Many runners, jumpers, and other athletes develop pain behind/around one or both patellas (knee caps) at some point. Although the exact cause of the pain is not known for certain, there is a prevailing theory about what causes it, and that theory has led to some treatments that seem effective, and some changes in running form (biomechanics) that seem also to help. I have suffered from patellofemoral pain several times as an adult. The pain for me was each time coincident with increases in volume of hiking, running, or jumping activities without any obvious sudden event to mark it’s onset. It simply comes on slowly and over time gets worse if I don’t get a handle on it. read more…
Posts Tagged ‘overuse’
Picking shoes based on foot type assessment not effective
Excerpted from FoCo Runner Blog (originally published 7/21/2010)
If you have read some of my earlier posts on the subjects of biomechanics, feet, or shoes, you know that I suggest people pick out shoes that are -LESS- stabilizing than those recommended at running shoes and most experts based on visual assessments, and even gait analyses. Recent research indicating that certain types of common running injuries increase with increasingly supportive shoes (e.g., see here) are what drives this recommendation, but it is also supported by a recent study done by the Army. read more…
Overpronation: is it up to you, or up to the shoe?
Excerpted from FoCo Runner Blog (originally published 6/25/2010)
When I started running, my left foot seemed to overpronate a little, such that the recommendation of the running store experts was “mild stability shoes.”
“Okay,” I said. “Show me your mild stability shoes and I’ll pick some out and be on my way.”
Since I wanted lightweight trainers, I ended up in Asics Gel DS Trainers. Nice lightweight shoes, really, but soon I developed ITBS, and then the outsoles wore through to the midsole of the Trainers in less than 300 miles, and I was looking for other options.
read more…
Iliotibial band syndrome (ITBS): what do we really know?

When the iliotibial band (ITB) goes on stage, it almost always plays the blues.
I began running again after 20 years recently. Things were great. My endurance was increasing, and running was starting to become easy. I had increased my mileage each week until I was running about 15 miles. Then, I decided to push for 20. It turned out to be a mistake.
About the middle of the week, at around 10-11 miles, I began to feel a little bit of pain in my left knee. It wasn’t too bad, mind you. Just something I noticed as I ran. So, I finished up my run, and within a couple of hours and some time with an ice pack, the pain was completely gone. Still, I decided not to do any training on my bicycle the next day, just in case. The following day was my long run. I began to experience some twinges of pain at about the 3 miles mark, but kept running to complete an 8.6 mile run. When I stopped running, I knew I had real problems. The pain on the outside of my left knee was so severe, it was painful to bend my leg under load and under some circumstances to extend and straighten in. Once straight, or once bent, I was fine, but going between the two could be excruciating. Going down stairs was excruciating. But, a few hours of ice and some ibrupfen, and the pain subsided. read more…