WHAT’S A GOOD EXERCISE TO HELP AVOID KNEE PAIN, SHIN SPLINTS AND OTHER AILMENTS WHEN STARTING TO TRAIN FOR RACES?

Alex Mueller
FT Lake Forest

“Foam rolling your IT bands is the single most effective injury prevention task. That’s helped me finish three marathons and four triathlons, including Ironman. It saves both your knees and hips.”

Kris Dixon
FT Auburn

“I would say that most runners encounter knee pain throughout the course of their running career. However, most of this pain is actually caused by poor training at the beginning of their career. With simple exercises like resistance band abduction and adduction, wall sits and body weight squats strengthening of the knee can be accomplished and therefore reduce the risk of injury substantially.

“I think another common mistake in the avid runner is that they do little or no resistance training and solely focus on the cardio aspect of running. Runners should use resistance training to increase the endurance and strength of their muscles so that they can be made even more efficient during training.

“The final and main thing that I would do to prevent knee pain is stretch, stretch, stretch. Stretching will keep the muscles around the knee more lax and therefore keep pressure off of the joint. It will also prevent the inflexibility of the runner’s gait which would have the potential to disturb the knee joint as well.”

Vanessa Ocasio
FT Auburn

“Practice strength training a couple of times a week, mainly focusing on lower body and core exercises. Hire a personal trainer even if just for a couple of weeks to teach you the proper form of these exercises; otherwise you may make your condition worse.

“Perform deep squats — slightly below 90 degrees — to strengthen your overall leg musculature as well as increase hamstring flexibility. Include some traditional deadlifts to engage your lower back and glutes a bit more and provide overall lower body balance.

“For core focus perform bird dogs, planks, side planks, and side-to-side movements such as Russian twists. You may be wondering how working on your core will help you get rid of knee pain. A weak core will fatigue faster and will contribute to improper running form such as slouching. Slouching shifts the way the pounding on the ground is received by your muscles and joints, making your running more inefficient and your body prone to injury.

“Finally, cross train. Use an elliptical machine in between running days. If you have access to a pool, even better. You can run in the pool to work on your strength and endurance, while sparing your joints from any impact and allow time for healing.”

Maria Pasquale
FT Medford

“Foam rolling, band work, deep hip stretches, and seated calf raises! You also need to train stride length and stride frequency.”

Erin Jackson
FT Great Neck

“If you have shin splints or knee pain it’s a good idea to run on softer surfaces (grass) whenever possible when starting training. Eventually and gradually move to harder surfaces. You can try to strengthen your calf and ankle to prevent foot pronation that has a tendency to be common in runners with shin splints.

“Also, shoes make a big difference. They don’t have to cost a fortune, but they do need to fit your running style. Some shoe stores will watch you run and give you suggestions.

“If you’re recovering from shin splints or knee pain try low-impact cardio and ice injuries on a regular basis. Don’t let temporary injuries get you down. Keep your eyes on the prize!”

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PHYSICAL THERAPY EXERCISES FOR THE UPPER ARM

Kenneth Hutto gives a few exercises to help with upper arm issues. We are constantly using and moving our arms, so that movement can take a toll on the muscles. Try these exercises, and then come visit us at San Diego Sports Physical Therapy for more exercises.

Rotator cuff injuries account for over half of the total reported shoulder problems in the US.

According to AAOS, the American Academy of Orthopaedic Surgeons, 7.5 million people saw their doctor for a shoulder problem in 2006. AAOS points out that upper extremity problems can be caused by anything from playing sports to simply doing household tasks like washing walls. If you report shoulder pain to your doctor, you are likely to be referred to a physical therapist for treatment. Want to improve your health? Learn more about LIVESTRONG.COM’s nutrition and fitness program!
ASSISTED EXERCISE
If you are experiencing pain, a physical therapist will often prescribe assisted exercises for your arms first. The exercise is “assisted” because you will use the one arm to move the other through a comfortable range of motion. This allows your shoulder to move freely without stressing your muscles, tendons or ligaments. To go through assisted shoulder flexion, find a dowel that is roughly three feet long and hold it in your right hand at one end; with your other hand, grasp the dowel in the center. Relax your right shoulder and allow your left arm to push it straight in front of your body through a pain-free range of motion. Repeat for the opposite arm.

ISOMETRIC EXERCISE
Isometric exercises are used by physical therapists to begin strengthening the muscles of your upper arm. During an isometric exercise you will contract the muscle you are targeting without moving any joints. According to the “Journal of Orthopaedic Physical Therapy,” strength in the external rotators of your shoulders is extremely important in the rehabilitation of upper arm injuries. To strengthen your external rotators, stand so your shoulder and the length of your arm are touching a wall. Bend your elbow to 90 degrees while keeping the arm against the wall. Press into the wall with the back your hand — concentrate on your shoulder acting as a hinge so the pressure is on your hand, not your elbow. Hold the contraction for five seconds, rest and repeat 10 times on each arm.

ACTIVE EXERCISE
Active exercises involve contracting your muscles to move joints through a range of motion. Weak elbow flexors in your upper arm could lead to shoulder injury. To strengthen your elbow flexors actively, sit or stand with your elbows straight and your palms facing forward. Lift your hands up to your shoulders and slowly lower them to your sides. If this motion is easy, hold a light dumbbell in each hand. You can lift both arms at the same time or one at a time. Begin with three sets of 10.

STRETCH
Stretching muscles in addition to strengthening them is very important for the function of your upper extremities. To stretch your elbow flexors, sit on the floor or on top of a mat with your arms behind you — your palms should be touching the floor with your fingers pointing away from your body. Scoot your hips forward so they are further away from your hands; you should feel a stretch in your biceps. When you feel a light stretch, hold the position for 30 seconds, rest and repeat three times.

REFERENCES
American Academy of Orthopaedic Surgeons: Common Shoulder Injuries Brigham and Women’s: Total Shoulder Arthroplasty / Hemiarthroplasty Protocol Journal of Orthopaedic Physical Therapy: Concentric Isokinetic Shoulder Internal and External Rotation Baseball Pitchers American Academy of Orthopaedic Surgeons: Shoulder Surgery Exercise Guide Sloan-Kettering: Upper Extremity Exercise Program
Article reviewed by Manisha Parmar Last updated on: Oct 21, 2013

Read more: http://www.livestrong.com/article/365909-physical-therapy-exercises-for-the-upper-arm/#ixzz2ikVDrlSF

What are Good Exercises for Those with Bad Knees?

We’re always talking about knees and knee pain, but how can you not when your knees do so much for you? If you have knee pain, here are a couple exercises by Brian Sabin to try at home. If you’re experiencing more pain, come see us at San Diego Sports Physical Therapy today!

Knee pain often indicates problems elsewhere.

THE ANSWER
First, realize how often “bad knees” are indicative of a problem elsewhere. Picture a factory with three employees who need to perform different tasks in order for the factory to run efficiently. If two of the employees neglect their job duties, the remaining employee has to perform tasks that aren’t in the original job description. This means the factory would not run as efficiently as possible and, eventually, the overworked employee would complain to management. If only the other two employees would buckle down, the problem would be solved.

In the factory of the human musculoskeletal system, the employees can be considered the hip, knee and ankle. In the case of bad knees, the hips and ankles may lack strength and mobility. The muscles in the feet and core may also not be functioning properly. If any element in that chain is off, your knees may suffer. So do these two exercises to put everybody to work.

SINGLE-LEG ROMANIAN DEADLIFT
Stand on your left foot with the left knee slightly bent. Keeping your hips level, bend forward as far as you can while maintaining a straight line from head to your heel. Do as many repetitions as possible without letting your knee cave inward, then switch sides. Do two to three sets.

HEEL-UNSUPPORTED MINI-SQUATS
Stand on the edge of a step, your weight in the ball of one foot. Let your heel sink down and pause for a second straight-legged. Then, keeping your heel down and making sure your knee doesn’t cave inward, do a mini squat by bending your knee and pushing your hips back. Repeat on the other side for 12 to 20 reps for two to three sets.

ABOUT THE EXPERT
Scott Lynn, PhD, associate professor of kinesiology at California State University in Fullerton, Calif.