238 Other Training-Related Issues
to avoid a recurrence of previous injuries. Also, it is important to remember that you may
need a longer time to recover than you did when you were 18. Listen to your body so it will
be kind to you in the future.
Table 14-1. Sites, Common Causes of, and
Recommendations for Chronic Musculoskeletal Pain
Site Common Causes
Recommendations
(After a Medical
Evaluation)
Back
Ligament strain; instabil-
ity; osteoarthritis; weak
abdominal muscles;
sacroiliac joint
dysfunction; sciatica;
poor flexibility.
Stretching program morning and
evening; back and abdominal strength-
ening program; manipulations; avoid
swimming with a kickboard and
running until pain is manageable.
Neck
Ligament strain; Facet
Syndrome; muscle
strain; disc disease
Isometric stretch; avoid freestyle
swimming until pain-free.
Elbow Tepicondylitisendonitis;
Ice affected area; wrist and elbow
stretching; avoid diamond push-ups
until pain-free.
Knee PSyndrome; tendonitis.atellofemoral Pain
Quad and hamstring stretching/
strengthening exercises; avoid extra
trips up and down stairs; avoid
jumping activities until pain-free; try
stationary cycling.
Shoulder
Impingement Syndrome;
instability; rotator cuff
tendonitis.
Rotator cuff stretching/strengthening
exercises; ice shoulder after activity;
avoid overhead activity, military press,
butterfly stroke; do not swim train with
paddles; breath on same side of injury
during freestyle swimming.
Ankle Old fractures with osteoarthritis
Ankle flexibility exercises; calf
stretching; avoid load-bearing and
long runs; Try stationary cycling.
Foot Plantar Faciitis Calf and foot stretching; heel lifts; steroid injection.