238 Other Training-Related Issuesto 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)
BackLigament 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.NeckLigament strain; Facet
Syndrome; muscle
strain; disc diseaseIsometric 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 PainQuad and hamstring stretching/
strengthening exercises; avoid extra
trips up and down stairs; avoid
jumping activities until pain-free; try
stationary cycling.ShoulderImpingement 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 osteoarthritisAnkle flexibility exercises; calf
stretching; avoid load-bearing and
long runs; Try stationary cycling.Foot Plantar Faciitis Calf and foot stretching; heel lifts; steroid injection.