Biomechanical overload syndrome: defining a new diagnosis
Four pages 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 4. No pressure! Compartment syndrome may not be what it seems
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:
- Classical Conditioning Fails to Elicit Allodynia in an Experimental Study with Healthy Humans. Madden 2017 Pain Med.
- Topical glyceryl trinitrate (GTN) and eccentric exercises in the treatment of mid-portion achilles tendinopathy (the NEAT trial): a randomised double-blind placebo-controlled trial. Kirwan 2024 Br J Sports Med.
- Placebo analgesia in physical and psychological interventions: Systematic review and meta-analysis of three-armed trials. Hohenschurz-Schmidt 2024 Eur J Pain.
- Recovery trajectories in common musculoskeletal complaints by diagnosis contra prognostic phenotypes. Aasdahl 2021 BMC Musculoskelet Disord.
- Cannabidiol (CBD) products for pain: ineffective, expensive, and with potential harms. Moore 2023 J Pain.