Abstract
Overuse injuries result from the combination of repetitive microtrauma and inadequate healing time. Repetitive loading of biological tissues illustrates damage accumulation and failure consistent with a mechanical fatigue process. Overuse injuries may involve the muscle-tendon unit bone, articular cartilage, epiphysis, or bursa. This chapter reviews the most relevant injuries for doctors and coaches who accompany their athletes. The following conditions are covered specially, knee pain, patellar tendinopathy, iliotibial band syndrome, medial tibial stress syndrome, stress fractures, compartment syndrome, plantar fasciitis, and Achilles tendinitis. Injury is caused by a combination of inadequate preparation, inappropriate equipment, poor technique, and overuse. Nonsurgical management may include rest, nonsteroidal anti-inflammatory drugs, corticosteroid injection, application of ice, reduction in training intensity, orthotics, night splints, physical therapy, and surgery. Injury prevention should be the focus, with particular attention to alignment, appropriate equipment, and appropriate training.
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