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Running injuries - changing trends and demographics.

Karl B Fields¹

¹Cone Health Sports Medicine Fellowship, Greensboro, NC, USA. bert.fields@mosescone.com

Current Sports Medicine Reports

|March 28, 2013

Summary

Running injury demographics are shifting towards older runners, with increased Achilles, meniscus, and muscle injuries. Evidence-based treatments for conditions like patellofemoral syndrome and Achilles tendinopathy offer hope for prevention and reduced running injury morbidity.

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Area of Science:

Sports Medicine
Epidemiology
Orthopedics

Background:

Running injuries are prevalent, affecting a growing population of older road racers.
Recent studies indicate a shift in injury patterns, with master runners experiencing more Achilles/calf, iliotibial band, meniscus, and muscle (hamstring, quadriceps) injuries.
Running mileage and prior injury history are identified as key predictors of running-related injuries.

Purpose of the Study:

To analyze the changing demographics of runners and their associated injuries.
To review current evidence-based treatments for common running injuries.
To highlight the role of research in guiding treatment and prevention strategies for running injuries.

Main Methods:

Review of recent epidemiologic studies on running injury demographics.
Analysis of evidence-based research guiding the treatment of specific running injuries.
Examination of treatment modalities with moderate to strong supporting evidence.

Main Results:

Older runners now constitute a larger proportion of the running population, with a corresponding increase in master runner-type injuries.
Specific injuries like Achilles tendinopathy, iliotibial band syndrome, and patellofemoral syndrome are increasingly reported.
Topical nitroglycerin for tendinopathy and orthotics for patellofemoral syndrome show moderate to strong evidence for efficacy.

Conclusions:

Understanding the evolving runner demographic is crucial for addressing current injury trends.
Evidence-based treatments are available and effective for common running ailments.
Applying current research knowledge can help reduce the significant morbidity associated with long-distance running and improve injury prevention.