Utilizing a Forefoot Strike Gait Pattern to Decrease Symptoms of Anterior Chronic Exertional Compartment Syndrome: Part II

Humans using a running gait. Note the "su...

Last week I reviewed a case study on treating chronic extertional compartment syndrome (CECS) by switching gait strike pattern in runners from heel-strike to forefoot-strike (HERE) by Diebal et al.  The same authors followed up their case study with another case series on the same topic. Continue reading

Utilizing a Forefoot Strike Gait Pattern to Decrease Symptoms of Anterior Chronic Exertional Compartment Syndrome

Tibialis anterior muscle

As discussed in my last post on exercise related leg pain, chronic exertional compartment syndrome (CECS) is a condition in which the lower leg experiences an increase in compartmental pressure during physical activity.  This leads to pain, sensory disturbances, and/or muscle weakness.  CECS most commonly occurs bilaterally and most frequently in the anterior compartment. The anterior compartment contains the deep fibular nerve, anterior tibial artery, and the dorsiflexion muscles (anterior tibialis, EDL, EHL).

CECS can be very problematic for runners as the pain resulting from increased compartmental pressure can lead to premature exercise termination.  The symptoms are typically alleviated shortly after resting.

Previous research has suggested that pressure within the anterior compartment is higher with a heel-strike gait pattern.  The authors of this case series sought to examine the effects of altering the running pattern of two heel-strike runners with CECS to a forefoot-landing pattern. Continue reading

Exercise Related Leg Pain aka Shin Splints

Athletes frequently seek out medical assistance and physicians often send referrals to physical therapy for “shin splints”.  Shin splints however is a junk term that is tells little of the actually pathology other than that the pain is in the lower leg.  What is typically referred to as shin splints can be one of a variety of different conditions affecting the lower extremities while exercising.

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Hip Clamshell Exercise Progression for Glute Med Strengthening

In 2011, Boren et al. published a study comparing the gluteus medius and maximus activation levels using EMG of several different common rehab exercises (you can find the article HERE).  It is an excellent article in my opinion and definitely worth reading.  One trick I picked up from the article that I have had a lot of success with lately is a hip clamshell exercise progression.

Hip External Rotation Clamshell Exercise

Hip External Rotation Clamshell Exercise

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