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Top 10 Marathon Injuries

marathon-running-injuriesAfter seeing hundreds of runners running the Bellingham Bay Marathon on Sunday, September 28th, I started thinking about marathon injuries. There is no doubt that the body faces a physical challenge while training for and completing the 26.2 miles in a marathon. It is important to train well in advance of the marathon and be prepared for the common injuries that can occur during the race. Having an understanding of symptoms to look for, how to handle them, and whether it is safe to finish the marathon can be an important tool to keeping yourself healthy.

Preventing and Handling the Top 10 Marathon Injuries

1. Blisters
Foot blisters are a common reaction to running long periods of time with socks rubbing against running shoes. Assuming that you trained for the race, you may have already experienced blisters and know which shoes, socks, drying agents, covering pads, and lubricants have worked to keep them at bay. If you feel a hot, sore spot early in the race it is best to stop and pop the blister and cover it with a disinfectant, and a gel bandage or moleskin pad.

2. Black Toenails
Black toenails are a result of a blister or blood pooling under a toenail. During a marathon, this is usually caused by repeated banging of the toenail against the front of the running shoe. The best prevention is to buy a well fitting shoe and tie the laces tight enough that they keep your heel in place. You may not notice the blackened toenail until after the marathon; note that you will likely lose the nail and have it grow back over the course of three to five months.

3. Chafing
Chafing is when skin rubs against skin and is made more painful with the salt from sweat. Common areas for chafing are underarms, nipples, under-breast area, groin, and thighs. You will likely already have experienced chafing during training so pay attention to your problem areas and keep them dry with cornstarch or moist with petroleum jelly, or roll-on silicone products.

4. Upset Stomach and Nausea
With all the bouncing up and down, an upset stomach is common during a marathon. In the 48 hours leading up to the marathon be careful what you eat or drink. Avoid spicy foods, alcohol, foods that you don't tolerate well, or unfamiliar foods. Limit caffeine right before the race. During the race only consume energy snacks or liquids that you used successfully during training.

5. Dehydration
Pay attention to feelings of dehydration during training. Weigh yourself before and after a long run to ensure that you have neither lost nor gained weight. Make sure that you have ample access to water during the race. Watch for symptoms of dehydration including dry mouth, fatigue, dizziness, stomach ache, back pain, headache, irritability, and decreased urination. If you experience these symptoms you should slow down or stop and drink a sports drink until the symptoms subside.

6. Hyponatremia
Hyponatremia is the opposite of dehydration; it is when a person drinks so much fluid that the body doesn't have time to eliminate it. The concentration of water dangerously dilutes the salt concentration in your cells. Watch for signs of hyponatremia that include nausea, headache, cramps, confusion, slurred speech, bloating, and swollen hands. If you are experiencing these symptoms, stop and do not continue the race until the symptoms subside.

7. Sunburn and Windburn
Being outside for a prolonged period of time exposes your skin to a lot of sun and wind (if it is windy). Even on a cloudy day you should protect your face and the top of your head with a billed hat and apply sunscreen to any exposed skin. Keep your lips hydrated with lip balm. On windy days you can wear a Buff neck gaiter to wear as a balaclava or scarf for extra wind protection.

8. Muscle Cramps
Muscle cramps can occur from long periods of exertion and from the strain of using the same posture and gait for several hours. The risk for muscle cramps is exacerbated by dehydration and depleted salt levels. If you experience a muscle cramp during the race, stop and gently stretch and massage the cramped muscle. Drink a sports drink to replace salt and fluid levels in your body. Be aware of your posture during the race, stay hydrated, and change your stride or pace throughout the marathon to help prevent muscle cramps.

9. Hitting the Wall
"Hitting the wall" or completely running out of energy stores in your muscles is more common in competitive marathon runners than in slower runners or marathon walkers. Drinking sports energy drinks and consuming energy gels or other energy snacks every throughout the marathon can help prevent energy loss.

10. Sprains, Strains, and Stress Fractures
Muscle exhaustion can lead to a trip or fall and a sprain, strain, or fracture. If you experience sudden, sharp pain, stop immediately and seek the help of course volunteers.

If you or a loved one were injured in an accident, you have enough to deal with. Let an experienced accident attorney fight for the full compensation that you deserve. It is not uncommon to receive a settlement from the insurance company that is five to ten times bigger with the help of a lawyer. Call the caring accident attorneys at Tario & Associates, P.S. today for a FREE consultation! You will pay nothing up front and no attorney fees at all unless we recover damages for you!

Know the Risks of Plastic Surgery

plastic-surgery-risksPlastic surgery procedures completed in accredited surgical facilities by board-certified plastic surgeons have a great safety record. A survey based on more than 400,000 operations performed in accredited facilities found that the rate of serious complications was less than half of one percent. Although plastic surgery has a low rate of complications, you should know the risks of plastic surgery before you undergo a procedure. It is advisable to do research on the potential risks and complications of your chosen procedure and discuss any concerns you have with your plastic surgeon.

Risks for Plastic Surgery

Complications from Anesthsia/Sedation

Some people experience serious complications when put under anesthesia/sedation. People with heart or lung disease or who are obese are at greater risk of complications due to anesthesia. To reduce your risk, tell your doctor about any medications you are on and let her know your complete medical history.

Possible complications include:

  • temporary paralysis
    • Temporary paralysis can occur if muscle relaxants have not fully worn off after surgery but it is generally considered easy to detect and treat by a medical professional.
  • abnormal heart rhythm
  • blood clots
  • heart attack
  • stroke
  • nerve damage
  • airway obstruction
    • Anesthesia can irritate the air passages, causing the vocal cords to spasm and block the airway. The anesthesiologist may need to insert a tube down the throat or cut into the windpipe to treat the airway obstruction.
  • brain damage
  • death
  • malignant hyperthermia


Aspiration is when a person vomits during surgery and the vomit is forced back into the lungs. Aspiration can cause mild discomfort and can also lead to infections, chronic cough, obstruction in the lungs, or even pneumonia.

Excessive Blood Loss

Some bleeding is normal with any procedure but if there is excessive bleeding, it can create major complications. Your surgeon and anesthesiologist will look for pooling blood or a dramatic drop in blood pressure. If excessive bleeding occurs after surgery, it can accumulate under the skin and require an additional surgery.

Blood Clots (DVT)

Blood clots are formed from a medical condition or being kept immobile such as in a surgery setting. A blood clot in the veins can be fatal and they are difficult to predict. To help prevent them, move around and flex your feet often during recovery. Be aware that patients who have liposuction in their legs are at higher risk for DVT; compression garments can help.

Drop in Blood Pressure

Blood pressure often decreases slightly during surgery but a sudden drop from blood loss can cause an irregular heart beat or even a heart attack.


Infection is actually a low risk at less than one percent of surgeries. Taking precautionary antibiotics can reduce the risk of infection dramatically but be aware that if infection does occur, it is very serious. People who smoke, take steroids, or have certain vascular conditions are at greater risk. The longer the surgery and the more blood lost increases the risk of infection.

Loose Sutures

If sutures come loose it can cause internal bleeding or a hernia which would require additional surgery.

Skin Death (or Necrosis)

Skin death usually follows an infection or hematoma and is most common among smokers. Necrosis is treated by surgically removing the dead skin which may affect the cosmetic outcome.


Moderate or severe asymmetries in results may require a second surgery. Mild asymmetry is normal.

Slow Healing

Slow healing can be caused by advanced age, skin type, failure to follow doctor's advice or an auto-immune disorder.


Some patients experience temporary numbness or tingling after surgery. A permanent loss of sensation can result from an injury to the sensory or motor nerves.


Dimples, puckers, divots or other irregularities can appear in the skin due to surgical error, unusual healing, or body make-up.


Seroma is when fluid collects under the skin and can occur after breast augmentation, liposuction, or a tummy tuck.

If you or a loved one were injured in an accident, you have enough to deal with. Let an experienced accident attorney fight for the full compensation that you deserve. It is not uncommon to receive a settlement from the insurance company that is five to ten times bigger with the help of a lawyer. Call the caring accident attorneys at Tario & Associates, P.S. today for a FREE consultation! You will pay nothing up front and no attorney fees at all unless we recover damages for you!

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