be the eventual opening of eight additional Capitol Rehabs located throughout Virginia, West Virginia and Maryland.

PATELLAR TRACKING DYSFUNCTION: AKA-RUNNER´S KNEE
is is the most common complaint of the knee for both the avid and casual runner. Another common medical diagnosis with a similar presentation, is Patellar Tendonitis. Both conditions originate from muscular imbalances of the thigh and hamstring as well as misalignments of the pelvis and spine. Initial treatment consists of reducing te pain and inflammation. is is then followed by correction of the joint and muscular imbalances. We recommend an aggressive program of chiropractic, physical therapy and stabilization training for the entire locomotor system including the pelvis, hip, thigh and leg.

CONCLUSION
Runners injuries are common, but they can be successfully treated with a comprehensive program that looks to reduce pain and inflammation, improve joint movements and coordinate motor control of the muscles of the hip, knee and foot. If you continue to experience pain and discomfort, consider a second opinion from an integrated practice that incorporates the best in physical therapy, chiropractic and rehabilitation. For more information feel free to visit us at our website, www.CapitolRehab.com or call or email me directly at 703.527.5492 or DrBooker@CapitolRehab.com.

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : DrBooker@CapitolRehab.com