Runners Preparation for Marathon 2017

Runners Preparation for Marathon

Patient X attended my clinic for treatment, “Preparation Marathon for 2017.”

Week 1

Starting with full assessment of the muscular skeletal condition, then into preparation treatment with the use of Sports Massage Neuro Muscular Technics and Bioneuro Therapy Treatment.

Working on the feet aiding the motor neuron /nerve messengers to have greater ability of nerve function and blood flow to the feet.

This will open up nerve function and blood flow to all lower extremity muscles helping the muscles to function better.

Moving onto massaging the legs and Achilles Tendon area ,  applying  Neuromuscular Techniques combined with massage worked to deal aided the welfare of the calf area.

With a knee pathology present the use of MET’S (Muscle Energy Techniques ) to release shortened hamstrings from Weight Training session.

Whilst treating Patient x’s legs the Bioneuro Sigma Q was also applied to the Lower Back, this helped relieve those shortened/hyper-tonic muscles  from the (Dead lift weight training session ).

Massage and manipulation followed, Patient X felt rejuvenated ready for the next stage of training leaving  feeling  fitter, injury free and stronger to achieve the goal of that marathon next year ! .

Whilst treating Patient x’s legs the Bioneuro Sigma Q was also applied to the Lower Back, this helped relieve those shortened/hyper-tonic muscles from the (Dead lift weight training session ).

Report from Patient X

“Normally DOMS is quite prevalent on a Saturday after Thursday dead lifts. Not today though.  Hamstrings and lower back weren’t as tight as usual and my run this morning was much easier thanks to yesterday’s session.  

Good cool down after too so hopefully I won’t stiffen up later today. Ran my planned 10 miles at a steady pace fitting in the local Park Run midway through for good measure.  Knee was its usual aching niggle but that’s nothing new is it?

All in all it was made easier thanks to your treatment yesterday. Thank you.

Patient X”

This Weeks Tip from Get Fit Stay Fit Norfolk for Runners

“Running of any type calls for continues numerous  muscle actions . The greater the drawing together of these muscle groups the velocity generation from this action will create hyper-tonic muscles . All muscles in the body “Pull” and decreased circulation can be the result . Massage combined with Neuromuscular Therapy and Bioneuro Sigma Q  will enhance the runners general well being ,aid restoration and training ability.

 

Give your Achilles Tendon a Bit of a Lift? Part 2

Further Problems/ Injuries that occur Paratenonitis is an acute Achilles injury causing inflammation usually due to overuse, affecting the Tendon Sheath or Paratendo “In really acute cases, the tendon can be a sausage shape, because of the severity of the swelling. This is a common one for runners especially after a long run. They may also feel stiffness and discomfort at the beginning of the run, but as you guys always seem to try to push through the discomfort. a word of warning “This will typically aggravated the injury, when you need to relieve it by rest please do so If left untreated, Paratenonitis will progress to the point that any running becomes extremely difficult.”

Further Problems/ Injuries that occur 

Paratenonitis is an acute Achilles injury causing inflammation usually due to overuse, affecting the Tendon Sheath or Paratendo “In really acute cases, the tendon can be a sausage shape, because of the severity of the swelling. This is a common one for runners especially after a long run. They may also feel stiffness and discomfort at the beginning of the run, but as you guys always seem to try to push through the discomfort. a word of warning  “This will typically aggravated the injury, when you need to relieve it by rest please do so If left untreated, Paratenonitis will progress to the point that any running becomes extremely difficult.”

The area approximately two inches above the Calcaneus attachment is most susceptible. In this area, the Achilles tendon does not have good blood supply or cell activity, so injury can be slow to heal. The tendon receives nutrients from the tendon sheath or Paratendon. When an injury occurs to the tendon, cells from surrounding structures migrate into the tendon to assist in repair. Some of these cells come from blood vessels that enter the tendon to provide direct blood flow to increase healing. With the blood vessels you also get nerve fibres’.

It is believed, that these nerve fibres are the cause of the pain. So while it is healing it will cause you a lot more pain, some say “It is like having an Arrow in your heel” Not very fair but unlike Achilles painful fate, you’re not going to die from it and there are things you can do to help yourself, but recovery from an sever Achilles tendon injury can take anything up to 12 or even 16 months, a long time if you are a runner that is why I always say “Early Intervention is better than long recovery time’s”

So what is Tendinosis? Well the point is most pain within the Achilles tendon, may be classified as Tendinosis. This may be because it involves tendon degeneration, whether it has inflammation or not. In addition, the tendon may become weakened and lose its structure. Aging plays it own part in this process, repetitive injury, or a minor trauma, through occupation or sports. Whatever the reason, “Without proper treatment and healing time, of the area Tendinosis will eventually progress to partial or complete ruptures, if you continue to put high pressure on them, that are physically demanding.

So what is Tendinosis?

Well the point is most pain within the Achilles tendon, may be classified as Tendinosis.

This may be because it involves tendon degeneration, whether it has inflammation or not. In addition, the tendon may become weakened and lose its structure. Aging plays it own part in this process, repetitive injury, or a minor trauma, through occupation or sports. Whatever  the reason, “Without proper treatment and healing time, of the area  Tendinosis will eventually progress to partial or complete ruptures, if you continue to put high pressure on them, that are  physically demanding.

What Can You Do To Help or Prevent Achilles Problems?

 

Let’s start with the obvious

Preventive exercises aimed at strengthening the gastrocnemius and soleus muscles,

This means,  repetitions of slowly raising and lowering the body while standing on the affected leg, (Calf Raises)   using the opposite arm to assist balance and support if necessary, starting with the heel in a hyperextended position. (Hyperextension is typically achieved by balancing the forefoot on the edge of a step, a thick book, or a barbell weight. so that the point of the heel is a couple of inches below the forefoot. You don’t have to wait till there is a problem to do this exercise use it in your regular stretches,

Don’t take on too much too fast, slowly Increase the intensity and the difficulty of an exercise and running program do not put strain on your Achilles.

An ultimate must here !

Always Use appropriate footwear. The more arch support, the less strain there is on the heel and associated muscles. Wearing heel pads to reduce the strain on the tendon, and remember, if you start to show signs that there is a problem occurring.

Don’t leave it and hope it goes away, you can’t run it off, and it won’t just go away.

Use Standard RICE Treatment with Ice, cold compression therapy then please seek help. Early intervention can save you from lots of problems later.

 If you have an injury and need more advice give us a call, but please don’t leave it.

A few weeks rest or less, from running is better than 12 months or not ever again. 

 

Give your Achilles Tendon a Bit of a Lift? Part 1

Achilles Tendon

He may have died in the Greek Trojan wars, this tendon is named after him, it is the thickest and strongest tendon in the body, but  to  to many a Runner it is synonymous to injury and be the cause of pain, most  know it as The Achilles Tendon. or the Calcaneal Tendon or the Tendo Calcaneus.

Over the years I have found myself treating many, Achilles Tendon Injures some, after surgery, but I am happy to see more people, getting treatment before the situation has deteriorated to the point that only option is that of surgery, I hope this information may help some of the runners to avoid.

Problems that Occur with the Achilles Tendon.

The Achilles is the tendinous extension of 2 muscles in the lower leg: gastrocnemius and soleus. It also serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus (heel) bone, In humans, the tendon passes the  posterior of the leg to the ankle It is about 15 centimetres (6 in) long, and begins near the middle of the calf.

 The Achilles’ muscle reflex tests the integrity of the spinal root.  The tendon can receive a load stress 3.9 times body weight during walking and 7.7 times body weight when running. (Think about  that on your next run)  Achilles tendon ruptures are most likely to occur in sports requiring, sudden eccentric stretching, such as sprinting, also long runs pounding the pavement will do the job just as well.

Some of the Problems/ Injuries that occur Insertion Tendonitis This is an inflammation at the point where the Achilles tendon inserts into the heel bone. When you have this problem you will have tenderness directly over the insertion of the Achilles tendon, which is commonly associated with calcium formation, or a bone spur forming just above the insertion point. You may also suffer a Retrocalcaneal bursitis; this is caused by movement-related irritation of the Retrocalcaneal bursa, the fluid-filled cushioning sac between the heel bone and the Achilles tendon. The bursa can become inflamed or thickened and stick to the tendon, because of overuse or repetitive loading. You will feel pain when squeezing the tendon itself or the space just in front of the tendon.

Some of the Problems/ Injuries that occur

Insertion Tendonitis This is an inflammation at the point where the Achilles tendon inserts into the heel bone. When you have this problem you will have tenderness directly over the insertion of the Achilles tendon, which is commonly associated with calcium formation, or a bone spur forming just above the insertion point. You may also suffer a Retrocalcaneal bursitis; this is caused by movement-related irritation of the Retrocalcaneal bursa, the fluid-filled cushioning sac between the heel bone and the Achilles tendon. The bursa can become inflamed or thickened and stick to the tendon, because of overuse or repetitive loading. You will feel pain when squeezing the tendon itself or the space just in front of the tendon.

I know that retrocalcaneal bursitis are  associated with Rheumatoid arthritis ,but in most occurrences in athletes, only  one side is involved so may  not be associated with a “Systemic disease ” Please get this checked by your GP if you have any doubts”.

Tendonitis also involves pain in front of the Achilles tendon and a bony enlargement of the heel bone, known as Haglund’s deformity, which is referred to as a ‘pump bump.’ “Most cases of Haglund’s deformity will occur in ladies who wear high-heeled shoes, but runners are also prone to this sort of injury.