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10 Functional Assessment Screens for Runners

7/1/2021

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Here are my 10 favorite baseline prerequisite screens for runners. These screens test for mobility, strength, and your ability to control your trunk, pelvis and hips. Making sure you are able to pass these screens is a good way to reduce your risk of injury and to enhance your running performance and economy. These tests can also provide an opportunity to assess areas you may need to focus on during your strength and mobility training.
1. Big Toe Extension (see above below): The ability to extend through the big toe is important for progressing your body over your planted foot while running. If you cannot extend your big toe, you will often see compensatory strategies from the leg or lower back above. We would like to attain ~70 degrees of big toe extension. Using a wall or doorway, try stretching your big toe, allowing the ball of your foot to reach the floor. ​
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2. Ankle Dorsiflexion Wall Test: 
The same concept applies for progressing through your ankle. If you have calf tightness or limited ankle joint mobility, you may struggle to progress your shin forward. You will often see compensations from the leg and back above or from the midfoot below. For running, we would like to attain ~30 degrees of forward mobility (ankle dorsiflexion).
  
3. Hip Extension: 
Hip extension is the third aspect of progressing the body forward over the stance leg during running. Since running is mostly a mid range sport for the hip, ~five degrees of hip extension would be adequate, as long as there is no compensation from the lower back muscles. Keeping the front of the pelvis on the floor during this test should help assess hip mobility without compensating from the lower back.
4. Single Leg Heel Raise: 
Assessing calf strength and endurance is vital for distance running. During this test, perform the heel raise at a tempo of one second up/one second down per heel raise. Set up using a small plate, or step, to achieve a small amount of ankle dorsiflexion. Come up to a complete calf raise for each repetition and stop if you are unable to elevate to the top of your calf raise height. We would like to see ~30 repetitions.
  
5. Single Leg Hop Test: 
This test assesses the ability to absorb loads and create tension in the calf complex. We would like to see one-second hops for at least one minute.
6. Lateral Heel Tap: 
​This test assesses your balance, pelvic and hip muscle control, and also assesses the mobility needs at the ankle required for running. Using an eight-inch step, tap the ground with your heel directly to the side.
  ​
7. Rear Foot Elevated Split Squat (RFESS): 
​This is another good test for balance and hip control, as well as the ability to generate force through the leg complex.
 We would like to achieve 10 repetitions without compensation and to maintain good balance throughout each rep.
8. Single Leg Hamstring Bridge: 
​The repeated hamstring bridge is a great way to assess the strength and endurance of the muscles behind the leg. During the test, perform a single leg bridge at a tempo of one second up/one second down per rep. Perform from regular 18” bench/chair height. Try to create a straight line from the knee/hip/shoulder, showing good hip extension each rep. We would like to see 30 repetitions.
 
​9. Single Leg Bridge Hold: 
​During the single leg bridge hold, we are assessing your ability to maintain good hip, pelvis, and lumbar control while engaging the gluteal and hamstring muscles. Hold for 30 seconds without compensating at the hip, pelvis, or lower back.
 
10. Side Plank
​This is a good test for assessing muscle endurance of the lateral hip and oblique abdominal muscles. Without proper hip and core muscle endurance, there will likely be compensatory pelvic drop or lower back muscle use to maintain pelvic and hip control. Perform a side plank from the floor with the opposite leg raised. This can be performed on a GHR machine if you have shoulder issues. We would like to see comfortable holds for longer than one minute without dropping the pelvis.

You should be looking for any difficulty maintaining these test positions, any loss of balance issues, or any mobility restrictions required during these tests. If you notice any of these deficits, this is a good opportunity to address your needs during your strength and mobility training sessions. If you are unsure of your results, or would like an expert eye for your assessment, feel free to contact us! 
Ready To Come See Us?

Thank you and happy running!

  • Sam Gillespie PT, DPT, OCS
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Foot Pain and Strengthening

5/19/2021

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Today we're working on our running mobility issues in our feet and ankles. We all know these can get stiff after miles and miles of running. We're going to work on our big toe, or our first ray. When you toe off in a run position, you have to get about 70 degrees of dorsi-flexion in your big toe. If you do not have that much flexion in your toe, you'll start see problem creep up up stream.

To prevent this, grab your favorite lacrosse ball or Yoga Tune Up ball and really warm up your plantar fascia on the bottom of your foot. After that, get into a runners stretch against a wall and focus on stretching your big toe. You can also try toe walking around your house.

At Athletes' Potential we help active adults and athletes in the Atlanta area get back to the workouts and sports they love... without surgery, stopping activities, or relying on pain medicine. Life is too short to avoid doing the things that you love.

Reach out to us at:

www.athletespotential.com
info@athletespotential.com
470-355-2106

​Let us help you figure out to live your best active life today!
Foot strength is super important for runners. Our feet are what propel us forward so in order to generate a lot of power or strength in running, we have to have strong feet. Intrinsic foot strength- simply put, it's the muscles of the foot. Far too often we neglect this part of our body a lot but we need to show it some TLC.

To help us gain foot strength, we've got a simple exercise for you to try at home or the office to start building up that strength. It's called the short foot drill. We want to make our foot as short as possible. Go back and forth between squeezing that foot together and relaxing. Do about 15-20 reps at a time. Watch the video for the all tips and get after it.

At Athletes' Potential we help active adults and athletes in the Atlanta area get back to the workouts and sports they love... without surgery, stopping activities, or relying on pain medicine. Life is too short to avoid doing the things that you love.

Reach out to us at:

www.athletespotential.com
info@athletespotential.com
​470-355-2106

​Let us help you figure out to live your best active life today!
Today we're covering mobility for foot and ankle issues. If you've been struggling with this or you don't know that you have been, give these exercises a shot.

Massaging and stretching are great but there's one important technique that you might be missing. The first ray needs to be mobile! In order to be an efficient runner, you need about 70% dorsiflexion in your big toe. Any less that that, will cause pain.

Try these two foot exercises to improve that mobility.

1) Grab your favorite Yoga Tune Up ball or lacrosse ball and get it under you foot, moving it side to side across your plantar fascia.
2) Do a wall stretch, but lift your heel off the ground to stretch that big toe.
3) Do some toe walks around your house! Hit these for 1-5 minutes.

At Athletes' Potential we help active adults and athletes in the Atlanta area get back to the workouts and sports they love... without surgery, stopping activities, or relying on pain medicine. Life is too short to avoid doing the things that you love.

Reach out to us at:

www.athletespotential.com
info@athletespotential.com
​470-355-2106
Reach out to us!
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Upper Extremity: Shoulder Assessments

1/20/2021

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Shoulder pain when going overhead? Watch Dr. Marcus walk us through a shoulder assessment so you can get better understanding of how your shoulder should move. Don't forget, there a few cues to make sure you're keeping yourself honest.

​If you're still struggling with this movement or experiencing pain or discomfort, give us a call. 470-355-2106 or email us at info@athletespotential.com. We want to help you!
Reach out to us!
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Bulletproof Your Back Series

8/27/2020

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In our Bulletproof Your Back Series (follow along on our Instagram page!), we're bringing our clients 4 videos to help them improve back pain. We go through
  • Stretch exercises for back pain
  • Skill Drills for a strong back
  • How to hinge properly
  • Breathing work to improve back pain

If you are suffering from a form of low back pain, work your way through these videos and see how you can improve your back pain. 
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Runner Series

8/27/2020

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Our July Series on Instagram brought you these 4 videos to help runners improve 4 key areas:
  • Strength
  • Mobility
  • Skill
  • Nutrition
If you are struggling with one of these areas, watch our videos and give these exercises a shot to improve your run times, performance or overall attitude about your run game. 

Good luck hitting the road (or Beltline or treadmill!)
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Memories of the Body/Mind

8/17/2020

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As you wander through your bedroom in the early morning, reaching for shelves that seem to shift as you approach, you realize how helpless you are without your eyesight. Instead of walking, you carefully scootch your feet step by step, hands forward like a zombie, into the inky outline of a bathroom door. 

Now it may come as a ‘duh’ kind of question, but why would we do this? Why would we modify our behavior to accomplish a goal that could easily have been accomplished much faster and efficiently if we just marched right through the dark towards what we thought was the bathroom?

I’ll allow these gifs to speak for me:
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We modified our behavior based on those memories of SLAMMING our toe into that damn table one too many times, just as we modify our behavior when anything incredibly painful happens to us. Remember that time you sprained your ankle when trail running? I’m sure you learned to be more careful with your steps! Remember that time you played volleyball for four hours and woke up like a train rolled over you, backed up, then body slammed you? Sure you do.

You remember. Your body remembers. And, due to these memories, we do our best to make good decisions to avoid these painful problems in the future. 

The reason I’m telling you these stories is to paint a picture that our body and mind remember injuries, and that these injuries that may have occurred decades ago are still affecting our bodies today. Don’t believe me about your body remembering injuries? Research shows a good ability to predict osteoarthritis in patients decades before it occurs… the main predictor is if they’ve had a knee surgery or injury.1,2 That osteoarthritis is your body’s ‘bad memory’ of your bad night you messed up that knee. And your mind remembers injuries just fine as well… just think of one of your many injuries and I’m sure it’s as vivid as a firework on the 4th. 
    
Growing from these painful metaphorical and literal memories is a major challenge, and that challenge is met daily with the help of proper physical therapy treatment; to reset your body’s movement and your mind’s pathologically-based control of your body in order to imprint a new patterning system that accommodates your injury. In short: Unlearn old patterns. Build new ones. Grow.

Let’s go through a typical case of how I teach my patients to build these new patterns:

Bob Smithy Jones Fake Name Jr III comes into the clinic with back pain due to  paratrooping since he was 5. He’s now 31 and his lumbar spine is comprised mostly of Legos and popcorn. He likes to deadlift small horses and fight yoga instructors to pass the time, but his lower back isn’t letting him do the things he loves. Bob is desperate. He knows he has to live with this spine for the rest of his life and is concerned with what the future holds. After going through a thorough physical movement and manual assessment, I see half a dozen regions that are contributing to Bob’s pain and dysfunction.

His mechanical memories are leaping out at me from each of my assessments, and his compensations are showing me exactly how he has been subconsciously “avoiding stubbing his toe” for decades. His mental memories are evident every time he guards, takes a sharp breath, or shows hesitation when trying a new exercise. The good news is, the more time I spend with him, the more I can help him!
    
Breaking these movement dysfunctions down, one by one, session by session, into compartmentalized pearls of digestible information for him to relearn movement is the treatment program. Some of these memories need to be processed with manual therapy, stretching, and motor control training. Some of these memories need to be processed with a good dose of strength training. Through time, grit, and trust, these memories no longer have their teeth around the throat of Bob’s aspirations. The “memories” such as osteoarthritis will always be there, but with the dozens and dozens of pearls in his toolbox, he is able to manage and grow into a new version of his old self. He is also better able to step back and contextualize the different types of pain he feels and is less fearful of his future. This is growth.

Our mind is a powerful thing. Our bodies are equally powerful. Each of them twist together into a complex story that many times involves loss, pain, fear, and sadness. As a working clinician, I see this day in and day out, which is why I am so motivated to help my patients’ minds and bodies learn new movement memories they need to better live the lives they deserve. With work, these old movement memories are reprogrammed into a new movement system that can give a fresh capacity to the function of the previously painful and weak movement patterns. 
​

Ready To Come See Us?


​Thanks for reading,
​

Marcus Rein, PT, DPT, CF-L1



  1. Friel, N. A., & Chu, C. R. (2013). The Role of ACL Injury in the Development of Posttraumatic Knee Osteoarthritis. Clinics in Sports Medicine, 32(1), 1-12. doi:10.1016/j.csm.2012.08.017
  2. Long, M. J., Papi, E., Duffell, L. D., & Mcgregor, A. H. (2017). Predicting knee osteoarthritis risk in injured populations. Clinical Biomechanics, 47, 87-95. doi:10.1016/j.clinbiomech.2017.06.001
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Shoulder Pain in Tennis Players

10/10/2019

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Tennis is a sport that demands an incredible amount of strength, stability, and performance out of one of the most unstable joints in the human body… the shoulder. Not only do you need to drive your shoulder through some truly incredible velocities with something like a serve, but you need to be able to control that power through finely tuned movements in multiple planes of motion with an almost endless list of types of swings. 

The demands on the shoulder are pervasive in tennis and because of this we have successfully treated endless amount of shoulder related injuries from the tennis players we see at Athletes’ Potential. However, through all these injuries that we’ve worked with, we have started noticing some trends in common strength deficiencies and biomechanical limitations that, when addressed, can have serious impacts on reducing injury risk and improving performance.  

Trend #1: Inadequate Shoulder External Rotation Range of Motion 

Arguably the most violent swing in tennis is the serve. To generate the amount of torque required for this swing, you need to have an appropriate amount of external rotation at your shoulders. 

The video below goes over a quick and easy drill to assess your shoulder external rotation. Essentially you should be able to lay on the ground and get the back of your wrist to the ground while keeping your low back pinned to the floor. 
Some common mistakes to avoid when doing this assessment include:
  • Hitting the floor with the back of your hand and your wrist bent
  • Letting your low back come off the ground 
  • Not having your shoulder at 90 degrees (elbow at the same height as your shoulder) before externally rotating 

If you can’t bring your wrist to the ground, or you have pain when you do or feel like you really have to fight to get there, then try some of my favorite drills to improve shoulder external range of motion. 

Drill #1: Front Rack Opener

​Drill #2: Lat Stretch

​Drill #3: Upper Back Mobilization

Trend #2: Upper Back Strength 


In order to have a strong, effective swing you need to have a strong back. This may seem a little counter-intuitive, but let me explain. Your body is innately intelligent and it’s not going to let you produce more force than it feels it can control. Therefore, to have a better swing, you need to have a strong back to be able to eccentrically control your arm as you go through the swinging motion. 

Some of my absolute favorite exercises to make sure you have a strong upper back are listed below. 

Exercise #1: Deadlifts​

​Exercise #2:  Pendlay Row

Exercise #3: W, Y, Negative ​

Trend #3: Lack of Rotational Core Strength

Your power in your swing comes from having a strong core. If you don’t have a strong core, then you have no foundation to deliver a strong swing, and if you are trying to have a strong swing without a solid foundation, well, you’re begging for an injury. Check out my favorite exercise to improve rotational core strength. 
​

Exercise #1: Med Ball Rotational Throws

​Exercise #2: Deadbug Pallof Press

​Exercise #3: Landmine Twists

If you’re a tennis player struggling with shoulder pain (and yes, even elbow pain) or are looking to improve your performance, these drills are a great place to start. They are the three main problem areas that we find ourselves addressing with the tennis athletes who come to us for help. However, If you’re dealing with an injury and want more guidance and help, reach out with any questions. We design and implement rehab and performance programs to help our athletes, whether you’re someone who doesn’t know where to start or has had an unsuccessful rehab experience. It is our goal for the people we work with to return to their sport or activity performing better than they did before.
​

Thanks for reading, 

Dr. Jake, PT, DPT, CSCS

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Flexibility vs. Mobility: What’s the Difference?

6/20/2019

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I recently attended a continuing education course called Functional Range Conditioning (FRC). It was one that has been on my list for quite some time and it was awesome to finally check it out.

In this blog post, I’m going to expand upon some of the principles and techniques I learned and how you can start to implement this in your daily movement practice.

First, let’s define a few words. What is flexibility? What is mobility? Are they the same thing? We hear these words used interchangeably. However, they are in fact different.

  • Flexibility = Passive Range of Motion (PROM)
 
  • Mobility = Active Range of Motion (AROM) = (Flexibility + Strength/Control)

The foundation of the FRC system is based on the acquisition and maintenance of functional mobility and articular health. It is very dependent on your passive and active range of motions.

Basically, the goal is to make your AROM and PROM the same. PROM is the prerequisite which will allow you to improve your AROM.

FRC utilizes a concept called “bioflow.” While I don’t get too caught up in systems or their coined terms, I’m cool with this one. It basically talks about tissue continuity (gross tissue --> cellular --> intracelluar) calling it STUFF. Stuff being cells, fibers, and ground substance. Composition of these components dictate the type and physical properties of a certain tissue whether it's bone, fascia, ligament, tendon, muscle, capsule etc. Cell signaling and progressive adaptation is how these cells change into these different structures. Think about an ACL graft that is harvested from a patellar tendon – do you think it stays a tendon over time or evolves to becoming a ligament just like the initial ACL? Yeah, science is pretty cool.

I could geek out on this stuff all day, but let’s move on to the application of improving your mobility – there’s a few techniques used to start working on making your passive movement more active.

Insert Controlled Articular Rotations (CARS) - Active, rotational movements at the outer limits of articular motion. There’s 3 levels for CARS which are related to isolated blocking, external resistance and amount of irradation. Irradation simply put is the amount of tension you create throughout your body – in nerdy science terms this is also called Maximum Voluntary Contraction (MVC) often expressed in percentages.

The best example of irradation is to give someone a hand shake. First, squeeze using your hand, then hand and forearm, then hand, forearm and shoulder, etc. Your grip gets stronger and stronger the more musculature you recruit. The more irradation, the more force you exert. You can use this to dial in higher levels of recruitment while doing your CARS or other FRC techniques. “Force is the language of cells” – one of my favorite quotes at the course.

CARS can be implemented different ways whether that is by focusing specifically on a certain joint or you can take part in the morning CARS routine to give all your synovial joints in your body some love each day.
The next step to continue to work on improving your joint integrity and control is via PAILS and RAILS. PAILS and RAILS are isometric contraction efforts (sometimes combined with stretching) used to communicate with both the connective tissue & neurological systems.

2-3 minutes of stretching to build stretch tolerance, then:

  • PAILS: Progressive Angular Isometric Loading
    • Combines stretching with isometric loading/training at progressive articular angles in order to simultaneously expand ROM, as well as strengthen & produce tissue adaptation in the newly acquired ranges.
    • Hold for 5-10 seconds, then work into newly acquired range, then go into RAILS.
  • RAILS:
    • Combines stretching with isometric loading/training at regressing articular angles in order to strengthen, and induce beneficial tissue adaptations in progressively shorter angles.
    • Hold for 5-10 seconds, then work into newly acquired range, then go into passive 1-2 minute stretch, then repeat PAILS/RAILS as needed.
  • PAILS/RAILS
    • Stretched tissue: PAILS
    • Shortened tissue: RAILS
This is a great video by Joe Gambino from Par Four Performance going over the Hip 90/90 PAILS/RAILS.

I see PAIL/RAILS as a way to safely acquire and create control into these newly stretched positions without movement. Basically isometric holds to own a position with increased stretch tolerance.

The next and my most favorite part of the course and system is the End-Range Control techniques. End range is where we see a lot of injuries and tissues breaking down. Why? Well, from a physics standpoint, we’re just not able to produce as much force at these end ranges due to length-tension relationships. Another big factor is because we rarely go there. And when we do, we typically aren’t ready for it and are pushed there by accident – which is why we need to train these end ranges. It allows us to build better tissue resilience and reduce the risk of injury. Here’s how we break down end-range control:

End-Range Control: PALS/RALS
  • PALS: Progressive Angular Loading
  • RALS: Regressive Angular Loading


Passive Range Holds
  • Find end-range similar to PAILS and then hold position with irradation for 5-20 seconds - all based on intensity of contraction and exertion.

​Passive Range Lift-Offs
  • Go to end-range, then back off about 10 degrees then lift off and then hold position with irradation for 5-20 seconds - all based on intensity of contraction and exertion.

​Hovers
  • Go to end-range, then back off as needed to set up different hover obstacles - think about seated hip flexion with multiple kettlebells as you abduct. Same with shoulder flexion.

​End-Range Rotational Training
  • Same as Passive Range Lift-Offs but you hold and do small circles at that end range around a small object (i.e. clinician hand or safety bar of a squat rack).

My suggestion is don’t get too caught up on the wording of these different techniques, but understand the conceptual framework and you’ll be able to implement this immediately. We all know that we have certain aspects of our joints where our active and passive is not the same. If you’re wanting to improve your squat or overhead position, or if you just want to build up resiliency in different tissues, then give your joints some love with some of these different techniques.


Cheers,

Dr. Ravi Patel, PT, DPT, CSCS
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Three Easy Tips to Reduce Injury During the CrossFit Open

2/21/2019

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It’s baaaaack. The largest fitness competition on Earth, the CrossFit Open, is finally here. Maybe you’ve trained all year for this, maybe you’re still new to CrossFit and are curious about all the excitement. Maybe you’re a seasoned vet, maybe this is your first Open you’ve ever participated in. Regardless of your CrossFit background, your fitness will be tested, your mental toughness will be challenged, and you will certainly have a blast working through these workouts with your crew at your local CrossFit affiliate.

That being said though, this is typically a time where we start seeing an uptick in the people we see coming in for CrossFit related injuries. Having an athletic background, where I had to personally sit out multiple seasons due to injuries, I speak from experience when I tell you there is nothing worse than working all year towards a goal/competition/test and not being able to perform at an optimal level, if at all, because of an injury. And, look, I get it. There is inherently an increased risk of injury when you're pushing yourself in a competitive environment. However, there are some very important things you can do to minimize this risk and allow you to perform your best. Let’s take a look at the three easy things you can do:​

#1 Don’t Be Reckless
This is huge and something I see year after year. If you’re a CrossFit coach, or even just an observant CrossFit athlete, I’m sure you’ve seen what I’m about to explain...You’ve worked all year to create movement patterns that are both safe and effective. You know the importance of good, quality movement. However, throw in the element of an international competition and it seems like all these lessons about technique go out the window.
​

For example, last year’s first Open workout (18.1) consisted of three movements:  toe-to-bar, dumbbell clean and jerks and rowing. Can you guess what type of injury we saw coming into our clinic after this workout? If you said back pain, you’re correct. But why? Well, with this workout people were trying to perform as many rounds as possible for 20 minutes. To get better scores people weren’t maintaining core control for a solid hollow position with their toes-to-bar, they stopped getting full hip and knee extension for optimal power production during the drive portion of the clean and jerks, and/or they started to over-extend during the rowing component.  All of these create situations that are destined to increase stress on your low back. Keep in mind that this was just the first workout! Now you’re either completely unable to participate in the other workouts or will not be performing at an optimal level because you’re trying to grind through an injury.​

#2: Protect Your Sleep
There are four main pillars of health care that we look at with every patient who walks in the door at Athletes’ Potential: Movement, Stress, Sleep, and Nutrition. Sleep is easily on of the biggest problems that we see out of these pillars. And check this out: Sleep affects everything you do and everything you do is positively affected by quality sleep. Good, quality sleep literally improves everything: every marker on a blood panel, weight management, sport performance and recovery, productivity, and numerous types of disease management. The list goes on and on, yet the percentage of sleep deprived Americans, particularly in Urban areas, continues to rise at an alarming rate. In fact, the U.S Centers for Disease Control and Prevention reports that more than 30% of Americans are sleep deprived getting fewer than 6 hours of sleep per night.

If you’re not getting enough sleep, you’re not giving your body a chance to recover. If you’re not recovering appropriately, then you're leaving yourself at risk for injury and decreased performance. So, bottom line: create an optimal sleeping environment, protect your night time routine, and get some good, quality sleep.

For more info on how to optimize your sleep, check out this article we wrote.

#3: Maintain Perspective
This comes full circle with tip #1. For those of you trying to make it on to Regionals, those extra few reps I mentioned could be the difference in making the cut vs staying home. However, for the vast majority of athletes competing in the CrossFit Open this is not reality. You all have careers, kids you need to take care of, and numerous other responsibilities that you need to keep rocking with once you leave the gym. Is bouncing off the top of your head to get an extra rep or two really going to mean that much if by doing so now you can’t look over your shoulder while driving? (yes, this is a real scenario that we’ve worked on at our clinic...I’m looking at you 17.4). Or is that two position jump on the leaderboard really all the important if now you can’t bend over to pick up your kids? ​

CrossFit is meant to be a competitive, fun, and challenging way to make all aspects of life outside the gym a little easier. This time of year is huge for all CrossFit athletes and it is truly impressive to see the physical accomplishments and PR’s that happen every single year in the Open. However, the Open isn’t an excuse to throw all safety out the window, but it isn’t something you should be afraid of either. Following these three easy tips will ensure that you have a great time, reduce your risk of injury, and maybe even hit a PR or two.

Thanks for reading, 


Dr Jake, DPT, CSCS, CF-L1
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5 Different Ways To Train Around Pain

10/11/2018

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Have you ever been in the middle of a workout and feel an ache or pain? It’s completely normal if it’s something small and goes away. It’s another story if it continues to bother you or increase in pain.

Sometimes we just do too much (or too little) and it pisses off some part of our body.

You may start to realize it’s impacting the way you move and you may even avoid a particular movement that causes the pain altogether.

Often times, people see this as a sign to take some time off and rest. This may be the case in some instances, but it’s not always the best solution.

Some people go to a healthcare professional to find out what’s going on. Quite frequently, they’re told to stop that activity or exercise. We hear it all the time from new patients.

“Squats are bad for your knees.”
“Running will wreck your body.”
“Stop doing CrossFit. You’ll get hurt.”

But, what if you’re an Olympic weightlifter who has a competition coming up? What if you’re a runner who loves a good 5k? What if you have a stressful job and CrossFit is your outlet to relieve that stress?

Come on, healthcare - we can do better.

If these are your goals, we want to help you get there.

Here’s 5 different ways to train around pain and decrease stress on that painful area:
  1. Weight
  2. Range
  3. Tempo
  4. Variation
  5. Different Exercise


MAIN GOAL: MAKE THE LEAST CHANGES POSSIBLE TO THE MOVEMENT

Now, let’s break down each one of these using knee pain with front squats as an example.

  1. Weight
  • This could be as simple as decreasing the weight.
  • Example: Your knee pain starts when you hit 185 in your front squat, but not at 155. Dial it back, work at 155 and build back up over time.
 
  1. Range
    • Change or decrease the range of motion. We use partial range of motion all the time in rehab as way to regress a movement.
    • Example: Your knee pain occurs at the bottom position of your front squat. Limit your depth to ¾ of the range, squat to a box or med ball.

  1. Tempo
  • This is an incredibly underutilized variable in training. You can’t load much weight, but can still do the movement. Tempos allow you to create time under tension and strength through different ranges of the movement - whether that’s lowering, pausing, and/or raising during the movement. We call these the eccentric, isometric, and concentric phases of a muscle contraction, respectively.
  • Example: Knee pain only occurs at 90 degrees. You can try utilizing isometric holds in that position for 30-45 seconds or doing a 3-2-3 count where you do a 3 second eccentric, 2 second isometric hold, and 3 second concentric movement. The options here are endless.
 
  1. Variation
    • Use a different variation of the movement – you’re still training the same movement pattern (squat), but changing up where the load and stress is placed.
    • Example: Front squats bring on your knee pain, then try a back squat, box squat, goblet squat, zercher squat, or a spanish squat.

  1. Different Exercise
    • Try a completely different exercise to help get the same training stimulus for that muscle.
    • Example: Instead of a squat variation to train your quadriceps (front thigh muscle), you do seated knee extensions, lunges or step ups.

Here are a few other examples for you: 

  • Back pain with conventional deadlift:
    • Weight: decrease
    • Range: elevate on blocks
    • Tempo: pause
    • Variation: sumo
    • Different Exercise: glute bridges

  • Foot pain with running:
    • Weight: decrease speed/intensity
    • Range: decrease running distance
    • Tempo: walk/run, interval
    • Variation: sprints, uphill running, downhill running
    • Different Exercise: cycling

  • Shoulder pain with bench press:
    • Weight: decrease
    • Range: floor press
    • Tempo: 3 second eccentric
    • Variation: single arm dumbbell press
    • Different Exercise: Pushup


Here’s the overall concept:

Pain comes on --> scale back movement slightly --> train movement --> adapt --> progress difficulty --> adapt --> back to prior level --> continue training pain-free --> hit PR

I believe that any great coach or physical therapist should be able to modify and progress/regress any movement or activity.​

Ready To Come See Us?
If you have given these methods a shot and pain continues to impact your life, then find a healthcare professional who understands your goals and doesn’t tell you to stop.

Cheers,

Dr. Ravi, PT, DPT, CSCS
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