Posts Tagged ‘injury-prevention’

“Runner’s knee” or patellofemoral pain

Many runners, jumpers, and other athletes develop pain behind/around one or both patellas (knee caps) at some point. Although the exact cause of the pain is not known for certain, there is a prevailing theory about what causes it, and that theory has led to some treatments that seem effective, and some changes in running form (biomechanics) that seem also to help. I have suffered from patellofemoral pain several times as an adult. The pain for me was each time coincident with increases in volume of hiking, running, or jumping activities without any obvious sudden event to mark it’s onset. It simply comes on slowly and over time gets worse if I don’t get a handle on it. read more…

Title: “Runner’s knee” or patellofemoral pain

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Picking shoes based on foot type assessment not effective

Excerpted from FoCo Runner Blog (originally published 7/21/2010)

If you have read some of my earlier posts on the subjects of biomechanics, feet, or shoes, you know that I suggest people pick out shoes that are -LESS- stabilizing than those recommended at running shoes and most experts based on visual assessments, and even gait analyses. Recent research indicating that certain types of common running injuries increase with increasingly supportive shoes (e.g., see here) are what drives this recommendation, but it is also supported by a recent study done by the Army. read more…

Title: Picking shoes based on foot type assessment not effective

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Overpronation: is it up to you, or up to the shoe?

Excerpted from FoCo Runner Blog (originally published 6/25/2010)

When I started running, my left foot seemed to overpronate a little, such that the recommendation of the running store experts was “mild stability shoes.”

“Okay,” I said. “Show me your mild stability shoes and I’ll pick some out and be on my way.”

Since I wanted lightweight trainers, I ended up in Asics Gel DS Trainers. Nice lightweight shoes, really, but soon I developed ITBS, and then the outsoles wore through to the midsole of the Trainers in less than 300 miles, and I was looking for other options.
read more…

Title: Overpronation: is it up to you, or up to the shoe?

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Biomechanics note: gait retraining effective in patellofemoral syndrome

Patellofemoral syndrome causes pain at the behind or around the kneecap that can be aggravated by running. It’s cause is unknown, but it is correlated with certain problematic features of running gait, such as amount of hip adduction and inward rotation of the knee during stance phase, and what is called “contralateral pelvic drop,” which essentially refers to the the amount the hip opposite the load bearing hip drops when the load bearing hip is under load. These same features correlate to other pain/overuse syndromes in runners as well, such as iliotibial band syndrome, and also contribute to overpronation of the foot.

The link below is to the abstract (short summary) of an article published in the British Journal of Sports Medicine which demonstrates that learned changes in gait  to reduce the severity of the problematic features of running gait is associated with reduction and pain and improvements in function of the knee of people affected by patellofemoral syndrome. An additional benefit fo the retraining was a noted 18% reduction in the instantaneous and 20% reduction in average load rates at the knee.  Load rate is the speed at which a load is presented to the the knee, in this case – or a measure of impact force transmitted to the knee due to the foot striking the ground under load.

The results support the assertion by many that learned improvements in biomechanics of the hips, where many of the problems that underlie patellofemoral and other pain or overuse syndromes experienced by runners, not only result in reduced patellofemoral pain, but also in improved function (shock absorption) along the entire kinetic chain involved in running gait.

I can provide the link to the publication’s abstract here, but in order to see the full article, you will likely need to visit a University library or purchase a full-text version from the publisher (sorry).

The effect of real-time gait retraining on hip kin… [Br J Sports Med. 2010] – PubMed result.

Title: Biomechanics note: gait retraining effective in patellofemoral syndrome

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Iliotibial Band Syndrome (ITBS) Myths

I prepared this as a brief summary of my research on ITBS.  It gets right to the point.  Not only are these things supported by the best and most current research on the Iliotibial Band and ITBS, but further research indicates that physicians and various other practitioners often approached by ITBS sufferers for help, actually rely on vastly out-of-date information on the subject, when they have received any direct training on ITBS at all. In medical and chiropractic training and in basic anatomical and biomechanical research, the information on ITB anatomy and the ITBS that is covered is often obsolete or incorrect based on the most current research. read more…

Title: Iliotibial Band Syndrome (ITBS) Myths

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How I treated my Iliotibial Band Syndrome

Having now tried just about everything to treat my Iliotibial Band Syndrome (ITBS) without going to see a therapist (physical or pyschological), I am fully ready to reveal what has worked for me. read more…

Title: How I treated my Iliotibial Band Syndrome

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ChiRunning: Week 5 – Calf Soreness

After 5 weeks of ChiRunning practice, I have begun to make what I think is progress toward the ‘injury-free running’ goal. I had what I think was a breakthrough last week, gaining some insight on aspects of my form that have contributed to my ITBS and how to correct them. The breakthrough took me from having to stop at 3.5 miles of running due to the onset of some ITB twinges during each run, to running nearly 5.4 miles without a twinge at all by last Friday (see previous post). The one problem, which I thought I was finally getting a handle on, but which came back with a vengeance at the end of last week, was soreness in my calves after running. The soreness is deep in the calves (soleus muscles), which makes sense because these muscles are most engaged when flexing the calf with knee’s bent. read more…

Title: ChiRunning: Week 5 – Calf Soreness

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For ITBS try improved biomechanics

Figure 1. Lateral movement of knee and lower leg causing roational force (torque) in the planted leg (from behind runner).

Iliotibial Band Syndrome (ITBS) sucks. I’ve suffered from it recently, and despite lots (weeks) of rest,  diligent stretching and strengthening, found that I just could not shake the problem. That is, until I started to work on improving my running biomechanics. Although there are numerous schools of biomechanics for efficient and injury-free running, from what I have seen they all have several key features in common. As for me, I chose to study ChiRunning to improve my biomechanics, partly because it encourages runners to be mindful of the body when running. Basically, this means taking stock of what is going on in each muscle and joint of your body as you run, to identify where the unnecessary stresses are occurring and to check your form, so you can make corrections as needed. In effect, it allows you to experiment.

Figure 2. knees and lower legs moving inline with direction of running with no lateral drift or torque in the planted leg (from behind runner).

ITBS generally comes on gradually as the sufferer runs until the pain forces them to stop. The somewhat gradual onset provides a window of time in which a mindful runner can experiment with slight variations in their form to see what aggravates the condition and what relieves it. For me, the experimentation has taken place over several weeks, because there are many aspects of running biomechanics that can be varied in subtle ways, and even subtle changes in form and focus can result in big changes in stress and strain on particular joints and muscles. Plus, it can take awhile to develop the sensitivity in your focus to isolate sesnations in specific joints or muscles that can range from none at all, to slight stress or strain, to outright discomfort or pain, so you can identify the differences that result from making changes or corrections in your form.

As I improved aspects of my form, I noticed that I was able to run longer and longer distances. When my ITBS started, I could run little more than a mile, and then I was done due to intense stabbing pain that then got worse for a couple of hours after I ran, before subsiding. Keeping my hips level while running helped a lot, and focusing on just that enabled me to run up to about 3 miles before I started to feel the ITB “twinges.” At first, I would just stop at the first onset of twinges, stretch and then walk or jog lightly back home, but then I began practicing ChiRunning and sensing what was going on in my body and through experimentation made some discoveries. read more…

Title: For ITBS try improved biomechanics

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