Over pronation and motion control shoes

I came across an interesting article recently with yet more research into the role of running shoes in preventing injury. It was done at Luxembourg Institute of Health in 2014 and reported in British Journal of Sports Medicine so is quite current. Participants for study were aged 18 to 65 and numbered 386 which makes for meaningful research. (Beware any study with just a few participants and yet big conclusions). Runners were assigned either neutral or motion control shoes for up to 6 months. 372 runners made the cut for final … Read the rest of this post »

Posted in Running injuries and Prevention, Sports | Leave a comment

Welcome Lauren McGuire

As we continue to grow with the success of West 4th Physiotherapy we would like to announce our newest physiotherapist, Lauren McGuire to the team. She has over five years of orthopedic private practice experience in Ireland, Vancouver Island, and Nova Scotia. Lauren aspires to educate every patient about their injury and then use a hands-on manual therapy approach to their treatment. Her special interests are in gait analysis for runners, plantar fascia and metatarsal pain, cervicogenic headaches, TMJ dysfunction, and treating all forms of sprains/strains of the body. She … Read the rest of this post »

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Hip flexor issues in cyclists

Hips are the domino joint for cyclists. Get them balanced and you’ll be mostly happy. Ignore them and the constancy of the cycling motion can lead to a cascade of back, hip and knee discomfort. The repetitive motion of cycling is predominantly done within a flexed inner hip range and is all in a straight line. The hip never reaches a position of neutral such as found in regular standing, let alone into actual extension where the long thigh extends out behind the body. It only goes sideways when you … Read the rest of this post »

Posted in Avoiding Injury, Cycling, Cycling injuries and prevention | Leave a comment

Patellofemoral arthritis

From West 4th Physiotherapy associate Gretchen Mclennan… Now that we know it is in fact healthy for our knees to keep running (provided we are doing that correctly!), http://www.west4thphysio.com/archives/2784  here is some info about an often “forgotten joint” that will hopefully keep us all running and cycling painfree for a long time! Osteoarthritis in the knee is something most of us are either familiar with, or at least we’ve heard about it in some respect. But most of us think of OA happening at the main knee joint. This is … Read the rest of this post »

Posted in Avoiding Injury, Cycling, Cycling injuries and prevention, Knee, Running injuries and Prevention, Sports | 1 Comment

Cycling knee injuries

Pop quiz. Which two areas of the body will a cyclist most frequently injure? If you went straight to low back and knees then full marks. Low back pain is more frequent but tends to recover more quickly. Knee pain last longer so if it was a competition I suppose knees take it. The majority of cyclists with knee pain will have a version of patellofemoral pain. The leading causes for irritating this incredibly efficient joint are • Improper bikefit • Early season overuse • Hip/pelvis muscle imbalance Any combination … Read the rest of this post »

Posted in Cycling, Cycling injuries and prevention, Knee, Sports, Uncategorized | Leave a comment

Running and your knees

From West 4th Physiotherapy associate and runner Dee Malinsky   “Running will wear your knees out” It is something of a popular opinion for non runners to share with their running friends.  The last couple of posts dealt with the impact on the body of running surfaces. You can quickly review them here. http://www.west4thphysio.com/archives/2780 – Running roads and trails http://www.west4thphysio.com/archives/2767 – Running on concrete But what does the evidence show for the long term effect of running on knee joints? Here are three happy (for runners) conclusions from recent studies/scientific reviews, all of … Read the rest of this post »

Posted in Avoiding Injury, Knee, Running injuries and Prevention, Sports | Leave a comment

Running roads and trails

By West 4th Physiotherapy associate and runner Dee Malinsky We are often asked in the clinic about running surfaces and their effect on the runner’s body. Running on road or trail. Which is better for fitness? Injury prevention? Road running represents a very flat and level surface with a constant and repeatable foot strike. This means repetition of all of the intrinsic and extrinsic stressors of the impact moment which can increase the risk of overuse injury. From previous posts though  http://www.west4thphysio.com/archives/2767  you can review  how the body will adapt positively to stressors … Read the rest of this post »

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Running on concrete

  From West 4th Physiotherapy Associate and active runner Dee Malinsky I get numerous questions in the clinic, relating to running and injury. A common one is • Is it bad to run on concrete? When discussing overuse running injuries, there are 3 possible causes to consider: (1) intrinsic: faulty biomechanics, muscle dysfunction & tissue frailty (2) mechanical: training errors (eg. change in load, repetition & range) (3) extrinsic: running shoes & ground surface Running on concrete involves all 3 factors but especially the 3rd Research shows that, in comparison … Read the rest of this post »

Posted in Avoiding Injury, Running injuries and Prevention, Sports | 2 Comments

Stretching. Are there any real benefits?

From West 4th Physiotherapy associate Dee Malinsky Stretching (The Truth) In a recent course my colleagues and I attended, entitled “New Trends in the Prevention of Running Injuries,” Jean Francois Esculier discussed an ongoing and pertinent topic in the field of running, and one which directly relates to a question I am asked frequently in the clinic: Is stretching a good thing? Are there any real benefits? Jean eased into the discussion by reviewing the current best evidence: 1. Stretching does NOT increase muscle temperature. 2. Stretching does NOT prevent … Read the rest of this post »

Posted in Avoiding Injury, Running injuries and Prevention, Senior's Health, Sports | Leave a comment

Choosing running shoes…minimalist or traditional?

From West 4th Physiotherapy associate Dee Malinsky… RUNNING into difficulty: choosing running shoes. With running shoe companies pushing for simple racing flats (with the dawn of the running boom) in the 70s, to increased cushioning (air, gel & torsion control) with associated variation and marketability in the 1980s-2000, followed by a push toward minimalism in the early 2010s…we often find ourselves in a whirlwind of information, in limbo between fashion/market trends and straight forward scientific evidence. Ask yourself the following series of questions to help you with choosing running shoes and … Read the rest of this post »

Posted in Avoiding Injury, Running injuries and Prevention, Senior's Health, Sports | Leave a comment

New trends in the Prevention of Running Injuries

From West 4th Physiotherapy associate Alison Heald I recently attended a course called New Trends in the Prevention of Running Injuries. The Running Clinic utilizes the most recent evidence-based information available in the prevention and treatment of running injuries. We discussed many different topics of interest, including biomechanical analyses, shoe analyses, diagnosis of injuries, the best of evidence based treatment, as well as training. This article will discuss the Biomechanical Analysis of Running with respect to what is considered to be an Efficient Technique ( where there is a minimal cost … Read the rest of this post »

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Managing pregnancy related pelvic pain

From West 4th Physiotherapy associate Jennifer MacPherson Jennifer MacPherson attended Cecile Rost’s  and Susannah Britnell’s course this past weekend. Cecile is a physiotherapist in the Netherlands and specialises in the area of pregnancy related pelvic pain This post graduate study course teaches new methods for relieving sacroiliac and pubic pain during and after pregnancy. A frequent problem in pregnancy is pain in and around the pelvic musculature and joints. Clinicians were able to learn and share practical advice for teaching pregnant women how to manage their activities of daily life from turning in … Read the rest of this post »

Posted in Avoiding Injury, Posture, Pregnancy, Women's Health | Leave a comment