Friday, February 6, 2009

After the surgery is before the race.

Fresh wind in the Achilles' team: Dr. Dirk Pajonk explains when after injuries and operations, again with the sport began to be disclosed. Achim is sure that the new colleague to one of the rare species, which after running nothing hurts.

 

Hello Doc,
If I every other day for half an hour walk, I feel after a few days when waking up a dull pain in the midfoot. This usually passes after a few minutes of walking or running, but comes back regularly, and may actually increase. It is bearable, but I would still prefer to know what's wrong mag. Finally, it was a few years ago a kink-splayed-foot diagnosed. Is there a related? I feel in my shoes very well and close it out as the cause.
Regards, Dejan


Corbis
After the OP: Let me run

Hi Dejan,
with pain on a permanent running makes no fun. Diagnoses from a distance but it is not. The problem can be so many reasons, ranging from a harmless bracing serious injury to the rich, that I am with the best will in no reliable Council can give. Possible that deposits help, but certainly helps a visit to the orthopedist.
Best regards, Dr. Dirk Pajonk

SPORTS DOCTOR PAJONK


Dirk Pajonk


Dr. Dirk Pajonk knows where it hurts. In 1996, he became the German champion decathlete and drove to Olympia to Atlanta. Since 2001, Pajonk supervising physician of the German Athletics Federation and the German decathlon team. The orthopedist has his practice in Dusseldorf.
In addition to sports medicine, he deals extensively with stress management and is the author of the book "Relaxed wins."


Dear Dejan,
Evolution has a few happy, privileged man, which after running even nix hurts.
Our new Doc apparently belongs to this rare species.
Gruß Achim Darwin

Hi Dejan,
it would not be irrelevant to know how long you've run. Are you an inexperienced runners and turn your regular first round, it could be a sign of the unusual burden that your feet just learns. Not that this should calm down, but that would possibly explain the pain and an orthopedist should actually can clarify whether you are wearing the right shoes or inserts need. You run longer and continues to plague you for a while even with the problem around, it's time for a visit to the doctor. After running, until the doctor comes, would be the wrong slogan.
Get Well wishes to your clipboard-Karrass

RUNNING COACH KARRASS


About 10,000 meters was Jens Karraß once German champion, best 27:53 minutes. Today, the 38 - year-old with his company jk running running and fitness coaching. Among other things, runs the Federal Justice Minister Brigitte Zypries regularly with him.


Dear Achim,
I had played football, was unhappy with the lower abdomen to the opposite knee of the player has fallen more than the pain in the evening, I came to the hospital. Emergency surgery. The reason: There were bleeding because of a crack in the colon. Histology (according to dismiss Report): Colon ascendens with 15 centimeters wide, intermuralem, submucösem and subserösem Hematoma and Wandruptur with intraabdominaler bleeding. Extensive Einblutung and active, fibrinöse inflammation in Mescolon. Small, active, erosive appendicitis and small fibrinöse Periappendizitis, no malignancy. Value for dismissal HGB = 10.1 g / dl. When around, I can start to run again? Mir gehts better, the scar healed well, the digestive system is well regulated and the blood is aufgepäppelt. I would be very grateful for a timetable, because I burn it, to be fit again and also parts of the colon without loszurennen.
Danke schon mal in advance, Frank from Emden

Dear Frank,
with the sport, you can begin when the wound is closed and the abdominal wall solid healed. Please begin with a slow load structure, perhaps even only once walking with a slight change in the running. You have nothing like this, if you immediately losrennst like a madman and thus the success of the surgical risk. Eighth necessarily your hemoglobin value.
Best regards, Dr. Dirk Pajonk

Dear Doc,
Beginning in February 2008, I have a hallux-valgus undergoing surgery, the left (Scarf osteotomy MT-I, OP Akin D1 after correction with subkapitaler Because MT II and III). How long do I have to pause from your experience?
Dieter

WWW.ACHIM-ACHILLES.DE


For four years, he writes his columns, is now a cult Achim Achilles runners online - with its site-www.Achim Achilles.de. The portal provides the millions of runners in this info, tips and fun - for beginners as professionals run. The vibrant community of runners exchanged last wisdom of half a dozen expert advice free of charge. Always according to the motto of the best-selling author Achilles: "Running, suffer, laugh, live."


Hi Dieter,
Your doctor should be an X-ray done, when you see that the bones grow strong together. The OP is now a year ago. Normally this period. Please let a doctor determine whether deposits are advised.
Best regards, Dr. Dirk Pajonk

Hi Achim,
I have long plagued the "Iliotibial band syndrome '. I was already with some doctors, but so far no treatment helped. What advice would you give me?
Uli

Hi Uli,
the syndrome, what you call, is so vague that many possibilities exist. One answer is quite simple: If all these therapies have so far nothing seems to cause other alternatives. The from here I can not identify.
Best regards, Dr. Dirk Pajonk

Get more tips and tricks by Achim and his team expanded on the new page
Achim-Achilles.de.

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