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Monday, June 14, 2010
Hip flexor strain - Kia
I had a mild hip flexor injury/strain about 6 months. Completely rehabbed it or so I thought until I attempted pilates. I
didn't feel much until next day after the pilates class. I had felt 100% before the class even running on it for 2 months
successfully with no pain. Now since the pilates class I feel like I am back to square one. Well it is not as bad as the originally
injury but it feels very aggravated. Why would pilates exercises meant to strength this area aggravate the psoas/hip flexor?
How long should I stay away from core work that cause you to recruit the psoas? I know I need to go back to PT but I was hoping
some rest will help this time. Reply - Janet Perhaps you just re-injured it by doing more aggressive
Pilates movements than your body was ready for? If you're new to Pilates, or perhaps have been off for awhile, it's important
to start back with basic beginner exercises and work your way up. If you do exercises that are beyond the muscle's capability
- even though they're good exercises and meant to strengthen the area... if you're not ready for them, you'll end up injured!
It would probably be worth it though to go back to your PT and inquire about what's going on. Pain in the region of
the hip flexor can be related to things other than a strained hip flexor (perhaps your SI joint? perhaps your low back?).
There are several things that your PT will help you rule out and they should also be able to help you determine which exercise
set things off - and this will help in determining which way to proceed with your rehabiliation. Rest is certainly a
good first step - but you need to get to the root of the problem so a visit or perhaps two with your PT to do some specific
troubleshooting is a good idea. Wishing you speedy healing - Janet Hamilton, MA, RCEP, CSCS, RRCA coaching instructor
11:05 am edt
Friday, June 11, 2010
Running farther (and faster) - John
Second year runner, age 41. Usual run distance is between 2 to 3.5 miles. Iwant to run farther (& faster), but I sometimes
struggle with my mindset. I'll think "it's too far" or think I need to conserve energy because "I have so much
farther to run". Are there some tips that experienced runners use to keep their mind positive and enjoy the experience
instead of self-talk themselves into either a weak finish or not attempt a challenging run at all? Reply - Janet John, most runners will tell you that they have good days and some not-so-good days. One thing to evaluate
is the pace you're running on your training runs. If you're running at too fast a pace on your training runs (training
at/near race pace) then you're pushing pace and making every training run a race! To be able to run further, make sure
you're running at an easy aerobic pace and take the occasional short walk break if needed. Try running different locations
- trails and new terrain keep the environment fresh and stimulating. If you have a friend who runs your pace (not one that
will push you) then sometimes having company on a run helps pass the time. Building endurance takes time and consistency
- running 4 or more times per week is good, and don't do the same distance every time out the door... some days are "easy"
(perhaps 1.5 in your case) other days are medium (perhaps 2-2.5 in your case) and one day a week do a long one (in your case
maybe 3.5 to 4). When you're running adequate weekly mileage (20 or more) then you can work on speed! Endurance
first, then speed. Good luck, relax and enjoy the journey! Janet Hamilton, MA, RCEP, CSCS, RRCA coaching instructor
8:44 am edt
Tuesday, June 1, 2010
Persistent calf tightness - Gina
My calf muscles are always tight. I stretch religiously and have great flexbility in my calf muscles but they always seem
to get tight. I get massages and the therapist always says my you have tight calf muscles. I have had some issues with shin
splints they aren't chronic. One my ride side I seem to get them after speedwork or fast running, if I am not super on-top
of the stretching. Is there anything that I can do to prevent calf tightness? Or will I always have to just be a stretching
maniac. And why if I have good calf flexbility do I have calf issues? The reason I know my calves are flexiblity is becuase
I practice yoga and my feet and heels reach the ground in down dog. Reply - Janet Gina, just
because you can get your heels down on the downward dog pose doesn't mean for sure that your calves are flexible... it may
be that your arches unlock enough to make up for muscle tightness. The bigger issue is that there's probably another thing
going on - perhaps weakness in other muscles (hips? lower back?) that are causing your calves to be overworked and the symptom
you feel is the sense of "tightness".... when in reality it may not be tight? Have you ever had a gait analysis
or strength screening done? Perhaps your shoes are not the right choice for your particular needs? There could
be many things going on but it sure seems like you've addressed any issues you might have had with muscle tightness.
Hope this is food for thought. Janet Hamilton, MA, RCEP, CSCS, RRCA coaching instructor
10:44 pm edt
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