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  #1  
Old 15th Jun 08, 08:11 PM
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momorris momorris is offline
Real Name: John   Age: 40   Gender: Male  
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cramp/tightness on outer leg

Hi all, this is the second time i have had this. It starts after a few minutes of running and is a tightness in my left lower leg, outside of the bone in the muscle. Almost like its cramping. It throws my foot off completely and I cannot bend it to get a good landing. The last time it cleared after some stretching but this time it didnt. The best way to stretch it I have found it to raise my foot behind me and place it on something and then lower my body. Anybody any idea what this could be. I hope it goes before the half on sun and am in two minds about complete rest or short slow miles to see if it clears.
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  #2  
Old 16th Jun 08, 09:09 AM
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richardsimkiss richardsimkiss is offline
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If you're very keen to run on Sunday then I'd have a lot of rest, maybe venture out twice during the week for short runs, being especially careful in your warm-up and cool down stages. On the other days perhaps look at doing some light stretching.
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  #3  
Old 17th Jun 08, 07:09 PM
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momorris momorris is offline
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Cheers Richard, I saw the physio (different injury, a review of my knee) and she said shin splints. Its different from when I have had them before but im icing and taking brufen. Im at complete rest at the moment and will maybe go out on fri (slow and short) to see if I can still enter. Stretching every day so hopefully it will all help. I have also been given an exercise where I pull my toes towards my body (using my foot muscles only) and hold for 5 mins to help the front muscles get back in sync with the calfs. Along with standard calf and lower calf stretches.
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  #4  
Old 17th Jun 08, 07:28 PM
Scarbib_jack Scarbib_jack is offline
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Is it an injury/old injury or just bad cramp?
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  #5  
Old 17th Jun 08, 07:50 PM
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momorris momorris is offline
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It feels like a bad cramp. When I have shin splints before it has always felt different (but I know its a broad diagnosis). I have never had the pain in this place before. What makes me think its more of a cramp is the fact that my foot seems to lock and doesnt bend enough for a decent landing. I wouldnt have thought it would happen twice on successive runs though.
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  #6  
Old 17th Jun 08, 08:17 PM
Scarbib_jack Scarbib_jack is offline
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From wha i understand about cramp, is that its do do with electrolytes being out of balance so musce contractions are messed up.

you need to have te right balace of potassium and sodium. As your out running, its probably sodium.

Have some sea or rock salt in food a little more. It might be the simple solution!
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  #7  
Old 17th Jun 08, 08:21 PM
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Stacka Stacka is offline
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Yes best way to cure cramp is to put more salt in your diet.
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  #8  
Old 18th Jun 08, 07:29 AM
premierphysio premierphysio is offline
 
Hi

I think your symtpoms sound like anterior compartment syndrome - this is one form of shil splints. Anterior compartment sydrome causes cramping like sensations in the muscle on the outside to front of the leg (Tibialis Anterior). THe condition seems to come on at a set distance and is relieved by rest or stretching. There are 2 causes of anterior compartment syndrome. The 1st occurs when running causes tibialis anterior muscles to swell. this compress all the structures in the area including the main blood supply - the tibial artery thus causing the cramp and and not any electrolyte inbalance. The only way to have this diagnosed is VIA a vascular surgeon. THe 2nd cause of ACS is the most common. It occurs essentially when people have tight posterior group muscles - gastrocnemus aka the calf muscle and also in people with poor biomechanics.

Why?
Having tight calf muscles means that the person finds it difficult to pull the foot towards their shin. The muscles responsible for ensuring the foot moves towards the shin is tibialis anterior, however the tight calf muscle limits the amount of movement. therefore the tibialis anterior muscles has to overwork- they usually swell and people say that the muscle feels like a rock! Why is it important for the foot to move in the direction of the shin? this movement is required for normal gait and is called ankle dorsiflexion.

Why is biomechanics important? Xs pronation places an unwanted stress onto the tibialis anterior muscle noticbly at toe off- again further overloading the muscle which may or may not already be overloaded due to tight calf muscles.

treatment - REST, Physio for stretches / depp friction massage, Sports Podiatrist to check gait.
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  #9  
Old 18th Jun 08, 04:23 PM
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momorris momorris is offline
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Cheers premierphysio and I think you may be right. The muscle definitely get hard to the touch when the pain starts. I already have a problem with my left foot where it wont bend as far as my right. All my problems have been down my left side, Muscle spasms in my back = cured by stretching hamstrings. Knee problems = not fully cured as occasionally it will give or hurt but controlled by quad exercises and glucosamine and chrondoition. Now this. I am aware that my calves are a little tight so im really working on loosening these.
I had only ever heard of surgery for compartment syndrome so its relieving to know that it may just be linked to tight calves.

Last edited by momorris; 18th Jun 08 at 07:01 PM..
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  #10  
Old 18th Jun 08, 06:46 PM
Scarbib_jack Scarbib_jack is offline
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Quote:
Originally Posted by premierphysio
Hi

I think your symtpoms sound like anterior compartment syndrome - this is one form of shil splints. Anterior compartment sydrome causes cramping like sensations in the muscle on the outside to front of the leg (Tibialis Anterior). THe condition seems to come on at a set distance and is relieved by rest or stretching. There are 2 causes of anterior compartment syndrome. The 1st occurs when running causes tibialis anterior muscles to swell. this compress all the structures in the area including the main blood supply - the tibial artery thus causing the cramp and and not any electrolyte inbalance. The only way to have this diagnosed is VIA a vascular surgeon. THe 2nd cause of ACS is the most common. It occurs essentially when people have tight posterior group muscles - gastrocnemus aka the calf muscle and also in people with poor biomechanics.

Why?
Having tight calf muscles means that the person finds it difficult to pull the foot towards their shin. The muscles responsible for ensuring the foot moves towards the shin is tibialis anterior, however the tight calf muscle limits the amount of movement. therefore the tibialis anterior muscles has to overwork- they usually swell and people say that the muscle feels like a rock! Why is it important for the foot to move in the direction of the shin? this movement is required for normal gait and is called ankle dorsiflexion.

Why is biomechanics important? Xs pronation places an unwanted stress onto the tibialis anterior muscle noticbly at toe off- again further overloading the muscle which may or may not already be overloaded due to tight calf muscles.

treatment - REST, Physio for stretches / depp friction massage, Sports Podiatrist to check gait.
wow. Very informative posts. Cheers

Do you find that allot of your clients have posterior chain inbalances?
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  #11  
Old 22nd Jun 08, 05:28 PM
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momorris momorris is offline
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Not everyone will read the Scotland section so here is an update - the stretching and rest worked. Today I had no problems. I could feel the muscle getting a little tighter but it had no effect on me at all. Really working hard on stretching out my calves and rest seems to have done the trick.

Thanks all.
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  #12  
Old 10th Jun 12, 08:48 AM
dagsgaz dagsgaz is offline
 
Defo sounds like compartment syndrome as I also have it, except eventually i get pins and needles in my feet as well:\

I've been to the hospital on several occasions for tests and scans, seen a bio-mechanic too. They determined the cause of my compartment syndrome was that bow legged. They gave me some special in-souls, a few stretches and told me if it doesn't get any better I will have to have surgery in both legs.
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