Running Injury? Look to Your Booty for Salvation

For many runners frequent injury can be a common source of frustration.  But the source of your injury may not be as obvious as you think.  Running is a great cardio vascular activity and a great source of enjoyment.  However, it is not always the best activity in terms of creating optimal muscle balance in the body.  There are some muscle groups heavily active during running and those that get less attention. It is those that get less attention that may turn out to be the source of your trouble.

There are three main muscle groups used most during running

  • Hip flexors (muscles at the tops of the thighs closest to the pelvis)
  • Quadriceps (muscles that run the length of the front of the thighs)
  • Gastrocnemius/soleus complex (aka the calves).

While the hip flexors and the quads are the driving force on the front of the body, the calves are one of the only things active in the rear.  If you’ve taken a good look at a group of runners lately, there is one thing they often have in common, NO JUNK IN THE TRUNK!

The gluteal muscles (aka your buttocks) have a very important roll in human function. These muscles are the primary movers at the hip, controlling hip flexion and extension as well as internal and external rotation.  Because of this they are able to control the rate at which the entire lower extremity transfers weight and impacts the ground. Weakness in these muscles places abnormal strain on other groups resulting in tissue overuse and breakdown.

Common running overuse injuries can include:

  • ITB syndrome (lateral hip and knee pain)
  • Plantar fasciitis (heel pain)
  • Knee pain / patella-femoral syndrome
  • Posterior tibialis tendonitis (medial foot / ankle pain)

The good news is, with these simple exercises done 2-3x/week you can begin to strengthen your gluteal muscles and restore muscle balance in the body.

Bridges Exercise to strengthen muscle Bridges

Tighten your abs and squeeze your glutes.
Then lift your bottom off the floor and hold for 10 seconds.
Repeat the exercise 10 times.

Clams exercise to stengthen muscles - Baudry TherapyClams

Lift your knee towards the ceiling as far as you can without rolling back.
Hold for 5 seconds.
Repeat 15 times.

hip exenders exercise to strengthen muscles - baudry therapyHip Extenders

Tighten abdominals and lift heel towards ceiling while keeping your pelvis level and activating your glutes.

Repeat 15 times.

Go ahead, give these a try and let me know if it helps you. And now that you have tackled the butt, stay tuned for next month as we tackle your gut!

.

Reduce Tennis Injuries with the Right Equipment

reducing tennis injury

Which racquet is right for you?

The type of racquet you use on the tennis court can play a huge role in the amount of stress you put on the hand, wrist, elbow, and shoulder.  Injuries such as wrist tendonitis, tennis elbow, and rotator cuff tears can all be in part caused by the racquet you use.  Here are a couple things to consider, when choosing a tennis racquet:

Larger racquet head! Contacting the ball in the center of the racquet instead of the outer frame will reduce the amount of stress on the arm.  A professional can get by with using a smaller racquet head, but a beginner may want to use a larger racquet head to assure clean ball contact and decrease stress to the arm.

Ease Up! Gripping the racquet too tight prior to ball impact increases the vibration load on the arm.  Try lightening up on your grip.

Just ease the tension! When getting your racquet strung, try reducing the string tension. This will allow the ball to spend more time on the strings during contact, which decreases the average stress on the arm with each stroke.

Heavier or lighter? A heavier racquet will place less stress on the arm in terms of initial shock created by impact.  However, a heavier racquet will require more muscle activation to create racquet head speed.  So a lighter racquet may be preferred for a beginner adult or junior player.

So which racquet will you choose? When in doubt, “demo” a few racquets from your favorite tennis store in order to find the perfect one for you.  Get some input from your tennis pro. They will be able to provide some valuable advice based on your style of game.

Just remember, a racquet that has a larger head, is of moderate weight, strung at moderate tension, and gripped loosely before and during impact combines the best characteristics to decrease the risk of injury from the interaction of the ball hitting the racquet.

Final thought! A tennis racquet is just one factor in reducing the risk of common overuse injuries. The forearm and arm muscles have a large capacity to absorb the stresses placed on the arm as long as those muscles are strong and flexible.  A good tennis strength and conditioning program can be helpful in addressing those muscles that need work.  Proper stroke technique and an appropriate training schedule are also important factors that reduce the risk of injury as well improve your tennis performance.

If you have any questions about tennis health and fitness please call us at 504-841-0150 or follow us on Twitter @BaudryTherapy.

– Kevin Dessauer, DPT

Some of the information from this article came from the USTA Sports Science Committee White Paper on Tennis Technique and Injury Prevention.