Archive for the ‘Sports Injuries’ Category

Are extreme sports the secret to better fitness results?

Posted by Tom On September - 15 - 2011

It’s not by accident that “extreme sports” programs are all over TV these days.  After all, this is America and we want the best results and we want them fast.  This is why you see so many infomercials selling P90x, Insanity and other similar workouts that promise “extreme” results.

But before you jump into one of these extreme training programs, you should consider a few things, not the least of which is your personal safety and the sustainability of such programs.

Why do P90x and Insanity have so much appeal?

For starters, the people who make these programs have great marketing people which will always help create a buzz.  But more than that, on the surface they appear to be “different” or “unique” which appeals to people who are frustrated with their weight, fitness level or general lack of commitment to staying in shape.  Maybe these people have joined a gym and exercised a few times a week, but didn’t see the results quickly enough or got bored so gave up, only to come back and try again later.  Many people go through this same cycle over and over, leading to constant losing and gaining weight with no real satisfaction.

Fighting this problem of “exercise boredom” is critical for long term fitness, which is why it is one of the core elements of our fitness boot camp program.  But doing this safely and with supervision we believe is more important than doing it in “extreme” fashion.

A word of caution about “extreme” exercise

There are many exercise programs out there that promise to get you in tiptop shape in no time. Programs such as P90X and Insanity are intense programs that, if followed correctly, can in fact do exactly that.

The problem is that “followed correctly” clause in there. These programs can be extremely hard to follow for a number of reasons:

  • First of all, they are extremely intense, which is why they work so quickly.
  • If you are new to exercise or not so fit however, you can easily injure yourself if you don’t do the exercises properly.
  • They also require a lot of exercise, over hour a day or more in some cases.
  • If you don’t do any exercise and suddenly try to do over an hour of extremely intense physical activity, you’re going to burn out, get bored or hurt yourself, none of which leads to the desired result.

So how can you lose weight and get fit at a reasonable pace that won’t have you giving up so quickly?

Our solution – boot camp!

A boot camp program is the perfect answer to this. With boot camp, you work directly with trainers, so you know you’ll be doing the exercises correctly, avoiding injury. You’ll have the constant motivation of your own personal trainer (link to personal trainer page), as well as other exercisers in your program, and if you get bored, your trainer can change the routine to keep you interested while keeping you on track to get fit.  You’ll get all the good parts of tough home programs or joining a gym, but with customization to your specific needs so that you’ll know it works.

Of course, boot camp may or may not work as quickly as these other programs, but if you follow the advice of your trainer and continue to do the work, you will see results, and that’s a guarantee.

If you’re serious about fitness, but you need a change of pace, don’t go back to programs that are too intense, or join a gym where you’re left to fend for yourself. Boot camp is all of these things wrapped up in one efficient and effective package that will keep you motivated and have you in the best shape of your life before you know it. That’s a promise.

Minimalist Running

Posted by Tom On August - 19 - 2011

I have been running competitively since 1988 and I consider myself to be an above average runner. Statistically, my race results support this claim.  In my career, I have done two marathons and countless triathlons and road races of various distances.  I was on my high school and college cross country teams and while in the Army, I was considered the fastest soldier in every unit in which I served.

Throughout my running career, I have suffered though almost every running injury: runner’s knee, shin splints, torn meniscus (more about this later), heel spurs, and plantar fasciitis.  If you are a runner, you are no doubt very familiar with most of, if not, all of these injuries.  Interestingly, all of these injuries have occurred using a typical running shoe that I purchased at a running shoe store.  Since I’ve become a fitness professional, or an advocate of fitness and running, I’ve consistently been asked by clients, friends and family on how to avoid injury.  99.9% of the time, I’ve told them that they need to invest in a good pair of running shoes and that they need to purchase those shoes from a running specialty store.

The purpose of purchasing your shoes from a running specialty store is that they fit you for a shoe based on your running biomechanics.   Most stores will put you on a treadmill and have you run while they monitor your foot strike, balance and other factors.  Then, they’ll bring out several shoes, have you try them on and help you decide on the best shoe.  They generally will not allow you to base your decision on color, price or looks (typically, the only factors most people use to purchase their shoes).  It’s always been my opinion that seeking help from an expert was the best way to avoid injuries, but for some reason, it wasn’t working for me and most of the folks that I know.

Supporting the local economy with my running shoe ‘habit’ was costing me about $100+ every two to three months.  This was needed to keep fresh shoes on my feet and I was strongly recommending my clients do the same.  However, after almost eight years of suffering through various pains, a simple question kept coming up over and over.  Why am I always running with some sort of pain somewhere, especially since I ‘know’ what I’m doing and I’m always using a fairly new tailor fitted, very nice, expensive running shoe?

A few years ago, I started to hear about these runners who “ran on their toes.”  It was supposed to have less impact and be less stressful on joints.  I had my doubts but had a personal training client who wanted me to take her on a run.  So, I decided to give this “toe running” (I will explain the quotes later) a try.  I knew it was going to be a slower pace than I am used to so I figured this would be a good time to give something new a try.  I cannot remember how long it took us to run, but we did about five miles.  By the end of the run, my knees were in severe pain, but I figured it was just fatigue and that I would recover with no issues.  Turns out, I ended up tearing the meniscus in both of my knees.   I needed orthoscopic surgery to repair the right knee and some serious rehab to repair the left.

All this did was reinforce my belief that “running on the toes” was a bad idea.  However, I knew that there were a lot of people who believed in it and who had a lot of success using this technique.  So, I sort developed my own theory which was that this technique could only be used by people who were elite runners and who weighed a lot less than I did (I was around 190 at the time and the people who were using this technique were elite marathon runners weighing in around 150 or less).

In the middle of 2010, I had to purchase my 4th pair of orthotics (shoe inserts that I have to slip inside each pair of shoes I wear in order to help keep the pain from plantar fasciitis and heel spurs at bay).  On top of spending around $600+ per year in running shoes, I was also spending around $400.00 for my orthotics and this comes directly out of my pocket because insurance doesn’t cover it. (Why insurance doesn’t cover a doctor prescribed, preventative measure to avoid future pain, agony and possible surgery to fix is an entirely different article).  So, despite consistently keeping fresh, form fitting shoes under my feet and despite knowing how to run efficiently, I continued to suffer from an injury that just wouldn’t go away.

There is one book synonymous with barefoot running.  It is called Born to Run.  If you haven’t read it, get it, read it and learn from it.  It does not matter if you are a new runner, a long time runner or a recreational runner; if you read it once, and did not learn from it, read it again.

My take away from this book was not that you or I were not just born to run, but that the human species was DESIGNED to run.  Yes, even you!

When I first started running, I was told by virtually everyone that when I got older my knees were going to suffer from all the pounding.  Luckily, I never bought into those statements.  Now, I’m almost 40 and while my knees do feel 40, I can still run, jump, and do pretty much everything that I want to do.  I seriously doubt that my knees are going to age any faster than the rest of me…. And I attribute this to the fact that I run.  I firmly believe that humans are designed to run (something I truly believed in before reading the book but felt more confirmation in after reading it).

You would think that based on my history with “toe running” and my firm belief in running shoes and proper technique that I would never think about trying it again.  But, something had to give.  Great technique, best fitting shoes, and almost 20 years of experience and yet, I was still consistently managing some sort of pain.  The biggest aha moment came for me while reading Born to Run.  The author talked about how he was considered a ‘large’ runner (as I do) and in reality he is actually heavier than I am and since he’s switched over to “minimalist” running, he has not had any injuries.  This, in an instant, completely changed my philosophy on ‘proper’ running technique.

Notice that I put minimalist in quotes this time and no longer called it toe running.  My mistake in attempting “toe running” was that I mistakenly interpreted forefoot, or minimalist running, with running on the toes.  So, allow me to define for you, in my own words, what minimalist running is.

Minimalist running is basically running with little to no support from your shoe.  It typically also includes landing on your forefoot versus landing on your heel.

Before I finished the book, I decided to give minimalist running a try.  Using my regular running shoes, on January 1st, 2011, I went for my first run using a new technique.  I did about 4 miles and it was awesome… simply awesome.  I felt faster, lighter, and I felt a lot more control.  I felt like I was gliding over the ground versus stampeding across it.  Most importantly, I knew I was never going back to the old style of running!   This is a huge shift in philosophy for me and something neither I nor many of my clients were expecting.

I have continued using this technique ever since, but it took several weeks before I could walk normally because of the intense muscle soreness in my calves.  These muscles were not used to contracting in a manner consistent with forefoot running and it took a long time to build up the endurance and strength to get over the pain.  However, I now rarely feel any soreness.

In March 2011, after running for three months in regular shoes but focusing on forefoot striking, I decided it was time to purchase a shoe designed for this type of running.  This was the first time that I asked for advice about this new style of running from a shoe expert and headed to my local running shoe store.  I also asked for tips/advice on Facebook and it was at this time that a whole new world unbeknownst to me opened up.  Comments, critics and opinions were being thrown at me left and right.  There are people deeply passionate about minimalists running and you can easily find an expert opinion and/or a scientific study which argues for and against it.  The rest of this article talks about my lessons learned about forefoot/ barefoot or minimalist running.

The first thing that I will tell you is that there is no easy answer on which is best, minimalist running or traditional running.  Do a quick Google search and you will find studies and opinions by all sorts of ‘experts’, who make great points about their particular view.  My personal podiatrist even told me not to start running this way.  In the end, I think it is a personal choice and you have to give it a try for yourself and make your own call.  My decision has been made, I am a minimalist runner.  In three short months, it has cured the heel spurs and plantar fasciitis from which I suffered for over eight years.

The first response I now get when starting a conversation about minimalist running is, “Do you wear those weird shoes?”  Many people now know that the Vibram 5 finger shoes are synonymous with minimalist running.  If you’ve not seen these yet, they can be found here (5 finger shoes). However, there are several other types of shoes that fit the minimalist category as well but I will touch on that later. Personally, I was not ready to make the jump all the way down to this level of minimal shoe.  However, what I did not know was how many levels of minimal shoes there were.  I’m not 100% sure I know now how many levels, but there seem to be four levels (this is my personal interpretation of what I’ve learned, not what any shoe company or salesperson is telling me).  Level 4 would be your typical running shoe, which is meant to use the heel of the foot when striking the ground.  Level 3, which is where I started, is a much thinner soled shoe.  It’s significantly more flexible and can be folded back upon itself.  Then, there is level 2, which is even more flexible than the level 3 shoe and has even less of a sole.  Finally, there is level 1.  This is where the Vibram 5 (and others like it) comes in.  These shoes could technically be folded up and put into your pocket.  In fact, it’s pretty much meant to be nothing more than another layer of skin, meant to protect the skin of the foot from hazardous materials like rocks and sticks while running. There is no support for the foot, which is technically the point.  In reality, there is a level 0, which would be actual bare foot running, which is also becoming more popular. However, I am fairly certain you won’t catch me doing this… but I did say I’d never run in a minimalist shoe so, never say never.

So, what is the point of a minimalist shoe?  The theory is: that because of the lack of support in the shoe, the muscles that make up the ankle and feet need to work harder to do the things they are supposed to do.  To me, wearing a typical (level 4) running shoe is like wearing a brace.  There is a time and a reason to wear a brace but eventually, you have to stop wearing that brace to allow the muscles, tendons and ligaments to the jobs they were intended to do.  The same goes for a level 4 running shoe.  If you always wear the brace, your muscles, tendons and ligaments get weaker and no longer do their job.  Instead they rely on the brace to do the work.  This, in turn, makes the level 4 running shoe more and more essential to the runner who uses them.  Having stronger muscles, tendons and ligaments in the lower part of the body can’t be a bad thing, can it?

In addition to the above, when running with a forefoot strike, there are certain advantages over a heel striking runner.  One, forefoot runners, are taking shorter strides and when you take shorter strides, your foot is in contact with the ground more and therefore, you can get more propulsion out of the muscles in your legs, unlike when you are striking with the heel  and you have to reach your leg out further to strike the ground.  Essentially, you are getting more power out of your legs because of the shorter stride.

Another advantage, to me, seems that the body is absorbing the impact of the strike more efficiently.  When landing on the heel, the impact has nowhere to go but up the legs, into the pelvis and lower back.  This is why traditional running shoes (again, level 4) have significantly more cushioning in the heel (to absorb this impact).  But, a forefoot runner starts to absorb the impact at the flexible toes as well as the flexible ankles and uses the muscles in the calves to slow down the impact before the impact even reaches the lower leg.  This can be compared to what happens during jumping jacks or jumping rope.  When performing these exercises, the lower body is absorbing the impact before the impact is felt in the hips or lower back.  Don’t believe me?  Try doing jumping jacks on your heels.  Silly isn’t it?  Now, try to do it flat footed.  It hurts right away for a number of reasons, but when doing jumping jacks correctly, the impact is significantly less, because of the way you land… similar to a forefoot striker!

I have a three year old little boy who likes to play his own version of baseball.  The other day, I was hitting the ball that he pitched to me.  It was after dinner and just before his bedtime so we were both barefoot.  I hit one really far and challenged him to beat me to the ball.  He took off as fast as he could.  As he took off, I paid very close attention to his foot strike.  Mind you, I haven’t yet talked to him about running form, foot strike, running shoes or even what event he is going to run in the 2024 Olympics, but he knew, instinctively, the he is not supposed to run heel to toe.  He took off running on his forefoot. This proved to me that my son, my clients and the entire human race was ‘Born to Run’.

Dealing with runners knee

Posted by Tom On July - 6 - 2011

What is “runner’s knee”?

There is a groove in your knee that you knee cap is supposed to slide smoothly in.  When it doesn’t stay in that groove, pain is felt around the knee cap.  The pain is most evident when you sit for long periods of time or walk up or down stairs.

Causes

A muscular imbalance in the quadriceps muscles (front of the leg).  There are four major muscles in the quads and for some reason (and there are many reasons that can cause this), one muscle is weaker than the others.  This causes the knee cap to slide improperly.

Treatments

Depending on the severity of the case, a doctor should probably be consulted.  There are a lot of things that can cause knee pain and none of them should be taken lightly.  However, many times, a simple exercise can cure or prevent knee pain.

While doing a squat, on the first set, turn your toes inside but be sure to keep your knee over your toes.  This strengthens the outside quad muscles.  On the next set, turn your toe to the outside; this will strengthen the inside of the quads.  On the final set, keep your toes straight ahead; this strengthens all the muscles equally.

If you do this for about two weeks every other day, your knee pain might eventually go away.

Low Impact Exercises

Finding other low impact exercises that will help strengthen these muscles will help to avoid repetitive injuries like runners knee.  One of the great things about a fitness boot camp is that we have a host of other exercises you will be shown that you can do without making an injury like this worse.  But as with any injury, make sure to let our personal trainers know about it ahead of time so we can make sure that you don’t make matters worse during class.

What are shin splints and when will they get better?

Posted by Tom On June - 29 - 2011

Usually when an athlete complains of pain and / or inflammation on the front and sides of their lower leg, they refer to this type of pain as shin splints.  This is a common complaint among people who exercise, and even with some people who do not exercise but are flat footed or overweight.  In either case they can be a real problem if you are trying to get in shape or stay in shape.

What are “shin splints”?

Shin splints refer to an inflammation of the Anterior Tibilas (the muscle in your shins).  In severe cases, shin splints can lead to a stress fracture.

Causes

There are three main causes of shin splints:

  • Being overweight. Excess pounds will cause a greater amount of force on your lower extremities, especially during impacting exercises.
  • Running or walking on hard surfaces.  Cement, concrete and tar are extremely hard surfaces and unfortunately the Outdoor Conditioning Program is stuck using these surfaces most of the time.  The more you can stay off these surfaces the better.  Running on grass or dirt trails or even rubberized tracks is much better for you.
  • Shoes.  Running shoes are designed to absorb the impact of running.  Women over 150 lbs. and men over 180 lbs. are considered heavy runners and should buy shoes accordingly.  Shoes are only good for about 3-4 months. The heavier you are, the more miles you put on your shoes, and the harder the surfaces you are running on will determine how quickly you need to change your shoes.  If you are experiencing pain in your shins, new shoes are generally the quickest way to fixing the problem, most of the time.

Treatments

Following the guidelines above are the best ways to avoid shin splints.  If you do start to feel pain in your shins, icing is going to be the best way to treat the pain before it gets too bad.  To do this, fill a Dixie or Styrofoam cup with water and freeze it.  Peel about ½ inch away at the top and rub the exposed ice on your shin until it is gone (15-20 minutes).  Do this 2-3 times a day for 1-2 weeks.

You CAN continue to run while using this method if the pain isn’t too bad. Also, stretch your shins by sitting on the floor with your legs and feet in front of you. Have a partner stretch you by pointing your toes toward the ground and then flexing them back toward your body.

Importance of Variation in Exercise

One of the best ways to minimize shin splints is to vary your exercise program to avoid repetitive activity.  If you enroll in a fitness boot camp you will participate in different exercises each time.  If you do suffer from shin splints though, make sure to let our personal trainers know about it ahead of time so we can make sure that you don’t make matters worse during class.

Dealing with Plantar Fasciitis

Posted by Tom On June - 22 - 2011

There are many common injuries that CFC clients ask about. We thought it might help to provide some information about how to treat the pain yourself.  However, be advised, no doctor was consulted on these treatments and self diagnosis isn’t always the best way to deal with pain.  Below are the most common injuries we encounter and some suggestions on how to prevent and treat them.

What is Plantar Fasciitis?

This is an inflammation of the plantar fascia (a fleshly material under your foot that runs the length of your foot from the heel to the ball) usually near the heel or arch. This hurts the most in the morning when you first put your foot on the floor.  In severe cases it can continue to hurt all day but in most cases it goes away once you move around a little.

Causes

Flat feet, over use (long distance runners), or new exercisers who aren’t used to working out often suffer from plantar fasciitis. Also, improper shoes, such as shoes with no arch support or arches that are too high. Another cause is being overweight or pregnant, or anything else that may cause the arch to fall or be put in an unnatural position.

Treatment

Doctors might prescribe an anti-inflammatory drug like Ibuprofen.  Stretching the arch will help as well and to do this you would modify the standing calf stretch just by having your toe on the wall (rather than your entire foot), pressing the ball of your foot towards the ground. In severe cases, a doctor must be consulted and you will probably need orthotics or possibly a cortisone shot. Shedding excess weight will also help.

Vary Your Exercise

One of the best ways to avoid a sports injury like this is to vary your exercise program which is something we think a fitness boot camp does very well.  Because each class is led by a personal trainer, you can rest assured that the workouts will vary from class to class as “muscle confusion” is a big part of our success.  So while you shouldn’t develop a repetitive injury, you can be sure you will be sore when the workout is over!

Dealing with Lower Back Pain

Posted by Tom On June - 13 - 2011

There is a reason that chiropractors stay as busy as they are.  Back pain, and specifically lower back pain, is one of the top complaints that Americans have regardless of whether or not you consider yourself an athlete.  And at CFC, many of our clients often ask about whether or not our exercise programs will make this worse or actually help them to start feeling some relief.

Causes of lower back pain

Pain in the lower back can be caused by many different things; usually it is because of a lack of core body strength.  New clients usually experience the most back pain because of the stress on the back when CFC personal instructors are training clients with new exercises. The body (back) is being put in a position that it isn’t used to being put in, and weakness in the back (or core body) can cause pain.  CFC trainers most often hear clients’ reports back pain when they are performing Squats and Leg Raises.

Treatments

Usually, if the client just continues to do the exercise over a period of a week or two, the core body will get stronger and the pain will disappear on its own. However, do not push through back pain. Listen to your body. Ask your trainer how to modify the exercise if you are experiencing pain and they will adjust the range of motion which usually decreases the intensity of the pain, while still working your muscles.