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physical therapy

Disrupting the status quo.

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Disrupting the status quo.

Why do so many of us merely consume healthcare, complacent with what an insurance company dictates we need? In every other aspect of our lives, we are we discerning customers. We should expect and seek expertise that will accelerate recovery and prevent injury in the first place. We only get one body, and it has to hold up to help us accomplish everything we dream of doing. Shouldn’t that be worth more than what you’re chalking it up to now?

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Does symmetry really make you a better athlete?

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Does symmetry really make you a better athlete?

We often have athletes come through our doors looking to achieve perfect alignment in their form, convinced that their asymmetries are what’s holding them back. While it’s true that asymmetries can lead to injury and chronic tightness, or be the culprit behind race day disappointment, the bottom line is, “perfect alignment” does not exist. The human body is naturally asymmetrical. The challenge is to work WITH an asymmetry, not against it.


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To kegel, or not to kegel? Who knew that was even a question.

To kegel, or not to kegel? Who knew that was even a question.

Since we were old enough to do the quizzes in Cosmo, we’ve been lead to believe that the more kegels we do, the better our sex life will be, and we won’t pee ourselves when we laugh or run after having kids.

Turns out, it’s not quite that simple.

Like all exercise, kegels should be prescribed based on what’s going on inside you. You wouldn’t walk into a gym and do 100 bicep curls without working up to it first. Same logic applies down there.

Essentially, a kegel is a tightening or clenching of the pelvic floor — the group of muscles found at the base of the pelvis below the abs. And because it’s made up of muscles, the pelvic floor can get tight or weak. When that happens, a lot can go wrong. But it’s critical to know which category you fall into first. Don’t just assume you need your vagina to get jacked.

There’s a common misconception that kegels are related solely to sexual pleasure and performance. But we’re not in seventh grade anymore. The reality is, kegels work your pelvic floor to help it hold all your organs in and help prevent back pain by stabilizing your pelvis, on top of preventing you from peeing your pants if you’ve had a watermelon-sized human (or two, or more!) bearing down on your pelvic floor for months (a.k.a. been pregnant.)

Kegels increase the tone in the pelvic floor and improve your grip down there. You do them for the same reason you torture yourself at the gym and Barry’s — to make your muscles perform better. Many people need to do them to overcome weakness so when they sneeze, cough, crack up, jump or run, nothing leaks out. (Let’s be clear. Leaking is never OK. Not even a little bit. And if it’s happening to you, it can be fixed.)

But in some cases, the pelvic floor muscles are already super tight, and need to be lengthened before they can get stronger. If having sex or putting in a tampon or your annual GYN exam is painful, your muscles are most likely in a shortened position, and kegels will only make things worse by shortening them even more. If that’s you, put the kebosh on the kegels altogether and seek out a PT.  

If you’re sure that kegeling is right for you, let’s discuss technique. It should feel the same as stopping your pee mid-stream. But never practice kegels while actually going to the bathroom. That could lead to a UTI, and no one wants that.

Eventually, you can kegel anywhere, but it’s best to start out lying down. Try to hold your kegel for 3 seconds, 10 times. Progress to a hold for 5-10 seconds, 30 times a day. To find that kind of time, you’ll have to fit in some stealthy squeezing on the go. But like any other training plan, the exact protocol differs for everyone. Some pelvic floors are built for endurance and can be held for 10 seconds right away. Other pelvic floors might be able to sprint a 5K, but can’t survive a marathon. So leaks might happen at the end of a workout class or run, or at the end of the day. It’s important to be mindful of when your muscles work — and when they don’t.

Like all other muscle training, form is everything and more isn’t always better. The relaxation of the muscle is just as important as the contraction. A kegel should have two phases —pulling up and in, then letting everything go and dropping back down. If you feel like you can’t do that last part — you can’t relax your pelvic floor muscles — consult with a PT. Similarly, if kegeling hurts or makes you feel like you need to pee, your pelvic floor is likely jammed up and too tight. See a pro.

A pelvic floor physical therapist has specialized training that allows her to evaluate your kegel externally AND internally. From the outside, she can tell if the pelvic floor muscles are able to contract and relax. But an internal exam can reveal a lot more about what’s going on. Getting up in there is really the only way to check out your technique, assess the strength of your pelvic floor contractions, check the integrity of the tissue, locate scar tissue, and tell if the muscles are too tight or too weak. Armed with all that detail, a pelvic floor PT can give you the right training plan to address whatever symptoms you have.

Fellas, if you’re still with us but thinking all this kegel talk is solely lady business, you’d be very wrong. Dudes have muscle covering the space underneath their pelvis, too. Everyone has a pelvic floor, which means guys can also benefit from a little squeeze-and-lift action, especially if they lift weights.

Regardless of whether you’ve had kids, or never intend to, or simply can’t because you have a penis, you need a strong pelvic floor. Find a pelvic floor PT who can customize a training plan just for yours. We’d be happy to recommend a great one.

 

In Pain? See a PT first.

In Pain? See a PT first.

No one wants to be in pain. So, when any kind of ache, tweak, mysterious twinge or more serious strain, chronic discomfort or injury occurs, your first instinct is to see a doctor. But heading to your primary care doctor or trying to get in to see an orthopedic specialist might not be the most efficient solution. Going to a physical therapist directly for musculoskeletal pain will save you both time and money – and the sooner you start treatment, the sooner you’ll feel better.

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31 WAYS TO BE A SMARTER ATHLETE IN 2017.

Time is the most precious resource we have. To make the most of your training, here are 31 tips on how to maximize your athletic potential, find that extra edge and quit sabotaging yourself.

Photo by Jacob Ammentorp Lund

Photo by Jacob Ammentorp Lund

1. Know When to Stop.

It might seem counterintuitive that our first reco for how to train better is about knowing when to back off. But overtraining puts you at high risk for injury and burnout. Find the balance between pushing yourself and breaking your body down. Live to fight another day!

 

2. Check yourself before you wreck yourself. 

Sitting at a desk for hours on end is bad enough for your body; sitting with bad posture is even worse. Uncross your legs, put your feet flat on the floor, scoot your toosh all the way back in your seat, keep your elbows at 90°, relax your shoulders and straighten your back. You'll be much more comfortable for sneaking in blog reading at your desk.

 

photo from breakingmuscle.com

photo from breakingmuscle.com

3. Meditate.

The ability to quiet your mind and focus are just as critical as proper form for athletic performance. Ten minutes of daily meditation can help you learn to block out pain, focus on the present moment, make you more resilient and improve the quality of your zzz’s. It can provide the extra edge to push you through that last mile when your body is ready to quit.

 

4. The habits we make make us.

It's easier to stick to a routine if you do it at the same time every day — ideally, first thing in the morning before you have time to talk yourself out of it. Feeling too tired? You'll have more energy if you get it done. And if a sunrise run seems too ambitious — start small. A set of squats, lunges and a plank will wake you up more than your coffee.

 

5. Loosen up at work. 

Sitting at your desk tightens your psoas muscles, which are like the tenderloin of the body — you need them to be long and lean. When they get tight and angry, it can compromise your running stride. If you're having low back pain or feel tight when you stand up, you should do this stretch every 30 mins. For preventative maintenance, do it a couple times a day. (If pain persists or has been chronic, come see us.)

 

From "Let It Go", kind of. As if you didn't know that.

From "Let It Go", kind of. As if you didn't know that.

6. Let go of guilt.

So you skipped a workout or three, or haven't been doing the strength training you know you need, and you're letting it eat you up. Take a step back, re-focus and let yourself off the hook. The stress you're causing yourself is amplifying any downside to a few days off. Once that weight is off your shoulders, it'll be a lot easier to tackle that training plan again.

 

7. Look better at happy hour. (Posture is everything.) 

Most of us spend way too much time hunched toward a screen, leaving us with crappy posture. And it's not enough to just stand up! Counter stretch before heading home for the day. Stand up tall, clasp your hands behind your tush and pinch your shoulder blades together to stretch out your pecs and elongate your spine. It's an easy way to look and feel 10 years younger. Approximately.

 

8. Roll out those shoulders.

We're harping on posture because most people aren't aware of the damage they do at their desks. If your posture sucks while you're NOT working out, guess what? It doesn't improve magically just because you go out for a run, unless you work on it. Here's a detailed demo on how to open up your spine using your trusty foam roller. You DO own a roller, right?

 

photo from @nycrunningmama 

photo from @nycrunningmama 

9. Race more.

Even if you’re not looking for an A race or PR, consider signing up for local events more often. There’s nothing like a start line staring you in the face to help boost motivation (and sometimes scare the bejesus out of you if it involves, say, an open water swim. Not that we're afraid of open water swimming or anything). There’s magic in race day. You can’t help but push yourself harder than you would on your own, and it always feels good to finish what you start. Either we win, or we learn. 

 

10. Write it all down.

There's nothing better than a runners' high. But it fades eventually, along with the details of the day unless you commit them to paper. Writing race reports is a key habit in evaluating what's working and what isn't, both in training and in race day execution. Same goes for your training log. Keep track of how you feel, especially if something hurts. Your therapist will thank you!

 

"The Shining" Brrrr.

"The Shining" Brrrr.

11. The colder it is, the longer you need to warm up.

When it's cold, your muscles need extra time to get ready to work. Start out at a slower pace than usual and lengthen your warm up. Resist the urge to go hard from the get-go to be done faster! (Trust us, we're speaking to ourselves here too. Not an easy one to follow!)

                     

12. Should I stretch or should I go now? (The answer is neither.)

Save the stretching for after your workout when your muscles are warm — but that doesn't mean you should hit the streets cold. Instead, warm up dynamically to get the blood flowing and muscles ready to work. Jumping jacks, high knees, butt kickers and walking lunges with rotation are all solid choices.

 

13. Hips don't lie.

How's your hip mobility? Not sure? Here's how to check. (And if you notice a significant difference from side to side, give us a shout.) 

 

14. Seriously. It's all about the hips. Open them up.

Your hips are the bridge between your upper and lower body — everything flows through them. (Yeah, we know how that sounds.) Your hips control your balance, posture and every movement from sitting and standing to running and explosive athletic performance. Yet not only do we take them for granted, we force our hips into a compromised state by sitting most of the day. Ever get low back pain? Tight hips and hip flexors are often to blame. Here's one hip opening stretch you should be doing daily.

 

15. Loosen up those hammies.

Tight hamstrings can throw your back, pelvis and hips out of whack, setting you up for injury, especially during intense physical activity. Here's how to stretch them out properly.

 

Baby got back! Sir Mix-a-Lot

Baby got back! Sir Mix-a-Lot

16. Mix it up.

Vary your workouts and the muscle groups/HR level you’re working. Not two workouts in a week should look exactly the same. If you’re in a rut or not sure how to switch it up, let’s talk.


17. Stop looking for a quick fix.

Being injured blows — we get it. Find a practitioner you like and trust, make a plan and stick with it. 

 

18. Get better Zzzz's.

Quality rest is critical for performance as well as proper recovery. Exercise daily (but not within 4 hours of bedtime), make a to-do list to get your tasks on paper and out of your dreams, pick a bedtime and stick to it, and kick work and screens out of your bed. Even if your face isn't in your screen, the ambient light from it is enough to disrupt your circadian rhythm and keep you up. If you have a race on the calendar this week, get to bed one hour earlier every night. Sweet dreams lead to sweet PR's. 

 

"Elf"

"Elf"

19. Food is fuel. Not therapy.

There's no magic formula for getting down to race weight — it's calories in vs. calories out. Rely on your workouts, meditation and better quality rest to relieve stress instead of taking comfort in food. And if you find yourself popping energy gels or chews for every single workout, it's time for an intervention!

 

"Karate Kid" — Sweep the leg!

"Karate Kid" — Sweep the leg!

20. Find balance. Literally.

Balance requires core stabilization and challenges muscle groups to work in ways they're not used to — which adds up to better athletic performance, higher cognitive function and lower risk of injury. How's THAT for a hat-trick?

Test yourself right now! Most people can't balance on one leg for more than :34. Can you? Give it a shot and post your PR with #onelegphysio. Challenge yourself to do better each day. 

 

from Well & Good

from Well & Good

21. Accountability is everything.

Find a friend who will be pissed if you bail on a workout, join a team that will expect you to show up, or commit to a streak challenge (run/burpee/plank etc for 30 days). Or take a tip from Gigi Hadid who does squats every time she walks by the post-it note reminder in her kitchen. Seems to be working for her.

 

22. Train with someone faster/stronger/better than you.

Pushing yourself will only get you so far. To get to the next level, be smart about the company you keep and learn their tricks. There's no better motivation than putting a target on someone's back and taking them down. (Do this within reason; if you push too hard too soon or too often, you could wind up injured.) Keep your friends close and your competitors closer! Can't find a team or group to run with on your schedule? Head to a park and find a person whose pace is slightly faster than yours as your next victim — strangers are fair game, too. 

 

23. Go low tech.

When was the last time you ran just to run? At least once a week, unplug. Run without a watch or phone or GPS-enabled anything. Let your legs pick the pace. The miles still count, even if they’re not recorded on Strava. It’ll force you to listen to your body and while letting your brain zone out and recharge.  

 

24. Visualize what you want.

Looking for an extra edge? Train your brain. Create intention and build confidence by picturing yourself executing perfectly, over and over again, until you make it happen. Feel it, hear the crowd, imprint every detail on your brain. Then mentally rehearse how you’ll handleeverything that could possibly go wrong, so nothing will catch you by surprise. In the same way repetition improves muscle performance, making visualization a habit can improve your ability to execute on race day.

 

photo by lzf/iStock / getty images

photo by lzf/iStock / getty images

25. The attitude of gratitude.

Our bodies are amazing machines that we take for granted. Be grateful. A bad run is still a run – something not everyone can do. Even when you’re injured or frustrated with performance, there’s always something for which you can be thankful. A positive attitude and kindness toward yourself can go a long way to help heal your body. Appreciate your health, and the fact that as long as you can put one foot in front of the other, your heart and head will follow.

 

26. Roll out your ITBs in 3 sections.

Your illiotibial band is thick fascia that runs from your hip to your knee and stabilizes your knee when you run. If it gets pissed off and tight, it can be really stubborn to fix. So stay ahead of it and roll it out, especially if you've increased your mileage recently. Here's how.

(NOTE: If you feel a stabbing pain on the outside of your knee when you run, you're already SOL. Stop running and come see us!) 

 

27. Loosen up those calves.

Tight calves can be the sneaky culprit for lots of problems like foot pain, plantar fasciitis, Achilles tendonitis, shin splints, and even hip and back pain. So here's how to roll them out. (Ladies who spend a lot of time in heels... this is for you.)

 

28. Suck it, shin splints.

The cause of shin splints can usually be summed up as doing too much, too soon — and they're the bane of our existence as athletes. Use this rolling technique to help keep them at bay.

 

29. Do things that scare you.

Playing it safe can be dangerous to your well-being. To grow, you have to force yourself out of your comnfort zone. Fearing failure will hold you back and never allow you to realize your full potential. Don't be afraid to push yourself and take risks. Make your lungs burn, feel the puke coming, find your edge by going past it. It's time to get comfortable with being uncomfortable.

 

30. How fit are you really? Take this test right now.

Think you don't have time to exercise (or stretch or strength train)? Find out the toll it's really taking on your body. Cardiovascular fitness isn't enough — flexibility, balance and muscle strength are key indicators of true fitness and longevity.  (Lose your shoes and socks! You have to be barefoot for accuracy.)

 

31. Success won’t come to you. Go out and get it.

Nothing crushes performance faster than self-doubt, and plans won’t do any good without taking action. Tell yourself you WILL do it, instead of questioning whether you can or cannot. Even if you don’t accomplish your goal, you’ll have no regrets that you gave it everything you had. Be all in. Be bold. And BELIEVE.

 

All our best for a happy, healthy, strong new year!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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