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Fitness

The 3 Most Common Endurance Sports Injuries and How to Treat Them

As a chiropractor in an area where endurance sports are popular, I see a lot of injuries that are related to distance runners. Here are the 3 most common injuries I come across and how I treat them.

Lindsey Mathews

Written by Lindsey Mathews Last updated on Nov 22, 2021

The West Coast, particularly West Los Angeles where I practice, is a hub for endurance training. Even though I stay clear of anything longer than a 5K, I’m submerged deep into the track and field, marathon, and triathlon worlds because of a huge subgroup of my patients.

For this article I will be discussing all those that are 800m or longer distance runners. Sprinters, jumpers, and throwers are an even more distinct subgroup. Those middle-distance and above runners and triathletes really log the miles. A fifty plus mile a week is not uncommon, and unfortunately, with this high mileage comes a few common injuries. Due to the athlete’s ability to push through pain, the injuries may not apparent until they cause severe pain. Here are the three most common problems I see, and the treatment I recommend:

1. Stress Fractures

Injuries that affect the foot bones, including the calcaneus, are the most common. Swelling, pain, and tenderness in a distinct are all symptoms but are also not limited to stress fractures. If I even suspect a competitive runner of having a stress fracture, then I send them for an MRI to confirm the source of the problem. If the images reveal stress reaction or fracture, then I sideline the athlete for a minimum of six weeks, but more likely eight. At the six-week mark, if they are itching to get back out there, I take another MRI. If the images reveal anything resembling a stress reaction, then the athlete sits out two more weeks. All too often I’ve seen athletes try to run too soon, only to miss an entire season.

2. Ankle Sprain/Strains and Peroneal Tendonitis

Most of the time ankle sprains are traumatic at the onset, but then the severity varies. A proper chiropractic adjustment immediately after the ankle sprain and icing for ten minutes can significantly decrease healing time. Icing, soft tissue care, and chiropractic adjustments would be my treatment protocol. Before running again, there needs to be special attention focused on proprioceptive rehab training and even proper biomechanics. Pose running drills are definitely one of my go-to rehab choices. If proper rehab is not addressed, then the athlete will most likely return to my office within three months of the original injury, complaining of the same injury or of peroneal tendonitis.

3. Achilles Tendonitis

This one has to be the bugger of all buggers. In the last two years I’ve seen three completely severed achilles tendons and numerous athletes with achilles tendonitis. Those with a detached achilles who are still competitive will be referred for a surgical consult. Those with tendonitis have usually had it for years. When I encounter this situation, I hit it hard (similar to tennis or golfer’s elbow tendonitis). Besides treatment with me, initially for three times a week, the patient’s homework is to ice in an ice bucket 4-5 times a day for seven minutes, roll calves and quads out daily, and mobilize talus anterior to posterior. Once the tendonitis is under control, the patient will continue to return once a month for maintenance and do specific mobility exercises.

These are my top three injury players for mid- to long-distance runners. Here’s my general advice to all runners: use ice, since that seems to help every injury associated with the foot, go to a chiropractor to get your foot and pelvis adjusted, and respect the time your doctor or specialist has told you to take off. Nothing is worse than jumping the gun to return, only to be out of the game for months instead of weeks.

Photos courtesy of Shutterstock.

Lindsey Mathews

About Lindsey Mathews

Lindsey Mathews is a chiropractor who specializes in the biomechanics of the body and balancing the musculoskeletal system. She focuses on women’s health, perinatal chiropractic, and pediatrics. Lindsey aspires to create purity in pregnancy in today’s modern world and empower women to become “birth fit.”

Lindsey was born in Houston, Texas. She grew up on the river in New Braunfels, Texas. During high school, Lindsey participated in cheerleading and played soccer. While in college, she played intramural soccer and maintained her gymnastic skills while working at the Center for Student Athletes at Texas A&M. She is the proudest member of the Fightin’ Texas Aggie Class of 2005.

While on a medical mission trip to Tanzania, Africa, Lindsey decided that she wanted to enhance people’s lives in a natural way - without pharmaceuticals. Lindsey decided to become a doctor of chiropractic. She moved out to Los Angeles and completed her doctorate at the Southern California University of Health Sciences.

Lindsey worked at the International Sports Performance Institute from 2009-2012. She currently works at the American Health Lasers Los Angeles Clinic. She also owns her own business that specializes in pregnancy lifestyle coaching. Lindsey has treated numerous active people such as Olympic and professional athletes, CrossFit athletes, and CrossFit moms, and traveled the world to be on set for demanding stunts in film and television.

Lindsey practices what she preaches. She eats a paleo diet, exercises five to six times a week, gets adjusted, and takes fish oil. She currently is enrolled in and donates one weekend a month to the International Chiropractic Pediatric Association (ICPA). She is immersed in research and is relentless in her mission to naturally improve the lifestyle of women, mothers, children, and others. Lindsey lives with intention and is a proud member of Team Original.

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