{"id":3890,"date":"2026-10-11T14:15:00","date_gmt":"2026-10-11T12:15:00","guid":{"rendered":"https:\/\/andromeda-osteopathie.nl\/?p=3890"},"modified":"2026-10-11T14:30:22","modified_gmt":"2026-10-11T12:30:22","slug":"marathon-training-and-recurrent-injuries-a-different-perspective","status":"publish","type":"post","link":"https:\/\/andromeda-osteopathie.nl\/en\/uit-de-praktijk-en\/marathon-training-and-recurrent-injuries-a-different-perspective\/","title":{"rendered":"Marathon Training and Recurrent Injuries: A Different Perspective"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; row_position_desktop=&#8221;default&#8221; row_position_tablet=&#8221;inherit&#8221; row_position_phone=&#8221;inherit&#8221; overflow=&#8221;visible&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; flex_gap_desktop=&#8221;10px&#8221; column_element_direction_desktop=&#8221;default&#8221; column_element_spacing=&#8221;default&#8221; desktop_text_alignment=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_backdrop_filter=&#8221;none&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; column_position=&#8221;default&#8221; max_width_alignment_desktop=&#8221;default&#8221; max_width_alignment_tablet=&#8221;inherit&#8221; max_width_alignment_phone=&#8221;inherit&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][vc_column_text css=&#8221;&#8221; text_direction=&#8221;default&#8221;]\n<h1>Marathon Training and Recurrent Injuries: A Different Perspective<\/h1>\n<p>The range of complaints we encounter in clinical practice is incredibly diverse.<\/p>\n<p>One moment, you are treating someone whose symptoms make it difficult to function in everyday life. Being able to help that person through osteopathy can be immensely rewarding.<\/p>\n<p>But sometimes, the challenge lies in providing just that little bit extra.<\/p>\n<p>Recently, I treated an exceptionally fit 25-year-old man who was training intensively for the New York City Marathon.<\/p>\n<p>Over a period of five months, I treated him four times. During his training, he developed symptoms in the gluteal region, both knees and his lower leg.<\/p>\n<p>As an osteopath, I look for the structure where I perceive the greatest restriction in mobility. I then try to understand whether, and how, this finding might be related to the symptoms.<\/p>\n<p>Initially, my attention was drawn to the dura mater (the membrane surrounding the brain and spinal cord) at the base of the skull.<\/p>\n<p>This is a finding I regularly encounter in my practice in people with a history of head trauma. Interestingly, this often involves a significant fall in which the back of the head struck a hard surface.<\/p>\n<p>Following the treatments, he was doing well and was able to continue his training.<\/p>\n<p>When he had built up his running distance to 30 kilometres, I saw him again.<\/p>\n<p>Overall, things were going well. However, he was hesitant to increase his running distance further because he had started experiencing symptoms again on the outside of both knees.<\/p>\n<p>This time, my attention during the assessment was drawn to a different structure: the sacrum, where I perceived increased intraosseous tension, slightly more pronounced on the left side.<\/p>\n<p>During the treatment, he spontaneously mentioned that he recognised exactly the same lower back pain he had experienced after his most recent long training runs.<\/p>\n<p>Something he had actually forgotten about\u2026<\/p>\n<p>And this is precisely what I find so fascinating about osteopathy. Searching for subtle restrictions in mobility, exploring possible connections and trying to understand why someone develops particular symptoms.<\/p>\n<p>Whether this latest treatment will actually make a difference remains to be seen.<\/p>\n<p>But above all, I hope he will be standing at the starting line with confidence, ready to enjoy those 42.195 kilometres through New York! \ud83c\udfc3\u200d\u2642\ufe0f<\/p>\n<p><em>\u201cIt is the little things that make the big difference in osteopathy.\u201d<\/em><\/p>\n<p>\u2014 Inspired by A.T. 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