Many
injuries to the joints are caused by a one-time traumatic event, such as a
fall. However, more common are overuse injuries or conditions that result from
too much activity, repetitive activities, poor form or a combination of those
factors. Athletes often experience overuse injuries, but they can also be
caused by daily activities — for example, tennis elbow is only caused by
playing tennis in about five percent of all cases.
Because these injuries are so common, it’s important to understand
why they occur and how to avoid them.
Tennis Elbow
Lateral epicondylitis, or tennis elbow, is an inflammation of the
tendons on the outside of the elbow joining the forearm muscle to the joint.
The elbow joint consists of the humerus (upper arm) and the radius and ulna
(forearm) bones; the bony protrusions at the bottom of the humerus are called
the epicondyle. Tennis elbow occurs when repetitive motion, such as the swinging
of a racket, causes the extensor carpi radialis brevis, or the forearm tendon
attached to the epicondyle, to become inflamed. The result is pain or a burning
sensation on the outside of the elbow that worsens with activity.
Although most people can recover from tennis elbow without surgery
— rest, support and physical therapy usually solve the problem — it’s still
important to prevent it. Avoid repetitive motions for extended periods, use
proper equipment, and learn proper form and body mechanics
Shin Splints
Most common among runners, shin splints is a painful condition
that can be brought on by any vigorous physical activity. The term refers to
pain occurring on the outer edge of the tibia, or shinbone; the medical term is
medial tibial stress syndrome and it refers to the inflammation of the muscles,
tendons and tissue surrounding the tibia, typically where the tissue meets the
bone.
Getting a medical diagnosis of shin splints is important because
the pain can often be confused with that of a stress fracture, tendonitis or
chronic exertional compartment syndrome, a serious and painful condition requiring
treatment. Shin splints, however, is treated with rest, ice, compression and
flexibility exercises; you can usually prevent the condition by wearing
supportive footwear and/or orthotic inserts, cross-training and gradually
increasing your activity as your fitness level improves.
Runner’s Knee
The complicated structure of the knee joint renders it susceptible
to several overuse injuries that cause pain to the front of the knee,
collectively known as runner’s knee, or patellofemoral pain syndrome. This pain
can be caused by any number of conditions, including flat feet, misalignment of
the kneecap, an injury to the joint or dislocation.
Runner’s knee is characterized by a pain in the front of the
kneecap (patella) where it connects with the lower end of the thigh bone
(femur). It’s aggravated by activity and by sitting or standing for long
periods of time. You’ll need to see a doctor to
determine the exact cause of the pain and course of treatment; for example, in
many cases the pain is caused by the patella being out of alignment. This can
wear on the patella’s cartilage and subsequent irritation on the lining of the
joint and underlying bone.
The specific treatment plan for runner’s knee depends on the
cause, but usually involves rest, physical therapy and support. You can prevent
the pain by wearing proper footwear, stretching appropriately, using good form
and increasing your activity gradually.
If you are experiencing pain and believe it is due to overuse, see
your doctor for diagnosis and treatment. From there, your doctor may refer you
to a specialist. Follow the appropriate precautions to avoid pain in the first
place.