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The Physical Injury
You wake up and prepare for your morning workout, and as you bend down to put on your running shoes you feel a little twinge in your right hamstring. Nothing more than that and you think little of it. But several days later, there it is again, now a bit more prominent. And that evening, the twinge has become more than an annoyance and is now beginning to hurt. The next day’s workout is hindered, and by the following week, you are feeling real pain. Now your hip doesn’t seem to move right and your knee is throbbing. After another week, all the pain has settled around the knee. You recall no trauma, your shoes seem good, and you’ve not changed training routines.
This “domino effect” takes place regularly in millions of athletes throughout the world. An injury begins from some seemingly benign event and evolves into real impairment. But there’s logic to your body. A progression such as the one just described is not random. An injury is, with some exceptions, simply an end result of a series of dominoes falling over. One little, innocuous problem affects something else, and the dominoes start to tumble. After a half-dozen or so dominoes have fallen, a symptom—pain, dysfunction, feeling of lost power—occurs in response.
Let’s go back to our “typical” pattern of injury and use knee pain as the end result. This is one of the most common injuries in endurance athletes. From a professional standpoint, there are two views when confronted with a knee problem.
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