Overuse Injury or Training Load Error

Ross Hauser, MD

Bones, muscles, tendons and ligaments get stronger and more functional with exercise and activity. This happens because of an internal process called remodeling, which involves both the breakdown and the build-up of tissue. If breakdown occurs more rapidly than build-up, an injury can result. For example, when a player first begins a sport or activity and tries to do too much too soon, more breakdown than build-up of tissue can result.

Poor technique may also be involved.

In fact, training errors are the most common cause of overuse injuries. They involve a too rapid acceleration of the intensity, duration or frequency of the activity.

Overuse injuries also occur among individuals who return to a sport or activity after an injury and try to make up for lost time. Technical, biomechanical and individual factors may also be involved. For example, imbalances between strength and flexibility around certain joints can predispose an individual to an overuse injury. Body alignment, such as knock-knees, bowed legs, unequal leg lengths and either flat or high arched feet are also factors.

Overuse Injury


In 2007 Researchers at the Harvard School of Medicine published their research in which they identified overuse injuries in female athletes: Here is their list


Shoulder |Medial Elbow | Ulnar collateral ligament reconstruction | Tommy John – Throwing overuse injuries in the developing male athletes


Doctors at the University of Alabama at Birmingham School of Medicine say in the hypercompetitive environment of year round youth baseball, arm pain is commonplace.

With a focus on “little leaguers, the researchers evaluated five of the most common elbow and shoulder injuries:

The researchers strongly suggested that “offering early diagnosis and treatment appropriate to a child’s level of development will enable youth to not only continue to play sports but to also maintain full functionality as active adults.”2

Emory University School of Medicine researchers write that: Medial elbow injuries in the throwing athlete are common and increasing in frequency. They occur due to repetitive forces acting on the elbow during the overhead throw. Overuse and inadequate rest are the main risk factors for injury. 3

Please see my article on counter-research on Tommy John Surgery outcomes.


Gymnast’s wrist


University of Connecticut of University of Chicago researchers identified overuse injury in “Gymnast Wrist.” They include:

Please see our article on wrist instability


Overuse injury to the lower limb – Distance Running Injuries


Researchers in England say overuse in their footballers or soccer players age 7 – 18 years occur with overtraining distance running in combination with the running that needs to occur during a match.5

 

RICE and NSAIDs


The usual recommendation in the traditional sports medicine community is to stop whatever activity is resulting in the chronic pain and to start the RICE protocol, as well as taking non-steroidal anti-inflammatory drugs (NSAIDs) such as Aspirin or Ibuprofen. Although RICE treatment, which stands for stands for Rest, Ice, Compression and Elevation, does reduce pain for a while, it usually returns, which leads to chronic nagging injuries. In fact, RICE treatment can actually hinder the healing process rather than aid it.

 


Prolotherapy for Overuse Injuries


The natural medicine approach to overuse injuries is Prolotherapy, which stimulates tissues to make more collagen and proteoglycans, which in turn will rebuild the injured tissue, resulting in a stronger, thicker ligament or tendon. Prolotherapy is administered directly to the injured areas in order to stimulate the fibroblasts that make the new connective tissue. Once an individual’s ligaments and tendons are stronger and thicker, activity can actually be increased rather restricted, as is usually the case with the traditional modern medicine approach.

1 Ivković A, Franić M, Bojanić I, Pećina M. Overuse Injuries in Female Athletes. Croatian medical journal. 2007;48(6):767-778. doi:10.3325/cmj.2007.6.767

2 Daruwalla JH, Daly CA, Seiler JG 3rd. Medial Elbow Injuries in the Throwing Athlete. Hand Clin. 2017 Feb;33(1):47-62. doi: 10.1016/j.hcl.2016.08.013.

3 Tisano BK, Estes AR. Overuse Injuries of the Pediatric and Adolescent Throwing Athlete. Med Sci Sports Exerc. 2016 Oct;48(10):1898-905.

4 Wolf MR, Avery D, Wolf JM. Upper Extremity Injuries in Gymnasts. Hand Clin. 2017 Feb;33(1):187-197. doi: 10.1016/j.hcl.2016.08.010.

5 Bacon CS, Mauger AR.Prediction of overuse injuries in professional U18-U21 footballers using metrics of training distance and intensity.  J Strength Cond Res. 2016 Nov 19. [Epub ahead of print]

Make an Appointment |

Subscribe to E-Newsletter
Find out if you are a good candidate
First Name:
Last Name:
Phone:
Email:
Question:

Enter code:
captcha
Facebook Reviews Facebook Oak Park Office Review Facebook Fort Myers Office Review
SEARCH
for your symptoms
Prolotherapy, an alternative to surgery
Were you recommended SURGERY?
Get a 2nd opinion now!
WHY TO AVOID:
★ ★ ★ ★ ★We pride ourselves on 5-Star Patient Service!Come see why patients travel from all
over the world to visit our clinics.
Current Patients
Become a New Patient

Chicagoland Office
715 Lake St., Suite 600
Oak Park, IL 60301
(708) 393-8266 Phone
(855) 779-1950 Fax
Southwest Florida Office
9738 Commerce Center Ct.
Fort Myers, FL 33908
(239) 308-4701 Phone
(855) 779-1950 Fax Fort Myers, FL Office
We are an out-of-network provider.
© 2018 | All Rights Reserved | Disclaimer
National Prolotherapy Centers specializing in Comprehensive Prolotherapy,
Stem Cell Therapy, and Platelet Rich Plasma.

Meet our Prolotherapy Doctors and check out our Prolotherapy research.