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All Posts in Category: RUNNING PERFORMANCE

Ice or Heat for Injuries – Is the medical standard changing

A very interesting article appeared over at Spartan.com posing the question “Is RICE all wrong?”, and jumps to the question of Ice or Heat for injuries and it caught the eye of Dr. Andrew Gross and Dr. Josh Sand at out office because when we were in Chiropractic around five years ago, the automatic correct test answer in a lot of cases for injuries was ICE, there were rumblings that possibly RICE was going to be changed to something different.

For the most part RICE isn’t totally wrong, we just don’t feel it is as correct as it once was for all major injuries. Simply put icing most injuries is not a bad idea and safe. The idea of RICE comes from Dr. Gabe Mirkin MD who published a book about sportsmedicine (The Sportsmedicine Book) and ever since then the standard has been RICE which stands for Rest, Ice, Compression and Elevation. For around forty years now, Dr. Mirkin has been thought of as the authority on immediately icing an injury (along with compression and elevation.

We thought for a long time that icing the injury stopped, or at least limited the flow of inflammation to the injured region but we now understand that it only delays the processes. The newest ideas that numbing the injury only dulls the pain and sometimes does not permit you to feel the warning signs of pain being caused by injured tissue. The article linked below showed that 22 seperate studies found that “ice is commonly used after acute muscle strains, but there are no clinical studies of its effectiveness.” A report in the Journal of Strength and Conditioning Research was even more alarming. Not only does icing fail to help injuries heal, the authors found, it may well delay recovery from injury. In 2017 The Journal of Athletic Medicine Research recently showed that icing actually kills muscle cells when they are iced for too long of a period post injury most likely from the direct effects of the inflammatory response of the injury being “held” directly on the injured tissue and not being pumped around due to the ice holding it there.

Taken directly from the article on Spartan.com —

“You might think that Dr. Mirkin would bristle at this blow to his erstwhile recommendations. Not so—he now openly rejects at least half of the RICE advice that helped make him famous. “I do not believe in cooling anymore,” he explained via email. Nor does he believe in the “R” component of his famous prescription either.
In a foreword to the second edition of Iced!, Dr. Mirkin says most athletes are far more concerned with long-term healing than transient pain relief. “And research,” he writes, “now shows that both ice and prolonged rest actually delay recovery.”

Check out the article for yourself at https://life.spartan.com/post/is-r-i-c-e-all-wrong

 

 

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Villanova University – Day Of Distance Track and Cross Country Coaching Seminar 2018 Recap – The Running Works

For the second year in a row I was able to attend The Running Works Day Of Distance hosted by Marcus O’Sullivan at Villanova University! For the second year in a row I was blown away at the shear amount of running knowledge and sense of community the coaches in Pennsylvania (mainly the Philadelphia area coaches) and New Jersey (mainly the South Jersey coaches).  Shak and Cricket at The Running Works just keep putting on a better coaches clinic each year and it’s a lot of fun to meet the coaches from outside our region, South Jersey, and to see the look on their faces when they realize we are at cross country seminar for the various reasons we attend to better support our team and this year we even took a patient along who is looking to make the leap into coaching other triathletes very soon!

The day overall went by way too quickly! First off, Villanova’s athletic complexes are under a major overhaul right now and the transformation from last year to this year was a huge improvement! The football stadium and track may have been under snow to some extent, but you can see from the pictures below everything keeps getting better! We checked in around 8:00 AM and Craig Virgin, the famous American cross country and 10k meter racer spoke promptly at 9:15am. After a short break we jumped directly back into coaching talk with Chris Fox, the head coach of distance and cross country running from Syracuse University and recent Big East Champion and National Champion coach in Cross Country who politely reminded Villanova fans that to do that, you have to beat Nova and everyone had a good chuckle over that.  Lunch just might be my favorite part of the day because I get a chance to sit with coaches that I don’t know and hear about issues from coaches outside of our region like the western suburbs of Philadelphia and northern New Jersey.  The afternoon seminars I selected were with Phil Warton on Active Isolated Flexibility and Stretching followed by Marcus O’Sullivan on novice coaching solutions. Phil Warton’s session on stretching was very interactive and fun and he focused a great deal of his talk towards keeping young runner legs happy, including the hips! It was fun to see someone else who I have never met before “preaching the gospel” that happy hips make for good runner legs and improved spinal mechanics. The best part of my day, and my guest triathlete also agreed was “Novice Coaching Session with Marcus O’Sullivan” who broke down how easy it is to worry about to many variables when coaching high school cross country and while data and science can be infaliable, don’t forget when you are coaching middle schoolers, high schoolers, or even college kids to support them no matter what and to do the best to keep them healthy! Marcus when into how he almost retired from running and open road racing at age 32 because he had still never found a system of training before that which worked for him and it wasn’t until he started to let someone else help coach him along with decreasing the intensity of workouts from time to time based on blood lactate threshold levels and heart rate that he was then able to prolong her 5k and 10k racing career to the age of 37 and he joked several different times that he did it by listening to his body more and running hard a good bit less. Yes, you read that correctly, at 32 years of age, he ran almost as fast as he did at 22 in the prime of his career by listening to his coach and decreasing his high intensity mileage and working more on staying healthy.

 

Check out the pictures below!

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Resolving the causes and effects of back pain – Active Release – Dr Mark Kemenosh and Associates

Link to original content – http://activerelease.com/news.asp

Resolving the causes and effects of back pain – Active Release Technique – Dr Mark Kemenosh and Associates

One of the most common injuries that ART® providers treat, indiscriminate of their work setting, is lower back pain. Accordingly, it’s no surprise that lower back pain is the most commonly recorded musculoskeletal disorder. In the United States alone, it is the culprit of $100-200 billion in medical expenses each year. 80% of the U.S. population is affected by back pain at some time in their life. The high prevalence of back pain has enabled us at Active Release Techniques® to spend a lot of time studying the causes and most effective treatment protocols for each individual cause.

Back pain results from a wide array of working circumstances including heavy or repetitive lifting, over-reaching working in an awkward posture, and remaining bent over or seated for too long, just to name a few. These tasks create scar tissue, which causes pain, weakness, and reduced range of motion. Because of the large variety of behaviors causing back pain, cases of back-related MSDs can be found in nearly any workplace setting, from offices to factories. Whether the activity causing the pain is sitting, reaching, or lifting, pain origination is frequently linked to doing any of these activities with an awkward posture. Additionally, as people age, their incidence of back pain rises as does the cost, which increases at a greater rate due to the increased time, medication, and procedures necessary for their recovery.

Sitting puts twice as much stress on your back as standing, and when you slouch that stress is compounded. Further, sitting in a slouched position over-stretches the ligaments in your back. Not only do sitting and slouching add stress, they also prevent nutrients from getting to the discs in your spine. Excessive sitting can also cause pain in your hips and pelvis because it tightens and shortens the tendons in that region, placing even more pressure on the lower back. Pain resulting from maintaining an awkward posture, such as crouching or bending for an extended period of time, is often caused by some variation on this same reasoning.

Back pain as a result of heavy or repetitive lifting is also frequently a function of lifting with an awkward or incorrect posture. The weight being lifted adds additional stress to the spine, and awkward posture exacerbates the issue by causing muscles, tendons, or ligaments to over-stretch or tear.

So many of the things we do every day can build up scar tissue over time and cause back pain. Luckily, ART® can help, not only to relieve your pain and release your scar tissue, but also, through our onsite wellness programs, suggest things that you can do to prevent that scar tissue from building up in the first place.

Link to original content – http://activerelease.com/news.asp

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Running Works – Day Of Distance 2018 – Date Announced – Friday, March 16, 2018 at 8 AM – 4 PM

We know it’s early but we are charged up about keeping running alive and well in our region of South Jersey! All too often we hear running community members say if they would have only known about the Day Of Distance earlier they would have signed up! Well it’s on and the date is Friday, March 16, 2018 8 AM to 4 PM.  While we don’t have all the details just yet, we can tell you that the Running Works team has started to circulate a Facebook Event Page confirming the date, time, and the location, which is always, Villanova University.

Day Of Distance Facebook Invite Page – https://www.facebook.com/events/1905653229751357/

So far the keynote speakers for 2018 will be Craig Virgin and Chris Fox.  We will post more info when we know about it!

Here are some pictures from the 2017 Running Works Day Of Distance –

Here are a few pictures of Dr. Mark Kemenosh speaking at the break out sessions of the 2016 Day of Distance on the benefits for Active Release when applied to cross country and track and field athletes!

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LBI Splash and Dash or SUP and Dash Race at Bayview Park – Long Beach Island, NJ

LBI Splash and Dash or SUP and Dash Race at Bayview Park

Only 17 days until the LBI Splash and Dash or SUP and Dash at Bayview Park, Brant Beach on Long Beach Island, NJ

Your choice of races:

Swim 1/4 mile and Run 3 miles

or

Stand Up Paddle 3/4 mile and Run 3 miles

Date: Thursday, August 17, 2017

Time: 6:30 PM

Address: 6805 Long Beach BLVD, Brant Beach, NJ

We will take race day registrations — 6:30 pm start

To sign up, use the following link at run sign up!

https://runsignup.com/Race/NJ/BrantBeach/LBISplashandDashRace2

Need to rent a board for the stand up (SUP) portion of the race?

SUP Rentals from Acme Surf and Sport $20 a board 609-492-5150 – AcmeBeachandBike.com

For more info or to sign up, use the following link at run sign up!

https://runsignup.com/Race/NJ/BrantBeach/LBISplashandDashRace2

 

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The New York Times – How To Avoid Heatstroke

Wanted to share a nice little article that showed up on my social feed this morning about avoiding heat stroke this summer.  We as adults often times think it does not happen to us as “recreational runners” but I have witnessed everything from hypothermia to heatstroke at running races!  Check out the article at the following link and remember that it is not just high school kids at summer practices who take it a bit too far.

NYT Link — https://well.blogs.nytimes.com/2009/07/29/how-to-avoid-heatstroke/

One thing we are fairly certain of is that it does always involve hydration levels either and even ambient temperature around you can be anywhere from the 70’s, 80’s, or 90’s in terms of Farenhiet when heatstroke can set in, even on overcast days versus sunny days. It simply has to do with core temperature levels of the athlete.

The following info is taken directly from the article:

Scientists don’t yet know why some people become seriously ill while exercising in hot weather, and others don’t. At one time, it was believed that exercise-related heat illness was caused by the sizzling rays of the sun beating onto an athlete’s skin, causing overheating from the outside in, and contributing to dehydration, which was thought to be a primary cause of heat problems. But that theory doesn’t explain why athletes develop heat illness on overcast days, when sunlight isn’t directly reaching them. They’ve also been known to become ill on relatively cool days, when temperatures are below 80 degrees. And many collapse despite being fully hydrated.

“There’s still a lot we don’t understand” about heat illness, says Douglas Casa, an associate professor in the Department of Kinesiology at the University of Connecticut, who’s extensively studied athletic performance in the heat.

Heat illness itself is an omnibus term, covering “a spectrum of seven or eight different conditions,” that range from mild heat exhaustion to life-threatening heat stroke, Casa says. August is prime season for the illnesses, since, even as temperatures soar, many athletes must or choose to continue exercising outside. “Football teams start two-a-day practices at this time of year,” Casa says. Runners training for a fall marathon increase their mileage. So do cyclists and triathletes preparing for autumn events.

Scientists have a pretty clear picture of what happens inside these athletes as they exert themselves. They bake. Muscles in motion generate enormous amounts of energy, only about 25 percent of which is used in contractions. The other 75 percent or so becomes body heat.

NYT Link — https://well.blogs.nytimes.com/2009/07/29/how-to-avoid-heatstroke/

We highly encourage you to check out this fantastic article and if you are suffering from common running issues, athletic performance issues, or any time of injury, give us a call at 856.228.3100 or send us an email at the link below!

Contact

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Haddon Heights FireCracker 5k – Fourth of July Race – Haddon Heights, NJ

Need a great little 5k to get your blood pumping the morning of the Fourth of July, look no further than the Haddon Heights FireCracker 5k.  This race has been going on for several years now and is always a local favorite with our patients and friends who like to run.  This race is a very big draw due to it’s proximity with Cherry Hill, Haddonfield, and Haddon Township, so be sure to sign up as soon as you can!  Online registration closes on SUNDAY JULY 2ND!

Run Sign Up Link: https://runsignup.com/Race/NJ/HaddonHeights/FireCracker5k2?remMeAttempt=

Place
625 Station Ave
7th & West High St. (Hoff’s Park)
Haddon Heights, NJ US 08035

Description

Sponsored by the Haddon Heights Municipal Alliance.

New race morning Registration, Start, Finish, and Awards Ceremony location – Hoff’s Park (7th & W High St.)

Amenities
T-Shirts; Refreshments; Water Tables on Course; and Course Police Controlled.

Online Registration, Timing/Results, & Finish Line by L & M Computer Sports. www.LMSPORTS.com

Information
Questions? Bridgette Griffith (856) 655-5988

ONLINE Registration closes midnight Sunday night, July 2.

Race Day Info
July 4th 6:30am – 7:45am at Hoff’s Park (7th & West High St), Haddon Heights, NJ. “Rain or Shine”

Race Day entry fee: $25.

Flat, fast & mostly shaded – point to point. Ends at Hoff’s Park, which is also the parade finish. Course roads are police controlled.

Early Packet Pick-Up & Entry
July 3rd – Avoid race day lines, stop in Monday night 6pm to 7:30pm at the Haddon Heights Borough Hall, 625 Station Ave. Haddon Heights. Entry fee still $20. (Race Day $25.)

ONLINE Registration closes 10pm, Sunday, July 2.

Awards

1st Male & Female – $150. ea 2nd Male & Female – $100. ea 3rd Male & Female – $50. ea

Age Groups: Top 3 M & F in each of the following divisions: 14 & under; 15 – 19; 20 – 29; 30 – 34; 35 – 39; 40 – 44; 45 – 49; 50 – 59; 60 – 69; 70+

Special Award Divisions: Top 3 M & F Public Safety Personnel (Police/Fire/EMS/Federal LE); Top 3 M & F Military

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Pitman NJ Freedom Four Miler – July 4th 2017 – 8:30 AM

Looking for a great fourth of July race for actual day of Independence Day? The Pittman Freedom Four Miler is just the ticket and very well revered as a fast, local race that a lot of runners love year in and year out! What better way to get you July 4th celebrations started than by a nice run through historic and picturesque Pitman!

Facebook Link:  https://www.facebook.com/PitmanFreedomFour/

Run Sign Up Link:  https://runsignup.com/Race/NJ/Pitman/PitmanFreedomFourMilerRun?remMeAttempt=

Place
110 S. BroadwayPitman, NJ 08071
Pitman, NJ US 08071
Description

The 36th Annual Pitman Freedom Four Mile Road Race
An Independence Day run through one of South Jersey’s most picturesque towns!

WHEN: 8:45AM – Tuesday, JULY 4, 2017 * Rain or Shine
Paper Registration Form: Printable version of registration form
WHERE: Start and Finish near Broadway Theatre, Broadway, Pitman NJ

COURSE: Challenging, accurately measured 4 miles through Pitman. Our race is now more accurately timed using chip timing with jbsportstiming.com.

This course is not certified with USATF:

ONLINE REGISTRATION close at 7pm on July 2, 2017: Cost will be $25.00 before July 2, 2017. Come out on July 3, 2017 to the Pitman Middle School Gym from 4pm -8pm last chance to save some money on registration price of $30. Day of Registration will be at Borough Hall from 7:00am to 8:15am. Race day price will be $35.

PACKET PICKUP: July 3, 2017 at the Pitman Middle School Gym from 4pm – 8pm.

T-SHIRTS: Each runner will receive a race performance shirt.

PRIZES: $100 – To the 1st Male & Female finisher. Prizes to the top 3 finishers in the following age groups: 14 and under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 plus. All age group will get there award mail to them. The only awards that will be giving out day of is the top overall winners.

TROPHIES: Top Pitman Male/Female

RACE DIRECTORS: Andy Fox, Allison Kostiuk, Eric Stanwood

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Science Says Running Helps You Live Longer – MapMyRun.com

Link to original study: https://www.ncbi.nlm.nih.gov/pubmed/28365296

Original Study Title: Running as a Key Lifestyle Medicine for Longevity.

Journal: Progressive Cardiovascular Disease

While the doctors here aren’t totally surprised to see an article like this one go online, we do like the idea that walking or running at a high level for around two hours of time weekly greatly help your heart stay in better shape which then adds years to your life!

From the Article written by Lara Rosenbaum:

The benefits of running are countless. Easy and obvious ones are improved cardiovascular health — including lower levels of cholesterol, better moods and increased bone density. And now there’s another major plus to regularly lacing up your sneakers and racking up some miles: a longer life.

THE LATEST STUDY

If you already love running, here’s another reason to dig it: A new study published in Progress in Cardiovascular Disease, revealed that running may add about three years to your life, and reduce the risk of early mortality by up to 40%. “Running decreases many risk factors for cardiovascular disease, and it strengthens the heart more so than other forms of exercise given its ability to drive the heart rate up and keep it sustained at a high rate,” explains exercise physiologist and running coach, Jason Karp, PhD, author of “The Inner Runner.” “Running also increases aerobic power (VO2 max) more than other forms of cardio — and VO2 max is the single biggest indicator of a person’s aerobic fitness.”

Link to original article: http://blog.mapmyrun.com/science-says-running-helps-live-longer/?utm_source=mfp&utm_medium=email&utm_campaign=workouts20170603

Looking for our previous articles on running?  Please see below.

Running actually lowers inflammation in knee joints – Running may also slow the process that leads to osteoarthritis

Dr Craig’s favorite prehabilitation exercise – Monster Walk with Theraband

 

The Running Works Day Of Distance Wrap Up – Villanova University

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Dr Craig’s favorite prehabilitation exercise – Monster Walk with Theraband

I teach this exact exercise several times a day as well as a few variations almost on the daily since the basis of most of our patients are runners.  This exercise can never be done slowly enough, anyone can do this movement quickly but slow down and act like you have a hot cup of coffee in your hands.  Almost everyone does these exercises quickly and while there is nothing wrong with that, slower is almost always better.  Check out all the following videos on how to practice this excellent prehab movement for most runners struggling with “typical runner stuff”.

If you are a South Jersey runner struggling with pain and tenderness as we lead up to the big part of summer running season which is just ahead (Broad Street Run, Philly Rock N Roll Half, Chicago Marathon, Philly Half and Philly Marathon are all on the horizon) give us a call at 856.228.3100.

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