A marathon … a race which London Marathon co-founder Chris Brasher called ‘The World’s Most Human Race’.
Thousands of people enter the London Marathon each year, and we can see why. There’s a buzzing atmosphere, and spectators showcase the best of the human spirit, as they tirelessly cheer people on urging them not to give up.
We have patients who enter each year, and we know many of you run regularly so we would like to give you some information about common injuries and hopefully how to avoid them.
Injuries can affect anyone, from experienced runners to beginners, and for everybody the same simple advice applies: don’t run if your body is telling you not to.
At Good Health Centre we see a variety of injuries; let’s have a look at some of the most common, how you can try to avoid them and how our osteopaths go about treating them …
When treating, careful examination of the lower extremity will take place. The osteopath may want to examine you while running, and/or a passive assessment on the treatment couch. We need to collate all the information and understand why this condition has occurred and what is preventing this patient from getting better. Once this is established a course of treatment is undergone, coupled with some strengthening and stretching exercises tailor-made to the individual. The osteopath will also be advising you as to your training regime and appropriate distances.
Our advice would be to apply a cold pack if you can feel a lump in that area, and also massage the area with your fingers.
Some patients also find it beneficial to insert heel wedges in their shoes.
It is useful to firstly find out if unusual ankle biomechanics is the underlying cause of the problem.
Patients find it useful to use a foam roller up and down the calves, and it may be worth seeing a podiatrist to see if orthotics may help you.
Our osteopaths would start by careful assessment of all your surrounding joints. We will also look at your training programme, perhaps you’re loading too much too fast.
You will probably have heard of plantar fasciitis, which results in pain in the areas discussed. You’ll find it is at its worst at the start of the day, can be brought on by bending the toes up towards the shin, and is exacerbated by a tight Achilles tendon.
We would also look at the possibility of a calcaneal spur, which is an extra growth on the bone of the heel. They can be difficult to treat as you are constantly putting weight on it making it impossible to rest it.
We have found some patients respond quickly to manipulation of the foot (there are 26 bones in each foot!). If we can get all the joints moving well, it means the loading of the plantar fascia is reduced.
The most common muscles we treat in relation to running are the hamstrings (three posterior thigh muscles) and the calf muscles.
Muscle strains are common in new runners, as they are exercising muscles that are not used to being pushed.
If you experience muscle strain, we advise that you stop running, and apply a cold pack for around 20 minutes a few times a day. You can also try elevating your leg, and use a pillow for support to reduce any swelling.
A few tips from our osteopaths …
It is also important to be honest with yourself; running a marathon may be on your bucket list but some people are just not suited to running.
If you would like to be seen by one of our osteopaths or if you have any further questions, then please get in touch with us. You can call us on 0113 237 1173 or email [email protected], and we will get back to you promptly.