In our previous posts on running shoes we have described the limitations of orthotics and shoe wear to alter foot, ankle, or knee mechanics during gait. Despite the hype and claims shoes have been unable to significantly improve running mechanics compared to proximal interventions including hip strengthening and gait retraining by a Physical Therapist. The...
The use of foot orthotics are commonly prescribed for many lower quarter conditions including running injuries, foot and ankle pain, and even low back pain. As we have described in previous posts off the shelf orthotics perform as well as more expensive custom orthotics, but overall their impact on many conditions is limited. When compared to...
Knee arthritis is a common condition among older adults leading to increased knee pain and decreased participation in recreational and sporting activities. A incorrect, but commonly held belief is exercise may lead to further arthritis or knee damage due to a “wear and tear” effect. This outdated line of thought has been disproven by many research...
Compression garments including shorts, tights, and socks have gained in popularity among both amateur and professional runners. Manufacturers and athletes claim improved circulation, recovery, and performance can be found using these products either during or after a run. As with many products in health, fitness, and performance these claims should be taken with a grain...
The treadmill remains a necessary evil when completing run training allowing athletes to escape inclement weather to complete their workouts. Thankfully, in Boulder we have few inclement days as we move through the Spring and Summer months allowing athletes to train outside. Prior research has noted significant bio-mechanical differences in treadmill vs. ground running including...
In our Boulder Physical Therapy Practice, gait retraining is an effective intervention to reduce the abnormal forces which perpetuate many overuse running injuries. Athletes are videotaped by Physical Therapists for bio-mechanical faults including alignment, stride length, step rate, and running technique. The athlete is then given real time feedback to correct the faults associated with their...
Over the last 5-10 years ultra marathon running has grown in popularity with pavement and trail races popping up throughout the West. Ultra trail running events are described as distances greater than a marathon, in mountainous terrain, and involving elevation changes. Authors report a 5200% increase in these events between 1978 and 2008 (Hoffman et...
In our Boulder Physical Therapy practice, the examination of a runner’s gait is a critical part of the evaluation giving us insight into the factors which either precipitated or perpetuated a running related injury. The forces transmitted across the body in running can be 2-4 times body weight and must be absorbed efficiently to reduce...
Marathon running is a challenging event requiring substantial amounts of endurance and strength training for optimal performance and injury prevention. The race distance of 26.2 miles requires high mileage training, often >75-100 miles per week at the elite level, placing the athlete at risk of a running related injury (Saragiotto et al. 2014). In addition...
As the snows melts many of us will return to the amazing Boulder trail system for our training runs. This popular form of exercise comes with tremendous health benefits, but can also place some runners at risk for running injuries such as knee pain. Patellofemoral Pain (pain on the front of the knee) is the...