понедельник, 27 мая 2013 г.

Knee Pain Reduced With Hip Strengthening Exercises

Knee Pain Reduced With Hip Strengthening Exercises

According to a study of runners, hip strengthening exercises reduce patellofemoral pain, a typical knee pain encountered by runners, as well as improved the gaits of the runners


The study results reveal that the hip strengthening exercises were successful in reducing knee pain, which corresponded to improved mechanics.


Only recently have researchers begun looking at the hips as a possible cause of patellofemoral pain.


The runners in the research received no training or coaching on proper running form, which makes the improvements more notable. The improvement in mechanics was similar to those of uninjured runners, when limbs, muscles and joints move in synch with each other.


The study involved 4 runners and a control group made up of another 4 runners. Measurements of Hip strength and kinematic data, fine measurements of how the knees, hips and shin bones moved and rotated when running, were noted before and after the runners in the control group kept their normal running routine for 6 weeks, and noted for all of the runners before and after the next 6-week period when they all performed the exercises.


The exercises, single-leg squats and resistance band exercises which can all be performed at home were performed twice each week for about 30 – 45 minutes.


On completion of the 6-week program, the movement of the hips and knees in relation to each other improved for both groups of runners, showing increases in joint angles between the shin, foot and thigh.


A pain scale of 0 – 10 was used, 3 representing the start of knee pain and 7 representing really strong knee pain, the stage where runners typically quit running because the knee pain is too much. The injured runners started the 6-week study registering pain of 7 after they ran on a treadmill and completed the study registering pain levels of 2 or less; i.e. no onset of pain.


Patellofemoral pain, one of the more typical running injuries, is brought about when the thigh bone rubs up against the back of the knee cap. Runners having patellofemoral pain normally don’t feel knee pain when they start running, but when the pain begins, it gets progressively worse. Once they stop running, the pain disappears almost immediately. Research shows that patellofemoral pain basically wears away cartilage and can have a similar effect as osteoarthritis. The participants exhibited many of the typical indications of patellofemoral pain, the most notable being the knees collapsing inward while running or performing squats.


Best Strength Moves For Runners

Original article and pictures take www.ahealthblog.com site

вторник, 14 мая 2013 г.

IT Band Syndrome Issues And How To Treat Them

IT Band Syndrome Issues And How To Treat Them

It’s annoying and painful, tingling and achy. It can easily be prevented, but many runners forgo stretching and before they know, there are sidelined for months. The culprit? Iliotibial band syndrome—or IT band syndrome.


IT band syndrome is tightening and/or inflammation of the iliotibial band, which is normally caused by overuse (running too many miles). The iliotibial band connects from above the hip to right below the knee on the outside of the leg. When the connective tissue rubs against the thighbone, extreme discomfort or pain is felt.


IT Band Syndrome Symptoms


The main pain is typically felt between the hip and knee—and it worsens with activity. Sometimes there is swelling around the outside of the knee, mainly common in long-distance runners.


Sometimes IT band syndrome can be misdiagnosed as lateral knee pain. “The typical complaint is pain and tightness on the lateral side of the knee with running,” shares Rebecca Goldstein, physical therapist with Professional Physical Therapy.


IT Band Syndrome Treatment


So what can a runner do to treat and recover from IT band pain? Rest.


Treatments can take a few weeks to a couple months to fully heal IT band syndrome; four to eight weeks is common recovery time). It was caused from overuse in the first place, so it needs time to recover and relax.


“The IT band is a tendinous sheath and cannot be stretched very well, which is why massaging and foam rolling are the best treatments to help loosen it up,” suggests Goldstein. “If you have inflammation along the IT band, icing should help as well.”


During recovery, Goldstein suggests massage therapy, foam rolling or stretching to heal the injury.


Foam Rolling


A sturdy foam roller, like the CORE roller from Triggerpoint, helps release tension without causing more pain. Here are a few foam rolling exercises to help you ease pain.


STEP ONE:


First, begin by foam rolling/releasing the Tensor Fasciae Latae (TFL), or thigh muscle, and calves.


TFL—a hip flexor uses the IT band as its tendon to attach just below the knee. If the TFL is not loose enough, it applies pressure to the IT band, thus compressing the tissue and leading to sensations of a “tight” IT band.


Calves—while the calves may seem too far away to influence the IT band, if the ankle can’t move correctly, then the joints above it also aren’t moving correctly. Tight calves often force an individual to rotate their knee inward during walking and running. This motion leads to tight hip flexors and more IT band tension.


STEP TWO:


After the TFL and calves have been rolled, then move on to the IT band itself.


IT band—when rolling the IT band, it’s important to understand that the IT band is not what we are trying to change. What actually needs our attention is the large muscle under the IT band, the vastus lateralis, or another muscle in your thigh. The vastus lateralis often becomes very overworked and will push into the IT band, again making the IT band feel tight when it’s actually not.


When rolling this area make sure to roll slowly to identify tender spots. When one is found, relax onto it, focusing on breathing. Then, while maintaining pressure, perform 3 to 4 knee bends in place. This movement will help to stretch the muscle and free up adhesions between the IT band and the quads.


STEP THREE:


After these muscles have been released and stretched, then perform strengthening exercises for glutes. Strong glutes will help to reduce the unnecessary stress and tension on the IT band and quadriceps.


“Everyone heals at different paces, so it may be different for each individual. If you’re eager to still work out, cross training is always a good option (e.g., biking, swimming, elliptical),” says Goldstein.


Make sure to listen to your body and ease off when pain acts up. As always, speak with your doctor before beginning any treatment to get proper diagnosis.


Original article and pictures take womensrunning-compgroup.netdna-ssl.com site