ABSTRACT
This article is an overview from a sports medicine podiatrist who deals mainly with athletes. The author addresses all aspects of rehabilitation.
Subject(s)
Hallux Valgus/surgery , Osteotomy/methods , Sports , Biomechanical Phenomena , Hallux Valgus/diagnosis , Hallux Valgus/physiopathology , Hallux Valgus/rehabilitation , Humans , Osteotomy/rehabilitation , Physical Therapy ModalitiesABSTRACT
Iliotibial band syndrome was diagnosed in 48 of 1030 runners treated for lower extremity musculoskeletal complaints. Most athletes had been running 20 to 40 miles a week for one year or longer and had significantly changed their distance, speed, terrain, surface, and/or shoes before the onset of symptoms. Symptoms often persisted for 2 to 6 months. All runners were treated conservatively with rest, stretching, reduced distance, anti-inflammatory medications, local cortisone injections and/or orthoses.
Subject(s)
Athletic Injuries/etiology , Ilium/injuries , Running , Tibia/injuries , Adolescent , Adult , Aged , Athletic Injuries/physiopathology , Athletic Injuries/therapy , Child , Diagnosis, Differential , Female , Humans , Joint Diseases , Knee Joint , Male , Middle Aged , Physical Examination , Sex Factors , Shoes/adverse effects , SyndromeABSTRACT
In brief: To compare infrared thermography, radionuclide bone scanning, and routine x-ray in diagnosis, a prospective blind study was conducted on 17 athletes (ten men, seven women) who had exertional leg pain compatible with stress fracture. The athletes with 'hot' patterns were unable to resume their original activity, while those with 'cold' patterns were able to resume activity. Additionally, specific soft-tissue syndromes were identified. The data indicate that thermography may be an accurate, noninvasive new way to distinguish stress fracture from other causes of shinsplint syndromes in runners. Applied repeatedly, this technique could be used to follow the course of bone healing, permitting the earliest safe return to activity.
ABSTRACT
In brief: Iliotibial band syndrome was diagnosed in 48 of 1,030 runners treated for lower extremity musculoskeletal complaints. Most Patients had been running 20 to 40 miles a week for one year or longer and had significantly changed their distance, speed, terrain, surface, and/or shoes before the onset of symptoms. Persons with a varus knee alignment Were most likely to develop the symptoms, which often persisted for two to six months. All runners were treated conservatively with rest, reduced distance, anti-inflammatory medication, local cortisone injections, and/or orthoses.
