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Running Injury Rehab: The Diagnosis Is Only Part of the Story · MSKMag OutLoud

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  SPEAKER_00: Running Injury Rehab.
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  SPEAKER_00: The diagnosis is only part of the story.
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  SPEAKER_00: Aidan O'Flaherty.
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  SPEAKER_00: When I first started writing this article,
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  SPEAKER_00: I found myself writing a more traditional piece on running injury rehab.
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  SPEAKER_00: The importance of a good subjective history,
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  SPEAKER_00: accurate diagnosis, load management and progressive rehab.
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  SPEAKER_00: All of that is key and I will touch on these things throughout the article.
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  SPEAKER_00: But I also wanted to write something that felt a little more reflective
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  SPEAKER_00: and practical based on what working with runners has taught me.
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  SPEAKER_00: Over the past 7-8 years of solely working with runners,
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  SPEAKER_00: I feel I have gained some great insights into different training habits,
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  SPEAKER_00: running cultures, beliefs and what it means to be a healthy runner.
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  SPEAKER_00: I have been lucky enough to work with Olympic level runners from 800m all the way up
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  SPEAKER_00: to the marathon.
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  SPEAKER_00: I also work with competitive club runners to those who are just starting out
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  SPEAKER_00: and looking to run their local park run.
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  SPEAKER_00: I wanted to share some insights that I have learned from working
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  SPEAKER_00: with all these runners and experiencing different running cultures
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  SPEAKER_00: and I hope you find it useful.
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  SPEAKER_00: The more runners I work with, the more I come back to a similar point.
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  SPEAKER_00: Running injury rehab is rarely just about treating the painful area.
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  SPEAKER_00: Of course, we know the diagnosis matters.
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  SPEAKER_00: The tissue involved matters.
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  SPEAKER_00: Is it bone, tendon, muscle, neural?
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  SPEAKER_00: If we only focus on where the pain is, we often miss the bigger picture.
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  SPEAKER_00: What has this runner been prepared for?
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  SPEAKER_00: What training have they been exposed to over time?
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  SPEAKER_00: What has changed in the last few weeks or months?
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  SPEAKER_00: How do they interpret their training plan?
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  SPEAKER_00: Can they adapt when training is not going to plan
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  SPEAKER_00: or do they feel like they must compete whatever is written
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  SPEAKER_00: in their training program?
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  SPEAKER_00: What is their belief around why they got injured?
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  SPEAKER_00: These questions help us create the bigger picture.
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  SPEAKER_00: What has this runner been prepared for?
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  SPEAKER_00: One of the biggest things I've learned is that a runner's background matters.
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  SPEAKER_00: It starts with the younger athlete.
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  SPEAKER_00: We have a huge influence on the young athlete development
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  SPEAKER_00: and I feel it is something we need to take seriously and create more awareness on.
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  SPEAKER_00: I feel fortunate but also slightly uncomfortable at times to have treated hundreds
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  SPEAKER_00: of young athletes who have done well in the sport but also many
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  SPEAKER_00: who have had significant running related injuries or RRIs.
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  SPEAKER_00: Some of these injuries come with potential long-term consequences,
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  SPEAKER_00: particularly when relative energy deficiency in sport,
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  SPEAKER_00: or REDS, is part of the picture.
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  SPEAKER_00: Bone health is a good example.
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  SPEAKER_00: We know bone mineral density continues to develop into early adulthood,
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  SPEAKER_00: so adolescents and early 20s are a significantly important window.