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Published on: July 17, 2020
Evaluation of the injured runner
Alexander K Meininger1, Jason L Koh
1Orthopaedic Surgery & Sports Medicine, Moab Regional Specialty Clinic, 476 West Williams Way, Suite B, Moab, UT 84532, USA. meininga@gmail.com
Clinics in Sports Medicine
|February 21, 2012
Summary
Runner leg pain evaluation requires a thorough history and physical exam, including kinetic chain and core assessment. Recognizing functional deficits in core strength and balance is key to preventing re-injury and returning athletes to sport.
Area of Science:
- Sports Medicine
- Biomechanics
- Orthopedics
Background:
- Leg pain is a frequent complaint among runners presenting to sports medicine clinics.
- A wide range of potential diagnoses exists for runner leg pain.
- Effective evaluation is crucial for accurate diagnosis and treatment.
Purpose of the Study:
- To outline a comprehensive approach for evaluating leg pain in runners.
- To emphasize the importance of integrating history, physical examination, and functional testing.
- To improve the identification of underlying causes of leg pain and prevent recurrence.
Main Methods:
- Detailed patient history taking focusing on pain characteristics and training.
- Comprehensive physical examination, including assessment of the injured site, kinetic chain, and core.
- Functional testing to evaluate core strength, balance, and biomechanical deficiencies.
Main Results:
- A thorough history is the cornerstone of diagnosis for leg pain in runners.
- Physical examination must extend beyond the injury site to include the kinetic chain and core.
- Identification of functional deficiencies in core strength and balance is imperative for injury prevention.
Conclusions:
- Integrating history, physical examination, and functional testing enhances the evaluation of injured runners.
- Addressing functional deficits is essential for successful rehabilitation and return to sport.
- A holistic approach improves outcomes for athletes experiencing leg pain.

