Running is promoted as a
great exercise for becoming fit and healthy, for prolonging our lives
and preventing or recovering from western lifestyle diseases.
Unfortunately running is also associated with a very high percentage
of injuries.
Because running is so good for our health it is very
important to prevent injuries that restrict our ability to run
(Fields, Sykes, Walker, &
Jackson, 2010).
The
fact that running is a natural form of human locomotion appears to be
at odds with the
injury figures. It is
therefore important to establish which are the common injuries
associated with running and whether they can be prevented.
Statistics
from the NZ Accident Compensation Corporation (ACC) show a total of
claims for
July 2012-June 2013 in excess of
29,000. Total cost for that year is $6.6m. These figures relate to
all injuries incurred while jogging.
When isolating the injury search
criteria to the ankle, foot, lower
leg and toes, the statistics show
almost 15,000 for the same period for a total cost exceeding $2.3m.
Detailed
statistics dating back to 2008 (www.acc.co.nz)
are shown in Table 1.
Table 1.
Financial Year | New Claims | Active Claims | Total Cost |
Jul 2008 – Jun 2009 | 5991 | 6935 | $2,476,667 |
Jul 2009 – Jun 2010 | 5927 | 7106 | $2,232,642 |
Jul 2010 – Jun 2011 | 5521 | 7106 | $1,885,636 |
Jul 2011 – Jun 2012 | 6092 | 7092 | $2,042,763 |
Jul 2012 – Jun 2013 | 6756 | 7920 | $2,343,444 |
New and Active Claims for Running
Related Injuries to Ankle, Foot, Lower Leg & Toes (adapted from
ACC, 03/2014)
Clearly,
jogging as a form of healthy exercise is proving very injurious for
many people.
There
have been various studies on injury rates in runners. Daoud,
Geissler, Wang, Saretsky, Daoud, & Lieberman (2012)
found that of the runners studied, 74% experienced moderate or
serious injury each year. The most common injuries were: muscle
strains (21.5%), medial tibial stress syndrome (13.8%), knee pain
(7.7%), iliotibial band syndrome (7.2%) and Achilles tendinopathies
(6.6%).
A
study by Dias
Lopes, Hespanhol Junior, Yeung, & Pena Costa, (2012) determined
that
the most frequent running-related injury among long distance runners
was the medial tibia stress syndrome (shin splints),
followed by achilles tendinopathy and plantar fasciitis.
Most injuries involved the knee
(7.2%-50%), lower leg (9%-32.2%), foot (5.7%-39.3%) or
thigh (3.4%-38.1%). Their study
analyzed eight previous studies which included 3500 marathon and
ultra marathon runners.
The
most common injuries according to Gallo,
Plakke, & Silvis (2012)
are the medial tibial stress syndrome
(4.9%), achilles tendinopothy (4.8%), tibial stress fractures (3.3%)
and gastroc/soleus strains/tears (1.3%).
References
The Accident Compensation Corporation.
Daoud, A. I.,
Geissler, G. J., Wang, F., Saretsky, J., Daoud, Y. A., &
Lieberman, D. E. (2012). Foot strike and injury rates in endurance
runners: a retrospective study. Med
Sci Sports Exerc, 44(7), 1325-34.
Dias
Lopes, A., Hespanhol Junior, L., Yeung, S. S., & Pena Costa, L.
(2012). What are the Main Running-Related Musculoskeletal Injuries?
Sports
Medicine,
42(10),
891-905.
Fields, K. B.,
Sykes, J. C., Walker, K. M., & Jackson, J. C. (2010). Prevention
of running injuries. Current sports
medicine reports, 9(3),
176-182.
Gallo, R. A.,
Plakke, M., & Silvis, M. L. (2012). Common Leg Injuries of
Long-Distance Runners Anatomical and Biomechanical Approach. Sports
Health: A Multidisciplinary Approach,
4(6), 485-495.
My doctor recommended a golf ball muscle roller for my shin splints, great tool for massaging, worked surprisingly very well helped and me recover faster than any other treatment! trust me your going to want to check it out! If you want to find out how your shin splints actually cause so many problems in the foot and ankle stay tuned to my blog (http://never-never-never-give-up.com).
ReplyDeleteGood luck!
Thanks Gary - massage is of course very useful for addressing the symptoms but only by treating the underlying cause of shinsplints will the issue be permanently erased. Runners that present with shin splints have seen the problem disappear once their technique has been corrected from that of an overstriding heelstriker to landing fore foot with increased cadence, improved posture and efficient biomechanics. I certainly use massage regularly with many clients, especially during the transitioning phase in order to assist their adaptation, especially the lower leg structures. Thanks for the comments!
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