Saturday, February 21, 2009
Pilates for Runners
Tuesday, November 27, 2007
Choosing The Right Shoe
Getting the right shoe for sporting activities really can make a difference to the likelihood of suffering a sports-related injury (see Sports Injuries - Prevent than Treat).
Sports are generally dynamic activities involving lots of movements at speed, so there are many ways in which injuries can happen. Good shoes can help the feet to function at optimum efficiency, absorbing shock from the force of the body's weight being transmitted through the bones, ligaments and tendons with each movement. People who take part in sport on a regular basis can suffer aches, pains, sprains and even fractures as a result of overload on the tissues caused by lack of shock absorption or mechanical inefficiency of the foot. Modern sports shoes are made of hi tech materials that have been developed on the basis of millions-dollars worth of research to ensure maximum performance with minimum risk of injury. This has resulted in the amazing array of shoes available on the shelves in the shop.
Thus when one step into a sport shoe boutique, it is not difficult for him or her to feel lost at choosing a right pair of shoes. First of all, do not be tempted (though not easy at all) to buy shoes just based on the cool look they gives u. Buy shoes that is meant for your intended activity.
Running shoes are very flexible, which enables the foot to bend and flex through each step. As running mainly involves moving forwards at varying speeds, running shoes are not really suitable for activites involving side to side movements (such as tennis or aerobics). The amount of flexibility in the shoe can mean that the foot "goes over" at the ankle when sharp turning or sideways movements are made at speed. If your suffer from ankle pain or injury, it may be because you have been wearing running shoes for other kinds of sport!
Cross trainers are much stiffer and provide greater support for the foot when side to side movements are made. This means that they can be used across a range of activities. The downside is a loss of flexibility across the ball of the foot & the toes, which means that the muscles and other soft tissue structures in the foot & leg have to work harder to bend the foot in the shoe when running.
Court shoes, specifically designed for Tennis, basketball etc, fall somewhere between the two, giving a combination of flexibility and sideways support.
Fitness shoes, designed for aerobics etc, also combine flexibility with support and they incorporate cushioning to lessen the effect of shock generated during high impact work.
Besides choosing the right shoes for your activity, find a pair of shoes that is designed for your foot type! In a perfect world, we would all have perfect feet that would carry us around and allow us to perform the actvities of our choice with no ill effects at all. Unfortunately, this is the real world & life (and our feet) just isn't like that!Feet that flatten out excessively when weightbearing (a movement of the joints within the foot known as pronation) tend to get aches & pains as a result of stress on the soft tissues as the foot moves more that it ideally should. People with this type of foot will benefit from a shoe that supports the inner border of the foot.
High arched feet (where the joints are in a postion known as supination) are less flexible & so support on the inner border of the foot is less important. However, this type of foot needs much more cushioning in the shoe to compensate for the lack of natural shock absorbsion caused by the relative rigidity of the joints within the foot.
To find out your foot type, you can do a little Wet Test. Notice how much (or how little) of your instep is clear in your footprint. If you find it too troublesome to check your feet after a shower, your shoe wear pattern will drop you some clues on what kind of feet you have.
Besides matching shoes with your foot type, make sure to choose shoes that are shaped to provide the appropriate amount of support for your foot.
Shoes are made on foot-shaped moulds known as lasts. Lasts can be straight, semi incurved or incurved. In a straight lasted shoe, a line drawn through the length of the shoe from the mid point of the sole at the back of the heel to the toe will pass though the point where the second toe (the toe next to the big toe) would lie. The same line on a shoe built on a semi incurved or incurved last will pass closer to the place where the little toe would lie. Shoes built on straighter lasts give more support to the inner border of the foot & so they are suitable for customers with pronated feet. People with rigid, supinated feet will do best with an incurved or semi incurved shoe.
In short, if you are pronator (foot that tends roll inwards):
- Look for: Firm midsole. Board or combination lasting. Straight/slightly curved last. Firm heel counter.
- Avoid: Extra soft midsole. Slip lasting. Very curved last. Soft heel counter.
- Common injuries: Patellofemoral knee pain. Medial knee pain. Plantar fasciitis. Shin splints. Tibial stress fractures. Lower spine pain.
- Look for: Soft midsole. Curved last. Slip lasting. High heel lift.
- Avoid: Very firm midsole. Straight last. Board lasting. Thin heel.
- Common injuries: Nerve pain behind the toes. First toe pain. Plantar fasiitis. Achilles tendon pain. Illiotibial band syndrome. Heel pain.
Further reading...
Saturday, October 13, 2007
Injury Prevention for Runners - Part 3
Signs and Symptoms: A severe, burning pain in the tendon area; pain and/or stiffness in the tendon first thing in the morning; tenderness makes the area uncomfortable to touch; deep,marked swelling that moves with the tendon.
Signs and Symptoms: feeling of tearing sensation, followed by a sharp pain; unable to walk withut feeling some pain; ankle is painful to touch; swelling or bruising on side of the foot.
Signs and Symptoms: One-sided pain on the sole of the foot; pain when getting out of bed; pain during intitial weight-bearing in morning, which is aggravated with activitiy.Tuesday, September 25, 2007
Injury Prevention for Runners - Part 2
Signs and Symptoms: Pain/ tenderness on the outside part of the knee or lower thigh, often worsened by weight bearing movements such as going up or down stairs, or getting out of a car. Possible cause: Running too much, too soon, without sufficient fitness; a tight ITB which is brought on by 'bowing' the knees and/or foot pronation or flat feet, (which can turn the lower limb inwards).
How can Pilates help:
Doing Pilates regularly help maintain the ratio between the length and strength of the muscles around the hip, particularly the gluteus medius and deep rotators.
Signs and Symptoms: Pain (maybe vague and non-specific) after exercise or long period of sitting; small swelling in the knee, feeling of muscle giving way; feeling of knee-cap 'giving-way' or knee joint movement restriction.How to prevent:
How can Pilates help: Pilates helps keep good sense of balance in the muscles (especially the single leg balance exercises) and maintain muscle control through the pelvis and pelvic stability.
Signs and Symptoms: Pain in the inner side of lower leg, which may stop when u stop the exercise. Eventually the pain continues even after stopping the exercise.Read on: Injury Prevention for Runner - Part 3
Wednesday, September 12, 2007
Injury Prevention for Runners -Part I
I myself had been preparing for my 2nd marathon too. Contrary to what my friends think, I am NOT a good runner. My body structure is really not meant for running, as my relatively wider Q-angle make my knees naturally injury-prone. But I can't afford to stop running, because running is a great aerobic exercise that keeps my heart and lungs fit. It is also convenient to do, I don't need any special equipment /court rental nor an exercise partner, I can run as & when I feel like getting a good workout.
As I am an injury-prone runner, I read a lot about injury prevention specifically relating to running. Running no doubt can cause injuries in lower limbs (calves, ankles, Achilles tendon, etc) and lower back. These problems usually occur due to poor technique, uneven surfaces, muscle overuse, excessive training or incorrect footwear. In this Injury Prevention series, I will talk about some common injuries related to running, and also how Pilates can help prevent or rehabilitate them.
*However, information presented in P-Latte is meant for your reference only, you should stop from training if you experience pain during or after exercise and seek medical advice*
Signs and Symptoms: Pain or numbness felt in buttock that sometimes radiating down the leg, especially when the hip is externally rotated.
Possible cause: Relying too much on one leg (such as when running on uneven surface, poor running posture, or when one leg being longer than the other); minor twisting on one leg due to incorrect running style; and a weak piriformis muscles.
How to prevent: Stick to even running surfaces, avoid turning hips inwards when running, particularly when training on slopes; correct leg length discrepancy.
1. Hip Opening - Strengthen the gluteus medius muscle.
2. Single Knee Kicks - Lengthen the psoas muscle
3. Piriformis stretch - lengthen and relax the piriformis
4. Knee Drops - Stretch external hip rotators, gluteus maximus, obturator internus, gluteus medius/ minimus, psoas,obturator externus and piriformis.
Thursday, September 06, 2007
Resume Running!
After months of disuse, my muscles are extremely weak. Resuming running is never easy, and frankly I hate to feel my heavy feet dragging on the ground, while my whole upper body struggled to keep itself upright. I decided to take it slow to build back my fitness, so I allowed myself to walk as and when I needed to during the first few slow jog sessions. Afterall exercise and training should be enjoyable, never torturous.
During the first few slow jog sessions, I ignored how far or how fast I had run but focused only on my own body. I made sure while I ran my tummy was engaged, my shoulders were properly organised, my neck stayed long and my chest was opened-wide. I also focused on breathing with my ribs to fully expand my lungs (which were so compressed by inactivity). It was tough to apply all these Pilates fundamentals to my weak moving body, but the hard work paid off. After just three re-conditioning runs (plus few short Pilates sessions at home), my muscle memory came back and I felt at ease running again. It was a wonderful feeling to know that I can actually run again!
Now I am more confident that I can complete the Triladies Triathlon on 23 Sept 07. It will be my "come-back" race since the OSIM tri July 06.
