Free Injury clinic hosted by coastal therapy
If you are experiencing any running related injuries, feel free to sign up for our free injury clinic hosted by the staff at Coastal Therapy on the first Saturday of every month (unless scheduled otherwise) at Fleet Feet from 10 am – 12 noon. It only takes about 10-15 minutes. They will check you out, let you know what's going on, and give you advice on how to overcome your injury and prevent it from coming back in the future. To make an appointment call Fleet Feet Sports at 912-355-3527.
If unable to attend, you may also contact Coastal Therapy for a free mid week injury screen by calling 912-351-2382 or 912-355-0123. They now have extended hours from 7 am to 6 pm for your convenience.
Martin Healy, PT, ATC (physical therapist, athletic trainer) Coastal Therapy
A runner recently complained of lateral knee pain.
History: The runner had been training for a half marathon and was out on a long run over two weeks ago when a sharp, lateral pain in the knee caused the runner to slow, and then stop running. The runner now has pain laterally that is described as “knife-like” after just 1-2 miles of running and now affects activities of daily living including going up/down stairs.
Evaluation: The runner had full knee ROM, no swelling or pain with walking. Pressing on the lateral aspect of the knee approximately 3 inches above the joint caused significant increase in pain, but no pain at the joint line. The runner was rather inflexible with tight hamstrings, IT- Band, Hip Rotators and tight calves (gastroc/soleus). Also weakness of quads and hip abductors (lateral hip muscles) as noted. Moderate foot pronation was also noted.
Assessment: IT Band Friction Syndrome – commonly seen in runners who have increased their mileage or started running hills. It is caused by continual friction of the IT Band as it crossed back and forth over the lateral condyle (or bony part) of the knee 800 times per mile at the exact same angle. Other contributing factors included the tightness of the IT Band, overpronation, and weakness of the lateral hip muscle (hip abductor or gluteus medius).
Treatment: We showed this runner specific stretches to the IT Band and lateral hip, hamstrings, and hop rotators. We also showed specific strengthening to the quadriceps and hop abductors. Finally, we suggested off the shelf orthotics (sold at Fleet Feet) and a motion control running shoe (from Fleet Feet). The runner was also encouraged to ice 3 times per day for 15 minutes and to purchase “the stick” (sold from Fleet Feet) for deep massage to IT Band avoiding the area of irritation. Also carefully designed return to running program (pain free) and cross training program were provided.
If symptoms persisted, it was suggested that more aggressive techniques could be provided by a sports medicine specialist, preferably one with physical therapy and athletic training (ATC) experience, and who are familiar with treating running related injuries. We at Coastal Therapy are committed to getting you back on the road as quickly and safely as possible.