Tag Archives: Running

Running Essentials (Vol.3)

In continuation with our Running Essentials series, this week’s post will keep it relatively simple.  The emphasis here is the need for continuous, maintenance work to clear potential hurdles and road blocks to your goals.
It goes without saying that it is essential to have at your service a competent practitioner you can trust for when the wheels begin to fall off. Unfortunately it happens to all of us at one time or another, especially if you are active.
That’s not what we’re referring to here.  We are talking about regular comprehensive sessions when all is well and running smoothly, in order to keep it that way.  It is far easier for patient and practitioner to rectify neuromusculoskeletal imbalances calmly in their infancy, rather than frantically and while in pain.
Finding a practitioner who speaks the same language and understands your goals and priorities is integral in this approach.  A knowledgable, holistic alley to collaborate with in ensuring you can continue to do what you love to do.
To simply utilize this individual for a more stressful damage control, injury cleanup normally ends up taking more time, money and emotion than if the proper respect and attention was paid to the body from the jump.
We are not simply speaking of rest and passive recovery either (although this is also key).  We are talking about active recovery between workouts.  If you look at a professional athlete, you have individuals receiving some sort of treatment numerous times per week, if not daily.  And while we are not referring to professional athletes here per say, but more of the full time desk jockeys who love to get after it during “play time,” the need for attention remains, one could argue even more so.
You take an individual who spends the majority of their hours in various positions and postures that are quite the opposite of a professional athlete.  This prolonged sitting, hunched postures, driving, etc., lends itself to countless imbalances in every single aspect of the neuromusculoskeletal chain.  The spotlight then shines on these imbalances when any type of physical activity is attempted, especially as we increase frequency, intensity and duration.
When speaking specifically  of running, we are talking about a repetitive pounding; a force transmitted and absorbed by the body that is exponentially larger than when walking.  Now throw into that equation a misaligned segment of the spine, pelvis or extremity, a chronically shortened or weakened muscle, a misfiring nervous system.  What we have is a recipe for disaster.
The point being is to make the changes in daily lifestyle that can be done, and to routinely work the other  potential issues out with that knowledgable practitioner.  It may seem like more of a commitment to have a weekly or bi-monthly session, but this pales in comparison to the time, money and stress that goes into the active injury identification, care and rehab.
We take our cars in for routine oil changes. We update our phones, no questions asked. In turn we expect reliable and optimal function.  How can we possibly expect anything close to that from our bodies, the most complex machine we will ever possess, when we don’t treat it with the same respect?
Come see us and we’ll do all we can to keep you moving.

Running Essentials (Vol. 2)

One of the most frustrating injuries an athlete can suffer is that of a stress fracture.  This is caused by the accumulation of micro-traumas sustained within a period of time not sufficient for recovery, and can leave the individual unable to weight bear and left with few other options than the often dreaded rest.

As stated, a stress fracture, like most injuries, mainly occurs due to a workload and subsequent breakdown, exceeding the capacity to heal.  Whenever we workout, we are injuring our body to some extent.  This is not in the traditional sense of injury as in a broken bone or concussion, but rather micro-traumas and micro-tears to the body’s tissues.

When done intentionally, the goal is for the tissue to heal stronger, creating a more durable and efficient tool with which to do work.  A key component to this process is rest and recovery.

The body is a miraculous machine capable of being conditioned and achieving improvement.  However, the machine has its limits and when breakdown exceeds recovery, injuries are sustained and can persist.

This holds true for all the body’s tissues, including bone in the case of a stress fracture.  While navigating the training minefield and finding that perfect, individualized balance in order to achieve maximum benefit, while equally respecting the recovery process can be tricky, it is clearly the most obvious tip for avoiding these pesky injuries.

Well let’s take it a step further and arm ourselves with the knowledge to hedge our bets against the fracture of the stress variety.  In order to ensure your parts are equipped to withstand the repetitive pounding and subsequent micro-traumas and tears, we need to understand what we can do to set the table for healthy, dense bone.

We all know a key component of bone is calcium.  What isn’t such common knowledge is the fact that calcium plays a key role in maintaing our blood pH (acid v base measurement) within a narrow range necessary for us to live.  This pH level is of vital importance and trumps many other physiological aspects in order to survive, including optimal bone health.

If our body’s pH starts to drop and thus become more acidic, something is required in order to offset the acidity.  The main built in mechanism in order to combat this is for calcium to be pulled from bones in order to neutralize the acid; bone derived calcium sustaining a survivable pH and thus maintaining life, strong bones not so much.

The best way to avoid this is to limit or refrain from creating an acidic internal environment.  Obvious offenders include the carbonic acid and phosphoric acid found in soda as this will leave your body with no other choice but to sacrifice strong bones to avoid systemic acidosis. (As if you needed another reason o can the soda.)

A not so obvious, yet extremely acidifying food is wheat.  Any product derived from this grain (bread, pasta, chips, most processed/refined foods, etc.) has the ability to drop pH levels (higher acid content) without any buffer.

Again this leads to the body, in all of it’s infinite wisdom, making the no brainer decision to confiscate bone fortifying calcium from your tibia or metatarsal, leaving you more susceptible to being sidelined with a stress fracture; an injury that yields few treatment options but to rest and hopefully learn from your mistakes.

(This is pertinent information not just for athletes but any individual concerned with osteopenia or osteoporosis)

Being a fellow, lifelong, self professed athlete, I understand getting after it and pushing the limits.  Sometimes it’s difficult to step back and look at the big picture rather than the next session or event.  More is not always better when it comes to training and walking the breakdown-recovery tight rope.  While navigating that rope can be tricky and yield itself to occasional injuries due to blind tenacity and competitiveness, an intelligent nutritional approach offers potential assistance.

While I would never be one to condemn the tenacious, competitive spirit that makes a lot of us tick, utilizing the availability of knowledge in order to build a better machine for the process is a must.  Avoiding acidifying foods is yet another way to intelligently hedge your bets against a stress fracture and keep you doing what you love to do.

Go get it.

Running Essentials (Vol. 1)

Being a runner myself, and working with a good amount of road warriors leaves me sympathetic to some of the wear and tear suffered due to this (sometimes) healthy addiction.  While injuries and causes come in all shapes and sizes, there remain various foundational issues that can be applied universally in order to curtail potential issues along the kinematic chain.

Hyper contraction of the hip flexors is a common issue in our society mostly due to the amount of time we spend seated.  In the car during a commute, at a desk glued to computer or a couch glued to the television, around the table while breaking bread with family and friends, even putting in miles on the bike; these all lend themselves to a shortening of the front side hip flexors.

Two immediate issues created by this are a higher propensity for low back pain, and a longer stride out in front while running, which leads to a higher risk of injury due to the increased instability that accompanies a longer lever arm.

Low back pain is perpetuated by shortening and tightness in the chief hip flexor, the psoas.  This muscle has its origin on the lower lumbar spine and when over contracted, will pull down on the lower spine when standing, creating discomfort, and the perception that standing causes pain.  In actuality, while the discomfort is indeed experienced while vertical, the catalyst can be the shortened psoas due to bouts of long, uninterrupted sitting.

Tight hip flexors become an issue while running as it can lead to a longer stride out in front.  The further that leg lands out in front of you, the less stability.  This can interfere with an optimal strike, pronation, and ankle and knee stability.  Unless you are a sprinter or huddler this also is a less efficient way to run.

Modifying gait is a multi-pronged task, with frontside dominance being a key factor.  The flipside to this shortening of the hip flexor is the lengthening and weakening of the antagonist hip extensors, mainly the gluteus maximus and hamstrings.  These posterior chain muscles are designed to move us efficiently and powerfully through life, including while running.

Again we look to front side dominance now being a logical contributor to strain and aggravation to the posterior structures and tissue including the hamstrings, piriformis, SI joint and surrounding ligaments.

Easiest way to begin to avoid this is by breaking up the long, uninterrupted sitting.  Obviously total avoidance of sitting is not possible, but in most cases breaking it up is.

Try to get up and move AT LEAST twice every hour or utilize the increasingly popular and available stand up desk.  Set a silent timer on your phone as a reminder to get up every 15-30 minutes.  Not only will you create more of a balanced state between your hip flexors and extensors (advantageous for low back pain and running) but you will be metabolically awakening your system, which can help control blood sugar/insulin, as well as weight.

Another way to combat this is by working on your movement pattern and neurological firing to the hip extensors.  If when you squat your knees track forward past your mid foot, you are exhibiting front side dominance.  A good way to work on this is to practice getting into a squat with your toes underneath a chair.  The seat of the chair will serve as a barrier to your anteriorly drifting knees and force you to utilize and fire the gluteus maximus, the main hip extensor and power generator during a proper stride.

In directly addressing the actual tightened hip flexors, a foam roller works well with the quadriceps.  However the psoas (and adductors) become more difficult to release due to their positioning and may take the assistance of a trained practitioner in order to reap optimal results.

(The facial expressions and sound effects produced by patients undergoing the psoas release in our office serves as an attestation as to the necessity of the treatment.)

The front side dominant, tight hip flexor issue is obviously not the end all be all when it comes to addressing any problem a patient may present with, nor are the methods mentioned the complete package for doing so.  However, more often than not, there is some hip flexor involvement with low back pain or lower extremity issues in runners and non-runners alike.  Therefore the suggestions mentioned above are a solid addition to any athlete’s preventative or maintenance program, in order to intelligently reduce the risk of potential injury.

Be well and go get it.