Filed under: Injury
You’ve been training, and now you’re in pain. It could be you’re having a painful introduction to one of your tendons. Strong tendons connect your muscles to the bones in your body and help you move by pulling on the bones when your muscles contract. Damage to tendons can occur from repetitive activities (including running and firing your weapon repeatedly over an extended period of time) or from sudden movements that put too much stress on a tendon. If you can’t avoid these activities, then pay attention to the warning signs that a tendon could be reaching its breaking point: pain, especially when moving the affected area; swelling over the area of pain; and, possibly, loss of motion in the joint.
The best way to avoid having to get treatment for tendonitis is to prevent it from happening in the first place! Follow these tips:
- Overall health: Maintain a healthy diet and weight, and check out HPRC’s Nutrition domain.
- Posture and body mechanics: Pay attention to your posture and make sure that you use correct body mechanics, especially when lifting and moving heavy objects.
- Maintain adequate muscle strength so your body can react to stresses you place on it.
- Maintain adequate flexibility.
- Consider proper workout gear, especially footwear.
- Activity modification: Rest the affected area. This could mean taking some time off from activities that cause pain and further damage. For example, if you’re a runner with Achilles tendonitis, try biking instead until the tendon has healed enough.
- Ice: Cold can help to decrease pain and swelling.
- Physical therapy: Gentle stretching and strengthening exercises, as well as massage, might help but should be done under the supervision of a healthcare provider.
- Anti-inflammatory medications: Ask your physician about medications that can help your condition.
- Bracing or casting might be needed in severe cases.
You should see your doctor right away if you experience fever, redness, and warmth in the affected area, or multiple sites of pain. For more information on injury prevention, check out HPRC’s “Preventing common injuries,” which covers six specific areas of injury: wrist and hand, knee, ankle, rotator cuff, back, and IT band.
Injury prevention is critical in maintaining optimal performance and operational readiness. Ankle sprains, knee pain, and back pain are very common injuries in the military. Take the time now to protect yourself from injury, and you’ll be glad you did later. Read our , compiled from our recent injury prevention series of posts.
Chondromalacia is a knee problem that can have a number of different symptoms, including pain. It can your ability to exercise, but even more problematic is that it can interfere with your ability to meet the demands of your military duties.
Here’s the basic rundown on chondromalacia: In a healthy state, the kneecap has soft cartilage beneath that allows the bone to glide smoothly against the other bones of your knee joint. When the smooth surface wears away, the back of the kneecap becomes rough and rubs the other bone surfaces, causing pain. The key to avoiding this condition is maintaining that smooth surface.
According to the American Academy of Orthopaedic Surgeons, muscle weakness, imbalance, or tightness in the thigh muscles can contribute to chondromalacia. It’s important to maintain strength in your quadriceps and hamstring muscles; follow a strength-training program to develop and maintain strong muscles. Also, make sure that you have enough flexibility in your quads; if the muscles and tendons are too tight, they can force the kneecap to move or “track” incorrectly in the natural groove of your knee joint. If you do a lot of running, make sure your footwear isn’t old and worn, because the shock-absorption of shoes decreases as they age. When it comes to knee pain, an ounce of prevention is worth a pound of cure. Strengthen and stretch your muscles, and you’ll be on your way to keeping your knees ready for action.
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.