fitness

Patellofemoral Pain Syndrome

~ Dr. Robert Speirs DC ~ Leave a comment

knock knee

Patellofemoral pain syndrome (PFPS), also called “Runners Knee”, describes the symptom complex of knee discomfort, swelling, or crepitus that results from excessive or imbalanced forces acting on the joint. It is the most common cause of knee pain in the general population, affecting an estimated 25% of adults.

PFPS is most commonly related to lateral tracking of the patella. The patella has a natural tendency to migrate laterally due to the pull of the quadriceps and the slight natural valgus of the lower extremity. A new study in the Journal of Sports Medicine (1) provides additional confirmation that when managing patellofemoral pain syndrome, clinicians must address two critical yet often overlooked issues.

This study concludes that PFPS and dynamic knee valgus do not arise primarily from knee dysfunction, rather from hip abductor/ external rotator weakness and/or foot hyperpronation.

“The most effective intervention programs included exercises targeting the hip external rotator and abductor muscles and knee extensor muscles.” and “PFPS patients with foot abnormalities, such as those with increased rearfoot eversion or pes pronatus, may benefit the most from foot orthotics.”

Since gluteus medius and VMO weakness are key factors in the development of PFPS, strengthening exercises that target those muscles prove most effective. Stabilization exercises may include pillow push (push the back of your knee into a pillow for 5-6 seconds), supine heel slide, terminal knee (short-arc) extension, clam, glut bridge, semi-stiff deadlift, posterior lunge, and monster walk.

Myofascial release and stretching should be directed at hypertonic muscles, including the TFL, gastroc, soleus, hamstring, piriformis, hip rotators, and psoas. Myofascial release or IASTM may be appropriate for tightness in the iliotibial band, vastus lateralis, posterior hip capsule, and lateral knee retinaculum.

Manipulation may be necessary for restrictions in the lumbosacral and lower extremity joints. Hypermobility is common in the ipsilateral SI joint with restrictions present contralaterally. Evidence has shown that patellar tracking braces, i.e. BioSkin® or PatellaPro®, may lead to better outcomes.

Lifestyle modification may be necessary to reduce pain-provoking endeavors, especially running, jumping and other activities that induce a valgus stress. Athletes should avoid allowing their knee to cross in front of their toes while squatting. Arch supports or custom orthotics may be necessary to correct hyperpronation. Runners should avoid cross-over gaits and change shoes every 250 to 500 miles.

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#pain

#kneepain

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References

1. Petersen W, Rembitzki I, Liebau C. Patellofemoral pain in athletes. Open Access Journal of Sports Medicine. 2017;8:143-15

The Importance of Personalized Training in Achieving Fitness Goals

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When it comes to achieving fitness goals, there is no one-size-fits-all approach. Each individual has unique strengths, weaknesses, preferences, and goals that require personalized attention and guidance. That’s where personalized training comes in. In this article, we’ll explore the importance of personalized training in helping you reach your fitness goals and why it’s worth investing in a customized approach to fitness.

Understanding Personalized Training

Personalized training involves working one-on-one with a certified personal trainer who tailors a fitness program specifically to your needs, abilities, and objectives. Rather than following a generic workout plan or participating in group classes, personalized training offers individualized attention, support, and accountability to help you maximize your potential and achieve optimal results.

Benefits of Personalized Training

  1. Customized Workouts: A personalized training program is designed to address your unique fitness level, goals, preferences, and any physical limitations or injuries you may have. Your personal trainer will create a variety of exercises and routines that target your specific needs, ensuring that every workout is effective, safe, and enjoyable.
  2. Accountability and Motivation: Working with a personal trainer provides accountability and motivation to stay on track with your fitness goals. Your trainer will keep you accountable for your workouts, track your progress, and provide encouragement and support to help you stay motivated and focused, even when the going gets tough.
  3. Proper Form and Technique: One of the biggest advantages of personalized training is the opportunity to receive individualized instruction and feedback on proper form and technique. Your personal trainer will teach you how to perform exercises correctly, prevent injury, and maximize results by ensuring that you’re using the right muscles and movements.
  4. Progress Tracking and Adjustments: With personalized training, your progress is closely monitored, and your program is adjusted as needed to ensure continued progress and adaptation. Whether you’re looking to build strength, lose weight, improve endurance, or enhance athletic performance, your trainer will modify your workouts and goals accordingly to keep you moving forward.
  5. Nutritional Guidance: In addition to exercise programming, many personal trainers offer nutritional guidance and support to help you fuel your body for optimal performance and results. Your trainer can provide personalized recommendations on meal planning, supplementation, hydration, and healthy eating habits to complement your fitness efforts.

Investing in Your Health and Well-being

While personalized training may require a financial investment, the benefits it offers in terms of results, support, and guidance are invaluable. By working with a knowledgeable and experienced personal trainer, you’re not just investing in a workout program – you’re investing in your health, well-being, and future self.

In conclusion, personalized training is a highly effective and efficient way to achieve your fitness goals and unlock your full potential. With individualized attention, customized workouts, accountability, and support, personalized training empowers you to make meaningful and sustainable changes to your health and fitness. If you’re ready to take your fitness journey to the next level, consider investing in personalized training and experience the transformative benefits it has to offer.

Yoga’s Surging Popularity in the United States: A Holistic Wellness Revolution

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Exercise: Yoga Gaining in Popularity in the United States.

Over the past decade, yoga has experienced a notable surge in popularity, with a remarkable uptick in participation observed across diverse age groups. According to data compiled by the National Center for Health Statistics in February 2015, the percentage of adults engaging in yoga has more than doubled, soaring from just under 6% in 2002 to over 10% in 2012. This trend is mirrored among children and seniors, reflecting a widespread recognition of yoga’s myriad benefits for physical, mental, and emotional well-being.

At its core, yoga is far more than a mere physical exercise regimen; it embodies an ancient tradition rooted in the harmonization of body, mind, and spirit. Through a synthesis of mindful movement, controlled breathing, and meditation, yoga fosters a profound sense of inner peace, serenity, and interconnectedness with the world around us. Its holistic approach to health and wellness transcends the confines of conventional fitness routines, offering practitioners a pathway to holistic flourishing and self-discovery.

For adults, yoga serves as a sanctuary from the stresses of modern life, providing a sanctuary where they can reconnect with themselves and cultivate resilience in the face of adversity. Meanwhile, children benefit from the developmental advantages conferred by yoga, including improved concentration, enhanced flexibility, and heightened emotional intelligence. For seniors, yoga offers a gentle yet effective means of maintaining mobility, alleviating chronic pain, and fostering a sense of vitality and vitality in their golden years.

As yoga continues to captivate hearts and minds worldwide, its transformative potential as a catalyst for personal growth and well-being remains undeniable. By embracing yoga as a holistic lifestyle practice, individuals of all ages can embark on a journey of self-discovery, healing, and empowerment, enriching their lives immeasurably in the process.

Regular Exercise Reduces Cancer, Dementia, Stroke, and Heart Disease Risks

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Exercise: More Health Benefits of Exercise Revealed.

Experts from the Academy of Medical Royal Colleges analyzed more than 200 pieces of research and found that regular exercise can reduce breast cancer risk by 25%, bowel cancer risk by as much as 45%, dementia and stroke risk by 30%, and the chance of developing heart disease by over 40%. Researcher Dr. John Wass adds, “The results from this report reinforce previous findings that regular physical activity of just 30 minutes, 5 times a week, can make a huge difference to a patient’s health.” Academy of Medical Royal Colleges, February 2015

Exercise: Improves Cognitive Function in Women!

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Exercise: Improves Cognitive Function in Women!

Regardless of age, females who are highly physically fit have faster neural reaction times than their less fit peers. Near infrared spectroscopy scans showed that physical fitness is associated with greater cerebral oxygenation, which may be the underlying mechanism for the observed elevations in brain function. Frontiers in Human Neuroscience, February 2015

Chiropractic: Prevention Is Key to Avoid Back Pain.

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Chiropractic: Prevention Is Key to Avoid Back Pain.

The American Chiropractic Association offers these suggestions to help protect your back and improve your spinal health: maintain a healthy diet and weight, exercise regularly, maintain proper posture, avoid prolonged inactivity or bed rest, quit smoking, and use good body mechanics when lifting. American Chiropractic Association, August 2014

Exercise: Moderate Exercise Can Help Women’s Hearts.

Fitness Quote 11/1/2022
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Exercise: Moderate Exercise Can Help Women’s Hearts.

Just a few bouts of moderate exercise each week can reduce a middle aged woman’s risk for heart disease, blood clots, and stroke by 20% when compared with women who do little or no exercise. Moderate exercise examples include walking, gardening, and cycling. Lead author Dr. Miranda Armstrong concludes, “To prevent heart disease, stroke and blood clots, women don’t have to be super athletes or strenuously exercise daily to experience the benefits of physical activity.” Circulation, February 2015

Promoting Physical Activity Among American Youth: Evidence-Based Strategies

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The 2014 study underscores a concerning trend among American youth, revealing that the majority fail to meet the federally recommended guideline of 60 minutes of daily physical activity. In response to this pressing public health concern, the study offers a range of actionable strategies aimed at facilitating children’s attainment of the recommended activity goals.

One proposed intervention is the implementation of mandatory daily physical education classes in schools, ensuring that children have regular opportunities to engage in structured physical activity throughout the school day. Additionally, integrating classroom-based physical activity breaks into academic curriculum can inject bursts of movement into sedentary periods, fostering an active learning environment.

Encouraging alternative modes of transportation, such as walking or biking to school, not only promotes physical activity but also reduces reliance on motor vehicles, contributing to environmental sustainability. Moreover, renovating community parks to include a diverse array of equipment and activity opportunities can transform outdoor spaces into vibrant hubs of recreational activity, enticing children to engage in active play.

The study also advocates for the expansion of after-school physical activity programs, providing children with structured opportunities for exercise and socialization beyond the school day. Furthermore, modifying school playgrounds to incorporate features that facilitate active play can empower children to engage in spontaneous physical activity during recess and leisure time.

Lead author Dr. David Bassett emphasizes the importance of leveraging these evidence-based strategies to inform policy decisions and initiatives aimed at promoting physical activity among youth. By adopting a multifaceted approach that addresses environmental, educational, and recreational factors, stakeholders can collaboratively work towards creating a culture of active living that empowers children to lead healthy, physically active lifestyles.

American Journal of Preventive Medicine, March 2015

Exercise: Include Exercise Variety in Your Regimen.

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Exercise: Include Exercise Variety in Your Regimen.

Including a variety of exercises in your workout plan is vital to avoiding both overuse injuries and boredom. The American Council on Exercises suggests mixing up your routine by walking or cycling instead of running, exercising outside in nature instead of inside a gym, or using free weights instead of circuit training machines, for example. American Council on Exercises, February 2015