|S.No||Injury Region||Specific Spot||Issue||Keywords||Injury time period||Root Cause||Facility visited||Short Term Cures||Long Term Cure||Followup Notes|
|1||Feet||Outer forefoot||Grainy seedlike wart, a hardened blackened area a bit deep in the outer skin which is only painful when friction increases between foot, shoe and ground||Corn, wart||2017-2018||Moisture from sweat, blisters from running possibly opened up feet to an HPV attack.||Local pharmacy||1. Washing 2 times daily with shampoo containing 2% Ketoconazole.|
2. Applying Collomak solution (containing 2g Salicylic acid) to affected area once a night
3. Scraping the legs clean every night and applying vaseline
4. Applying transparent dressing and/or waterproof blister tape specifically made for foot sole prior to hard running
|1. Continued footcare|
2. Re-visiting the type of socks worn with shoe for the particular speed regime of running
3. Hygiene while showering in public places post run
|Corn on right feet has disappeared. Left foot corn remains.|
|2||Feet||Toe||2 bunions on little toes since childhood. Recent injury at home kicking a bed by accident filled it with fluid and resulting in fine fracture.||Bunion||January - Oct 2018||Blunt injury to pre-existing bunion, aggravated possibly by shoe type and shape|
Harley Street, Abu Dhabi
1. Heel boot
2. Cortizone injections
3. Clearing of fluid
|1. Comprehensive physio program|
2. Correctly sized shoes
3. Avoid shoes with pointy toes and elevated heels.
|3||Lower limb||Frontal knee||Clicking at the lateral knee during knee flexion||Knee, click||RAK HM Training (2018)||Biomechanical reasons unconfirmed||NMC Speciality Abu Dhabi - Ortho department|
1. Fastum Gel - Ketoprofen 2.5%
2. Vitamin D - Vita D 10000 I.U
|Managing weekly distance||Did not occur again|
|4||Lower limb||Shin||Pain on the lateral side of leg bone. When sprinting, it feels like someone is hitting the leg with a hammer.||Shin splint, medial tibial stress syndrome||October 2018||Shoes maybe too rigid. Ankle may not have the flexibility needed such that they are pulled when running, causing damage to the membrane between muscle and the bone.||None||1. Immediate reduction of training mileage|
2. Run more often but keep it short
3. Run on softer surfaces
4. Rotate legs while stretching to reach all muscle groups
5. Keep laces loose over top of foot - try parallel lacing
|1. Ankle and calf flexibility exercises|
2. Run more often but short
3. Take part in running that is comprehensive in nature - i.e, don't neglect a foundation of conditioning runs before moving to fast paced running
|After 3-4 weeks of reduced weekly mileage, shin splits subsided. There was a period of stretching and strengthening the lower legs as well. (Beginner runners may need more than 4 weeks of reduced mileage to recover.)|
|5||Lower Limb||Lateral fibula near peroneal tendons||Stabbing pain just a little above lateral ankle bone||Peroneal muscle, fibula||Katching Kipchoge Event (November 2018)||Overuse injury from poor strength in foot eversion. Fast running creates stress on the fibula and peroneous longus muscles.|
During this event, instead of 20 runners, we had 17 runners thus adding more stressful 200m sprint loading on each runner's body. MRI ruled out fracture.
Harley Street, Abu Dhabi
2. Apply affected area with Anti-inflammatory cream called 'Algesal Baume' (main composition = 6.54g salicylic acid and 3.46g Diethylamine in 100g creme (prescription only)
3. After anti-inflammatory creme application, wrap with crepe bandage and tape it. Re-apply as necessary.
4. After stress fracture is ruled out, physiotherapy involved 3 sessions of cold ice therapy when muscles were 'warm to touch' followed by hot therapy. TENS therapy was done to affected area in each session for a total of 10 sessions.
5. Strengthening exercises for foot inversion and eversion.
|1. Re-model the rest and recovery plan according to energy system emphasis - whether anaerobic or aerobic. Anaerobic emphasis might need a 2 week working + 1 week rest plan. |
2. Abandon a race when potential loading is deemed too great.
3. High speed track racing needs considerable strength in foot inversion and eversion. Commit to strengthening exercises using tension band.
|After 4 weeks of continued physiotherapy, running mileage was increased to 100km/week without any issues. However, pace had to be moderate during this time.|
Physiotherapist has advised that speed can be increased beginning 5th week of rehab.
|6||Lower Limb||Posterior knee||Popliteal cyst (Baker cyst) |
Pain during knee extension is aggravated with high knee drills and hill running
|Knee cyst||January 2019||Unknown||NMC Speciality Abu Dhabi - Ortho department|
Dr. Ravichandran Subbaraj
|1. Diclofenac Sodium 75mg Sustained Release Tablets (15d application) |
2. Pantoprazole (15d application)
3. Ketoprofen 2.5% (5d application)
|Unknown as of yet. MRI is required to rule out any deep vein thrombosis. Issue may subside on it's own or it may point to arthritis. Doctor's advice is awaited.|
|7||Lower limb||Achilles Tendon||Tendon pain||Achilles tendon||October 2018||High loading on tendon|
Harley Street, Abu Dhabi
|Individual felt they were not diagnosed properly. Pain continued. Individual to try at some other clinic.||1. Rehab exercises mentioned on the right side.||Good paper : Silbernagel KG, Crossley KM. A proposed return-to-sport|
program for patients with midportion Achilles tendinopathy:
rationale and implementation. J Orthop Sports Phys Ther.
Link to paper : https://bit.ly/2HJY3Fz
|8||Stomach||Right abdomen||Stitches/cramp (Exercise related transient abdominal pain)||Stitch||Race. training||Cecal slap from diaphragm||None||1. Prolonging exhalations vs "panting"|
2. Slowing or stopping to execute above when in pain
3. Reducing excessive vertical oscillation while running to optimal levels (the bouncing theory)
4. Digesting food and emptying bowel 2 hours before physical exertion
5. Avoiding fibrous foods very close to physical exertion time
|1. Make sure the stomach muscles under the ribcage are not only supply but firm. Doing situps to strengthen them and doing back-bending as well to stretch them. This way, when the heart and lungs expand, they don't put pressure on the diaphragm. |
2. Hip rotation exercises are also good for suppling.
When repeatedly occuring, check with practitioner for inflammation of the peritoneal linings of the abdomen (Morton, Callister , 2000)
|Continue to monitor.|
Read : 1. Morton, DP, Richards, D & Callister, R. (2005) Epidemiology of exercise-related transient abdominal pain at the Sydney City to Surf community run. Journal of Science and Medicine in Sport. 8(2):152-62. Download paper : https://goo.gl/Jyane6
|9||Upper limb||Frontal/lateral Left thigh||Discomfort occuring only while lifting leg and aggravated by running and walking. No pain during cycling.||IT Band||Late July-early August triathlon training for Dubai IM70.3||Biomechanical reasons unconfirmed||LLH Abu Dhabi - Ortho department|
Joint issues ruled out.
|1. Anti-inflammatory tablet, Gel|
3. Full length 'Under Armor' compression tights - 'instant cure' reported
4. KT Taping left leg by trained fellow runner
|1. Re-iterating design of TRI training plan, spanning |
proper recoveries between concurrent workouts
2. Correcting muscle imbalances with strength training
3. Stretching daily - IT band, piriformis etc
4. Foam rolling from hip to knee
5. Paid consultant's suggestion being solicited
|10||Upper limb||Right leg, top of knee cap||Pain on both lower and upper knee cap on doing lunges. Distance specific pain occurs after 16k of running.|
A general dizziness sometimes.
|Knee||August-Oct 2018||Issue might be stemming from the back causing a diagnosed "weak hip" condition, forcing|
knee to take more load share while running.
5 bulged discs on subject's C3 - C7 is hypothesized to pinch nerves (possibly spinal nerves that go and branch at the knee) leading to patellofemoral pain. Concrete details awaited.
|Cleveland Hospital, Healthpoint knee and spine department (Abu Dhabi)||1. Immediate reduction of training mileage|
2. Reduction of running speed
3. Inclusion of swimming in weekly training
4. Allopathic medicine/oils for temporary relief. "Arponen" oil suggested - heat in a water bath and apply to affected area
|1. Physiotherapy - separate for knee and spine.|
2. Physio for knee involves muscle stimulator, cycle warmup, strength training for knee and balancing exercises
3. Sleeping with proper neck support.
4. Reducing cell phone use with improper cervical posture.
|Physiotherapy for knee and spine ongoing. Initial diagnosis says knee pain not related to neck.|
|11||Upper limb||Right knee||Pain in right knee||Knee||June 2018||MRI pictures suggested :|
1. Complete tear of the ACL
2. LCL and to lesser extent MCL grade 1 injury
3. Mild prepatellar bursitis
Patient did not undergo an ACL recontruction surgery
|National Hospital, Abu Dhabi||0-2 weeks : Minimize swelling and achieve full knee extension|
2-6 weeks : Walking with normal gait, strengthening exercise progression
6-12 weeks : Straight line jog, also swim-bike and cross-trainer
From Accelerated ACL Rehab - Kruse et.al , 2012
|1. 3-6 months : Back to running, straight line. Drills to include direction change.|
2. 6-12 months : Return to competitive sport
From Accelerated ACL Rehab - Kruse et.al , 2012
|Good paper :|
Kruse, L. M., Gray, B., & Wright, R. W. (2012). Rehabilitation after anterior cruciate ligament reconstruction: a systematic review. The Journal of bone and joint surgery. American volume, 94(19), 1737.