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Archives for June 2016

Knee pain due to hip/hamstring misbehavior

June 25, 2016 //  by Mike//  Leave a Comment

How do unhappy hamstring muscles affect running gait? We’ve all heard about hamstring flexibility, but what about hamstring strength? And more specifically, are they firing at their proper times in order to stabilize the knee and pelvis during running? Check out a previous post to get a more thorough dissertation on hamstring function.

On a practical note, here is Brad, a former collegiate sprinter and current superstar triathlete. He has had nagging pain in his left hamstring and posterior knee. Here is video initially.

And here’s another at a faster speed.

It’s subtle, but if you compare his left knee to his right upon landing, a slight lag is present. More specifically, upon landing his right knee stays slightly bent, but his left knee has a little sloppy movement toward hyperextension. When this is present, the posterior knee joint is under stress with every step taken. Could this be a cause of your posterior knee pain?

He also shows a slight asymmetry with his arm swing, with rotation more to the left than the right. An asymmetry like this is usually tattling on the legs. For Brad, it’s a compensatory pattern to make up for his gluts not working properly.

To dig a little deeper, here’s a simple test for hamstring function. See if you can discern a difference between the right and left sides.

Of course, the best part of the this video is his son showing off, but as you can see, his left knee is slightly more wobbly than the right. This indicates a lack of stability, especially as the hamstrings and gluts come under further load.

Here is where the breakdown occurs. It is a common pattern for the gluts and hamstrings to be partners in crime. This is often a combination of lack of flexibility, as well as lack of strength under load.

So here is what we did for Brad. A simple ground reach to load the gluts and hamstrings, exploding up to a running pose.

Next a simple stretch for the gluts. Another variation can be done using a table or similar height object.

Next, power skips to develop quickness and power during the load-to-push-off transition.

And lastly, running with his arms out to the right side. This accomplishes two things. First, working on symmetry of upper body movement, and second, taking the gluts out of the equation and forcing the hamstrings to fire up more quickly.

After all this, here’s the new and improved Brad!

His upper body is symmetrical, which indicates better muscle balance through the legs. More importantly, his left knee looks more stable during the transition from loading to pushing off (other than the slight wobble on the 2nd step due to the uneven ground!). Great job Brad!

Again, what he presents with is very common and can be improved with attention to the gluts and hamstrings. If your running buddy has similar patterns or nagging issues, please pass this along!

Category: Core Strength, Flexibility, Hips, Knees, Run Form

Running form for a newbie

June 19, 2016 //  by Mike//  Leave a Comment

There are common patterns that new runners demonstrate when acclimating to distance running. Quite often overstriding, poor knee drive, and poor upper body posture are seen. So here’s a good episode that demonstrates these patterns and simple things that most new runners can do. This week’s superstar is Emily. She has been active in a number of ways, but only recently taken up distance running. Here is video initially.

From behind and in front, you can see extra rotation of her shoulders and arm swing that slightly crosses the midline. From in front you can also see the bottoms of her shoes which is a sign of overstriding. From the side she demonstrates a forward trunk lean (bending at the waist instead of at the ankles), as well as limited hip extension.

So what to do about all this. First a simple hip flexor stretch, every runner should be doing some variation of this!

Next a simple version of A-skips. Essentially her instructions were to skip focusing on driving her knee upwards and landing with her feet underneath her body. Done correctly, this can address her upper body posture, foot strike and improving knee drive.

Lastly, running with small weights held in each hand out to the side. What this does is decrease the amount her arms/shoulders are able to rotate and forces her core to become stronger and more stable with the rotational forces through her hips and lower abs.

After all this, here is the new and improved Emily!

From behind her arm swing is more forward/backward instead of rotating and crossing the midline which is a sign of improved efficiency. Her overstride is also decreased. From the side she has better knee drive and decreased forward trunk lean.

Again, being a new distance runner it will take constant attention to these drills to continue to develop more efficient form, but she’s off to a great start. Great job Emily!

Category: Core Strength, Flexibility, General, Hips, Run Form

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