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Injury Prevention

Aging 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…

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Gait Analysis – Gait Training for Achilles Tendon Pain

  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…

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Osteoarthritis – Bad News More Than Good News

Osteoarthritis occurs in a joint when there is more degeneration of the joint cartilage than regeneration of the joint cartilage. Cartilage is a soft tissue on the ends of bones.  Cartilage provides a smooth surface to allow free movement of joint, provides a cushioning, and for joint stability.  Cartilage tissue is poorly designed for repair…

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Mugged – 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…

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Don’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…

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Evolution of the running shoe: evidence & opinion

Forty years ago there was only one running shoe designed for long distance running. Itwas a black canvas shoe shaped like a track spike shoe with a gum rubber outsole andConverse was the manufacturer. Now there is a veritable plethora of running shoes tochoose from. Ten years ago I wrote an article highlighting the fact…

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Should 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 muchmovement. 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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Hip Pain: Gluteal Tendon Problems Postures & Positions to Avoid

Tendon problems are a common diagnosis at Achilles, knee (patellar tendon), shoulder (rotator cuff), and elbow (tennis elbow) pain.  Interestingly though, pain on the side of the hip is commonly thought to be an inflammation of bursa. Recent investigation has shown that pain on the side of the hip commonly thought to be trochanteric bursitis,…

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Gait Retraining – Key Concepts

Gait retraining has become popular among avid runners and Physical Therapists. The proponents of gait retraining advocate if you improve the walking/running form you can walk/run faster, farther, and injury free. Many questions remain regarding gait retraining. Who can benefit from gait retraining injured individuals, non-injured, or both (Heiderscheit, B 2011)? When is the best…

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Sooner is Not Always Better than Later – Healing Recovery from Injury

Sooner is not always better than later when recovering from an injury. Biological tissues adapts to physical stress in a predictable way. There is a threshold where physical stress results in a positive adaptation of the tissue, that is, tissue grows larger and stronger. Conversely if there is insufficient physical stress tissue wastes away gets…

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