Skip the Running: Alternatives to High-Impact Exercises

When it’s time to get back into the gym, running always appears to be one of the best forms of cardio. However, it get be very stressful on your joints. Adrienne Santos-Longhurst gives us some great cardio alternatives in this article posted on Livestrong.com. For additional questions, give us a call at 619-756-7500!

Give your joints a rest and test your meddle with these high-intensity/low-impact alternatives—not for beginners.
Written by Adrienne Santos-Longhurst
Medically Reviewed on June 5, 2013 by George Krucik, MD, MBA

Those who have felt the proverbial “runner’s high” will tell you that there’s no other activity that even compares to running. As intoxicating as a hard run can be, running can take a toll on your joints even if you’re in tip-top shape. Finding alternatives to running will help keep you active while giving your joints a much-needed break. According to a 1994 study conducted by the Exercise Science Unit at the University of Tennessee at Knoxville, cross-training is highly beneficial to your overall health and an effective alternative for athletes who are taking a break because of physical injury, overtraining, or fatigue.
Whether you’re in need of some recovery time from an injury or just looking for high-impact alternatives to mix things up and give your joints a break from the pavement pounding, these alternatives to running fit the bill.

Cycling
Cycling offers runners the perfect alternative to running. Just like running, cycling can be enjoyed indoors or out thanks to stationary bikes and bike trainers. Cycling allows you to maintain and improve your fitness but without the same stress on your joints and shins. Hop onto a road bike, a stationary bike at home or at the gym, or try an advanced Spin class for a high-intensity workout that just might offer runners a new kind of high.

The Elliptical Trainer
Love it or hate it, the elliptical trainer offers an excellent training alternative for runners who are injured or looking to rest their joints. Elliptical machines allow you to mimic the motion of running, and though a weight-bearing activity, it is low-impact for your joints so that you can get a workout comparable to jogging with less impact on your joints and no knee pain, according to Mayo Clinic physical medicine and rehabilitation specialist Edward R. Laskowski, MD. Focusing on motions that are as similar as possible to your usual running form and sticking to a similar training schedule will help you make the most of this activity and maintain your fitness level.

Water Running
Runners who need a change but are reluctant to try anything other than running are likely to find water running, which is also referred to as pool running, to be a good compromise. Just as the name suggests, water running is performed by running in water, often the deep end of a swimming pool. This great alternative to running lets you enjoy the benefits that come from the motion of running without any impact on your joints. To get the most out of pool running, focus on your form, staying consistent with your regular running motion. Following a training schedule similar to your running one will also help you get the most from this unique alternative while still allowing your joints a break.

Walking
Contrary to popular belief that walking isn’t nearly as good a workout as running; walking is in fact an effective alternative for runners who want the same health benefits but without the impact on their joints. A study published by the American Heart Association in their journal, Arteriosclerosis, Thrombosis, and Vascular Biology, found that walking was just as effective as running in lowering the risk of hypertension, diabetes, and high cholesterol. The key is to walk for twice as long as you would run in order to get the same benefits as you would from running. Along with the health benefits, you also get to enjoy the fresh air and scenery that makes running so appealing.

Step Aerobics
Taking a step aerobics class or working out to a step video offers a high-intensity and low-impact workout that is easier on the joints than running but still effective in improving muscular strength and cardiovascular endurance. A 2006 study published in the British Journal of Sports Medicine found that step exercise offers a workout with a biomechanical load that falls between what you would get from walking and running. The key is to perform the moves properly and safely to avoid injury.

Read more: http://www.healthline.com/health/osteoarthritis/knee/alternatives-to-high-impact-exercises#ixzz37Alz0m00

Physical Therapy Exercises for Runner’s Knee

Running is a popular form of exercise, but can be very hard on your body. Keith Strange offers some good exercises to help with “runner’s knee” in this article posted on Livestrong.com. For more questions give us a call at 619-756-7500!

Runner’s knee is an overuse injury that can result in pain when bending your knee.

Runner’s knee, or patellofemoral pain syndrome, is a condition that causes a dull or aching pain around or under your kneecap, according to the American Academy of Orthopaedic Surgeons. This condition can be aggravated by walking up or down stairs or when squatting down or bending your knee for an extended period of time. Treatment for this condition often includes exercises designed to help you build strength and flexibility in your thigh muscles.

Standing Hamstring Stretch
Stand in front of a chair or stool that is about knee height. Place the heel of your injured leg on the stool with your toes pointing toward the ceiling. Lean forward at your waist until you feel a stretch in the back of your thigh. Hold this stretch for up to 30 seconds and relax. Repeat. Be sure that you keep your shoulders positioned directly in line with your hips when performing this stretch.

Standing Quadriceps Stretch
Stand in front of a counter or wall for support. Place the hand of your uninjured side on the wall with your uninjured leg farthest away from the wall. Bend your injured knee and reach down with your other hand and grab your foot around your ankle. Use your hand to pull your ankle toward your buttocks until you feel a stretch along the front of your thigh. Hold this stretch for 15 to 30 seconds and relax. Repeat.

Quadriceps Sets
Sit down on the floor with both legs extended in front of you and your toes pointing toward the ceiling. If necessary, you can place a rolled-up towel under the back of your injured knee. Press the back of your knee into the towel by contracting the muscles along the front of your thigh. Hold this contraction for about five seconds and relax. Repeat. You can ensure that you’re performing this exercise correctly by placing your hands on the front of your thigh to feel your muscles contract.

Straight Leg Raise
Lie down on your back with your injured leg extended and your toes pointing toward the ceiling. Bend your other knee and place the sole of your foot on the floor. Keep your injured knee straight and lift your heel about eight inches off the floor. Hold this position for a few seconds and use a slow and controlled motion to lower your heel back to the floor. Repeat.

Myths and Misconceptions: Muscle Soreness

Is it good to be sore after workouts? Check out this ACE Fit article to see if you may be over-doing it. Then come see us at San Diego Sports Physical Therapy for some great rehabilitation exercises to get you back on track. 619-756-7500

There is a common misconception that muscle soreness through exercise is inevitable and necessary to see results. For many, soreness acts as an indicator of a great workout. But this is a shortsighted view of exercise benefits and can have detrimental effects in the long run.

To clarify, this is not about the minor muscle stiffness that can be felt the day after a workout. This is about excessive soreness—the kind of soreness that lasts for a few days, has you avoiding stairs and dreading everyday activities such as putting on pants, getting in and out of a car, and even sneezing. Some people actually strive to experience this. And while a little soreness is safe and may motivate even the most sensitive among us, when it crosses the line toward debilitating movement, your body is telling you that you went too far.

The Science
In short, all muscle soreness is a result of microscopic tears that take place through workouts, followed by swelling as part of the repair and rebuilding process. This may sound like a violent way to treat your body, but it is a necessary process to stimulate changes that improve strength and fitness. But how much is enough? To answer this accurately, lets look at the available research and remove any anecdotal biases from the equation.

Cause and Effect
Many people argue in favor of soreness because they have experienced positive results and associate soreness with the results. But soreness does not necessarily equate with a cause and effect for the improvements. In fact, there is no scientific evidence that proves soreness gets better results. While there is a lack of research in this specific area, there is no shortage of research indicating that progressive challenges are responsible for improving fitness. The question then becomes, can we progress effectively without soreness? And the answer is a resounding YES.

Consider world-class athletes. No athlete, after falling short in competition, has ever said, “I should have trained to be more sore.” Yes, athletes do sometimes experience sore muscles from training. But it is neither the purpose nor the target of their training. In fact, workouts are often modified for athletes if they are experiencing excessive soreness. The measuring stick used to track success for an athlete has nothing to do with the level of soreness derived from day-to-day training and everything to do with the longer-term outcome of their training program and competition goals. In fact, too much soreness will negatively impact training and competition.

Overload
To improve fitness, it is true that an “overload” is required. This means you need to apply a challenge that is greater than what your body is accustomed to. However, this “overload” can be applied aggressively or it can be applied gradually. Many assume the more aggressively you overload, the faster you will see results. But the body is more complex than that and pain is its way of telling us to slow down with the overload.

Law of Diminishing Returns
Most improvements follow a basic premise of “the more you put in, the more you’ll get out.” However, there is a tipping point that suggests a certain level of extra work does not yield any additional benefits. In short, it means you are working overtime and not getting paid for it. This can be illustrated through the concept of exercise dosage. Much like medical prescriptions, too high of a dose does not provide additional benefits nor increase the speed of benefits. Additionally, repeated “overdosing” can invite negative consequences. Extreme soreness is often just that—an “overdose” to the body.

Why it is Important to Avoid Muscle Soreness?
The Hot Iron syndrome…
Most kids only need to touch a hot iron once. If you simply don’t like to feel pain, soreness is more likely to be a deterrent to exercise, not a motivator. In fact, it may be a subconscious reason it is so difficult to start up or get back to that first workout after a layoff.

Fitness should make everyday life easier, not harder…
Extreme soreness naturally alters choices for activity outside of workouts. If your weekly leg workout leaves you feeling sore for three days, and you choose escalators over stairs, it defeats the functional purpose of being more fit.

Tighten up those muscles…
This phrase, which is often used to describe a positive outcome, may literally mean “tighten” in this case. Consistent states of soreness can easily reduce range of motion and lead to permanent changes to your movement patterns.

Overtraining and overuse injuries…
Overtraining and overuse injuries take time to develop. Unfortunately, by the time they are noticed, you are too deep to reverse the process quickly. Aiming for and achieving soreness week in and week out is inviting either or both.

Distraction from more important goals of exercise…
Exercise and fitness success needs to have a far more sophisticated evaluation tool than the level of soreness. By aiming for soreness in the short term, we may be ignoring the true measurements of success for exercise, such as fitness, strength, functionality and longevity, among others.

How to Avoid Muscle Soreness and Still Achieve Great Results
Avoiding soreness is not the same as avoiding high intensities. High intensities and maximum effort can be reached through sensible and progressive overloading strategies. You just don’t want to start there. Gradual progressions are very effective and are a far more reasonable and comfortable way to improve fitness and reduce short- and long-term risks. This can be accomplished by understanding your current levels of fitness and strength, and applying small and frequent increases in intensities and volume according to where you are now—not the level you someday hope to reach.

Remember, fitness is built. It is not injected. Build it wisely…

By Christopher McGrath

Chris McGrath, M.S., is the founder of Movement First, a New York City-based, health and fitness education, consulting and training organization. With more than 20 years of fitness and coaching experience, McGrath specializes in a variety of training modalities including sports performance, injury prevention, post-rehabilitation and lifestyle/wellness coaching. McGrath is a Senior Fitness Consultant to the American Council on Exercise and has established himself as an international fitness expert.