You are NOT your diagnostics. What hurts isn't always what is on your MRI. Treat the symptom generator not the “abnormal” findings, you will be pain free sooner.
MVPT is continuing to grow and change. Since the beginning the mission has been to surround ourselves with passionate people and accept the navigation that is a result. This weekend was no different. 3 separate events happening states away from each other at the same time. Some of the people involved started as patients and became coaching clients; some are strength clients, and some just coaching clients. At MVPT the services we offer are orthopedic principles that are health and medical related usually involved in the rehabilitation of athletes and then there are some coaching and performance related services as well. We believe that healthy training combined with healthy bodies makes for the best in performance. Here is how the weekend went:
USA Triathlon Junior Elite Series, Western Region Triathlon, JAGs Championships
HYPERSPEED LAS VEGAS was started out of necessity. The Las Vegas valley has talented youth triathletes but lacked the training stimulus to help them reach their goals. At the same time our valley has a mentality that specializing in one sport is how you get to be a professional or get a scholarship. That simply is not the case. Our young athletes are exposed to repeat stresses and are more often injured. Not to mention, the NCAA will be sanctioning triathlon within the next 5 years. Why not create an environment where these triathletes can push each other to cross training excellence?
4 athletes made their way to Monroe, Washington for this elite race. A swimmer and 3 cross country stars vying for elite status in triathlon. It was a learning experience. Each athlete had some difficulties and each athlete had some bright spots. The torrential downpour was an issue. We will learn and we will grow from this experience. One of the 4 got a roll down spot and has achieved entry into the elite race at nationals. At the time of press, it is possible one more could achieve the roll down. All in all, the strength training, the run, bike, and swim training, and the attention to details pay off. We are so incredibly proud of these 4 warrior athletes. They work very hard and compete. I am proud to be their coach.
2 athletes made their way to California for this championship swim meet. They both had amazing outcomes. 1 athlete qualified for the 200 free and dropped 2 sec off her PR. The other qualified for 4 events: 200 back stroke and dropped 12 seconds, dropped 31 seconds on her 800 free, dropped 2 seconds on her 200 back, and then dropped 2 seconds from the 200 free. They both had huge performances in a big meet. So proud of these sisters with huge hearts and will to compete!
Ragnar Wasatch the flagship race for the Ragnar cooperation of races. These relay races offer unique challenges and had the interesting idea of racing with all MVPT coached runners. When MVPT was conceived I didn’t know that I would have enough athletes to even consider an all MVPT team possible. I started looking at who was available to ask and I thought they would get along, we can work the training and racing into their programs, and may be they can learn from each other. What a learning experience it was for me and for them. Here are some tidbits about each runner:
Runner #1: An ultra runner with huge heart and a knack for leading wanted to most miles. She is training for huge races and is even scheduled for a non-orthopedic surgery and wanted a last hurrah pre surgery. She is a work horse and an inspiration. She has overcome severe foot pain and returned to running and triathlon. She is going to run 100 miles. She needs no pep talks because she is already ready to rumble.
Runner #2: An experienced Ragnar and marathoner with a fast motor. She can flat out run, as she outran her projections. She refuses to go easy and if I say run 6 she goes 8. She is a devoted mother and an outstanding professor. She overcame a few years of severe back pain to return to pain free running. She brings some speed and fire to the group and is a joy to have around!
Runner 3: A quiet, humble runner gaining more and more confidence. She has taken to trail running after overcoming foot and knee pain. She is getting more and more experience meanwhile getting stronger and faster.
Runner 4: She has overcome foot pain, lower back pain, and is in the middle of changing her lifestyle through personal growth. She outworks 90% of people and trying to find her confidence and gets closer everyday. A foot issue did not prevent her from completing her legs and pulling her weight. Any day now she is going to turn a major corner and start really putting down some fast running times.
Runner 5: She has come so far and her belief in herself is growing daily. She has taken her running up a notch and is training for a marathon. A feat a year ago she never thought she could do. She took on big miles this weekend and did it with some personal issues back home. She is an inspiration and her work ethic is second to none. She has overcome some serious injuries through strength training, biomechanics, and proper training. I cant wait to see how many barriers you will knock down.
Runner #6: Most likely one of the most accomplished teenagers around in the endurance world. Her resume includes a few ragnars, a few half marathons, a triathlete, very smart, very devoted member at her church, and all around a great girl. She brought some flair and she is going to be a senior in highschool. She is a HYPE captain and every day that goes by she shows more and more why she belongs as a leader.
Runner #7: This runner may prove to be one of the best accomplishments MVPT has seen. She is going to complete an Ironman 9 months removed from ACL reconstruction. Rehab plus coaching=Ironman. She made it through the rehab portion of her training with no set backs. AMAZING! She ran Ragnar as a celebration of her ability to run! She is a mother to all and friend to many. Cannot wait to see how she reaches past the fitness she had when she tore her ACL!
Runner #8: This guy was an absolute warrior. He did a leg that was basically hiking a ski slope. He attained a “king of the Mountain” medal for his efforts. He passed 22 people. He killed his legs. A veteran of the Mojave death race, he was able to lean on that experience. He also was a calming force, a voice of reason, and logistically a huge help. I hope to be closer to his guy and I hope for more adventures with this guy!
Runner #9: She has overcome a lot to get to the place she can run a half marathon and we borrowed that fitness to place her in the Ragnar team. She has overcome several years of severe back pain in order to run. 3 months ago she could not run 4 miles without severe pain! She slept outside on the grass with the bugs and smiled about it. She was so much fun and was able to break even more barriers down. What is she capable of doing next?
Runner #10: She hasn’t run for almost 2 years. Got bored, got lost with running. She took on some strength and HIIT and has now got the running bug again. She said the sleep deprivation and the running wouldn’t happen. Not only did she handle those things, she handled them with a smile on her face. She killed her legs and did not complain once! Way to go girl!
Runner 12: Some athletes learn and some athletes are students. This athlete is all about learning. She is learning her body and her performance is changing every day. She has overcome knee pain and complete frustration with running. She has learned how to run without any pain! She is a veteran of OCR and is now learning the skills of triathlon and is an inspiration to many! I cannot wait to see what she will accomplish as well!
All in all, the performances of the people of MVPT were brave and exciting. I am so proud to be your PT, your coach, your mentor, your friend. I am humbled you choose me to help. Helping you is my life's work and to watch this many people succeed is a joy. What will WE accomplish next? Enjoy the pictures!
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 email@example.com. If you are remotely interested please do not hesitate to contact Ron.
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.
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.
In our effort to improve our athletic ability, we often find ourselves pursuing difficult workouts, tough exercises, and some strange gadgets in the hopes of improving strength and performance. Battle ropes, TRX or suspension training, bosu ball, hypoxic mask, recovery boots, cold chambers, and most other “gadgets” are simply not worth your time. “I feel so tired, I sweat so much, and I am SO sore. That MUST mean I’m getting stronger and better.” The truth is, that is not the case. After all, if you ask a fish (who wants to race in swimming) to learn to climb trees he or she would be awfully tired and sore, but it would not help him swim. Instead, he or she would benefit from fin muscle strengthening, applying that strengthening to swimming mechanics, and then train swimming in a way that allows for integration of the fin strength, new mechanical skills, and cardiovascular system to swim faster. The same is true for you, unless you are working the right muscles in a planned and coordinated way, you may be working hard at the wrong things and see no improvement in your performance.
The key to performance training is progression.
If you show up on your first day of a training program, and you are doing the same workout someone in the class has done for weeks or months, proceed with caution. Lower weight, proper form, and less time followed by progressive increases in both weight and time is more appropriate for the beginner or newcomer. Plan the training for the individual. Each athlete brings a different training and injury past and has different goals. Placing them in the same group can create problems if the individual does not fit the profile of the class structure. Strength has to be progressed, technique has to be progressed, and the athlete must be eased into the program.
Cross training with strength training can be the athletes feather in cap. It can be the difference between injured or not injured, first or second place. If you train with faulty mechanics you will perform with faulty mechanics. If you load faulty mechanics with resistance then your body will only know 1 way to move; faulty. If you have poor shoulder stability and that is limiting swimming or throwing and you do some battle ropes or closed chain exercises (TRX), you will facilitate poor mechanics. Effectively you will be stronger at faulty mechanics or there will be no carry over from workout to performance in any way. Your time is valuable and training is not cheap. For the overwhelming majority of the time, training for an open chain activity (throwing) should not include closed chain activities (TRX or the like.) The foams, bosu balls, and other wobbly surfaces have no impact whatsoever on balance. The way your muscles fire during these balance activities is NOT the same as the way you function. Your brain uses 2 different mechanisms to get those jobs done. The hypoxic mask sure does make training harder but altitude effects are nil. You must sleep at elevation to get the changes they are looking for. A silly mask is not going to cut it. There is no evidence these recovery boots or sold chambers are any better than sleep or active recovery. There is absolutely no replacement of hard work, proper nutrition, and good rest. Training has to be broken down into what joints do that motion, which muscles move those joints and how do we learn to control them at higher speeds.
Your time and money are valuable. There is no replacement for hard work.
At MVPT, we have spent countless hours with 1000s of injured people. We have read 1000s of studies comparing different treatments or exercise interventions. Wouldn’t you like to work with someone who has 90% of his clients are runners in some form? We can tell you the effect your recovery, training, and equipment have on your body. We arm athletes with knowledge of why they feel what they feel, what they have to do to change how they feel, and what they have to do to keep themselves from feeling that again. Whether that is injury or performance, it’s the same. We understand what traps athletes can fall into, and we have experience treating those problems. What if we applied the treatments to the body BEFORE they got injured? That’s where the performance comes in. THE INJURY PREVENTION STUFF IS THE PERFORMANCE STUFF. Chronically injured? Plateaued? Most likely your problem is orthopedic. Not YOU. It’s outside of your range to fix. A performance oriented physical therapist with the tools to teach you how to reach your maximum potential or in this case your maximum velocity is invaluable. Let us streamline you. Go to www.maxvelocityPT.com or call 702-998-2900 to make an appointment today.
Let’s get that out of the way. Friend. You know your sport, and I know biomechanics. You want your athletes to be their best, and I can help you get them there. I believe that collaboration is the key to all of us learning, growing, and performing at a high level. I cannot coach better than you, but I guarantee that you don’t know the body like I do. It is that triangle that creates healthy high performance athletes. Every person brings a past medical history, training history, strength, athletic ability, and mental situation that WE can learn from. My passion is taking someone who thinks they can’t do something and showing them how to do it. Can I coach Lacrosse? Basketball? Football? No. But I can sure evaluate the jumping, cutting, running, throwing, and any sport related activity to make sure the athlete knows what stretching, strengthening, and biomechanics he or she should use to elevate his or her performance to the highest level possible.
STAGNANT OR INJURED ATHLETES
Training plateaus and injuries are virtually the same. At MVPT we can help a 2:05 half-marathoner who is stuck on that time and not injured. There is a training flaw, a weakness or stiffness, or a biomechanical reason full potential is not realized. What about whether or not an athlete should race or not? Fast tracking is a method of getting the athlete ready to race in a short period of time, taking in consideration of the long term health of the problem. Yes, you can race with a strain 2 weeks before a big race. An emphasis on education makes the athlete aware of what problems he or she has, and he or she is given a program to address the limitations. A coach could say “something isn’t right, let me get you to my guy and see what we need to do.” What I do is evaluate the body, evaluate the movement, and identify problems. When the athlete is ready to resume training, I hand him back to the coach. Afterward, the coach and I collaborate to reestablish consistent training and then I phase out. If there is an ongoing strength problem we do monthly training plans to allow the body to work on sound movement and if we need to film the movement, we do. Movement is the key.
Wouldn’t you prefer to see a PT who has knowledge of anatomy, physiology, running gait expertise, and can tweak physical body, sports/endurance training, and biomechanical factors so you can return to training, competing, and racing quickly? At MVPT we are reading the latest research literature to be sure that the recommendations we make are reliable and predictable. Everybody is different right? Not quite. Everyone has the same anatomy and physiology, and their body will adapt to the force placed on them. Would you want a dentist who thinks not all mouth care is the same? What about a heart surgeon who doesn’t pay attention to normal heart electricity? Everybody’s ACL of the knee is the same angle, right? YES. If that angle is not precise then the knee will not work accurately. There are many variables in the human body but having a balance of science and art is how people get needs met. As a professional, it is my job to know what is helpful and what is not. That is where knowledge comes in. Where do you apply it, how soon, AND how hard? That is where experience comes in. Wouldn’t you like to know the brace you are using actually puts you at risk for more injury? Wouldn’t you prefer a Physical Therapist who has 90% of patients either runners or athletes who use running skills?
WHO AM I?
I am an athlete. My philosophy at Maximum Velocity Physical Therapy (MVPT) is based on my lifetime in sports, experiences with both good and bad training, education in the principles of physical therapy, and searching for more information to make ME a better athlete. During my two years as an assistant coach at UNLV in the cross country and track programs, I noticed these athletes had the ideal situation. All they had to do was show up to class and practice and compete. They have coaches, strength and conditioning staff, athletic trainers, counselors, and nutritionists. That is what age groupers are looking for, why can’t regular people have that? There is a need there, and as a PT I can do the athletic training, strength training, and to a certain level counseling.
I established MVPT to give patients who fall through the cracks of traditional medicine a home because people did not take the time to listen, educate, and serve. That includes patients, athletes, or both. MVPT serves the community by ensuring healthy quality patient care and athletic performance is administered. My goal is to surround myself with passionate, knowledgeable, and fun coaches and athletes all day, every day.
WHAT AM I SELLING?
I am selling education and performance. I offer physical therapy to get healthy, I offer performance evaluation and training, and I offer monthly strength classes to reinforce healthy moving with resistance. Injury rates are low in strong athletes and performance is high in the same group. Who doesn’t need or want that? We can be creative to meet your lifestyle and time needs. I am humbled by the continued support of coaches, and your referrals mean the world to me. I am having a blast! Feel free to check out my website: maxvelocityPT.com. Please call 702-998-2900 to make an appointment or ask questions.
A question I receive nearly daily both directly and indirectly is what makes Maximum Velocity PT different than any other physical therapy place. The more times I answer that question the better I get at answering it: TIME. Yes it comes down to time. Do you have time to go anywhere 3 times a week you don’t enjoy or get paid for?…NO! What about if you do break away and the person who is attending to your healthcare will only spend 10 min with you? Was that worth your time? Every now and again as a blog post I will post a patient spot light to highlight what we at MVPT are doing to protect your time.
Brooke is a made up name although she did encourage me to post her case. “Brooke” reports to physical therapy for lower back pain. Looking through her paperwork, I guessed this was an average case of lower back pain. I guessed wrong. Turns out she has had this episode of pain has been about 6 months and progressively is getting worse. She has had other episodes of pain. She cannot run due to pain and she hesitated when answering this question. She mentioned the pain has come and gone throughout all three of her pregnancies. Since she brought her pregnancies up it turns out on her 1st pregnancy she had an episiotomy. That is the muscles of her pelvic floor were cut and they cut her pelvic floor after she tore. No intervention for recovering from that trauma whatsoever. Each successive pregnancy the tearing occurred. Further review reveals much more problems a male PT and a female patient typically wouldn’t share. Since I take the time to discuss during the exam and I am thorough we explored further and it turns out the pain comes with running but the urine loss is much more of a problem. Not only is running embarrassing but inconvenient. Running brings on the urine loss but so does laughing, jumping, and sneezing. This is a 30 something year old fit woman who is severely limited by mostly pain but also the urinary issue. She didn’t know they were related. She followed all traditional routes. The primary care sent her to OB/GYN. He examines and says “sorry that’s what happens when you have 3 kids but the machinery looks good. I don’t know what to tell you.” GO TO PT IS THE ANSWER. I would hope an OB/GYN has a women’s health PT in his/her pocket because it is an Incredibly important relationship for both of them to have. So she was left to twist in the wind thinking she is broken and that is part of being a mom. NOT TRUE. I am no women’s health PT and I told Brooke that if my basic treatment doesn’t help that we would find her one. Happy to report we didn’t need that referral.
Brooke learned to control her pelvic floor in easy situations and the tasks became progressively more challenging. Soon stability exercises for her hips, back, and pelvic floor allowed for full pain-free motion. What she interpreted as pain before was weakness or instability of her back. Her lower back, hip, and pelvic floor muscles were not working together. As a result, her laughing, sneezing, jumping, and running are all pain-free, as well as, no urine loss with each position as well. She beams when she talks about how good she feels. All I did was listen and spend time with her. What is the best part? She is fully functional with no pain or trouble in 3 visits. She came once a week for 3 weeks. She did her homework, applied new concepts for moving around in her daily life, and she is fully functional. She reported to PT with “a running problem” and left with confidence and dignity while running with no issues.
So what is different at MVPT? We offer performance improvement through education by taking the time to actually listen to the person who is sitting on the table. Attention to details during a thorough evaluation, follow up visits that progress from visit to visit in order to develop a movement pattern that feels better and therefore will perform better. Feel free to look around my website. Find the button that allows you to “request an appointment.” MaxvelocityPT.com. Please feel free to share this post as word of mouth is the best marketing strategy. Happy Running!
I talk all day about the goal of helping runners reach a level of success or consistency that would allow the entire community to be happy healthy runners over the lifespan. I mean let’s face it, have you ever met a grumpy runner? When they report to PT they are grumpy but when they get back out there, the joy is palpable. Who doesn’t like joy? I always take the time to say:
There are NO STUDIES TO SHOW RUNNING IS BAD FOR US.
In fact, more and more evidence arises every day from the research world on why it is important for our skeletons to be working hard. With that here we go with the 10 reasons (and who knows may be there is a hundred and if you want to add please do!).
#10 Cool clothes. You know you love the tech shirts, the colors, the different cuts, and the different types of shoes out there. Runners tend to be more adventurous (see fun races like the Star Wars half marathon but can someone say expensive? lol) and that tends to show on race or training day. I love how “safe” a runner looks in obnoxious neon colors. Come all y’all, lets be safe out there!
#9 More Health and Injury Prevention. In communities around the country where there are more runners per capita then Vegas there are lots and lots of prevention programs. There is more and more popping up here but the average runner is not prepared. Running is a skill that asks the skeleton to handle to most force possible, THAT’S A GOOD THING. Eating to train, would allow for better immune responses and overall better health. They go hand in hand, much more to come on that topic.
#8 Less Medicine. In America our philosophy is “eh someone will fix me later.” As medicine gets more and more technologically advanced we are also losing how awesome nature is. A scientist in some lab trying to change our body chemistry is risky. One drug leads to needing this drug to stop the side effects of the first drug. As we get more and more dependent on chemicals we lose our body chemistry. Take control of your health. What you eat and how you move are much more effective than any drug around. Not to mention the legal and political ramifications of big business pharmaceuticals (don’t get me started, lol.) Choose nature not chemistry.
#7 Decreased Health Care Cost. We are in an all-time high for health care cost in America and all time low is quality care. Why? There are millions of theories but when it boils down to the patient level, the patient requires so much more help. Patients are not informed. They do not invest in themselves and do what ever anyone in a lab coat says. That goes for any profession. (I am not anti-doctor, I am anti-poorly educating patients.) More preventative lifestyle, means the demand is less and therefore less medical bills. Take control of your health.
#6 Better Joint Health. Running or the pounding of running actually causes our connective tissue to harden. YOU WANT HARD THAT. That includes joint surfaces. There are no studies directly correlating running to poor joint health. In fact the factors that influence heart disease (obesity, smoking, diabetes, etc) are more correlated with total knee replacement than running. Not using your joint surface results in softening your connective tissue or joint surface. “Oh I cant do that, I have bad knees” doesn’t fly. Your knee pain has more to do with movement patterns at your back, pelvis, hip, or foot than it does just predisposed to bad knees. Did you ever consider that just because there is arthritis in your knee that may be that is not even the thing that hurts? The joint problem is a sign something else is going on. Get your movement checked, retrain it, and get back out there.
#5 More trails. Las Vegas is new so things are just getting started but how exciting is it that there are more and more trails every year? WE NEED MORE! More users, more options. Trails through the city, trails away from the city, trails that are hard, trails that are easy, trails that are pretty, and trails that are connecting to other trails. How fun would it be to commute via running? Good mornings, good nights, all around. Biking and running trails together.
#4 Better Restaurants. If all the runners in Vegas took a stand and we all did not eat at these cookie cutter, over processed chain restaurants and supported local talented chefs we could see a huge change in the community. (Local music too but may be too much for this discussion, lol.) Your daily nutrition is the base for your health. You are what you eat. Choose nature and not chemists, get more local people involved in food and give them the confidence they can make it work. The big business owners eat up the people that want you to eat right. Support them. You vote with your money, choose more farm to table places and lets get back to the fundamentals of health. Eat real food, stop the chemistry experiments on my body!
#3 Less Obesity. We are the fattest country in the world and we got there when the food pyramid was really pushed. Over processed food is literally killing us. We are a proud nation that is losing who we are. We used to out work the rest of the world and now we are getting lazier by the day. It starts with daily nutrition, then there is movement. Not everyone can run the Boston Marathon but daily movement is key to our body’s health. Running at faster tempos, changing tempos, is better than the long slow drag for losing weight. Compete with yourself, do something you never thought you would do. Find a running coach, learn to train. We are all runners some have just lost their way.
#2 Sunrises and Sunsets. Have you been to Lake Mead at sunrise? Have you been to red rock at dusk? What about McCullough trail at those times? Valley of fire? Gees, we can go on and on. Sunrise, train, and then eating breakfast is one of my favorite weekend routines. Even better is sunrise, RACE, and then eat breakfast. I love eating breakfast w the other racers and exchanging war stories. When runners are exposed to such natural beauty something lights up their face, may be even the soul is charged up. When runners are taken away from running it is this piece that is removed, they lost the soul. Our soul is best expressed with a challenge. How much more gratified are you when you reach your goals? Set a goal and reach it.
#1 SMILES. Lets get right down to it. Runners smile best. Have you been to the finish line of a race? There are no grumpy people at the finish line, spectator or racer. No one has ever regretted a hard run. One of my most favorite things is watching runners succeed. First 5k? First 5 min mile? Everything in between. Happier bodies mean more pleasant interaction on a daily basis. More plugged into their body with healthier diets over good food and fun stories where nature occurs. That sounds like a much happier world. Something happens to us when we interact with nature. Not look at it from the window but touch it, hear it, EXPERIENCE it. Those are the people I like having around. Bottom line: Get out there and experience the world around you. After all runners know how to explore a new city, new food, new drink, and new trails. Get out there and be happy while you train, your community loves you for it!
Feel free to disagree, comment, or share! Help me spread the word!
Ron Gallagher is owner/Physical Therapist at Maximum Velocity Physical Therapy right here in Henderson, NV. He believes that education and performance are key to prevention, rehabilitation, and success in all physical endeavors. Go to website maxvelocityPT.com to read more or even “request an appointment.”
This post could easily be twice or three times longer but I am going to give you the short and sweet version. This post will bounce around from me and my personal life to me as a professional. Each topic will have a personal and professional section kept short for brevity sake.
Childhood and the Wide World of Sports
Personal-When I was a kid sports on TV was new. The broadcast companies didn’t think people would watch hours and hours of sports. So on Saturdays after cartoons they had a show called “The Wide World of Sports.” They showed off the beaten path sports like skiing, track, ping pong, and once a year they spotlighted what we know now as the Ironman world championship in Hawaii. I was enamored by it. I thought/think THOSE athletes are amazing, I could never do what THOSE athletes can do. They do long, I do power, it will never work for me. I wanted to watch more and more of it but we simply did not have the access to it.
Professional-Since I was bigger than any other kids I was educated with I had to play offensive and defensive line, play the outfield and hit homeruns, play forward and specialize in rebounds, and basically any other power athlete job. I was absolutely enamored by mechanics of sports throwing, hitting a baseball, and running etc. I loved the human muscle anatomy of sports. My life as a clinician began with coaching and being coached as an athlete. I had some junior college looks for baseball and was a very good athlete but nothing panned out.
Personal-Like most people college was a fantastic time in my life. I made great friends and tried to figure out who I was. It was during this time that I figured since my “athlete” days are over I was not an athlete. I ate, drank, and trained like my athlete days were over (no training). I met my wife and we decided that since we were happy together we can eat and drink together! We did not exercise and we started our life together.
Professional-I struggled to get into PT school because of my “brain.” I didn’t believe I belonged there and If it wasn’t for some key people to push me and give me some confidence, I may not have made it. I got into PT school and my goal was to become an expert clinician. I did not recognize my diet, exercise, and fitness level affected my learning. I wanted to learn the most advanced manual therapy skill, I surrounded myself with excellent clinicians and took some advanced orthopedic courses to further my clinic skills. After a few years of getting my license I had more continuing education credits than most PTs out for 5 or 6 years out of PT school.
Personal-I was missing something. I wasn’t myself. I was sick all the time. I had ballooned up to about 300 pounds and I was not a happy guy. I had a runner who was a very important to the clinic (VIP) and she said “If you know so much about this why aren’t you doing it?” OUCH. She was right, I was unhappy and it was because I checked out from my body. I was a hypocrite. Walking turned into running, running turned into more running, and then the weight started to come off. I was starting to reconnect with the athlete that I am. However, the weight loss stopped abruptly. 4 ½ marathons, 1 sprint, 2 olympics, and silverman/1/2 Ironman in 2009 and no weight came off despite the healthiest diet possible according to American standards. I was still sick and then I decided to get some help. 3 nutritionists later and I am no lighter and I feel even sicker. That is when I found metabolic efficiency. Metabolic efficiency is a cutting edge daily nutrition strategy that supports endurance training, weight loss, and performance. Metabolic efficiency has the evidence behind to show that it is the wave of future of healthy lifestyle. When I learned how to properly nourish myself I became ultra aware of where our food comes from and how it is prepared and realized that nutrition is the key to a healthy life. It is far more important than any medicine or chemical and I also learned from another perspective our bodies are amazing. Another 50 pounds comes off and my mind, body, and spirit are in a brand new place. My whole life I did not know what it meant to feel good. Feeling better, more confident, I quietly asked myself what I was capable of. I knew that the ironman was a long way away, but could I get there? With more and more experience with training, coaching, and nutrition the plan was to complete the ironman. After 5 ½ Irons, 4 marathons, 25ish ½ marathons, and new body chemistry I was ready. In 2013 I volunteered at Ironman Arizona and was able to sign up for 2014. My A race for 2014 was Ironman Arizona and finished. While I was not as prepared as I could have been and with rough race conditions I did not reach my time goals, but I finished and completed my dream of doing something only “those” athletes could do.
Professional- After 5 years or so of continuing education in spine or pain I decided I would look for a course that specialized in triathlon. I wanted help with my training and thought maybe I would learn something that I could use in the clinic. I found a course in Charlottesville Virginia that would prove huge in my clinical development. Turns out this course attracts the top running health professionals in the country and presents cutting edge research. I would go back the next 3 years in a row. Every year more and more cutting edge research and high level training. This training would drown out the status quo information in mainstream training, physical therapy, and medicine I was learning along the way. This revolutionized my clinical brain. Running is the hardest thing to do on our musculoskeletal system and the orthopedic skills to train people to run requires high level skill. At the same time I fell into the network at UNLV and started coaching with the cross country and track programs. In that time I was able to coach at the 2012 Olympic trials and watch Americas top athletes prepare and recover. At that moment I knew I had something to offer. Our most skilled athletes needed an upgrade in training and I wanted to be at the forefront of change. I want to bring cutting edge information to the ground level of where people who need this training are. Why can’t “regular” everyday athletes benefit from high level training? Elite athletes are no more skilled than age groupers. Wouldn’t it be fun to inspire people to reach goals using cutting edge education and training techniques? As I got better at treating this population of people, using high level orthopedics, run training, and latest running literature it became apparent. Why can’t I work at a place where I can do this all day? Maximum Velocity Physical Therapy is born.
In summary, the personal journeys of chasing my dream of training for and completing an Ironman and the quest to become a master clinician has intertwined themselves and produced Maximum Velocity Physical Therapy. Big business is ruining healthcare, insurance companies are dictating to healthcare to work in a factory kind of way. There is no way to conduct high level of care at a factory pace and when the orthopedic skills to apply to running are high level something had to change. At MVPT, your health and progression are the focus of our day. You can go to the website www.maxvelocityPT.com and request an appointment or call 702-998-2900 for any inquiry.
Lets review. First 2 facts, 80% of runners will be injured during their run career. 100% of these running injuries can be attributed to Loading Rate. Loading rate is physics term used to describe the speed and force our body has to handle during running. Loading rate is a 3 way balance between contact style (part 2), limb alignment (part 3), and limb stiffness. Jay Dichary is the PT running expert who has described this in his book "Runners Anatomy." Great read for health professionals and runners alike.
Limb stiffness is a funny concept to explain. Runners know this feeling and have a hard time explaining it. Remember the first time you ran a mile? 10 miles? 20 miles? That hurt so good feeling is our body adapting to stress. Another way to describe limb stiffness is hardening. Our body must adapt to the force of running and when this adaptation can keep up with the miles we are running, the body does not get injured. If there is too many miles, too fast, or a contact style/limb alignment problem the body cannot adapt fast enough and stress fracture occurs. Literally the bone splinters under the abnormal force. Musculoskeletal health can be defined as our ability to handle stress. Stress tested skeletons are happy skeletons. Limb stiffness pain is GOOD. We need this pain in order to with stand longer length runs. Osteoarthritis is attributed to a unstressed skeleton and not a over worked skeleton. Runners have BETTER arthritis problems when compared to people who have the factors leading to heart disease like obesity, diabetes, smoking, etc.
Maximum Velocity Physical Therapy is only running specialty clinic in southern Nevada. There is not another health professional in souther Nevada that can treat running limitations quite like Ron at MVPT. At MVPT running injuries are puzzles. The pieces are related to loading rate. A gait evaluation has specialized testing and video taped analysis to identify these abnormal forces. The gait analysis can also be used to identify performance limitations too BEFORE they become injuries. We at MVPT want lifelong runners who continue to reach goals. Since we have no limitations, we can be creative in how involved we are in your running progress. 1-3 visits over the course of a few weeks may be all you need to be in control of your running. Feel free to stop in and ask questions we love visitors! Please call 702-998-2900 for an appointment or "request an appointment" at out website. Happy Running!!
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!
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!