Archive for April, 2010

Know your athlete…Know your race

April 21st, 2010 by Dr.Murray

Effective treatment of the endurance athletes requires a basic knowledge of the rigors of the sport and training. You, the athlete, are best served when you have the confidence that your treating physician knows your sport as well as you do.
The Marathon covers 26 mile, 365 yards and was first run by the Greek messenger Phaedipides, who ran form the battle of Marathon to Athens. The Marathon race was started as modern Olympics event in 1896. There are more than 800 marathons in the world each year.
The 1st women’s marathon was in 1984 at the LA summer Olympics. Joan Benoit of the US won with a time of 2:24:52. Current Marathon World Record for males is 2:03:59, held by Haile Gebrselassie (Ethiopia), set a Berlin Marathon, Sep 2008. He is the first to break the 2:04 barrier. Current Marathon World Record for females is 2:15:25 held by Paula Radcliffe (Great Britain) set a London Marathon, Apr 2003.
The Ironman triathlon consist of: Swim 2.4 miles, Bike 112 miles, Run 26.2 miles and the World Championships are held each October in Kona Hawaii. The Ironman 70.3 triathlon consists of: Swim 1.2 miles, Bike 56 miles, Run 13.1 miles and the World Championships are held each November in Clearwater FL. The Olympic triathlon consists of: Swim 0.9 miles, Bike 24.8 miles, Run 6.2 miles. The Sprint triathlon consists of: Swim 0.5 miles, Bike 12.4 miles, Run 3.1 miles.
The Ironman triathlon is often referred to as the “World’s most prestigious one-day endurance event!” It was started in 1978 by a group of Navy Special Warfare SEALS based in Hawaii who had an argument about who was the fittest athlete. Navy Commander John Collins suggested that the best way to decide would be to combine the Waikiki Rough Water Swim, the Around Oahu Bike Race, and the Honolulu Marathon… It was said who ever finished would be called the “Ironman”. Gordon Haller won the first Ironman competition in 11:46:58.
Endurance athlete injuries are predominantly chronic/overuse, but and involve acute trauma as well. Most often, injuries are to skin, toenails, stress fractures, leg pain, and knee pain. Finding alternative activity for the endurance athlete is critical to recover from injury. Cross training such as aqua running, swimming, spinning, elliptical allows the athlete to maintain cardio-vascular fitness, while not causing further delay in healing.

Does your child experience heel pain?

April 13th, 2010 by Dr.Murray

If your child is experiencing heel pain,  he/she may have a condition known as Calcaneal Apophysitis (aka Sever’s disease).  It is typically present in children of ages 8-12 years who are physically active; usually gymnasts and soccer players. However and overweight child may also be at risk as the excess weight may cause extra stress and pressure on the calcaneal apophysis. This condition is basically an injury of the growth plate in the calcaneus (heel bone). The calcaneus forms a separate apophysis on the posterior inferior aspect which appears at 8 years and fuses around 14-16 years of age therefore this is rarely seen in older children/teenagers. During the time of growth, which is early puberty, the muscles and tendons in this area tend to be less flexible and any running and jumping activity may predispose your child to this condition. Your podiatrist may perform a squeeze test where you child will experience pain when the back of the heel is squeezed on both sides. They may also find that your child’s tendons have become tight. Your child may also walk with a limp or experience greater pain when on their tip toes. This pain may be present in one or both heels.
In an effort to prevent this, be sure that your child wears well-fitting, firm and supportive shoes to help maintain flexibility while your child is growing. A shock absorbent sole may also be helpful. Proper diet control may be necessary in the overweight child.
-Reduce activity
-Well fitting, supportive shoes
-A soft cushioning heel raise to reduce the pull from the calf muscles on the growth plate
-Stretching before activity and Icing 20 mins after activity
If condition is more severe:
Be sure to consult your podiatrist
Custom orthotics may be recommended
Strapping/taping during activity to limit ankle joint range of motion
Medication to reduce inflammation may be prescribed
A cast may also be given for 2-6 weeks to give the calcaneal apophysis a good chance to heal.
This condition is self limiting and will go away once the bone has fully fused at about 16 years. However it can be really painful so treatment is necessary to relieve symptoms of it during the time of growth.
To Consult Dr. Murray and Dr. Chang about your child’s heel pain, book an appointment online today!

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