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Runner's Knee Treatment San Diego

Runner’s Knee Treatment |San Diego

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Runner’s Knee Treatment | San Diego

Patellofemoral pain syndrome, aka runner’s knee, is characterized by achy, dull pain generally around the front of the knee. Runner’s knee is a common type of running injury that we see in our San Diego running injury clinic. With a combination of manual therapy, exercise, and run program modification, the runner returns to running pain free. Let’s take a look at common symptoms/causes of runner’s knee and the treatments that will get you back to running pain free.

Symptoms

Most runners will feel dull, achy pain diffusely around the front of the knee. The pain may favor the outer front or the inner front of the knee. It is usually worse with longer or down hill runs. Sitting for long periods usually increases tightness and soreness around the knee. Stretching often makes the knee feel better.

Runner's Knee Treatment San Diego

Common Causes of Runner’s Knee

Here are the most common causes for developing runner’s knee.

  1. Running Form– Many runners, beginner through experienced, have running form flaws that create excessive tension at the knees. Common culprits are running with a low cadence, over striding, running with a crossover gait, and poor posture. Read our blogs for more information: Increase Your Cadence!, Do You Run With a Cross-Over Gait?, Improve Running Posture.
  2. Performing “Too much, Too Soon”– This is what most commonly affects newer runners. They begin training for their first 5k, 10k, or half marathon and start running too many miles with too little recover. The tissues do not have enough time to heal between running sessions, and eventually injury results.
  3. Training Error– If a runner drastically changes their training, runner’s knee can develop. Adding significant amounts of hill training, particularly running down hill, is the most common training error that can cause or exacerbate runner’s knee.
  4. Muscular Imbalance– Runners who are excessively tight in the quadriceps muscles are prone to developing discomfort in their knees. Keeping up with a stretching regimen will help ease the symptoms.
  5. Older Age– Older runners tend to have some decrease in joint space due to wearing down of the tissues over the years. When the joint between the knee cap and knee wears down, there is more compression at the cartilage which can cause swelling and irritation of the local tissues. Every hear cracking, popping , or tearing when walking up and down stairs or with squats? Those are signs of cartilage wear called crepitus.

Runner’s Knee Treatment San Diego

Treatment for Runner’s knee involves 4 main approaches. The first is to address the injured tissue using Active Release Technique and Graston Technique. Active Release Technique for runner’s knee is effective at breaking down tight scar tissue around the knee. The second, using a running gait analysis to identify and correct common running form errors. Check out our full gait analysis for our patient with runner’s knee here: Runner’s Knee Case Study. The third is to modify the run training plan. Proper periodization is critical when coming back from injury. The goal is to modify certain factors (ex: terrain) that are known to irritate the knee. The fourth is to add strength training to the supporting muscle groups. This will provide more support, resist strain, and ultimately decrease chance of developing a running injury.

If you are experiencing pain in the front of the knee, you may be dealing with runner’s knee. It is important that you get the knee evaluated to get a proper diagnosis. This will help develop a correct treatment plan. Each person may benefit from slightly different approaches. The exercises and training modifications given to each patient are unique to the individual.

Our office is located in Mission Valley, San Diego near Normal Heights, La Mesa, Hill Crest, Point loma, Bay Park, Clairemont, Pacific Beach, and Bird Rock. Schedule online with one of our sports chiropractors today. We will help you get back to running pain free!

Proper Foot Strike San Diego Run Analysis

Which Foot Strike is Best for Running?

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Midfoot Strike San Diego Running Gait AnalysisHeel Strike San Diego Running Gait AnalysisForefoot strike San Diego Run Gait analysis

Which Foot Strike is Best for Running?

There is some debate as to which foot strike is best for running. Forefoot striking has been given a lot of attention due to the book “Born to Run” and the research by Dr. Daniel Lieberman of Harvard University. Essentially, it was found that natural runners (runners who run their whole lives) run with more of a forefoot strike which was also shown to decrease force at initial foot strike. These facts led to the conclusion that forefoot striking is the best way to run and prevent injury. Many people began forcing themselves  to run forefoot, or run barefoot which helped produce a forefoot strike naturally. Many people also found themselves severely injured due to the excessive strain on the Achilles Tendon, metatarsal bones, and plantar fascia!

Drastically changing the style in which you run is a major risk factor for injury. Is it possible to run as a fore foot striker? Absolutely! But if you were a habitual heel striker and then over night performed all of your mileage as a forefoot striker, you are asking for an injury. Any time you make change to your running form, it should be done gradually over weeks and months so your body has time to adapt and become stronger with the new style.

So Which Foot Strike is Best for Running?!?

There are three types of foot strikes with many variations between the three. Here is the answer, any and all foot strikes can be best for running! There are other more important aspects of running that must be dialed in and in most cases, how your foot strikes the ground is not a huge concern.  Where the foot lands in relation to your body is a more important area to address. If the foot is landing far away from your body, when the foot lands, a “braking” force will press back against your body, making you less efficient. This will ultimately cause fatigue, muscle soreness, and potentially lead to injury.

Running mechanics San Diego

Runner allowing foot to travel too far forward. Will land with “braking” force against body.

If you work on landing your foot closer to your body, you maintain forward momentum much more easily, thus making you a more efficient runner! It is also less jarring to your muscles and joints so it can prevent injury. So how does one land closer to the body? Many times runners need to work on taking smaller steps and usually the easiest way to do this is to increase cadence. Normal cadence is a range from 170-190 steps per minute (regardless of how fast you are running). By upping the cadence, you are forced to take smaller steps resulting in a foot strike closer to the body.

Adjusting to a faster cadence takes time. Read our article here to learn about ways to practice increasing your cadence. Some runners say, “It doesn’t feel natural to run with a faster cadence.” or “I just don’t feel like it works for me.”. Increasing cadence does not have to be a permanent fixture to your running form! However, performing higher cadence drills will retrain your body to take those smaller steps. So after weeks and months of practice, you will naturally get the feel for where the foot should land which is closer to your body. Then you can essentially run at whatever cadence feels comfortable now that the smaller steps are built into your muscle memory.

Foot Strike San Diego Run Technique

Landing with foot close to body, maintaining forward momentum.

One More Time… Which Foot Strike is Best for Running?!?!?!?!

Ok, I will pick a side, sort of. First, work on the above mentioned techniques to improve where your foot lands. Now, in general, an excessive heel strike, or an excessive forefoot strike can lead to injury. So trying to land more mid foot or a slight heel strike or a slight forefoot strike will likely make you a more efficient, healthier runner. What is an excessive heel strike or an excessive forefoot strike? There is not an exact measurement or anything along those lines. But if a runner demonstrates either type of foot strike during our running gait analysis and it is corroborated with the symptoms they are presenting with or and injury they have, then we determine it is excessive and try to reduce that type of excessive strike (forefoot or heel).

Other Helpful Information on Foot Strike

Check the wear pattern on your shoes. If you notice your heel is significantly worn compared to the rest of the sole of your shoe, then you are likely excessively heel striking. On the bottom of the shoe, look at the sides. Is there more wear on the outer part of the sole, more on the inner? That can signify excessive tilting of the foot when your foot hits the ground. This can also cause issues with your gait and result in injury.

Conclusion

I hope this article was helpful at explaining that there isn’t a foot strike that is best for running. If you are suffering from running related injury, or have recurring symptoms, schedule an appointment with chiropractors today. We treat all types of running related injuries. We will perform a thorough history and evaluation and begin treatment right away (unless further imaging is required). Our running gait analysis program is another tool that we use. It helps identify common biomechanical inefficiencies that lead to poor running form and increase chance of injury. Check out one of our run gait analysis videos here. Our chiropractic office is conveniently located in Mission Valley, San Diego. We are near the neighborhoods of Serra Mesa, La Jolla, Sorrento Valley, UTC, Mira Mesa, Clairemont Mesa, Poway, and Scripps Ranch!

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Dr. Travis and Kevin Rose are avid runners and triathletes. Dr. Rose is a certified running healthcare provider through The Running Clinic, the premier source for running injury information.

 

Running analysis San Diego

Running Analysis San Diego

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Running Analysis San Diego

Case Study 1- Runner’s Knee

In this running analysis case study, we look at what is exacerbating our patient’s “runner’s knee”. He is a triathlete, who is new to the sport. The knee pain is worse following runs and hard efforts on the bike. Stretching, foam rolling, Active Release treatments seem to help but the pain always returns. He has never had a running analysis, so we put him on the treadmill to see what his running technique looks like.  Watch the complete in depth running analysis below.

Additional Information

Before the running analysis, we performed a physical exam. Our patient is 6’3″ and weighs around 190 lbs. As mentioned in the video, he was found to have a slow cadence, over stride, and demonstrated a cross over gait. Those findings with a runner of his size can create a lot of impact force with each step. To reduce the strain in the knee, it is crucial to get his feet to land closer to his body. In his case, increasing cadence helped accomplish this. It is important to note however that not everybody will need to perform the same corrections to get the foot closer to the body.  This  is what makes a running analysis so valuable; each runner may need to work on different cues to accomplish the same goal.

Future Considerations

Watching the running analysis above, you may think “But he can work on this, and this, and this to help with his form too!”. I believe he can work on more cues and drills to help with his running form. BUT if you give a runner too many cues to work on immediately, they will likely get overwhelmed with the information and not properly execute the cues/drills. Further more, they will likely end up running very stiff, and out of sync making the runs feel terrible!

For these reasons, we will only give 1 to 2 cues/drills to work on at a time. We want our runners to ENJOY running while making beneficial changes to their running technique! So for our patients case, we recommend 4-8 weeks to start working on changing his technique. Then we perform a second running analysis to get a new baseline and then make further recommendations from there.

Schedule your running analysis today at www.peakformhealthcenter.com! Our running experts at Peak Form Health Center in Mission Valley, San Diego have worked with hundreds of runners. We are located near Hillcrest, Normal Heights, La Mesa, Ocean Beach, Point Loma, and Clairemont Mesa. Our exertise will get you back to running injury free and increase your performance!

Gait Analysis San Diego

Gait Analysis San Diego- Cross Over Gait

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Gait Analysis San Diego- Cross Over Gait

A running gait analysis is very helpful when a runner is dealing with an injury. One of the more problematic gaits that we identify during our running gait analysis is a cross over gait. The cross over gait or tight rope gait is present when a runner steps across the position of the previous foot of the opposite leg. They run very narrow in a cross over gait and often appear very wobbly in their legs when running. Take a look at the picture of one of our triathletes below. He has been dealing with knee pain following runs and it was found he runs with a cross over gait.

Running Gait Analysis Cross Over Gait

Signs and Symptoms of a Cross Over Gait

Often times, runners are unaware that they run with this style of gait. The most common signs and symptoms of a cross over gait include:

How to Identify a Cross Over Gait

To properly identify a cross over gait, a run gait analysis is a necessity. A run gait analysis will take a look at the runners run gait from several different views to see what form inefficiencies they are running with. Once the gait pattern is identified, gait cues/corrections are given. With dedication to drills and training, running gait changes will occur.

Can Shoes or Exercises Correct a Cross Over Gait?

Short answer is no.  It does not matter what shoes are worn if you run with a cross over gait. You may notice some improvement with certain types of shoes but it will simply mask the underlying problem and prevent the real cure. Strengthening and stretching may also help manage symptoms of the cross over gait but will not fix the cause of the injury. Strengthening may allow the runner to run further each week but eventually, the tissues will max out and fall back into injury if the cross over gait is present. The only thing that helps get rid of a cross over gait is working on changing running form.

Treatment

Schedule a running gait analysis to get proper identification of what running form inefficiencies are causing your injury. Once they are identified, running cues and drills will be give to stat making permanent changes to your running form. Our running gait analysis is performed at our Mission Valley San Diego office. We are located near the neighborhoods of Pacific Beach, Ocean Beach, Normal Heights, Hillcrest, Serra Mesa, La Mesa, and Tierrasanta. Schedule online at www.peakformhealthcenter.com to get your running form evaluated today!

 

San Diego Running Gait Analysis

Running Gait Analysis San Diego

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Running Gait Analysis San Diego

A running gait analysis helps identify common running form inefficiencies that may result in injury or at the very least decrease running performance. Our running gait analysis program in San Diego California takes a runner through multiple trials of treadmill running with video feedback. Based on the video analysis and other measurements during the running gait analysis, we can make recommendations for the runner to begin working on. We then do more rounds of video analysis to note the changes that occur with those initial running modifications. This step by step approach gives runners significant feedback to begin working on improving their running gait! Check out our brief video below to see our running gait analysis in action!

Running Gait Analysis Goals

With every runner, we have several goals in mind when performing the gait analysis. We aim to:

  • Identify major running form inefficiencies
  • Give patients running cues to start changing their running form
  • Show patients before and after videos so they can visualize the changes
  • Recommend drills and workouts to begin reinforcing those changes

With dedication from the runner, the running form changes will take permanent effect. These changes do not happen over night! Consistently performing the drills and running workouts will slowly make the changes over time. We recommend 6-8 weeks, working on the recommended changes before we do a follow up running gait analysis. This allows enough time to see how they effects have taken place.

A running gait analysis is the only tool that can identify and CORRECT running related inefficiencies. A common misconception is that if a runner works on strength training for certain muscle groups, they will improve their technique. While there are benefits to performing strength training, working on the recommended corrections DURING running is the only intervention that will improve running gait.

Our team of sports chiropractors are trained in using running gait analysis to help prevent and return from running related injury. We are certified by The Running Clinic as experts in running related injuries. Schedule today at www.peakformhealthcenter.com and come see us at our running clinic in Mission Valley, San Diego.

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Drs. Kevin and Travis Rose are chiropractors trained in managing sport related injuries. Both are avid runners and triathletes, having competed in numerous races from 5ks to the Ironman World Championships in Kona Hawaii.

 

Big toe pain treatment San Diego

Big Toe Pain and Conservative Treatment

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Many sports and activities of daily living require movement through the foot and big toe. When you are experiencing big toe pain, sports and certain activities can become quite difficult to perform. If your big toe pain is extreme, simple tasks such as standing, or walking can become very difficult. You may have heard of professional athletes missing months from their sport due to “turf toe” or other big toe conditions. The first thought (and I used to be guilty of this!) is, “It’s only your toe! Get out there and play!”. Well, if you are a 300 pound lineman in football and yue pressing through your big toe to try and stop an equally sized person, then there is tremendous load though a very small joint! When thinking of it from that perspective, it’s amazing that more athletes do not succumb to big toe pain and dysfunction.

Causes of Big Toe Pain

Acute Causes

Most commonly, a big toe joint can become sprained when it is bent backward or forward forcefully. This over stretches the joint and tendons in of the big toe. The following two acute conditions are commonly seen in our sports injury clinic:
Turf toe-Using a football lineman as an example again, when he is pressing forward and is met with equal or greater force by the opposing lineman, the big toe can get over stretched. Pain is generally felt on the bottom of the big toe and is difficult to walk due to the inability to push off.
Sand toe- A soccer player is playing barefoot on the beach and goes to kick the ball. She misreads the position of the ball on the sand and kicks the sand more than the ball. This forces the big toe joint downward, overstretching the top of the
joint and attached tendons.

Chronic Causes

We more commonly treat big toe pain due to chronic reasons. These conditions generally develop over time and are seen in middle aged and older patients (although these can affect younger populations in some cases). The following are common big toe conditions we treat:

  • Hallux valgus
  • Bunion deformity
  • Sesamoiditis
  • Functional hallux limitus
  • Hallux rigidus

Structural issues

In many cases, especially associated with chronic conditions, foot structure may cause pain and dysfunction at the big toe. Most commonly, we see the following:

  • Forefoot valgus
  • Forefoot varus
  • Plantarflexed first ray
  • Subtle cavus foot
  • Pes planus
  • Pes cavus

Inflammatory conditions

Some patients deal with recurring inflammation of the big toe joint. There are a few inflammatory arthritides that can affect the big toe. The most common cause of big toe joint pain and inflammation is Gout. A referral to a rheumatologist is warranted if an inflammatory arthritis is suspected.

Evaluation

Our Sports Doctor of Chiropractic will evaluate the big toe, foot, ankle, lower leg, and possibly continue up the body into the lower back. Some conditions can be affected by muscle/joint dysfunction above where the pain is actually occuring.

Treatment

When it comes to big toe pain, Active Release Technique and Graston technique can help restore normal tissue function around the big toe. Chiropractic adjustments to the ankle, and midfoot can help with proper foot function to de-load the painful big toe joint. Exercises are also prescribed to strengthen/stretch the small muscles of the foot to improve big toe mobility. If there are structural issues present and a patient has recurring symptoms or does not improve with care, orthotics may be prescribed to accommodate the structural issue.

Knee pain san diego treatment

Patellar Tendonitis and Knee Pain

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The patellar tendon runs from the bottom point of the patella (knee cap) and runs down to the top of the tibia (shin bone). It acts as a pulley to lift the leg upward into extension when the quadricep muscles contract. Leg extension is important in many sports and day to day activities; squatting, walking up and down stairs, getting in and out of cars, etc.
When the quadriceps become overused, excessive amount of load occurs at the patellar tendon and patellar tendonitis begins to develop.

What are the Symptoms of Patellar Tendonitis?

Patellar tendonitis is characterized by pain and possibly inflammation along the patellar tendon. Early stages of patellar tendinitis tends to cause pain after exercise/aggravating activity, and then goes away hours after the activity; it may also be felt at the start exercise but feels better as exercise continues. As the condition progresses, pain may be felt before, during, and then is worse after exercise. If it gets ignored and an athlete tries to push through the pain, the tendon will actually start to deteriorate resulting in patellar tendinosis.

Patellar Tendonitis Treatment San Diego

Who are at risk?

Athletes who perform repetitive jumping and leg bending are at risk to develop patellar tendonitis. Basketball players, CrossFit athletes, volleyball players, runners, cyclists, backpackers/hikers, triathletes, are all at a higher risk due to the potential overuse of the quadricep muscles. Specifically for running and hiking, performing lots of down hill routes will increase the likelihood of developing patellar tendonitis.

Evaluation

In most cases, patellar tendinitis can be diagnosed with a thorough history of the injury and brief physical exam. In some cases, imaging such as a X-ray or MRI may be necessary to rule out other conditions such as meniscus injury, patella alta, chondromalacia, arthritis, etc. Check out our blog here for other causes of anterior knee pain.

Treatment for Patellar Tendonitis in San Diego

For acute pain relief, Active Release Technique, Graston Technique, stretching, foam rolling, and training modification are essential. As the patient improves, eccentric exercises are prescribed to repair the patellar tendon. This helps strengthen tendon fibers to resist future load from activity. Eccentric loading for patellar tendinosis is even more important as this restarts the inflammatory process at the tendon so the tendon can heal.

Stop dealing with patellar tendinitis on your own. Schedule today to get evaluated by our sports chiropractors located in Mission Valley, San Diego. We have helped countless athletes overcome knee pain with our targeted approach.

Outer hip pain running clinic San Diego

Outer Hip Pain in Runners

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Outer hip pain is a very common complaint we see with out runners at our Mission Valley office. The outer hip musculature is designed to provide hip, and lower back stabilization during running. When there is pain or tightness at the outer hip, the stability at the hip and lower back is compromised. This in turn can create abnormal stress into the hip, outer hip muscles, lower back, the knee, and even the lower leg/foot. The following conditions cause outer hip pain and dysfunction:

Causes of Outer Hip Pain

  • Glute Medius Muscle Strain
  • Tensor Fascia Latae Strain
  • Gluteus Medius Tendinopathy
  • Trochanteric Bursitis
  • Iliotibial Tract Syndrome (IT Band Syndrome)
  • Sciatic Nerve Entrapment

As mentioned above, the out hip plays a role in lower back and hip stability. If the outer hip is painful or dysfunctional the following conditions may also be present:

  • Low Back Pain
  • Facet Joint (Lower Back Joint) Irritation
  • Hip Impingement
  • Knee Tracking Issues
  • Outer Knee Pain (IT Band Syndrome)
  • Shin Splints
  • Plantar Fasciitis

Evaluation

It is important to be evaluated by a running doctor and sports chiropractor. We will help diagnose your outer hip pain and any potential compensatory injuries that may be occurring simultaneously.  A combination of range of motion, orthopedic, functional movements, and strength/endurance tests will be used to pinpoint the exact cause of your pain.

Gait Analysis

We currently offer at home gait analysis for current patients. After being evaluated in our office, if it is deemed necessary, we have our patients video tape themselves running on a treadmill and send it back to us for evaluation. For outer hip pain, many runners with outer hip pain run with what is known as a cross over gait. Check out our previous blog posts here on what a cross-over gait consists of.

Hip pain Running San Diego

Potential sites for injury with cross over gait

Treatment for Outer Hip Pain

Active Release Technique is an excellent tool for helping runners with outer hip pain get out of pain quickly. A targeted home rehab approach is then prescribed b our running doctor as a way to prevent the injury from coming back again. Schedule with us today at our Mission Valley, San Diego running injury clinic today!

The Running Clinic Certification

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Congratulations to Dr. Travis Rose, DC CCSP for successfully completing the course in “New Trends in the Prevention of Running Injuries”! This course, taught by The Running Clinic, teaches health care providers about the latest methods to treat and manage running injuries. Dr. Rose is currently the only healthcare provider with this certification in Mission Valley, San Diego.

Running Clinic Running Doctor San Diego

The following is a quick Q and A with Doctor Rose regarding running injuries.

Q: Having taken this latest course, put on by The Running Clinic, what were the main takeaways to prevent running injuries?

Dr. Rose: The main takeaways for injury prevention and increasing running efficiency were the following: 1. Run with a cadence between 170-180 steps per minute, 2. Limit the up and down motion while running (decrease vertical loading associated with injury), and 3) Use as little of a shoe as possible as this allows you to run more naturally.

Q:  Was there information that surprised you or went against conventional running information?

Dr. Rose: The biggest “eye opener” was the fact that there is zero research to support prescription of specific shoes for specific types of feet. Many people put their trust in companies to tell them which shoe to buy based on treadmill analysis. Unfortunately there is research that shows that shoes don’t limit pronation like they claim to do. So why give somebody a big bulky shoe when it doesn’t do what it is designed to do? Instead, work on the items listed above and become a better runner!

Q: What is the biggest cause of injury in runners?

Dr. Rose: It is when a runner changes something. For example, a runner runs 25 miles per week, same distances for each run. But then decides to run an extra 10 miles one week. That change in volume is what will likely cause an injury to pop up. Another example is always running on concrete or hard trails, then deciding to run 10 miles on soft sand. The body was not ready to support a long soft sand run and an injury occurs.

Q: There is a lot of information for exercises online to help improve running technique, can a runner do home exercises and fix their running flaws?

Dr. Rose: Unfortunately no. I used to be under that assumption when I was an injured runner. I would get frustrated when I would do a ton of strength exercises and core work to then run 2 miles and have that all too familiar pain come back. Running gait needs to be corrected to take strain off the injured area. Using myself as an example, I suffered from repeated shin splints due to cross over gait. It did not matter how much glute or calf strengthening I did because once I ran incorrectly again, the tendon would get overloaded and I would be back to square one. Once I learned to run with a wider step width and have a faster turn over (faster cadence), my injury went away almost immediately and I was able to slowly build back up.

Q: Any other advice on running injuries that you learned?

Dr. Rose: When in doubt, get it checked out. Running should be fun and injury free. I hear too many stories from patients about how tight and sore they are after every run. Or that pain is something “you deal with as a runner”. Not true! Get evaluated by a running doctor who can get your gait back on track. If there is not a running doctor in your area, there are a few pieces of wearable technology that can help. One being Lumo Run which gives feedback on cadence, vertical bounce, hip drop, hip rotation, and braking force. If you already run with a running watch, usually they have features that you can use (like cadence) to start really emphasizing proper technique.

Dr. Travis Rose DC CCSP and Dr. Kevin Rose DC DACBSP are Chiropractors trained to treat a wide variety of sport related injuries. Schedule a visit at our Mission Valley, San Diego office!

Hip pain running doctor San Diego

Types of Hip Pain and Running

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The hips play an important role during running. Running is essentially a single legged sport once you break down the movement.  The hip not only helps propel the body forward but also is a stabilizer of the lower back and the leg during the gait cycle. Due to the demands placed on the hip, it is susceptible to overuse, and acute running injuries. A running doctor can help by diagnosing the problem correctly and developing a treatment plan to get you back to running pain free.

Common types of hip injuries found in runners

There are many types of running injuries that can occur at the hip. Pain may be felt in the front, outside,inside, or back of the hip. Certain cases runner’s will describe the pain as deep in the hip joint. We will categorize the most common types of injuries we see based on location of the injury:

Front hip pain in runners

  • Hip flexor strain
  • Rectus Femoris/quadricep strain
  • Iliopsoas bursitis
  • Iliopsoas tendinitis/tendinosis
  • Rectus femoris tendinitis/tendinosis
  • Hip impingement
  • Hip labral tear
  • Stress reaction/stress fracture
  • Hernia

Outside hip pain in runners

  • Gluteus Medius tendinopathy
  • Iliotibial band syndrome
  • TFL strain
  • Trochanteric bursitis

Inside hip pain in runners

  • Adductor strain
  • Adductor tendinopathy
  • Iliopsoas tendinopathy
  • Hip impingement
  • Hernia

Back hip pain in runners

  • Hip osteoarthritis
  • Hip labral tear
  • Gluteal muscle strain
  • High Hamstring injury
  • Piriformis syndrome
  • Low back pain referral
  • Sciatica

To complicate the injury spectrum, there are cases where runners feel pain in the hip but is a referral from joint/nerve impingement from the lower back. Also if the hip is weak and injured, other injuries to the lower back, knee, shin, and foot may become prominent. Receiving a diagnosis from a running doctor trained in diagnosing and treating runners is very important.

Hip pain treatment

Our sports chiropractors at our Mission Valley office are trained to treat a wide variety of running injuries. We specialize in Active Release Technique, Graston technique, running form analysis, and rehabilitative/performance exercise. Schedule today to get evaluated by a running doctor who knows how to get your training back on track!