Filed under: Injury
Barefoot-style, or minimalist, running shoes are still growing in popularity in the military, and the debate continues over whether this style of running prevents injuries or just causes different injuries. There is new research on minimalist running shoes (MRS) and their impact on lower leg and foot injury. After a 10-week study, runners who transitioned to Vibram FiveFinger minimalist running shoes showed signs of injury to their foot bones, while the runners who used traditional running shoes showed none. The types of injuries the MRS runners demonstrated were early signs of inflammation, which may or may not be associated with pain or joint dysfunction. If they are, it might be difficult for the runner to know he/she is actually injured until it is too late and the injury has progressed. More research is needed to determine if other factors (weight, running form/style, mileage, running surface) contribute to injuries associated with barefoot-style running. At least one recent study suggests running style may be a factor. For more in-depth information, read
Most of us will experience pain at some point in our lives, and Warfighters—in training or in theater—are obviously at an even greater risk. For that reason, pain management has become a priority for the military. Committed to being a comprehensive Warfighter resource, HPRC now has pain management information, tools, strategies, and resources. You’ll also find answers to some of the most common questions about pain, including:
- What is pain?
- Why do some people tolerate pain better than others?
- What is the difference between acute and chronic pain?
- What happens if pain becomes chronic?
- What sorts of things affect my pain?
- How do the DoD and VHA treat pain?
Being overweight puts you at risk for a whole host of health issues, but most people don’t think about the risk posed to their knees. The anterior cruciate ligament, or ACL, is one of the major ligaments of the knee and one of the most susceptible to injury. Injury information on more than 1,600 men and women at the U.S. Naval Academy showed that those with a higher body mass index (BMI) had a greater incidence of ACL tears. A difference in BMI of only 1.2 (25.6 versus 24.4) made the difference between having and not having this kind of injury. (To learn more about BMI, read HPRC's explanation.)
Like the adage “You don’t know what you’ve got until it’s gone,” knees are something we generally take for granted. To stay on top of your game, you need your knees. An easy way to protect them is to drop the extra weight you’re asking them to carry around.
Injury prevention is the key to optimizing soldier-athlete performance, which is why Fort Benning deployed Musculoskeletal Action Teams (MATs) to their 194th Armored Brigade and their 198th Infantry Brigade as part of a two-year pilot study. The MATs consist of physical therapists, physical therapy technicians, athletic trainers, and strength-conditioning coaches. MATs have three main principles: injury prevention, precision PRT, and human performance optimization. The MATs offer basic trainees injury screenings, early treatment of minor injuries, and instruction on proper training technique. Trainees are also given guidance on correct footwear, management skills, and strategies to prevent common exercise mistakes that may lead to injury, as well as briefings on subjects like nutrition and preventative exercises.
The aim of this study is to educate soldier athletes. By learning to manage your own health and fitness, you’re more prepared to complete your mission safely. The goal: You and your fellow soldier athletes should have less need for medical treatment facilities because you’ll be equipped with your own preventative strategies, which you can use throughout your career. This study is also being conducted at Fort Ill, OK, Fort Lee, VA, and Fort Leonard, MO. The study will wrap up in April 2013, at which time the researchers will evaluate the results.
Almost every Warfighter experiences pain at some point in his or her military career, but for many it can be a long or even chronic experience. Sometimes the treatment of pain is relatively straightforward, but at other times it needs a holistic treatment plan. And it’s no longer just a question of taking a pill. The DoD and VHA are exploring a range of alternative treatments for pain, including biofeedback, acupuncture, and various mind-body strategies that have been shown to be promising. HPRC’s new Pain Management section gives you an introduction to a variety of strategies you can do by yourself or with your doctor, and it points you to information and tools to help you understand and deal with your pain.
If you exercise regularly—or plan to start an exercise program—chances are you’ll experience shin splits at least once. That sharp, achy, sore, and/or throbbing feeling that runs down the front of your shin, also known as “tibial stress syndrome,” is a common condition among athletes, especially runners. The pain of shin splits can come from any number of underlying causes, such as overuse injuries, “flat feet,” or a more serious injury—stress fractures—usually from excessive and/or repetitive force on your legs. Usually shin splits will heal on their own with rest and basic self-care treatments, but it’s important to recognize the symptoms early on and to give yourself time to fully heal before easing back into your usual workout. See a doctor if the pain does not seem to improve with rest, if your shin is hot and inflamed, or if the swelling gets worse. To prevent shin splits, make sure that you wear the appropriate shoes for your type of foot, warm up before working out, vary the types of surfaces you run on, and address symptoms of pain early.
When you’re in pain, any relief is welcome. The good news is that researchers have found pain can be managed and alleviated, to a degree, by employing strategies that have you put your focus elsewhere. Meditation is one such strategy. A recent small study examined the experience of pain from fourteen experienced meditators and fourteen inexperienced participants. It turns out that the old adage is true: Practice makes perfect. The experienced meditators experienced pain to a lesser degree and got used to the pain more quickly. They also registered less anxiety than the unpracticed participants. The message? Practicing meditation regularly may improve how your brain handles pain.
And tune in again later for HPRC’s new section in Total Force Fitness on pain management—coming soon.
Developing technology in order to save the lives of those who serve is vitally important. To that end, Worcester Polytechnic Institute (WPI) recently received a $1.5 million grant from the U.S. Army to develop monitoring sensors that will be able to detect blood loss early, which may help save lives on the battlefield. WPI will partner with the University of Massachusetts Medical School to create wireless sensors that can be worn on the body to detect blood loss, body movement, and posture. They will also be working to combine that information with smartphone technology that medics can use as a handheld diagnostic device in rapid-response situations.
You’ve probably heard of TBI—the acronym for traumatic brain injury. The Defense Centers of Excellence defines a traumatic brain injury as “a blow or jolt to the head that disrupts the normal function of the brain.” TBI can be mild, moderate, or severe, with 80-90% being mild. The symptoms, treatments, and recovery time are different for mild versus moderate-to-severe TBIs.
Common symptoms associated with TBI are:
Physical: headache, sleep disturbances, dizziness, balance problems, nausea/vomiting, fatigue, visual disturbances, sensitivity to light, ringing in the ears
Cognitive: slowed thinking, poor concentration, memory problems, difficulty finding words
Emotional: anxiety, depression, irritability, mood swings
For more information, including strategies and suggestions for rehabilitation, check out DCoE’s Mild Traumatic Brain Injury Pocket Guide for Warfighters. TBI is a serious physical as well as mental injury, so it is important to consult a health professional before attempting any kind of treatment.
Try these tips from the National Institute of Arthritis and Musculoskeletal and Skin Disease to prevent knee injury while you exercise:
- Avoid bending your knees past 90 degree when doing half knee bends or squats.
- Avoid twisting your knees by keeping your feet as flat as possible during stretching.
- When jumping, land with your knees bent.
Source: Handout on Health. Sports Injuries. National Institute of Arthritis and Musculoskeletal and Skin Disease.