After a Marathon

Since there isn’t much published about proper recovery after running following these basic steps and suggestion will help you understand how important proper recovery after a race truly is.

  • As soon as you cross the finish line and slow down your body will naturally go into recover mode. You will start to feel clammy and chilly even if it is hot outside.
  • Do not stop moving. Slow down the run gradually to a sprint then a walk. Doing so will help the hear transition without damage. Walk for at least 10-15 minutes after a race
  • Change into comfortable dry warm cloths as soon as possible
  • Also make sure you change your shoes. Do not wear sandals or flip flops. It is imperative that th shoes you wear after a race do not cause your feet to swell and are supportive.
  • Eat a small snack 30 – 60 minutes after a race. Do have a big meal after, as you will feel hungry later on.
  • Wait about 24 hours or more before having a massage. Do not have deep massages. Just light massages will get the job done. And not damage any muscles
  • Wait about 2-6 after a race before stretching. During that period of time the muscles will begin torecoup and you would greatly minimize any potential damage.
  • Following our 3 week plan during your recovery phase will help you properly get back on track and help you be better for your next race.
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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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