MVPT

MAXIMUM VELOCITY PHYSICAL THERAPY: A FRESH APPROACH TO HEALTH CARE

What if the person you met during your next health care visit taught you that you didn’t need their services?  Wouldn’t it be nice if you booked an appointment with a health care provider and you knew exactly what he or she were going to do?  How much it would cost?  Wouldn’t it be nice to know there were no huge bills coming down the pipe after the care?  What if you knew up front that the goal of the health practitioner was to get you discharged as soon as possible? Are you worried about the health care provider telling you that what you are doing is bad for you?  Barbells are bad for you right?  Running is hard on your knees, correct?  Squats are the enemy, right?  NO.  After 15 years of experience, reading volumes of research, attending continuing education classes with the brightest and most accomplished practitioners of a wide variety of disciplines, a primary theme surrounding health care is: Quality care is hard to come by.  You will not find quality care in the corner health care facility.  The average health care provider is inundated with managed care hoops to jump through.  If you are an athlete, the “sports doctor or PT” who spends a quarter of their time with Medicare patients is not skilled in sports care.  If they spend ¼ of their time on total knees and hips, they don’t have the experience to help you.  You need someone who spends 100% of their time with active people.
At MVPT we spend our time with all kinds of active people of all walks of life.  Kids in team sports to “elderly” who run or hike(by the way, I would put these “elderly” up against any of our kids - so impressive).  Here is a list of athletes (but not limited to) that we at MVPT have had the pleasure of assisting:
    •    Obstacle Course Racers (OCRs)
    •    Triathletes
    •    Runners
    •    Crossfitters
    •    Gymnasts
    •    Cyclists
    •    Track runners
    •    Hikers
    •    Power lifters
    •    Swimmers
    •    Rock Climbers
    •    Team sports-Lacrosse, football, soccer, basketball, baseball, etc


“I am a rock climber. Three and a half years ago, my hand went numb. I have been to countless doctors and physical therapists since then without relief. Ron is the first PT/medical professional to really examine me from head to toe, as opposed to jumping to conclusions based on limited information or judgements on my athletic pursuits (like “You’re a climber? Tendonitis.” or ”Your hand is numb? Carpal tunnel.”). He made connections between what I thought were unrelated aches and pains, and all of the pieces are finally coming together. Ron gives each client a personalized training program, which he constantly tweaks based on your physical response and changing body. Even with multiple patients training simultaneously, Ron always manages to give personal supervision to each of us. Ron is also honest about your progress, and he is not one of those PTs who prescribes ongoing sessions; instead, he evaluates the benefit of continuing therapy on a daily or weekly basis. Because of the training provided by Ron, my strength and endurance are returning, people are noticing my muscles again (woohoo!), and yesterday I had my best rock climbing day in over 2 years!”  –JEN

What does MVPT do that other related health care professionals don’t do?  We listen and inspire, first of all.  We spend time with you.  We use 15 years of clinical experience to treat the origin of the problem, not mask the problem.  We use active treatments for active problems.  Passive treatments feel good, but they do not get the source of the symptoms as fast as progressive loading does.  Your sport or activity is very rarely bad for you.  The problem is you don’t have the range of motion (ROM), strength, or mechanics to do the job you are trying to do.  Rest will not give you the skills to return to activity quickly.   If you are here for a running problem then you need your run evaluated.  Walking mechanics are not running mechanics; rolling or sit-to-stand mechanics are not running mechanics.  You have to run to understand the biomechanical errors you are making during running.  After hundreds of hours of continuing education in running and gait training alone, we have the book knowledge/science background in all things running. We back up that knowledge with over 8 years of treating runners daily through rehab, strength training, and coaching.  We recognize the difference between “feeling good” and resolving the problem.  There are many interventions that feel good.  There are a select few that can that get you back to performing at a high level quickly. Most athletes agree, performing your best without pain or injury is what really feels good.

As an Athletic Trainer, it is difficult for me to admit something is an injury, let alone seek out another professional for my own rehabilitation. After a grueling attempt at World’s Toughest Mudder in November of 2015 – and I use the word “attempt” loosely, as I was an official finisher – I was left with nagging tibialis posterior (i.e. the inside of my ankle) pain that just was not resolving. I had heard about Ron through a friend, and figured it couldn’t hurt, especially as I refused to allow my MD to immobilize the ankle in a boot. Admittedly, I was a bit nervous, as I have a particular approach to dealing with injuries, and was afraid he might be another run-of-the-mill, protocol-rooted PT; fortunately, I was wrong, and his knowledge of the anatomy as it related to running (and vice-versa) was impressive to say the least. Within six weeks, not only was I pain-free, but I placed sixth at BattleFrog’s inaugural BFX24, another 24-hour Obstacle Course Race (OCR), with 55 official miles. Not only had Ron gotten me back to 100%, but he completely changed my running mechanics for the better, and, dare I say it, made me stop hating to run!

In September, with less than a month before OCR World Championships, he helped to quickly resolve a groin injury that threatened to end my season early. Whenever a friend or fellow athlete has asked for a recommendation, or mentioned a nagging injury, I never hesitate to recommend Ron – he has a phenomenal understanding of the capabilities of the human body, and will have you leaving better than you were pre-injury. -STEPHANIE, professional OCR


What is progressive loading?  Progressive loading is a progressive approach to loading the tissue in trouble and creating an environment in which the structure can learn to handle the stress of the activity. Or simply put: training/treating your body gradually and increasingly. No visit is the same.  We use 15 years of clinical experience to identify the tissue in trouble, examine the biomechanics of the activity in question compare it to the movement of the body in trouble, and build an individualized plan to restore the activity as soon as possible.  There is no evidence a cookie cutter movement screen or plan will identify an injury or aid in performance.  The needs of the individual patient cannot be generalized.  Let’s simplify things.  Our medical system has so many specialists that the entire body system is rarely taken into consideration.  Medical education has no contact with barbells whatsoever.  A barbell is not your enemy.  All athletes require strength.  All humans require strength.  There is no situation whatsoever where too much strength is a problem.  Crossfitters are not performing a dangerous sport.  They are mishandling loads.  They are moving the bar too fast, too soon, or with too much weight.  We team up with their coaches to ensure the athlete progresses well enough to get back to full activity as soon as possible.  Chances are the athlete does not possess enough ROM, strength, or biomechanics.  If you have a problem with your over head squat, for example, will a traditional PT have a barbell around so you can show them how you are doing it?  If they tell you that is a bad motion for you, they are misinformed.  

“When I walked into Max Velocity I had been struggling with pain for over a month that disrupted simple daily activities. Tying my shoes became a near impossible task. On my first visit, Ron was not only able to diagnose the cause of the pain, but he also took the time to explain why it was not an assortment of other issues. His demonstrated knowledge gave me confidence that I would soon be feeling healthy again. I continued to do the exercises he recommended and within days the pain began to subside. It’s just a few weeks later, and I am now pain free and back into my full training (and also hitting some new prs). Thank you Ron!”
- Lauren, Crossfit Regional Qualifier


Coaching
Wait, you coach too?  Yes.  Coaching is not our primary objective.  We coach out of necessity.  We decided that if we are going to be training experts then coaching credentials are necessary to ensure the knowledge base of what it takes to complete certain tasks is obtained.  Has your current PT asked you what the distances are for an Olympic triathlon?  Do they know what is required of you from a training point of view if you are trying to qualify for Boston in the marathon?  If you are 12 weeks from a marathon wouldn’t that load be different than if you are 2 weeks away?  Wouldn’t you want your PT to know the difference? A Physical Therapist who has finished a full ironman, 5 half irons, 4 full marathons, 20ish half marathons, and a lifetime of sport participation knows what it’s like to be an athlete.  2 years of Division 1 coaching in cross country and track, while developing friendships with NCAA champions, national championships, and Olympic caliber coaching experience makes us an ideal resource to help you return to full activity.  Wouldn’t you want your health professional to program your treatment to help you attain that goal rather than unnecessarily shut you down?  HYPERSPEED LV is in place to help the young athletes of the valley cross train intelligently.  Remove the one-sport over-specialization that is plaguing our youth.  The primary swimmers of the group have decreased times by the minute by removing 2 days a week of swimming and adding progressive loading.  If we gripe to parents about how their kids train then we should offer a solution.  WE DO NOT INTEND TO POACH athletes. We intend to make the patient the center of the situation and use a team approach to the athletes success.  Our goal is to teach you to not need physical therapy.  We would rather see you and 2 of your friends for 3-4 visits than 1 person for 12 visits.  WE understand athletes, we want to take care of our own.  Traditional medicine is set up for treating the sick and NOT to treat the near healthy.  Help us create a paradigm shift in health care.  Please feel free to interact, ask questions, and get informed.  If you are interested in making an appointment please call the clinic 702-998-2900 or go to maxvelocityPT.com to “request an appointment,” and I will call you back.   

 

Gait Training is the Key to Running Performance and Injury Minimization

Gait Training is the Key to Running Performance and Injury Minimization

Runners are miseducated everyday.  Running is healthy for your skeleton.  Rest will not help your ability to return to running.  Come to MVPT and learn how to apply the skill of running to your injuries or performance.  We would love to HELP!!

What is all the HYPE about?

HYPER SPEED is coming to Las Vegas!  MVPT is proud to announce a new youth triathlon team.  If you have a young triathlete (boy or girl) between the ages of 7 and 15, they can join Hyper Speed and compete in local and national events!  Young athletes of all ability levels from novice to elite status are welcome.  Our goals are simple.  First and foremost, have FUN.  Fun, to us, is training hard, training smart, and falling in love with competing and racing to maximize our potential.  For some, that will be competing at the Elite level.  For others, we will work toward achieving elite status.  We are accepting anyone who wants to have fun competing in swimming, biking, and running.  


We will race all of our local races as a team.  The Las Vegas Triathlon Club is a valuable asset to our community, and all of our athletes will race in their club races.  We will have a presence at Rage, Sand hollow, Las Vegas Triathlon, etc as well as travel to Washington for qualifier races for the youth National Championships.   We will conduct ourselves as a team.  We will travel together.  We will race in matching kits, matching hats, matching shirts, and bags.  Hyper Speed will have a sense of community and pride.  HYPERSPEED LAS VEGAS is a USAT sanctioned club.


Where do we start?  As with all the athletes and patients at MVPT, it all begins with an evaluation.  We don’t want anyone getting injured.  Each athlete will receive a musculoskeletal evaluation before we train.  We will identify any strength or range of motion abnormalities before they start becoming an issue.  We will then begin a strengthening program to create a body framework that is ready swim, bike, and run at a high level.  Then, we will swim (both open water and pool), bike (both road and trainer), and run (road and track).  Each athlete will have custom workouts in a group setting. Everyone will have a race plan built on the individual training they receive at practice.  


Our long-term vision at MVPT is to prevent and promote health through movement.  We have been very humbled and fortunate that more kids are training at MVPT than we expected.  The opportunity to start kids with healthy habits and prevent future biomechanical injuries is a very cool idea.  On the other side of the spectrum there are youth within our community who possess world class potential.  We want to give those kids a chance to flourish.  


We are planning a HYPER SPEED info night Friday, January 29, 2016 at MVPT.  With some input from people on social media, phone (702-998-2900) or email rjg_mpt@yahoo.com.  If you are remotely interested please do not hesitate to contact Ron.  

 

Top 6 Reasons MVPT is For You…..Even If You Didn't Know It

Top 6 Reasons MVPT is For You…..Even If You Didn't Know It

Lisa Leonard has summarized a very compelling list of things that make MVPT special.  What do you want from your health and fitness?  We can help.

MVPT EVOLVED

I have always thought of myself as a coach.  When I was a teenager my Dad and I coached my brothers baseball team. When I went to work at UNLV as an assistant track coach, I started with running orthopedic knowledge, injury prevention or rehab knowledge and book knowledge of athletic development.  As a PT, I was only allowed to participate in bits and pieces for athletes but never the whole process from start to finish.  It wasnt until I surrounded myself with Olympic level coaches and athletes, and even sat in the warm up tent at US Olympic trials that I realized I have a knack for this running stuff.  One day, while evaluating the options available to UNLV runners, it dawned on me.  Age groupers should have access to this level of sophistication for training.  Age groupers train more than these girls, so why don’t they have these services?  I was already METS1 certified so I had the nutrition coaching part down.  I was already experienced on the injury and performance side of the strength situation.  I had some age group run training experience so why not put it together?  I already have 10 athletes that have asked me to coach them without me actively recruiting coaching clients.  They convinced ME that I should start actively pursuing coaching.  Where to begin?

            I kept seeing this advertisement from a company called Triathlon Research.  The word Research is what grabbed me.  Could there be a company out there that is doing evidence based training and coaching?  If so, I HAVE to know what they know.  I applied and was accepted.  I spent a week in Denver, CO with 20 other elite coaches from around the country.  I am now a Triathlon Research certified triathlon coach.  I spent all week with some of the nations leading nutritionists (Bob Seebohar), top run/bike/swim coaches and athletes.  It was a wonderfully intense experience.  As a Triathlon Research certified coach, I will be asked to coach clinics all over the US.  I will have the opportunity to coach with the top professionals in triathlon today.  Who will be my clients?

            First, coaching will not change the primary focus of MVPT.  I’m looking for orthopedically challenging coaching clients.  I love serving the injured or plateaued athlete.  I love that running or triathlon is a part of our SOUL.  If an athlete cannot do it, there is emptiness.  I want to fill that void.  If I can get that person healthy, why not take them to the next step?  It is the most challenging orthopedic puzzle possible, and I want that challenge.  Injuries are just opportunities for huge comebacks. 

Many athletes have 3 different coaches on their team – seldom on the same page, when they could have 1 coach who is managing all aspects.  I can do the program writing, the biomechanics changes for healthy training and high performance, and I can assist with the nutrition training.  How different is the training?  Why guess on what exercises to do for strength training?  How many miles should you run before a ½ Iron?  How should you manage daily nutrition and race day nutrition?  Shouldn’t someone be monitoring those things at the same time?  Don’t they all relate to one another?  Lets us streamline it for you.  All 10 athletes I coach are healthy.  All of them have overcome some major adversity, and all 10 are currently training hard and ready for a big race. 

What makes me different from other coaches?  I can identify, evaluate and solve problems before they become bigger problems.  My expertise is in developing skills.  Want better swim, bike, and run skills?  The skills are based on biomechanics, and who better understands biomechanics than a performance oriented PT?  Every workout, every bit of information is rich in evidence.  No stones are left unturned, and there is no guessing.  Obviously, some art has to be applied but all decisions are made with long term health in mind.  Only a PT can offer that. 

Two athletes: a national champion and runner up in the same race - both with PRs on the big stage.  I am so proud of the work they put in.  Two athletes racing in Olympic national championship and setting their overall 10K PR in the back of an Olympic distance race.  I will take that!  I just want people to be happy, proud, healthy, and alive.  I want you to get the most out of your training time.  I want you to reach your highest potential.  I want to make sure that injuries don’t hold you back or crush your dreams.  That is why I am putting my name in the coaching arena.  The fee schedule is based on the time and the needs of each individual athlete and will be agreed upon between the athlete and Ron. 

To make an appointment feel free to visit maxvelocityPT.com or call 702-998-2900.  This service will be an extension of our daily mantra which is to serve each individual with the focus on one on one care, cutting edge movement oriented training or physical therapy.    

CROSS IS COMING!

Since its inaugural event in 2007, CrossVegas has captured the hearts and chamois’ of cyclists throughout the valley, but this year, it also boasts being one of the UCI World CycloCross events.  As the competition grows closer, everyone is looking for ‘The Edge’: new wheels, disc brakes, di2 groupo, SRAM or Shimano, bibs and jersey or skin suit…so many variables that impact performance.  But what about the key variable?  The Engine.

Throughout the off season, stage season, road season, and crit season, you have spent time on the saddle, checked off the miles, chased KOM’s, and “Cat”ed up.  For most of you, cycling has been the heart and soul of your training.  You have developed a formidable engine with powerhouse thighs that even Sagan might envy.  But, now as cross approaches, you are jumping OFF your bike, leaping over barriers, running up hills, and tackling sandpits like a ninja.  If your purpose is simply to show up and participate, those powerhouse legs of yours will find a way to get the job done.  But if you’re seeking a PR or hoping to admire the view from atop the podium, you need something more.  Your engine needs an upgrade! 

So what is ‘The Edge’, this holy grail of cross excellence? 

Although you developed a powerful engine for cycling, you may be missing a key component to this crossover - the kinetic chain of triple extension through the hip, knee and ankle, critically executed to ensure the injury-free land-based exercises required in CycloCross.  The major muscle groups utilized during cycling are your Quadriceps, Hamstrings and Calves.  However, the driving force required for running, leaping and jumping activities is your Gluteals – the booty!

To get your edge, you need to be able to engage your glutes for more power, speed, and efficiency in the OFF bike exercises.

Want to get that upgrade?

At Maximum Velocity, by analyzing your running gait and biomechanics, we are able to breakdown the elements of form and rebuild it with improved efficiency and potential.  And the best part is that stronger glutes and better movement will reduce the likelihood of injury.  My next blog post is a deeper exploration of the common issues cyclists face when crossing over to running (see what I did there, cross is everywhere!). 

So as you prepare for the 9th Annual CrossVegas, acquiring your taste buds to the latest brews and ales, growing that ever-so-last-minute beard, prepping your excitement for cash and pizza primes and generally having a smashing jolly good old time on your bike…. Don’t forget to come to see us and find your ‘Edge’.

Lisa is taking evaluations to help you find your edge.  Feel free to go to maxvelocityPT.com or call 702-998-2900 to make an appointment. 

MVPT Year 1: The Year in Review – From Nothing into Something

MVPT Year 1:  The Year in Review – From Nothing into Something

1 year later and the mission is the same.  Education and performance is the key to inspiring for full potential.

Running: The Imperfectly Perfect Science

Running is a skill.  To master any skill, it helps to understand good technique and the science behind that technique.  But which technique and which scientific theory, and how can I measure the skill so I can get better?  The answer is never simple, and choosing the wrong approach or wrong mix can lead to injury and disappointment.

The definition of running reveals why running is hard to measure.  The technical definition of running is locomotion (movement).  That's it.  You have locomotion when both feet are simultaneously off the ground.  What?  It doesnt say anything about how fast, how hard, what part your foot you land with, or anything of the things we generally think are essential to good running. 

After studying 85% of the population of runners at MVPT and after spending over a hundred hours gaining running specific continuing education from national and world renowned running experts, I've learned one thing is very clear: The more we learn, the more we discover how much more there is yet to know.  That does not mean there are unsolved mysteries about human locomotion. It means there are a lot of variables that can scatter the details for each individual.  There are some baseline running principles that apply to most and are very important to manage, but ultimately most of the uncertainty is tied to the HUMAN variables.  Humans are imperfectly perfect.  No two people are exactly alike.  What works for one person may be the worst thing you could do for another person.  That is why there are hundreds of opinions on every facet of running from equipment to form to training.  And that is why injuries in running are so common.  Unfortunately, there is no "one approach fits all" when it comes to making YOU the best runner you can be.

Have you ever heard of the yips?  The yips is a term golfers use to describe a movement error during the golf swing they cannot feel or describe.  The swing feels right, but the ball lands in a place they cannot control and they get frustrated.  They need an extra pair of eyes to see the swing flaw or movement error, usually a golf pro who teaches movement.  The pro identifies the movement error and immediately has the golfer do some new drills to remove it.  Usually, after a few rounds of practice balls, the error is ironed out and the game gets better.  But then something new happens: A NEW swing flaw creeps in!  This is normal in any complex movement oriented task, and it's part of the reason golf is so challenging and also rewarding.  Was it the golf pro's fault that he could not anticipate the next swing flaw?  Of course not, but you hope the pro you've turned to can identify the flaw quickly and teach you how to get rid of it.  The more times the pro handles that tricky swing flaw, the better prepared the pro and the golfer will be.  Wouldn't you like to meet the running version of that pro?

When rehabilitating runners, triathletes, or running sport athletes, there are many factors that can influence what the athlete feels, cause running flaws, and contribute to injury.  There are both external factors and internal factors.  An external factor may include nutrition, footwear, training program, running surface, contact/non-contact, whether you are jumping or cutting, and so on.  Internal factors are range of motion of the joints, muscle strength, flexibility, coordination, pain, biomechanics (how the person is using those factors), and most importantly the mind.  The more variables at play, both internal and external, the more possibilities for error.  After all, we do call it “practicing medicine or practicing physical therapy” because there is some trial and error involved. 

Most of us want a quick fix, but if the running errors started long ago, it may take time to erase old habits and develop new ones.  There is no magic wand.  A commitment to changing behavior or movement patterns for the long term is the way to become an injury free and highly performing runner.  But again, with so many variables and so much information floating around the Internet and running circles, it's hard to know where to turn.  To add to the mix, coaches, doctors, chiropractors, physical therapists, personal trainers, and athletic trainers are all educated a bit differently and bring different (often conflicting) perspectives.  Not to mention, your practical experience may influence what you are educated in.  The take home message is….who the heck knows what is going on? 

Who should I listen to?  Where is my Running Pro?

For the last 8 years, I have increased my patient load to ½ runners without the need to market my specialty whatsoever.  Word of mouth from improved athletes is sending runners and related athletes to MVPT for help.  My passion is helping down and out runners restart the fire for running.  Since opening the doors of Maximum Velocity Physical Therapy 7 months ago, 86% of the evaluations I have performed have been on runners, triathletes, or other running related sports.  Of the 124 evaluations to date only 4 have come from a doctors referral.   

As a supplement to my formal PT education, I have taken over one hundred hours of continuing education on the science and physical therapy (the medicine of running).  I was an assistant coach at UNLV for 2 years and helped several athletes reach NCAA regional competitions, including qualifying and nearly running at the United States Olympic trials in 2012.  My time at UNLV was focused on the cross country and distance track and field teams.  I was able to pick the brains of world class coaches who were multiple Olympic games competitors themselves.  These coaches are the leaders in run training, and I continue to collaborate with them.  Along the way, I have coached athletes on the side from distances of 800m to marathon and several triathletes.  

I'm excited about a new cutting edge resource I now have access to that will help runners accelerate their improvement.  The physical therapy department at UNLV has installed a world class biomechanics (or gait) lab to study running.  The gait evaluation documents and measures the unique running components of each runner and can help reduce running injuries and improve performance. The track team at UNLV will use it for training and injury prevention.  I am collaborating with UNLV, and I'm bringing the science gained to my clinic.* 

MVPT is the only running specialty clinic in Las Vegas and the rest of Nevada.  We are committed to helping runners of all ages and skill levels reduce injuries, build strength, improve form, and reach their goals.  If you have any pain that is keeping you from running or preventing you from running better, or if you simply want an evaluation to make sure you're not on the path to injury, schedule an appointment today. 

For more information, please head over to my website at maxvelocityPT.com or call 702-998-2900.

*Please note, due to the popularity of the in-depth gait analysis, advance scheduling is required.

What Runners Need to Know About Running Injuries: Part III Limb Alignment

First, a quick review of the previous posts.  Running injuries are directly related to LOADING RATE or how your body handles the force and speed that the ground inflicts on our body.  Jay Dichary is the pioneer of this concept and I encourage you to read his book “Runners Anatomy.”  He states:

Running Injuries are directly related loading rate (Part 1). Loading rate is directly related to Contact or how your body adapts to force of running (Part 4).

Contact style from part II is how the body is interacting with the ground.  Limb Alignment is the focus of today’s discussion and limb stiffness will be discussed in part 4.  Limb alignment has the most variability of the aspects that influence loading rate.  Limb alignment is synonymous with running mechanics or even running biomechanics.  Running mechanics can be described as the position your body is in when contact with the ground occurs.  That position is key.  Remember running is a skill.  The skill of landing in a way that the big and powerful muscles do the work while minimizing ground reaction force.  Running is painful when we are doing it wrong.  Joint motion of the spine, hip, knee, ankle, and foot, as well as, stability of the same joints will have a huge impact on how we run.  In order to handle landing force we must be able to slow down 3-5 times our body weight and we must be able to propel 1-2 times our body weight.  Therefore, strength is the cornerstone for efficient running.  Postural muscles hold our body in positions while big strong prime movers handle the work of running.  Soft tissue injuries while running like IT Band, patellar tendon, plantar fasciaitis, and shin splints are related to the wrong tissues taking on force while the correct tissues are not working hard enough.  With proper identification of the problem, proper cueing during running, and a strength program that supports efficient running, pain-free running can be restored.

 

At Maximum Velocity Physical Therapy we are the ONLY running specialists in Las Vegas or Henderson, NV.  We offer gait analysis, that is, gait evaluation with video analysis, and can help runners return to running with no pain or assist a runner who would like to take their running to a new level.  At MVPT we believe that strength training is a runner’s best friend.  We offer running performance enhancement strength classes to assist an oft injured runner or help the runner reach new goals.  For a limited time, we will allow you come on by and experience a class to see if it is something you can benefit from (I will casually pitch you my program though, just be aware, lol!).  Please go to maxvelocityPT.com to read more about us or request an appointment for physical therapy, gait evaluation, or functional evaluation today!   

What Runners Need to Know About Running Injuries: Part II-Contact Style

In Part 1 we discussed that all running injuries are related to LOADING RATE.  To review, loading rate is how quickly the body (bone, tendon, muscle) absorbs the ground reaction forces with each step.  That is how our body handles speed and force.  Jay Dicharry PT, has done some awesome work in this area.  He has a book "Anatomy for Runners" and should be required reading in PT school and can be a great gift for any runner.  He says:

 

Running Injuries are directly related loading rate (Part 1). Loading rate is directly related to Contact style or how you land (Part 2), Limb Alignment or what your body is doing (Part 3), and Limb Stiffness or how your body adapts to force of running (Part 4).

 

Contact style is the focus of todays discussion.  Contact style is the interaction of the body and the surface you are touching.  It is the foot versus the ground.  Contact style is; are you landing forefoot, mid foot, hind foot or heel striking, landing hard, landing soft, over striding, under striding, what type of footwear do you use, asphalt, concrete, trail, etc.  Runners say "Heel striking is bad, right?  I should be a "forefoot striker?"  The truth is it doesn't matter.  WHOA!  It only matters where that contact occurs.  There are efficient heel strikers and there are inefficient fore footers.  Actually, the bare footers have it right.  What they learn (of course they learn the hard way, lol) is that soft landing is the key.  There are many studies that show the best possible cue for runners is "landing soft."  We see large changes in ground reaction force with soft landing.  Before you throw your shoes out, you must know that the bare footers traded old injuries for new ones.  The fact is that efficient running can occur with shoes on.  Did you realize footwear doesn't matter?  Wait, whhhhaaat?  The running industry makes millions of dollars brain washing you that you need new shoes when the pain comes back.  If your contact style is dependent on footwear then you will require footwear.  If your contact style depends on your bodies ability to move with stability (limb alignment, Part III) and control then the footwear does not matter.  Shoes cannot effectively correct movement errors.  

The best way to manage contact style is to work on landing soft.

At MVPT, a gait evaluation is key to healthy and effective running.  The gait evaluation is $135 one time fee and will be the baseline.  One hour, one on one, injury past, physical exam, "functional" exam, and video analysis on the treadmill.  Education comes next.  From there we can give you specific running homework (follow-up appointments are $1 a minute) and your progression from there depends on you.  You will be educated on what you need to do reach your goals and treatment will be YOUR decision.  We can be there once or twice a week to ensure effective inclusion of your exercises and running cues or we can meet less often, if that fits your lifestyle.  If you get injured down the road your videos and baseline data will be available to you.  We can be here the whole way close or from afar.  After all, the goal is life long runners who are setting the bar higher and higher and getting more and more efficient.  Go to our website maxvelocityPT.com to request an appointment today!