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Archives for July 2016

Hamstring tightness due to imbalance

July 30, 2016 //  by Mike//  Leave a Comment

Tight hamstrings are a societal epidemic. Many people complain about this, especially as it affects low back pain. But what about running? Is hamstring flexibility needed for distance running? And what about those that regularly stretch their hamstrings, but still feel tight, what’s up with that? What are the underlying issues that contribute to tight hamstrings?

This brings us to Grant’s story. He is a former collegiate runner who is currently lighting up the 5k – half marathon scene. His left hamstring has been problematic for several years, mostly with the sensation of being tight, which seems to affect other areas as well. Let’s check out his running form initially. Please forgive the finger obstruction on many of the videos!

Overall, his form is pretty decent. Perhaps he’s been coached before, or perhaps he has good genes (not that a brother would be biased about that!). However, there are still improvements to be made. It’s subtle, but there is a slight wobble of his left knee and overall slowness to fully load the left leg during the landing/loading phase. This indicates that his gluts and hamstrings aren’t on the same page during the loading phase. It should be a team effort between the gluts and hamstrings, a synergy, and if it’s not perfectly graceful, this would be an example of an imbalance. Also, his hips and core generally appear rather tight and apprehensive. When considering movements of the hips and core, too much movement is not a good thing, but not enough can also be detrimental.

So, how do we tease that out. First, a single leg squat, but with a twist. Positioning his arms in these ways takes the gluts out of the picture, which places more emphasis on the quads and hamstrings. I assumed that we would see a big asymmetry with this, but his was definitely subtle. Doing squats this way helps to strengthen the quads and hamstrings in order to protect the knee when the gluts are distracted by something else (take note team sport athletes!)

Here’s a stretch for the gluts to get his hips more open.

Next, a high end hamstring strengthening activity. See my previous post on hamstring function for a more thorough dissertation. The important thing to consider is that the hamstrings need to stabilize the knee as well as help put the brakes on the upper body during the loading phase. So, here’s a way to emphasize that. He’s holding about 15 pounds, which is likely higher than most people will need!

Next, he did simple power skips to develop quickness of the load-to-push-off transition and get his arm swing more forward/backward.

Now we’re really having fun! Next he ran with the weight overhead. This places a huge load on the hips, forcing them to respond quickly to the landing phase.

But we can’t stop there, we also had him run with the weight overhead and to the side. When the weight is to the right, as in this video, it gives the left gluts an advantage and the right side a disadvantage. Essentially, this places more effort on the right hamstrings.

On the flip side, running with hands to the left places more effort on the left hamstrings. In this next video, his left knee looks more wobbly. So again, this helps confirm that imbalance between the gluts and hamstrings is an area he could improve on. Doing this as a drill helps teach the gluts and hamstrings to be comfortable working, even as the terrain or demands change.

So, after all this, here’s the new and improved Grant!

His left leg looks more stable and quick during the loading phase, which indicates that his hamstrings are working much better. His hips and core also look open and powerful which will help him use his abs and hips more efficiently. With constant attention to keeping the hamstring/glut relationship happy, this will make him more efficient and less injury prone. Great job Grant!

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

Use your core efficiently while running

July 23, 2016 //  by Mike//  Leave a Comment

We all want to run as efficiently as possible. Regardless of your age, experience, or pace, increasing efficiency is beneficial for everyone. But what does that look like and how can it be done? It would be easy to conclude that minimizing all upper body movements would make for more efficient running. But the issue is a lot deeper than that. Simply put, all the muscles in your body will help with running. In order to most efficiently use all your muscles, they need to be loaded (lengthened) first in order to get the most out of them. Picture a slingshot, to get the most power out of it, you need to pull it back to unleash the elastic energy. Muscles work in a similar way. In order to get the most out of your hips and core, they need to be loaded through your upper body. So, running with minimal movement of your upper body is ultimately not the most efficient way to run.

This brings us to Erin’s story. She has completed several half marathons, 25k’s, and sprint triathlons. She doesn’t have pain or nagging issues which is great, but that doesn’t mean we can’t find something to improve! Here is video of her initially.

As you can see, there’s generally not a lot of motion in her upper body. At first glance it’s clear that she doesn’t waste energy with excessive arm and hip movements, which certainly isn’t a bad thing. But again, if we can get her using her upper body appropriately, it can enhance the power coming from her hips and lower core. There is a small asymmetry in her hips as well, with the left side slightly tighter than the right, which the next video also demonstrates.

When balancing on her left leg, her upper body doesn’t move quite as freely. This is also a good balance activity to restore symmetry.

Next we did power skips in order to improve knee drive and expand her arm swing forward.

Next, we did a cross over running drill. The goal of this is to force her hips and torso to rotate more, which will translate into greater recruitment of her core muscles.

Lastly, she ran with bricks overhead. This places more leverage on her lateral hips and core to strengthen them for the load-to-push-off transition.

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

After these drills, her form looks much more open. She is recruiting her core and hip muscles more effectively. Again, running is a whole body activity. The upper body works to provide leverage for the lower body. This requires movement, too much upper body movement can be indicative of deeper issues. Not enough upper body movement means the lower body is not getting the contribution it needs from above.

Erin has shown a good progression. With frequent attention in this area, she will make excellent gains in her form and efficiency. Great job Erin!

Category: Core Strength, Flexibility, Hips, Run Form

Fixing your overstride: should you focus on your feet?

July 11, 2016 //  by Mike//  Leave a Comment

We can all agree that overstriding is a bad thing when it comes to running. Simply put, overstriding is when your foot lands too far in front of your hip at the moment of impact. So, the questions become, how do I know if I’ve overstriding? and how do I fix it if I am overstriding? It is very easy to want to focus on your feet, and perform drills to develop proper foot placement. These are often helpful, but what if the dysfunction is coming from somewhere else?

This brings us to Aaron’s story. He has run several marathons and is gearing up for another this fall. He is also eyeing a late summer triathlon. As we met up for our session, he remarked that he has had intermittent right medial knee pain with running. As our session started, it looked like hip strength/flexibility/efficiency was going to be the focus. A moderate overstride was present, but it didn’t appear to be the most critical element of his form. But at the end, with focusing on his hip function, the overstride diminished. Again, this wasn’t the initial goal, but the result was too cool not to bring attention.

Here is video of him initially.

One of the clues to look for if you suspect overstriding, is if you can see the bottoms of his feet while he is running toward you, then he is likely guilty. What else is present on the right side is a hard landing through his hip and slight toe-out. Essentially, if he’s not using his hip to absorb the landing adequately, combined with his foot turning out, extra stress is placed on the inside of his knee.

Another note on overstriding, when you do it, it increases the impact through your legs, hips, and core and doesn’t allow you to use muscles efficiently. On the flip side, if you can teach your hips to work more efficiently, this can cut down on your overstride, as we’ll see as Aaron’s story unfolds.

Here’s another assessment tool for hip stability, notice the position of his knee as he gets deeper into the squat. His right knee goes inward further than the left, which is a sign of poor stability in the right hip.

What to do about it? First an exercise to build strength/stability in the hip, again notice it’s more of a struggle on the right side.

Also, a simple stretch for the gluts.

Next, we went caveman style to build further hip strength and quickness of load/response. Holding weight overhead forces his hips to work harder to load and push-off.

We also transferred that into a form drill. Notice the overstriding is already going away!

After all this, here is footage of him running.

Again, the overstriding is greatly diminished and he looks much more efficient through his hips and upper body. As mentioned above, if you can see the bottoms of his feet as he’s running toward you, that’s not a good thing, and he looks much better with this after doing the exercises. Also, notice his toe out is decreased.

So, the take home message here is that the area with the greatest flaw in form may not be the place to start correcting it.

With constant attention to these areas, it will make a huge difference for decreasing the knee pain and improving his efficiency as a runner. Great job Aaron!

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

Hip strength for runners

July 4, 2016 //  by Mike//  Leave a Comment

It’s no secret that runners need strong hips in order to run happily and pain-free. But how does one discern if they have adequate strength and if not, how to strengthen in a way that translates to better running? This is the tricky part. A simple youtube search for ‘hip strength for runners’ turns up all kinds of results with lots of great ideas. The important thing to consider is finding the ones that make a difference for you. It’s critical to have some way to determine if the exercise you’ve done has made the improvement you desire.

This brings us to Jonathan’s story. He recently completed a standout career at the NCAA D1 level. Toward the end of this last season he had trouble with his form breaking down and especially his right leg seizing up at the end of races. Here is video of him initially.

And another running at a faster/tempo pace.

What stands out is the asymmetry of his arms (left hand higher than right), as well as the excessive rotational movement of his hips during the respective landing/loading phases. These are somewhat subtle, but for a runner of Jonathan’s caliber, they can make a huge difference.

If you’ve followed the blog, you’ve likely seen stories where the arms are telling a story for what’s going on in the hips. In Jonathan’s case, seeing his arms behave like that indicates that his hips are not making the transition from loading to push-off as quickly or efficiently as they should, especially on the right side. This can be a huge cause of knee, calf, IT band, and hamstring dysfunction, any of which can derail a runner.

So, what to do about it. He has been diligently stretching his hips and calves for several weeks now. So the focus of today’s session was on firing up his hips so they will work more efficiently. First, a simple single leg squat with the arms pre-positioned to make the right gluts work harder.

Secondly, a modified bounding drill with the same arm movements, again to increase the leverage of the upper body and force the gluts to work harder.

Another version is simply to jump side to side with the arms doing the same thing. This will help him do the ‘Thriller’ next chance he gets!

We also had him run with his arms in the loaded position with small free weights to the right only, in order to balance out and specifically target the right side.

And lastly, simply running with the hands straight overhead holding the free weights. This takes the arms out of the picture as stabilizers in the frontal plane (side to side) movements, and instead makes them a liability, especially with the extra weight creating extra leverage. This forces the gluts to respond more quickly, which translates to more efficient running.

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

And again at a faster/tempo pace.

Notice that his arm swing is more symmetrical and his elbows are not sticking out to the side as much. Also, his hip movement is more efficient, as they are not rotating out to the side as dramatically. Again, these are signs that his hips are working better, which should be the goal of any hip strengthening exercises that you do.

With constant practice of these and similar exercises, his running career will continue in great form. Excellent job Jonathan!

Category: Core Strength, Hips, Knees, Run Form

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