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Unsure what this could be?

Discussion in 'Common Training Injuries' started by smashlegs, Sep 15, 2019.

  1. smashlegs

    smashlegs New Member

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    I have been training for a couple of months now entirely focusing on the PJFT, doing 3 interval sessions a week (along with strength training). I have been increasing my distance on the intervals every week or two since my fitness is continuing to improve week in week out. Currently my interval sessions look like this:

    2.4km In 12:30
    1min rest
    4x 600m @15kph
    (2-3mins rest between sets)

    During the session I’m absolutely fine, but it’s after the run, later in the day and the day after that a certain area on my right leg hurts to touch. Specifically it is the inside of the tibia at the bottom above the ankle.

    Hoping someone may have had this before or may know what it could be and what I need to do to prevent injury. I know it can’t be shin splints as it does not ache at all, only hurts when pressed and it’s on the side of the shin.
     
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  2. ALDL9RM

    ALDL9RM Member

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    I might be completely wrong and there’s plenty who can and will correct me if I am but if it hurts when pressed is that not signs of a stress fracture? Could also be just tight muscles if you’re not rehabbing them properly after training ie foam rolling, ice/heat, stretching, I found that using compression socks helped with lower limb pain but may not be the case for you, worth a shot though not going to do any harm I imagine. Just take some time to rest and work on foam rolling and RICE and it might make a difference. Hopefully someone else who’s more in the know about these things can give you a better answer but just sticking my nose in really;)Hope it gets sorted for you though bud.
     
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  3. Johnny_Anonie

    Johnny_Anonie Moderator

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    Hopefully our resident musculoskeletal expert @physiomum can have a look at your question.

    It certainly does sound consistent with a stress fracture. Particularly the tenderness when you press on the site of the pain.

    Stress fractures commonly occur when there is a sudden change in physical activity or increase in training without enough rest time for the bone to adapt and remodel. You may not be allowing time for recovery between your phys, training too frequently or a sudden rapid increase in the intensity of phys.

    Stress fractures mostly occur in weight bearing bones. They are particularly common in the shin and foot.

    It typically takes from 6 to 8 weeks for a stress fracture to heal. During that time, switch to activities that place less stress on your foot and leg. Swimming and cycling are good alternative activities. You might need physio as your muscles act as shock absorbers for your bones, if there are areas of muscle weakness and/or tightness then this can increase the risk of a stress fracture.

    Go get it checked out and keep us posted.
     
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  4. smashlegs

    smashlegs New Member

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    @ALDL9RM @Johnny_Anonie cheers for the reply’s lads. There certainly is tightness around that area on both legs on the run out but I’ve just been associating that with the pump feeling you get when lifting weights and just running through it?

    These past weeks I’ve been having 2 sometimes 3 rest days inbetween my running session and it seems to be helping without affecting my fitness, so I’ll continue to do that whilst doing RICE. Would you say it’s even worth foam rolling that area if it could possibly be a stress fracture?

    Really don’t want to stop running because my fitness is doing so well and I want my app in very soon!-banghead-
     
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  5. Chelonian

    Chelonian Moderator

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    There are others far better qualified than I am but this is my observation anyway:

    If you do have a stress fracture adequate rest is going to be the single most important part of your training regime until it heals adequately.

    I've done daft things such as attempting dips two weeks after fracturing ribs. It wasn't big and it certainly wasn't clever. :(

    Rest isn't a sign of weakness; it's sometimes essential to achieve the ultimate goal.

    When healed you can then resume normal, effective training. Meanwhile consider cycling and swimming as suggested by @Johnny_Anonie
    Best of luck.
     
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  6. smashlegs

    smashlegs New Member

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    Really dislike the idea of potentially losing some fitness that I’ve gained, it’s a bitter pill to swallow knowing that I’m going to have to rest up. Would you say it’s worth getting it checked out, with regards to the medical if it was a stress fracture would this prevent me from joining or have some timeframe until I could apply? Don’t want to shoot myself in the foot so to speak.
     
  7. JWJ

    JWJ Active Member

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    If there’s one thing you want to fully sort out before RT, it’s a lower limb stress fracture. That’s probably one of if not the biggest single reason lads get huntered in phase 1. If you’re not completely good to go, I am willing to bet you’re putting your self in a position to experience hunter company.
     
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  8. Chelonian

    Chelonian Moderator

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    Shooting yourself in the foot will be detrimental to any existing lower limb injury, regardless of your forum user name. :)

    But seriously, I'd get the leg professionally assessed so that you have as definitive a diagnosis as possible. Only then can you plan the best way to regain full mobility and continue with effective training. The diagnosis will also indicate any possible mandatory time frame regarding your application. At the moment you and we are speculating about what the problem might be based on forum posts.

    As referenced by @JWJ going into Recruit Training with an unresolved lower limb injury is definitely not a sensible idea. I'd go further and suggest that a medical discharge because of pre-existing injury is more likely than a spell in Hunter Company.
     
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  9. Corona

    Corona Member

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    If you were to go to the GP about chronic shin pain to get it sorted and then it flared up again in RT would you be a lot more likely to be discharged instead of put into Hunter?
     
  10. Chelonian

    Chelonian Moderator

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    That's a question way above my pay grade. Not that I am paid. Hopefully someone will give you a more informed answer.

    My opinion is that one should assess the risk and make an informed decision about what is best for one's long term health and welfare. This might or might not be compatible with a job application.

    I'll wager that having processed many, many thousands of Recruits CTCRM is very adept at identifying the emergence of a pre-existing injury, particularly in the first half of RT.

    Personally, I'd prefer to have my injury or condition professionally assessed. Appropriate, specifically targeted therapy would then be more likely to clear up the condition rather than me attempting to cuff it. But as stated, that's just my opinion of what would be the sensible option for me.
     
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  11. Corona

    Corona Member

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    Thanks I'll bear that in mind. I'm seeing a specialist in a few weeks after being 'referred' by a physio. If that doesn't work/I'm still stuck here in 6 months I'll go on down the GP route I think.
     
  12. Chelonian

    Chelonian Moderator

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    A physio or other specialist health professional might be a better option than a GP to be honest. What matters is that a condition is assessed by someone who knows their stuff.
     
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  13. Corona

    Corona Member

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    Thats hopefully my plan, the problem is the physios I went to couldnt fix my shins (I'm still doing the exercises they gave me as I doubt they'd make things worse) so they've referred me to a foot and gait clinic in Taunton (https://footandgaitclinic.co.uk/) to get an analysis and possibly insoles (not prescribed as I understand this bars permanently) to fix the problems. However, should this not work and I run out of options, GP will be only option. Definitely agree with getting the condition assessed by someone who knows their stuff, I think I fell into the webmd trap too many times.
    Thanks
     
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  14. physiomum

    physiomum Active Member

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    Hi @smashlegs sorry to hear about your shin pain. There’s been a lot of excellent advice above. As you can imagine I can’t diagnose with the above info. It sounds like anteromedial tibial stress syndrome but could be the start of a stress fracture. As suggested you need to get it checked out. I think I’d get a second physio or private sports medicine doctor opinion so that it’s not on your NHS record and because you ought to have been given a more definitive diagnosis from the clinician you were seeing. I know it will be more expense may but it will be keeping your options open and also ensuring you get the best treatment for the short and long term . Good luck
     
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  15. Johnny_Anonie

    Johnny_Anonie Moderator

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    I am not trying to rain on your parade, but you should face the reality that you may be doing more harm than good. You may dislike the idea but the corps will dislike you even more if you tip up injured.
    Remember all injuries have an effect wider than the person injured. You require a robust physical frame to cope with the physical demands of CTC and subsequent service. I was posted to a phase 1 training establishment following a front line tour of Afghanistan as a combat medic, believe me when I say that musculoskeletal injuries were the greatest single cause of medical discharge in training.

    If you want to crack this then you owe it to the blokes to be in the best possible state. Keep pushing forward, focus on preserving your health, take the advice of a doctor and you’ll arrive in good order.
    If you push through and arrive injured then it is a waste of everyone’s time and you will join the many who do not make the cut. The Corps is going nowhere you are young, don’t rush.

    See quote below
     
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  16. smashlegs

    smashlegs New Member

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    I will definitely get booked in at a physio, last thing I want is it on my medical records as we all know what Capita are like...

    Thanks.
     
  17. smashlegs

    smashlegs New Member

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    My intention isn’t at all to push through and apply, be successful and turn up to day 1, week 1 with an Injury. That’s just outright dumb, and like you said a waste of everyone’s time. I’m going to get it sorted for sure. I’ve been talking to a lad I work with who not long left the army and was an Ex Army PTI and he’s suggested just smashing the bikes for the time being to keep the fitness level there.
     
  18. Johnny_Anonie

    Johnny_Anonie Moderator

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    Correct.
     
  19. diggernet

    diggernet New Member

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    Mate get in the pool.

    200 freestyle
    100 breast
    20 push ups
    6 pull ups

    5 times through

    Raise reps as needed

    No rest (breast stroke is your rest)

    When you get that down to around 40mins test your runs out again, if your run times dont improve let me know and Ill eat my own face

    dig
     
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  20. diggernet

    diggernet New Member

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    Sorry should have added

    This will help your legs rest while improving cardio vascular endurance
     
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