Repetitive Use injury
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,…
Read MoreGait 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…
Read MoreSooner 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…
Read MoreStiffness – Resistance to Change: Good or Bad?
In the realm of health and fitness, the term stiffness often has a bad connotation. In reality, being stiff can have positive benefits. When something is stiff, it is difficult to change. When the range of motion of a joint is limited, it is also described as stiff. There is an optimal range of motion…
Read MoreOsteoarthritis – Cartilage and Exercise
Osteoarthritis is primarily a degeneration, or wear and tear, of the hyaline cartilage that covers the end of the joint surfaces. Osteoarthritis occurs as a result of “the parents you choose” (genetic influence) or as a sequel to a prior joint trauma or injury. There is a great deal of information dealing with the…
Read MoreHamstring, Buttock, Back, Neck Pain and the Car Seat
I frequently hear from my patients that their hamstring started hurting after they ran a marathon or that their back pain developed after they went body surfing at the beach. After closer questioning I discover that the problem did not occur during the marathon or while body surfing, but that it occurred afterwards during the…
Read MoreRecovering from lower leg, ankle, heel injury using treadmill
A basic concept for treating any repetitive use injury is rest and avoiding the activity; whether it is a running injury or elbow pain from opening too many beer bottles. However for many individuals a period of rest and avoiding the activity can disrupt an active life style, and sometimes adversely affect a career. Individuals…
Read MoreAre you a half ass? – stretch weakness of gluteal muscles contributing to heel, foot, shin, knee, hip pain
There is a growing body of evidence that many repetitive use injuries such as knee pain, shin pain, heel pain, and forefoot pain can be addressed by improving the strength of the gluteal muscles. The gluteal muscles consist of gluteus maximus, gluteus medius, gluteus minimus, piriformis, and smaller less recognized muscles are commonly called “bun…
Read MoreRunners Knee versus Gas Pedal Knee – IT band syndrome
A middle-aged male adventure racer who had been struggling with right knee pain for six months sought my assistance. Adventure racing involves competing over multiple days, ultra-distance walk/running combined with other activities such as mountain biking, swimming, kayaking, and rock climbing. His knee pain was focused to the anterior lateral aspect of the right knee.…
Read MoreShock – Injury – Cadence – Quiet
How hard a walker or runner impacts the ground can be described with several biomechanical terms, including vertical impact loading rate, braking impulse force, and shock. Scientists have determined it is not the magnitude of force, but the rate at which the force is transmitted from the ground to the foot and leg that is…
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