David, a recent patient at Wellness Embodied has been struggling with his trail running. He usually runs 3-4 x per week but lately was only managing one run due to waking up the next day with severe pain and swelling around his ankle. When we asked David about his training he told us that the intensity, volume or frequency hadn’t changed, and he was running the same trail he usually does. He was maintaining his normal warm up and warm down routine and he even tried cutting down distance without improvements in pain.  With further investigating however, we found out