Overuse injuries in the athlete

Shin pain in athletes

“…In cases where tendinopathy appears to be the primary lesion, a program focusing on a progressive eccentric/concentric exercise might be effective. 20 Referral to a physiotherapist for such a program is appropriate.…”

The Epidemiology, Risk Factors, and Nonsurgical Treatment of Injuries Related to Endurance Running

“…This is thought to be from repetitive stress of tissues over a period that overloads their adaptive capability (5,16). An example is tendinopathy, with the most common locations being the patellar tendon and Achilles in endurance runners (22). Tendinopathy encompasses a spectrum of degenerative changes to the tendon, which leads to tendon thickening, disorganization of fibers, and varying degrees of tearing.…”

“…Management of Achilles and patellar tendinopathies, the two most common tendinopathies in endurance running, can be difficult, but in general, following a supervised exercise program is the current recommendation (22). Complete rest and high loads should be avoided; isometric loading should initially be applied followed by increasing load as tendon pain starts to decrease (30,31).…”

Athletes now span every demographic

“…For example, Fallon discusses training load modification rather than cessation for a number of common overuse syndromes. 9 As sport is a major area of focus in athletes' lives, it is easy to see how overplaying rest will be received, as this apocryphal dialogue suggests: Doctor: 'You need to rest that injured leg for at least two weeks. '…”