When you are treating an injured runner, do you have them stop or limit their running?
Answer
Runners are so motivated to stay running. In some regards running can actually be productive in the healing process as long as we are utilizing it in a way that is appropriate with the stage of their condition and the nature of their tissues. If they absolutely cannot run without having severe pain, then we may have to limit the running to a certain extent or do some aquajogging. I try to find something that they can do that might not load the tissues that are painful but load all of the tissues around it. So, if they can, I keep them running. We might have to adjust their volume (decrease how much they are running). You can also do some modifications. If you've looked at the biomechanical literature, there are modifications that you can make that will decrease the stress which allows them to run with less pain. For example knee pain, our most common condition, you can decrease the load through the knee joint by changing their step rate. So if you increase their step rate a little bit, oftentimes there will be a decreased load through the knee that may be just enough to allow them to keep running while you are performing your rehabilitation. And then you can decide after that point if you may want them to resume a different step rate.
Shane McClinton, PT, DPT, OCS, FAAOMPT, CSCS
Shane McClinton, PT, DPT, OCS, FAAOMPT, CSCS is a physical therapist at the Des Moines University Physical Therapy Clinic and Human Performance Laboratory. He graduated with a Masters in Physical Therapy from Des Moines University – Osteopathic Medical Center in 2001 and obtained his post-professional doctorate in 2007. Dr. McClinton completed fellowship training through Regis University in Denver, Colorado and has achieved Fellow status within the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT). He is now pursuing his Doctorate in Philosophy (PhD) in Orthopaedic and Sports Science through Rocky Mountain University in Provo, UT. Dr. McClinton is board certified in Orthopaedics (OCS) and a Certified Strength and Conditioning Specialist (CSCS) whose clinical emphasis is on the management of movement-related and function-limiting conditions in adult, geriatric, and athletic populations. He directs the Des Moines University Running and Cycling Clinic focusing on physiological/motion analysis, injury prevention, and rehabilitation for runners, cyclists, and triathletes of all ages. In addition Dr. McClinton instructs the Des Moines University post-professional manual therapy interventions course. His research interests include outcomes of musculoskeletal physical therapy management including integration of manual therapy and exercise in addition to analysis of dynamic and static characteristics of individuals with musculoskeletal disorders.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/complex-and-chronic-impairment-in-4353Complex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comComplex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.4353OnlinePT120M
This webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
2https://www.physicaltherapy.com/pt-ceus/course/cycling-related-injury-common-injuries-4868Cycling Related Injury: Common Injuries of the Recreational Indoor and Outdoor CyclistsWith the pandemic and post-pandemic popularity of spin cycling exercise classes, as well as outdoor road biking, an increase in spinning-related injury and pain is ever present in the active population. This course is designed to highlight the mechanics and muscular activation required during the cycle revolution and the implications of speed, stand cycling, and power output on the risk of development of overuse injury.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comCycling Related Injury: Common Injuries of the Recreational Indoor and Outdoor CyclistsWith the pandemic and post-pandemic popularity of spin cycling exercise classes, as well as outdoor road biking, an increase in spinning-related injury and pain is ever present in the active population. This course is designed to highlight the mechanics and muscular activation required during the cycle revolution and the implications of speed, stand cycling, and power output on the risk of development of overuse injury.4868OnlinePT120M
With the pandemic and post-pandemic popularity of spin cycling exercise classes, as well as outdoor road biking, an increase in spinning-related injury and pain is ever present in the active population. This course is designed to highlight the mechanics and muscular activation required during the cycle revolution and the implications of speed, stand cycling, and power output on the risk of development of overuse injury.
3https://www.physicaltherapy.com/pt-ceus/course/groin-pain-etiology-differential-diagnosis-4869Groin Pain: Etiology, Differential Diagnosis, and Treatment StrategiesDelve into the intricacies of groin pain as we unravel its causes, discuss effective differential diagnoses, and explore cutting-edge treatment approaches. Don't miss this opportunity to enhance your understanding and refine your clinical strategies in addressing this common yet complex medical concern.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comGroin Pain: Etiology, Differential Diagnosis, and Treatment StrategiesDelve into the intricacies of groin pain as we unravel its causes, discuss effective differential diagnoses, and explore cutting-edge treatment approaches. Don't miss this opportunity to enhance your understanding and refine your clinical strategies in addressing this common yet complex medical concern.4869OnlinePT180M
Delve into the intricacies of groin pain as we unravel its causes, discuss effective differential diagnoses, and explore cutting-edge treatment approaches. Don't miss this opportunity to enhance your understanding and refine your clinical strategies in addressing this common yet complex medical concern.
4https://www.physicaltherapy.com/pt-ceus/course/hip-arthroscopy-clinician-s-approach-4870Hip Arthroscopy: A Clinician's Approach to Diagnosis, Complications and RehabilitationUncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comHip Arthroscopy: A Clinician's Approach to Diagnosis, Complications and RehabilitationUncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.4870OnlinePT180M
Uncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.
5https://www.physicaltherapy.com/pt-ceus/course/lower-extremity-myofascial-chains-identifying-4361Lower Extremity Myofascial Chains: Identifying the Source of Dysfunction and Treatment StrategiesThis course is a concise resource for the practicing clinician to solve those ”mystery” diagnoses the next day due to vague lower extremity symptoms and makes it hard to point to the exact source as it may be an etiology anywhere along the chain mimicking the symptoms. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comLower Extremity Myofascial Chains: Identifying the Source of Dysfunction and Treatment StrategiesThis course is a concise resource for the practicing clinician to solve those ”mystery” diagnoses the next day due to vague lower extremity symptoms and makes it hard to point to the exact source as it may be an etiology anywhere along the chain mimicking the symptoms. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.4361OnlinePT180M
This course is a concise resource for the practicing clinician to solve those ”mystery” diagnoses the next day due to vague lower extremity symptoms and makes it hard to point to the exact source as it may be an etiology anywhere along the chain mimicking the symptoms. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
