Monday, October 31, 2011

RUN For FUN!

Bill's Beer Run
I have never been a big runner, maybe in college when nothing got sore and I had endless amounts of energy. Since I am working at Siesta Key Physical Therapy I thought maybe it would be a good idea to get off the couch and try to run in a race. Dave and Kristy participate in many races and they seem to have a great time. Sunday morning I decided to go out to Bill's Beer Run  and realized that I have been missing out on all of the fun! I now see how exercising whether its running, taking a class or walking in the evening with your dog can be good for your social life as well as your health.
I have not been to a race here in Sarasota and on Sunday I realized how many people participate in these awesome events. Bill's Beer Run, a 5K race also had a 1 mile fun run, but either way everyone was having fun. Families were dressed up in their Halloween garb, music was playing and the coffee (and then beer) was flowing. I had fun and I was just there to take some photos and cheer Dave and Kristy on!
Dave, Kristy and Jessie
 I have started training for a 5K run with the help of Dave and Kristy. Siesta Key Physical Therapy will be participating in the Sandy Claus Beach Run in December. I plan on being in better shape, able to RUN the whole race and I will proudly be sporting a Santa hat ready for a fun day. For a weekly update on my progress visit us on our Facebook page. See you at the races!!

Monday, October 24, 2011

“Injury Prevention”

By Dave Ochsendorf, MPT and Kristy Ochsendorf, DPT

Tips to Prevent and Manage Knee Pain



Pain in the front of the knee is very common in runners.  A frequent finding when evaluating this condition is tightness in the quadriceps muscle group.  The quadriceps is made up of 4 muscles on the front of the thigh, which join into one common tendon and attach to the knee cap (patella).  When this muscle is excessively tight it creates increased tension in the tissues above or below, or on either side of your patella.  Additionally, it increases compressive forces on the back of the patella every time your knee bends which can lead to discomfort or “grinding” (crepitus) with activities such as stair-climbing or rising from sitting.  Prolonged compressive forces could potentially contribute to early arthritis, or increase pre-existing arthritis pain.  Normal quadriceps flexibility for a runner would be illustrated by the ability to easily pull your heel up to your buttock with your hand on the same side (see figure below).  Two common quadriceps stretches are pictured below and should be performed before and after your runs, three times each, for a duration of 30 seconds each time.  Performing these stretches throughout the day provides additional benefit. 

Excessive tightness in the calf or hamstring muscles can make it difficult to fully straighten the knee when running, which also creates more pressure on the patella.  Effective stretches for these muscles are pictured below. 

Other common causes of pain in the knee with running include weakness in the quadriceps or hip musculature, tightness in the hip joint or musculature, misalignment of the hips and/or knees, or abnormal foot and ankle biomechanics such as excessive pronation.  These issues can be a little more complex and may require a thorough evaluation and exercise prescription by a qualified medical professional.  Supplemental strengthening for the knees and hips will be covered in next month’s column which addresses prevention of hip pain.

Just remember, consistent quadriceps stretching can be extremely beneficial in treating or preventing knee pain to keep you running later in life!