Biomechanical overload syndrome: defining a new diagnosis
Three articles on PainSci cite Franklyn-Miller 2014: 1. Is Running on Pavement Risky? 2. The Complete Guide to Trigger Points & Myofascial Pain 3. Shin Splints Treatment, The Complete Guide
PainSci notes on Franklyn-Miller 2014:
Franklyn-Miller et al. argue persuasively that, as with so many other musculoskeletal problems, there are problems with common assumptions made about chronic exertional compartment syndrome (CECS). The problem does not seem to be pressure: “there is currently no evidence of a direct association between this rise in compartment pressure and the pain and reduced muscle function.” So, if not pressure, then what? A muscle overuse syndrome caused by poor running form (exaggerated heel strike): “we have described their condition as a ‘biomechanical overload syndrome’ (BOS),” and they claim to have had good results treating patients by teaching them a running form that doesn’t work the tibialis anterior as hard.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- No long-term effects after a three-week open-label placebo treatment for chronic low back pain: a three-year follow-up of a randomized controlled trial. Kleine-Borgmann 2022 Pain.
- Exercise and education versus saline injections for knee osteoarthritis: a randomised controlled equivalence trial. Bandak 2022 Ann Rheum Dis.
- Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-based Cohort Study. Kasch 2022 Spine (Phila Pa 1976).
- A double-blinded randomised controlled study of the value of sequential intravenous and oral magnesium therapy in patients with chronic low back pain with a neuropathic component. Yousef 2013 Anaesthesia.
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Richards 2021 Phys Ther.