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How Shockwave Therapy can help heal running injuries and speed up your recovery.

Richard Pearson

Lady happy to finish her running event.

Running is one of the most popular forms of exercise, it's easily accessible to put on a pair of trainers, open your front door and go out for a run to keep fit and healthy. If you're on a short time scale and in a rush, you don't have the time to do a lot of exercise in your busy schedule or you find the gym boring and road or trail running much more interesting, then it makes exercise easier and is free to do - unlike monthly subscriptions at the gym.


Running outside has some really good benefits for the body. It is fantastic for your cardiac system and your muscular system and even your mental welfare, as it is a great form of stress relief, but like everything in life, there is usually a downside too.


The issue with road running (or pavement running around London) is it can put a lot of strain on the body physically. Runners frequently face injuries, it is a side effect of the nature of the sport.


In clinic we see running as the number one sport that people come to see us with injuries from. These are generally tendonitis, muscular injuries and stress fracture related issues. Injuries really disrupt your exercise routine, whether you are training for an upcoming event, to stay fit and healthy or just as a mental stress relief from your busy hectic life.


Shockwave Therapy is fast becoming the most effective way in dealing with both acute and chronic injuries because of how quickly we can heal people and vastly reduce the amount of time off they need from being injured. This is especially important if you have a big event approaching in the near future.


Marathon runners on event day.
Marathon runners on the day of the event.

At the time of writing this article, the London Marathon is just over 10 weeks away and we are now seeing an increased amount of marathon runners in clinic with injuries, such as plantar fasciitis, achilles tendonitis, hamstring strains, patella tendonitis and medial tibial stress syndrome (shin splints).


Winter training will have been long and tiresome and the amount of miles will have really racked up over the cold-dark season. Peoples bodies have been taking a pounding and the injuries suddenly start to present themselves. There is obviously no good time for an injury but at this stage, so close to the marathon, there isn't really a worse time and you definitely wouldn't want to put in all the hard work for then having to miss the day due to being injured. This is where the Shockwave Therapy Clinic may be able to help you and maybe all is not lost after all?




What is Shockwave Therapy?


Shockwave Therapy, also known as extracorporeal shock wave therapy (ESWT), is a non-invasive treatment that uses high-energy sound waves to promote healing of musculoskeletal injuries (MSK). There are two types. Radial and Focused. For more information on the difference between the two, click HERE to read more.


This state of the art technology - which is becoming more and more visible throughout UK clinics now, involves sending acoustic waves to targeted areas of the body (where someone's injury is located), stimulating blood flow and encouraging tissue repair. For runners suffering from injuries, Shockwave Therapy can quickly reduce pain and inflammation and hugely speed up their recovery process and get them back running again much faster than other types of therapies can do.

How Shockwave Therapy works.
This image shows how sound waves penetrate through the skin and deep into the tissue to repair damaged cells.

How Shockwave Therapy Works!


The key main benefits of Shockwave therapy in promoting healing:


  1. Increased Blood Flow: Shockwaves enhance circulation, delivering vital nutrients and oxygen to injured areas, which supports healing.


  2. Stimulation of Cell Repair: The sound waves activate cells responsible for healing tissues, helping the body recover faster. Research has shown that this can over double the rate of tendon healing compared to traditional methods.


  3. Pain Reduction: Shockwaves interrupt pain signals, providing nearly instant relief. Many users feel a noticeable decrease in pain even after just one treatment session.


  4. Breaking Down Scar Tissue: The therapy can break down scar tissue around injuries. This restoration of normal function and flexibility can significantly improve recovery times.


With these impressive benefits, runners really should consider Shockwave Therapy for their recovery and even more so if they are short of time with a big event they have entered coming up!! Shockwave Therapy is state of the art technology and is a huge game changer for the healing and recovery of injuries - which is why Premier League football and Rugby Union teams have also now turned to using it for recovery of multi million pound players.


Shockwave therapy for Achilles tendonitis
Patient receiving Focused Shockwave therapy for Achilles tendonitis

Tendonitis is a frequent issue for runners (and other sports also) and occurs when a tendon becomes inflamed. Many runners face tendonitis issues with symptoms including stiffness and pain, which can massively hinder their performance. If not treated, and looked after and someone continues to run with inflamed tendons, then the issue can easily become worse to the point it can develop into a chronic state. This can make it more difficult and longer to heal but Focused Shockwave is still extremely effective for chronic conditions and the sooner you start your treatment, the quicker you will get back to running your best - without pain and discomfort.



Common running injuries we treat with Shockwave Therapy are...



Achilles Tendonitis.


The Achilles tendon connects the calf muscles (gastrocnemius and soleus) to your heel bone (calcaneus). The Achilles tendon is the primary tendon in ankle push off, which is what you do when you walk or run. Achilles tendonitis is inflammation and degeneration of the Achilles tendon. The injured area can also swell. Sometimes pain is in the middle of the Achilles tendon (Mid portion) or pain can develop where the Achilles attaches to the heel bone, known as insertional Achilles tendonitis. Pain is the primary symptom associated with Achilles tendonitis and it can also become thicker on the injured side. Direct pressure onto the tendon or heel can make the pain feel worse. 

Achilles tendonitis


Plantar Fasciitis.


Plantar fasciitis is inflammation of the band of fibrous tissue, called the plantar fascia, located on the underneath of your foot. This condition causes heel and arch pain, as well as problems with walking, let alone running. It occurs when the plantar fascia becomes overloaded or overstretched, creating microtears. The plantar fascia is a supporting tendon in the bottom of your foot. It connects the heel to the base of the toes and supports the foot's arch, helping stabilize the foot in every step you take. Plantar fasciitis can be a very painful condition, that is usually characterised by very bad pain and discomfort first thing in the morning. Usually it can be at its worst when getting out of bed when you wake up after a nights sleep.

Plantar Fasciitis


Patellar Tendonitis and Patellofermoral Pain Syndrome.


Patella tendonitis (also known as jumpers knee) and Patellofemoral pain syndrome (runners knee) are both conditions that affect the knee and can cause a lot of pain and discomfort and stop people doing activities like sports, especially impact sports like running. Knee issues are a very common ailment we see in clinic day-to-day - especially with long distance runners.


Patellar tendonitis affects the connective tissue that joins the patella to the tibia. Runners engaged in high-impact activities often experience this issue. Shockwave Therapy cuts recovery times by stimulating healing in the tendon, allowing runners to return to training much quicker than other forms of treatment like acupuncture and massage.

Jumper's knee


Shin Splints - Medial Tibial Stress Syndrome (MTSS).


Medial tibial stress syndrome (MTSS), commonly called 'shin splints' is a condition in which pain occurs over the shin bone (Tibia) with running or other sports-related activity. It is usually due to overuse and occurs in athletes who participate in repetitive activities, especially running and jumping. The condition can also develop in athletes who have suddenly increased the duration or intensity of their training. It is quite common and occurs more often in females than males. 


Medial tibial stress syndrome develops when there is irritation where the calf muscles attach to the shin bone. It can also occur when running on a slanted surface or downhill, or when someone participates in a sport with frequent starts and stops. The pain can range from a dull ache to a sharp, intense pain. Commonly, the pain is located along the inside border of the shin bone, usually in the middle or lower third. 

Shin splints (MTSS)


Stress Fractures.


Stress fractures are exactly what their name sounds like — fractures that happen when something puts too much stress on your bone and a tiny crack can then appear, especially in the metatarsals of the feet. They're caused by repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances. Stress fractures can also develop from normal use of a bone that's weakened by a condition such as osteoporosis.


Stress fractures are most common in the weight-bearing bones of the lower leg and foot. people such as long distances runners are at the highest risk, but anyone can sustain a stress fracture. For example, if you were to start a new exercise program that you're not used to, especially if it involves a lot of high impact movement then you might develop stress fractures if you do too much too soon.

Foot stress fractures


Proximal Hamstring Tendinopathies.


Proximal Hamstring Tendinopathy (PHT), also known as high hamstring tendinopathy, is inflammation in the tendons at the back of your thigh. It typically manifests as deep buttock pain at the top of the hamstring into your pelvis. It is very common in runners and can be a very stubborn condition heal.


Hamstring tendinopathy occurs when the tendon is overused or overloaded. The process can occur over many weeks or months, or can happen more rapidly with one, highly intense exercise/activity. It tends to be aggravated by activities such as hill climbing, dancing, cycling or long distance running, but it can also be caused by prolonged compression from sitting or driving.

Proximal hamstring tendinopathy


Calf tears and strains


A calf strain is a tear in the muscle(s) at the back of your lower leg.  The calf has two main muscles - the gastrocnemius (the large muscle closest to the surface) and the soleus (which sits deeper behind the gastrocnemius).  Both of these muscles are attached to the Achilles tendon.


When you strain your calf muscle you may feel a sudden tearing or stabbing pain.  With minor strains you may be able to carry on with your activity, but you may feel tightening and stiffening in your calf muscles. If the strain is severe, the pain may be so bad that you can’t stand on your leg and you may have swelling and bruising in your calf which can spread to your ankle.


Calf muscle tears can be partial or complete (rupture). Calf injuries can occur in all sports but most commonly in the ones that involve running/impact. The lesions occur generally when muscles are fatigued. Gastrocnemius (muscle near the middle of the calf) tears are more common than soleus (closer to the heel) tears.


Grades of calf strain
This diagram shows the difference in the grades of calf strains.

The Benefits of Shockwave Therapy for Runners...


Incorporating Shockwave Therapy into your recovery routine offers several key advantages:


Non-Invasive


Being non-invasive, Shockwave Therapy eliminates the need for surgery or injections, resulting in much less recovery time. Runners can often start light activities very soon after treatment.


Quick Sessions


Each therapy session lasts roughly 25 minutes, which is ideal for people with very busy schedules.


Minimal Side Effects


Most people tolerate Shockwave therapy treatment treatment well, with very few side effects. Some may experience mild soreness or redness afterward, but these effects typically resolve quickly.


Accelerated Recovery


The main objective for any athlete is to return to their sport as quickly as possible. Shockwave Therapy has been shown to significantly speed up recovery timelines. Many athletes report over a 60% faster return time to their activity compared to traditional recovery methods.


 
 
 

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