Dan said:I've been running for about 18 months and now having some
serious problems. I have developed pretty serious shin
splints, some knee pain, back pain, and some soreness. I
suspect that it's all related. This started about 3 weeks
ago and has gotten progressively worse. I had to stop
running yesterday after about 2 miles due to shin pain and
stiffness.
Have you tried backing off for a few days to let
things recover?
Quoted message said:
I'm doing about 12-15 miles/week, running every other day,
mostly on trails with some steep hills. I do some road
running as well (maybe 25%).
Are these being done easy, hard, variety of efforts/speeds?
How steep (% slope), long (vertical ht or horizontal
distance) are the hills, and are you running hard down them?
and just started doing that a few weeks ago.
Quoted message said:
Any idea how I can diagnose this?
Post your answers to jobs' questions or anything else you
can think of that changed in the last few weeks to see if
anything pops up.
Backing off and some strengthening drills may help - toe
lifts for the shins, quad drills for knees, and core for
back pain - assuming no counterindications to doing those
drills. But also knowing for sure whether it's a soft tissue
shin injury (shin splints is a generic term) or perhaps
something more serious would affect rehab and recovery.
Do I need a sports doctor? Trainer?
Quoted message said:Foot specialist?
possibly - depends on severity of injuries and what medical
practitioners are in your area and their skills / interests.
I'd lean toward a sports doctor or PT who knows runners.
Foot specialists may not understand the interactions of feet
on rest of body, but hopefully a sports doc or PT who knows
runners would.
Quoted message said:Do I just wait it out and hope it goes away?
If by "wait it out", you mean stop running for a few days or
a couple weeks or more until the pain subsides, and trying
to figure out what you did wrong and fix it, then that is
one option. If you mean run through it, that might not be a
good route.
You need to figure out what went wrong (find cause)
and fix that.
FWIW, I had some major AT/PF about 5 yr ago (not related to
running), got orthotics, PT fixed symptoms, and after summer
of field work it had pretty much gone away. A few years
later, I had a minor re-occurrence, but this time I was in
the process of seeing a PT for a gait analysis. He also did
some standard PT analyses and found a number of muscle
imbalances and some foot/ankle issues that were partly
structural, partly functional. He gave me a bunch of
exercises to do which improved the foot/ankle functioning
but also helped with the imbalances. He also changed my
shoes from what the running shoe store recommended.
His overall analyses and catching other things before they
became a problem were really helpful to me. I'm still
working on strengthening some things, but I'm much better
off because of the stuff he showed me. I would've never been
able to diagnose those other issues on my own, and he likely
saved me some future down time. Given the number of issues
you've developed seemingly all at once, it sounds similar to
one of my past indiscretions. Or it could be shoes.
Dot
--
"Success is different things to different people" -Bernd
Heinrich in Racing the Antelope