The weather in the northern hemisphere is beginning to warm up and spring turns people's minds to thoughts of fitness and sport. They look out their running shoes from the back of the wardrobe and get out on the road. After all, it's easy to do, it doesn't cost anything and you can't go wrong, can you? However, spring is just the time when all of us, having got lazy and overweight over the winter, overdo things and suffer injuries. Physiotherapists all over the country brace themselves for the surge in strains and sprains which occur at this time of year as our unprepared bodies are put through stresses which are too much for them. The commonest injuries tend to be foot pains, back pain and knee pain.
The typical mistake all runners tend to make at this time of year, not just novices, is to run too far and too hard to start with, or to run too often and try and progress the distances and speeds too fast and within too short a time window. Our tissues all have tolerances for physical stresses, which depend on our age, history of exercise, physical fitness and many other factors. If we overstep our tolerances we suffer from the typical symptoms and conditions of overuse injuries: delayed onset muscle soreness, muscle sprains, joint strains, iliotibial band syndrome, patellofemoral syndrome, bursitis and tendonitis. In extreme cases the body can suffer a stress fracture, common in the small bones of the foot, as the skeleton struggles to cope with the great forces that running puts upon it.
The solution to these problems is to take a graded approach to the initial training or to reduce one of the components such as the duration, intensity or frequency of training. If the problem is already apparent then reducing just one of the components may be enough to improve the situation so that training can recommence or improvement in fitness continues. A common problem with runners is to let small injuries linger without doing anything about them, leading to more difficult treatment problems later. Experiencing a new pain or ache should be a signal there is a problem to be addressed as soon as possible, and if it has not improved or settled within 10 days by treatment, analgesia or activity modification then help should be sought.
New and inexperienced runners can try a walking and running routine, and I have used this myself due to back pain experienced in running. I went for a ten minute run to get back into the swing of things and afterwards felt some back ache which got worse until the next day it was quite troublesome. Since it lasted for a week at a moderate level I was not very keen to continue and stopped for a while. Then I got keen again and went for a ten minute run again, with predictable and unpleasant results.
On a friend's suggestion I tried a running walking regime and it worked so well that I could run continuously for forty minutes before long, and without back pain. To start off the runner can do one minute's running and then walk for four minutes, repeating the process up to five times. The number of running minutes is increased and the walking ones decreased until the person can do an uninterrupted run.
The usual way of sticking your shoes on and then doing a bit of stretching before you set off for your run may be unwise as stretching before exercise may make injury more likely rather than less. Starting off by walking initially and then walking faster with longer strides can get you warmed up and get blood pumping into the muscles.
Starting off the running session with some stretches, bending over and knee bends may be quite traditional but may be the worst approach as there is some evidence that it may increase the injury risk. Warm up to increase muscle blood throughput may be best achieved by walking initially and then speeding up with faster walking and bigger strides.
The typical mistake all runners tend to make at this time of year, not just novices, is to run too far and too hard to start with, or to run too often and try and progress the distances and speeds too fast and within too short a time window. Our tissues all have tolerances for physical stresses, which depend on our age, history of exercise, physical fitness and many other factors. If we overstep our tolerances we suffer from the typical symptoms and conditions of overuse injuries: delayed onset muscle soreness, muscle sprains, joint strains, iliotibial band syndrome, patellofemoral syndrome, bursitis and tendonitis. In extreme cases the body can suffer a stress fracture, common in the small bones of the foot, as the skeleton struggles to cope with the great forces that running puts upon it.
The solution to these problems is to take a graded approach to the initial training or to reduce one of the components such as the duration, intensity or frequency of training. If the problem is already apparent then reducing just one of the components may be enough to improve the situation so that training can recommence or improvement in fitness continues. A common problem with runners is to let small injuries linger without doing anything about them, leading to more difficult treatment problems later. Experiencing a new pain or ache should be a signal there is a problem to be addressed as soon as possible, and if it has not improved or settled within 10 days by treatment, analgesia or activity modification then help should be sought.
New and inexperienced runners can try a walking and running routine, and I have used this myself due to back pain experienced in running. I went for a ten minute run to get back into the swing of things and afterwards felt some back ache which got worse until the next day it was quite troublesome. Since it lasted for a week at a moderate level I was not very keen to continue and stopped for a while. Then I got keen again and went for a ten minute run again, with predictable and unpleasant results.
On a friend's suggestion I tried a running walking regime and it worked so well that I could run continuously for forty minutes before long, and without back pain. To start off the runner can do one minute's running and then walk for four minutes, repeating the process up to five times. The number of running minutes is increased and the walking ones decreased until the person can do an uninterrupted run.
The usual way of sticking your shoes on and then doing a bit of stretching before you set off for your run may be unwise as stretching before exercise may make injury more likely rather than less. Starting off by walking initially and then walking faster with longer strides can get you warmed up and get blood pumping into the muscles.
Starting off the running session with some stretches, bending over and knee bends may be quite traditional but may be the worst approach as there is some evidence that it may increase the injury risk. Warm up to increase muscle blood throughput may be best achieved by walking initially and then speeding up with faster walking and bigger strides.
About the Author:
Jonathan Blood Smyth, editor of the Physiotherapy Site, writes articles about Physiotherapists, physiotherapy, physiotherapists in Manchester, back pain, musculo-skeletal conditions, neck pain and injury management. Jonathan is a superintendant physiotherapist at an NHS hospital in the South-West of the UK.