Running is a beloved activity for millions of people, however many are sidelined because of injuries. Many continue to run despite the pain until they destroy a body part. Take a look at this presentation to find out the top injuries and to find a real solution to keep you running.

1. Top running injuries
&
what’s the long-term fix?

2. Let’s start with the top
10 physical ailments
that will keep you from
doing what you love –
running.

3. Runner’s
knee
Achilles
Tendinitis
Hamstring
Issues
Plantar
fasciitis
Shin
Splints
Iliotibial
band
syndrome
Stress
fractures
Muscle
cramps
Tendinitis
Blisters
Top 10
Problems

4. #1 Runner's Knee
• Patellofemoral pain syndrome
• The irritation of the cartilage on the
underside of the knee-cap.
• About 40% of running injuries are
knee injuries.
• Leading cause is over-pronation.

5. #2 Achilles Tendinitis
• Achilles tendon connects the two
major calf muscles to the back of
the heel.
• Under too much stress, the
tendon tightens and becomes
irritated (tendinitis).
• 11% of all running injuries.
• Leading cause is over-pronation.

6. #3 Hamstring Issues
• The muscles that run down the
back of our thighs bend our knees,
extend our legs, drive us up hills,
and power finish-line kicks.
• Over-worked muscles leads to
cramping and pain.
• Over-pronation is a leading cause.

7. #4 Plantar Fasciitis
• 15% of all running injuries strike the
foot—with each step, our feet absorb
a force several times our body
weight.
• Plantar fasciitis is due to mechanical
over-loading NOT an inflammatory
process.
• The top foot complaint.
• The pain is usually worse first thing in
the morning.
• Leading cause is over-pronation.

8. #5 Shin splints
• "Shin splints" refers to medial tibial
stress syndrome.
• Achy pain that results when small
tears occur in the muscles around
your tibia (shin bone).
• This makes up about 15% of running
injuries.
• Over-pronation is the leading cause.

9. #6 Iliotibial Band Syndrome (ITBS)
• The iliotibial (IT) band lies along the
outside of the thigh from the hip to the
knee.
• When you run, your knee flexes and
extends, which causes the IT band to
rub on the side of the femur.
• This can cause irritation if you take up
your mileage too quickly, especially if
you're doing a lot of track work or
downhill running.
• ITBS makes up 12% of all running
injuries;
• Over-pronation is a leading cause.

10. #7 Stress Fracture
• Stress fractures develop as a result
of cumulative strain on the bone.
• Runners most often have stress
fractures in their tibias (shin),
metatarsals (feet), or calcaneus
(heels).
• One of the most serious of all
running injuries
• Over-pronation is a leading cause.

11. #8 Muscle Cramps
• One of the most common reasons for
failure to complete a marathon.
• It’s not due to lack of fluid or electrolyte
intake.
• The problem is muscle overloading or
contracting too much.
• There is an over-compensating muscle
group.
• Over-pronation is one of leading causes.

12. #9 Tendinitis
• Posterior tibial tendon
dysfunction.
• Supports the inner arch.
• Due to increase strain on the
tendon.
• Caused by over-pronation of
the foot.

13. #10 Blisters
• Blisters are caused by friction.
• Poor-fitting shoes.
• Typically occurs over bunions or
hammertoes.
• Leading cause is…over-pronation.

14. What’s the fix?

15. We certainly can
treat to the symptoms.
However, for long-term success,
we have to identify and
eliminate the underlying cause.

16. Pain is a very influencing factor.

17. Should we run through the pain?
Pain is a warning signal that something is wrong.

18. What should we do when some part
of our body is causing us pain?
Typical treatments.

19. Rest = stop running.
The excessive forces that led to the
excessive strain will no longer
traumatize the body part.

20. While rest will give your body time
to recover, it doesn’t fix what led to
the body part injury.

21. Ice -
is typically a good thing, however ice
doesn’t fix what caused the problem
in the first place.

22. Soaking?
Soaking your body part is also nice,
but it doesn’t solve the underlying
problem.

23. Pills!
Pills will make the pain go away but they don’t
solve the underlying problem.
Actually, pills can serve as a double edged sword.

24. Pills
Make you feel better, but they give you a false
sense of treatment. You keep running, there is
more damage to your body, more pain so you take
more pills and the cycle continues.

25. A practical new approach
to keep you running.

26. Runner’s
knee
Achilles
Tendinitis
Hamstring
Issues
Plantar
fasciitis
Shin
Splints
Iliotibial
band
syndrome
Stress
fractures
Muscle
cramps
Tendinitis
Blisters
What do
they all
have in
common?

27. Over-pronation
Another word for a misaligned foot.

28. Over-pronation leads to:
Cumulative Traumatic Disorders
as a result of the excessive forces continuously
acting on the tissue during walking or running.

29. The primary focus of attention
is to:
eliminate the excessive forces
acting on our body.
Secondary focus is to:
allow the traumatized tissues to heal.

30. 1st Proactive Measure
Your running shoes.

31. Worn-out Shoes
• Probably the leading cause of CTD.
• Check your shoes for wear before you put
them on.
• If they are worn out – get rid of them.

32. Over-pronation leads to a
Faulty Foot Structure
2nd How are we going to
address the over-pronation?

33. A faulty foundation
leads to all sorts of issues.

34. Faulty Foot Structure
• Your feet are the foundation of your body.
• There are 26 bones, 33 joints and nearly 100
muscles, tendons and ligaments.
• The alignment and stability of the foot bones
is crucial to proper foot function.

35. What leads to a faulty foot
alignment?
It depends on the stability and
alignment of the ankle bone.

36. What specifically leads to a
Faulty Foot Alignment?
• Sinus tarsi – natural opening between the ankle
and heel bone.
• The sinus tarsi is open in an aligned hindfoot
• The sinus tarsi is closed in a misaligned foot.

37. Ankle Bone Displacement is the
main reason for a misaligned foot.

38. How can we realign the foot?

39. Observation?
• Misaligned feet don’t magically realign on
their own.
• They don’t get better, they get worse.
• Every step taken leads to more tissue trauma.

40. Muscle-tendon strengthening?
• Unfortunately, there is no evidence that this
works.
• This is an internal bone problem.
• The muscles and tendons are already being over-
worked.

41. Arch Supports – Foot Orthosis?
• It seems to make sense but the reality is quite
different.
• Depends on the degree of foot misalignment.
• Let’s take a closer look.

42. Arch Supports – Foot Orthosis?

43. Arch Supports – Foot Orthosis?
No matter how “good” the arch support
is made, something placed below the
heel cannot realign and stabilize the
ankle bone.

44. Reconstructive Surgery?
• Seems a bit aggressive
• Long recovery
• Many potential complications
• Typically requires multiple operations
• Is the cure worse than the disease?

45. There has to be a better option!

46. EOTTS?
• There is a minimally invasive procedure that
internally realigns and stabilizes the hindfoot.
• Normal motion is restored.
• Excessive forces are reduced/normalized

47. EOTTS
• Extra-Osseous TaloTarsal Stabilization (EOTTS)
• A titanium stent is placed into the sinus tarsi
space (not into a joint).
• Instantly the ankle bone is realigned on the
heel bone.

48. EOTTS
• The procedure is performed as an out-patient
procedure.
• Typically patients are back to running
approximately 6 to 8 weeks after the
procedure – want to make sure the stent is
firmly anchored into the soft tissue.
• Minimal complications
• It is a reversible procedure

49. EOTTS Facts
Type II HyProCure® Stent
– Performed on both children and adults for > 10 years
– Best sinus tarsi stent on the market
– Used by foot surgeons in 45 countries
– Over a dozen peer-reviewed scientific studies

50. No one wants to have surgery, but
those misaligned feet are destroying
your body.

51. Which procedure would you choose?

52. Don’t ignore your feet.
Don’t ignore the
warning signs?

53. Thank you for
your time.

54. For more information please visit:
www.AlignMyFeet.com