Exercise
Can Isometric Exercise Help Plantar Heel Pain: What is Best Joint Position?
Anyone who has had tendon pain will tell you it is a frustrating problem to resolve. Common repetitive use tendon problems include: plantar heel pain; Achilles; patellar (knee) tendon; hamstring tendon; gluteal (buttock pain) tendon; rotator cuff (shoulder) syndrome; and tennis elbow. Tendon problems take a long time to heal. Understanding the continuum of tendon…
Read MoreWoman’s One-Sided Worries
Over the years, I’ve noticed that my female patients experience unilateral hip and/or knee pain (pain on one side of the body) more often than my male patients do. This predisposition has been observed by others as well Lateral hip pain is typically called bursitis, piriformis syndrome, or gluteal tendinopathy. Studies have shown the incidence…
Read MoreKnee Pain Wringing Out – Gait Deviation
Knee pain can develop because of a “wringing out”. I am not referring to banging a bell ring, but the counter-rotation motion that can occur at the knee joint. The knee joint consisting of the thigh and lower leg moves on three different planes of motion. The knee can flex and extend. The knee can…
Read MoreBody Proportions – Musculoskeletal Pain – Sports Performance
The importance of knowing how tall we are is somewhat obvious. What is less obvious is the importance of knowing the proportionality of our vertical height. The ideal proportionality of a human body’s stature was defined by Leonardo da Vinci. The “Vitruvian Man” or “drawing of proportions of man” is the ideal human proportions…
Read MorePain on Bottom of Heel: Too Much Big Toe Motion
Pain on the bottom of the heel (Plantar Heel Pain) is a complex problem with variable diagnoses and explanations. And with variable diagnoses there should be variations in treatment. Unfortunately, the common treatment recommendations do not recognize such variability. For example, the universal suggested treatment for plantar heel pain is calf stretching and stretching of…
Read MoreAging Muscles & Tendons: Achilles/Calf Strain
As we age muscles and tendons will change. Calf muscles in older individuals are weaker, smaller, shorter, less stiff, and not as coordinated. Older athletes may experience greater incidence of injuries (Tauton 2003, McKean 2006). Two most common repetitive use injuries in older runners are Achilles tendonopathy and strained calf muscle (Marti 1988). A…
Read MoreStrengthening Exercises for Intrinsic Foot Muscles
Exercises to strengthen the foot are frequently used to treat injuries to foot, ankle, knee, hip and low back. Toe curl or toe scrunching exercises is not appropriate for strengthening the muscles intrinsic to the feet. Muscles about the foot and ankle are described as either extrinsic muscles or intrinsic muscles. Extrinsic foot muscles have…
Read MoreMugged – Smacked and Common Sense: Exercise In Dark Outdoors
The short dark day of winter pose a challenge for the exercise enthusiast who prefers to exercise out doors. Most everyone has some fear walking/running in the dark. There are justifiable concerns related to safety. On the positive side there can be significant benefits and rewards from getting outside in the dark winter days and…
Read MoreDon’t do that
A widely held belief among health care professionals is that it is a waste oftime to recommend to an injured runner to stop running. The assumptionis a dedicated runner will not follow recommendation of “don’t do that”. With a few exceptions most injured runners do not need to be told “don’trun”. The exception is a…
Read MoreShould you stretch it out – Pain too loose too stiff?
Generally, there are one of two scenarios related to musculoskeletal pain and injury. Either there is not enough movement or there is too much movement. If a muscle is in spasm, if a joint is stuck, or if a muscle-tendon unit has adaptively shortened in length are all examples of not having enough movement. If…
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