One thing I hear that frustrates me is peoples lack of willingness to rest. Maybe it is so strange to me because sleep is literally euphoric for me, like a high that I have not gotten from anything else that has no crash, it only adds to my energy and health. There is so much information about sleep out there and if your are not the part of the 5-10% of society that is genetically wired to survive with less sleep you are opening the door to dementia, performance decline, and hormone imbalances if you are not getting enough sleep.
The MRI is an amazing piece of technology. To be able to get so much information without exposing the body to radiation or cutting into the body is truly amazing. The MRI is the gold standard for imaging, but when it comes to common aches and pains it is likely not going to give us very much useful information. There are a number of studies that show that MRI findings do not correlate well with pain.
I see three very general types of arm swing with runners. From worst to best there are those who almost don’t use their arms, they look kind of like flightless birds. These runners are rare, but I have seen them. The second group use their arms, but the purpose of their arms is just to counterbalance what their legs are doing. This is most endurance runners, you will also see most of them stuck in hyper extension of their shoulders meaning that their elbow never actually moves forward up to their ribs, this is a sure sign they are lacking force production from their arms. Then as the last sentence alluded to, there are those that create leverage with their arm. We generally see sprinters do a pretty good job at this, Usain bolt comes to mind. Mo Farrah and Lopez Lamong can be seen using their arms swing to create tension as well as loading and unloading forces to maximize their efficiency. There are so many variables that play into what your current optimal is while running, and as you change, whether its your power output, vo2 max, muscle mass, body weight, core strength, etc, your new optimal will change for a given distance or speed. Like life in general you have to continuously adapt or there will be consequences to pay.
If you are struggling with lower body pains with running and would like help getting in shape and feeling well apply for a phone consultation today
Myth 1: All physical therapy is created equal.
I have heard it a hundred time "I tried the physical therapy, and it didn't work". physical therapy isnt a thing, it is care provided by a physical therapist. There are 1000 different things that a physical therapist can try to help you with your problems, and like any profession there are good PTs and bad ones. If you fail to feel better with one therapist, it doesn't meant that another physical therapist can't help you.
"But Doc, I felt it go, and when I see the chiro they put it back in and I hear it pop in to place. " is the normal response when I start explaining that backs don't go out. I would like to try to take a few minutes to explain what is happening when we suffer from acute back pain and why joint manipulations or adjustments might work. The human body is very complex, but I will try to lay this out as concisely as I can.
James is dedicated to helping the Portland area decrease pain and improve performance. He believes education is an important factor in solving your problems.