Tutorial/Practical Overuse Injuries

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Tutorial/PracticalOveruse Injuries

• 15/1/2002

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Todays rundown

• Two case studies
• Discussion on assessment, management and
  evaluation
• Practical

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Case 1

• Mr X is a 45-year-old administrative officer who
  presented to your clinic complaining of left
  Achilles tendon pain that has been persisted for
  more than 2 months.
• He is active in sports, with regular sports
  participation of 3-5 times per week. The sports
  that he enjoys most is running, hiking and
  tennis. Currently he is training for his first
  half marathon scheduled in 2 months of time.

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Sequence of Prevention

• 1. Establishing the extent of the sports injury
  problem
• Incidence
• Severity

2. Establishing aetiology mechanism of injuries
3. Introducing preventive measures
4. Assessing their effectiveness by repeating
step 1
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Aetiology
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Aetiology
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Case 2

• A middle-aged runner presents with burning pain
  over his heel, aggravated with push-off during
  running. He also complains of stiffness first
  thing in the morning. This pain worsens since he
  increases his running mileage.

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References TA tendinitis

• Kvist M. Achilles tendon injuries in athletes.
  Sports Medicine 1994 18173-201.
• McLauchlan GJ, Handoll HHG. Interventions for
  treating acute and chronic Achilles tendinitis
  (Cochrane Review). In The Cochrane Library,
  Issue 4, 2001.

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References Plantar fasciitis

• Crawford F, Atkins D, Edwards J. Interventions
  for treating plantar heel pain (Cochrane Review).
  In The Cochrane Library, Issue 4, 2001. Oxford
  Update Software.
• Warren BL. Plantar fasciitis in runners. Sports
  Medicine 1990 10 338-345.