Overuse syndrome
Overuse syndromes result from repetitive strain without adequate recovery. Proper load management is a key element of treatment.
The overuse syndrome
Overuse syndrome (or overuse injury) refers to a condition caused by repeated microtrauma to bones, muscles, tendons, or ligaments, without adequate recovery time. Unlike acute injuries, which result from a single traumatic event, overuse injuries develop gradually over time due to repetitive strain.
Common characteristics of overuse syndrome:
• Gradual onset of pain (often ignored initially)
• Absence of a specific traumatic event
• Worsening of symptoms with continued activity
• Improvement with rest, but recurrence upon return to activity
• Can lead to chronic inflammation, tissue destruction and even stress fractures
Examples of overuse injuries:
• Tendonitis (e.g. Achilles tendonitis, patellar tendonitis)
• Stress fractures (e.g. tibial, metatarsal)
• Shin splints
• Neck pain
• Lumbar pain
• Folliculitis
• Ventricular-adductor syndrome
• Osteitis pubis
Common causes:
• Sudden increase in intensity, duration, or frequency of training
• Poor technique or posture
• Inadequate rest or recovery
• Inappropriate equipment (e.g. worn-out shoes)
• Industrial abnormalities (e.g. flat feet, muscle imbalance)


