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The Navy SEAL Physical Fitness Guide - Uniformed Services ...

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218 Training and Sports Related InjuriesTable 12-8. Symptoms, Prevention, and Treatment of Common TrainingandMission-Related InjuriesInjury Symptoms Prevention TreatmentPlantar FasciitisMetatarsal StressFractureShin SplintsIliotibial Band Rub(ITB)Pain in sole of foot just infront of heel; stiffness insole with first steps ofmorning.Pain in long bones of foot,especially 2nd or 3rd; worsewith weight bearing; achesat night.Pain at lower third innertibia; worse with first stepsof running or hiking; usuallyafter long or hard runsor hikes.Pain at outside portion ofhip or knee; gets worse severalminutes into run.Stretch Achilles and footafter runs, hikes; massagesole of foot; firm shoes;1/4”heel lift; arch supports.Avoid training too much, toofast, too soon; take carewhen transitioning to newtraining surfaces (grass toasphalt); different footwear(old shoes, new boots).Good shoe/boot wear;stretch before and afterruns/hikes; pronators (flatfeet) should use arch supports.ITB stretches; discard brokendown shoes; use runningshoes with wide heelbase; check leg length differences.Stretch the Achilles tendon and foot onincline board; tape sole instep; massage,ice sore spot; place 1/4" heel liftin shoes.Decrease amount of running orhiking; avoid full weight-bearing, usecrutch or cane; seek medicalevaluation.Ice to painful area before and after run,hike; ankle strengthening exercises,calf stretches, arch supports; medicalevaluation for pain longer than 12days.Ice to painful sites. ITB stretches. Hamstringand quad stretches. Heel lift forleg length difference.

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