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November 22, 2008

Runners Injuries
Shin Splints, IT Band Syndrome,
Plantar Fasciitis & Knee Pain
By Dr. William Booker, D.C.

There 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. The most common injuries
include shin splints, IT Band syndromes, Plantar Fascitis and Runners Knee.
Dr. William Booker D.C.
Most of these injuries present with increased intensity and milage. Fortunately,
most can be treated conservatively, without the need for surgery and aggressive
Dr. William Booker D.C. holds a
medications.
Doctorate of Chiropractic from the
Cleveland College of Chiropractic,
Los Angeles. He completed his SHIN SPLINTS
undergraduate studies at the
University of Virginia, where he Shin splints are characterized by pain on either the inside or outside portion of
graduated with a major in the shin. Most commonly, the pain occurs after running, but as the symptoms
psychology and a minor in Biology. increase, may limit ones ability to run at all. Traditionally, shin splints have been
treated by administering anti-inflammatory medications, using ice and
After completing his internship in
strengthening the muscles of the shin.
Philadelphia, Dr. Booker relocated
to Arlington to open the first
Capitol Rehab inside of Gold’s The secret to successfully treating shin splints is to accurately identify the cause.
Gym. Dr. Booker established Pelvic imbalances and/or improper movements of the foot and ankle have to be
Capitol Rehab-Arlington as the considered as culprits in creating added strain to the shin. In addition to the
flagship for what would be the remedies mentioned above, treatment must include proper corrections of the
eventual opening of eight muscular and joint imbalances of both the pelvis as well as the foot and ankle.
additional Capitol Rehabs located
throughout Virginia, West Virginia IT BAND SYNDROME
and Maryland.
Iliotibial Band Syndrome is characterized by pain on the outside of the knee,
thigh and in some cases the hip. The 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. The 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
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
continued 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. The 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
Dr. William Booker D.C. movements.

Dr. William Booker D.C. holds a PATELLAR TRACKING DYSFUNCTION: AKA-RUNNER´S KNEE
Doctorate of Chiropractic from the
Cleveland College of Chiropractic, This is the most common complaint of the knee for both the avid and casual
Los Angeles. He completed his runner. Another common medical diagnosis with a similar presentation, is
undergraduate studies at the Patellar Tendonitis. Both conditions originate from muscular imbalances of the
University of Virginia, where he thigh and hamstring as well as misalignments of the pelvis and spine.
graduated with a major in
psychology and a minor in Biology.
Initial treatment consists of reducing te pain and inflammation. This is then
After completing his internship in
followed by correction of the joint and muscular imbalances. We recommend an
Philadelphia, Dr. Booker relocated aggressive program of chiropractic, physical therapy and stabilization training for
to Arlington to open the first the entire locomotor system including the pelvis, hip, thigh and leg.
Capitol Rehab inside of Gold’s
Gym. Dr. Booker established CONCLUSION
Capitol Rehab-Arlington as the
flagship for what would be the Runners injuries are common, but they can be successfully treated with a
eventual opening of eight comprehensive program that looks to reduce pain and inflammation, improve
additional Capitol Rehabs located
joint movements and coordinate motor control of the muscles of the hip, knee
throughout Virginia, West Virginia
and Maryland.
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