Running

10 Tips For the NYC Marathon

10 tips for the NYC Marathon

I’ve been fortunate to run the NYC marathon on a couple of occasions.

Marathon weekend has such a special energy in the city, it’s hard to believe how amazing the support and atmosphere is.

I thought I’d share my top tips for running the NYC marathon below.

Have a great run and please let me know if you have any questions in the comments.

pexels-photo-259987.jpeg
  1. Ride the ferry to Staten Island and enjoy the views of downtown Manhattan. But get there half an hour earlier than your scheduled time. It is REALLY busy and you're better off getting over a little earlier than stressing over missing your start time. Once you get to Staten Island, be prepared for a bit of a wait for the bus. 

  2. Run with a pacing group if possible. If you know your average pace and a time you're going for, it makes sense to run with a pacing group. These are led by experienced runners and leave you mentally more free to enjoy the experience. 

  3. If you're traveling from overseas, ideally arrive into New York on Thursday evening. That gives you Friday to explore the expo and Saturday to freshen your legs in preparation for Sunday's run. Arriving any earlier will mean standing and walking around more in NYC, which subtlety drains the energy out of your legs, leaving you ill-prepared for race day.

  4. If you've trained with music and headphones, take them with you on race day. 42.2km is a long way. The crowd and atmosphere will definitely inspire you like nothing else. But there are some quieter sections (e.g. Queensborough bride) where a shot of your favorite cheesy motivational music helps you stay focused and get the job done. 

  5. Do lots of hill training. While the course is mostly flat, the bridges can sap your energy and strength. Ideally, get in one session per week of hills to build the strength and capacity in your legs.  If you can manage this, race day will be a breeze.


  6. Don't worry about which level of the bridge you start on. Still the same views. And no you don't need to worry about waterfalls of  urine if you're in the lower level. 

  7. Prepare a mantra for when the going gets tough.

    My favourites are: “1000% positive”, “Pain is temporary, glory is forever” and “Wounded But Not Conquered”

  8. Do some training runs that mimic the later start time. Try and get your body used to running late morning through to mid afternoon. And do some runs where it is crowded and you have to learn to dodge around people. With 50,000 runners from all around the world, this is a skill you need to practice! 

  9. Write your name on your shirt. When you need an extra shot of energy, move over close to the crowd and the New Yorkers will inspire you with their energy and enthusiasm.

  10. The day after the marathon, stumble to Tavern On The Green to collect your copy of the New York Times. Find your name and get your medal engraved with your time. 

pexels-photo-378570.jpeg

An Exercise For Tight Hip Flexors That Works Better Than Stretching

It's 'Global Running Day'... One of my fav exercises for runners, especially those with issues with their hips.

This drill will build capacity in the hip flexors (TFL, rectus femoris and iliopsoas), an important group of muscles for running. 

Like the hamstrings, the hip flexors often end up in constant 'protective mode' due to weakness and lack of strength.  Sitting all day tends to make them tight as hell.

This exercise will help get to the root cause of your tight hip flexors and also help to switch on your glutes.

Stand with theraloop around the middle part of your feet.
Drive one knee up so your thigh is parallel to the ground while also activating your core.


Important ➡️The weight bearing leg drives down⬇️ to the ground, strongly activating the gluteals. ✅This will help improve your running efficiency and gluteal activation on push off.


Happy Running!


#globalrunningday #runnersbody #runnersworld #runnersofinstagram #running #runningcommunity #resilientrunner #runforlife #runningtherapy #runninginspiration

Is Cycling Good For A Runner?

A new patient from last week prompted this post. He is a 43 year old presenting with persistent calf pain during running. ⠀⠀⠀⠀⠀⠀⠀

He's been a competitive cyclist most of his life. Now, as a father of three young ones he is attempting to make the transition from cycling to running. As his time is limited, he wanted a sport that maximizes his 'bang for buck'. ⠀⠀
⠀⠀⠀⠀⠀⠀⠀
He was frustrated because he generally felt very fit and never had any trouble with injuries as a cyclist.
⠀⠀⠀⠀⠀⠀⠀
On assessment, his calves and hamstrings were weak, hip flexors very tight, and gluteal muscle function poor. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
⠀⠀⠀⠀⠀⠀⠀
Long story short, his strong lung capacity from cycling allowed him to push his body well past what it was prepared for and into the danger zone of overload and injury. ⠀
⠀⠀⠀⠀⠀⠀⠀
Tim Gabbett - "It's not the load that breaks the individual down. It's the load they are not prepared for."
⠀⠀⠀⠀⠀⠀⠀
A really common scenario & and probably explains why triathletes find themselves injured so often. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀

A research study (Rendos et al 2013) confirmed that cyclists develop muscle imbalances (particularly tight hip flexors) that can increase the risk of lower extremity injuries. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀
Key Points:
⠀⠀⠀⠀⠀⠀⠀
1. Cycling, while beneficial for cardio health can contribute to muscle balances that can set you up for an injury.
⠀⠀⠀⠀⠀⠀⠀
2. The human body is adaptable to change, but needs plenty of TIME to adapt. The fascia, muscles and tendons can take months/years to build capacity, while the cardio system responds much quicker. ⠀
⠀⠀⠀⠀⠀⠀⠀
3. Running is a high load activity & has the potential to cause long-term problems if you take on too much too soon. ⠀⠀⠀⠀⠀⠀⠀

4. An individualized Movement Assessment and corrective program will help maintain your body and keep it moving optimally. ⠀
⠀⠀⠀⠀⠀⠀⠀
The Resilient Runner Workshop takes the latest evidence-based research and practical strategies to optimize your movement foundation so that you not only avoid injury, but enhance your running performance. 

Saturday June 2nd. 12pm - 3pm.
2 spots left. More details via this link

How To Return To Running (Without Doing Another Injury)

The research is pretty clear that the biggest risk factor for an injury is a past injury.


Pain and injury can trigger off protective mechanisms that can sometimes be tricky to identify and overcome.


For many runners returning from an injury, a common theme is to run within yourself, intuitively trying to protect the body from further injury.

Blog Post continues HERE

Top 10 Muscles That Respond To Dry Needling

Top 10 Muscles That Respond To Dry Needling

One of the benefits of dry needling is it's a very precise way of releasing a muscle. 

Compared to massage, getting a twitch response out of a muscle gives a very predictable and effective release, deep from within the muscle belly.

In this post, I wanted to give you some insight into some of the best responding muscles that dry needling can help with.

If you want to learn more about exactly how dry needling works, please read more here.

Of course dry needling can be done to any muscle.   The following post is to give you some insight into some commonly treated muscles that give especially good 'bang for your buck'.

*Please also see some important notes at the end of the post.

1.  Deltoids

deltoid-all-tps.gif

In terms of shoulder pain, the deltoid is a very under-rated muscle.

The deltoids include three sections (anterior, middle and posterior) that sit superficially around the shoulder.  The deltoid is involved in almost all shoulder movement.

The way the it wraps around the shoulder makes it a very difficult muscle to stretch and it is prone to building up tension.

Trigger points and knots often develop in the deltoid that can give rise to shoulder pain (see pic above). 

This pain can be quite severe and unrelenting and stubborn to usual treatment.

A common history is over-doing some push-ups and waking up the next day with pain in the front of the shoulder. 

Or someone who has done a lot of heavy over-head weights (Cross fitters...!) over the years and doesn't do much stretching. 

Sometimes it's the last small movement and final straw the breaks the camels back so to speak.

Dry needling the deltoid often gets some powerful twitch responses. 

Expect soreness and a dead arm feeling for a few days before things settle down.

2. Latissimus Dorsi

latissimus-dorsi-trp.jpg
Latissimus_dorsi.PNG

The latissimus dorsi is a fascinating muscle. 

It has attachments to the hip, shoulder, upper back, lower back and rib cage - and that makes it the largest muscle in the upper body.

Tightness in the latissimus dorsi has been shown to be an important cause of chronic shoulder pain and chronic back (especially upper back) pain.

Because of its extensive attachments, it can be another difficult muscle to stretch effectively. 

Dry needling gets in there and gets the job done.

If your lats are tight, you will need to add in some regular childs pose and over-head stretching, in addition to foam rolling your upper back.

3. TFL / ITB

438.jpg

The fastest way to release your ITB

Release the under-rated small muscle that attaches to it, called the Tensor Fascia Latae (TFL).

The TFL is a small but powerful hip flexor and usually tight from excessively sitting, walking, running and cycling.

When overly tight, can contribute to knee pain by causing mis-tracking of the kneecap. 

Combine dry needling with some specific gluteal activation and you will be well and truly on the way to saying goodbye to your ITB pain and tightness. 

If you look after your TFL well, there's a good chance that excruiating ITB foam rolling will not be required.  Happy days :-)

4. Glutes

Gluteus Medius_0.jpg

One of the cool things about dry needling is that we can access deep points in a muscle that you would otherwise be unable to access.  

The gluteus medius is an interesting muscle that can be dysfunctional in chronic lower back pain, hip pain and knee pain.  

Dry needling can immediately 're-set' the glutes and allow for a graduated re-loading program. 

Long-term, a well functioning gluteus medius will protect your hips, knees, ankles and lower back. 

5. Calf - Gastrocnemius & Soleus

Gastrocnemius.jpg

Calf muscle tension and limited flexibility is especially common in the modern age. 

When tight, the calf muscles are prone to cramping and eventually tearing.

Deep tissue massage can be effective, but can be very painful, bordering on intolerable.

Dry needling to the calf muscles, whilst intense, is quicker and more effective in its release. 

Expect some treatment soreness for 1-2 days post-needling.

And don't forget to re-build your calf capacity with an appropriate strengthening program.

6. Upper Trapezius

78b36a394ffbec76dc123158ae7dcda7.jpg

Much like the calf above, the upper traps can be loaded with tightness. 

Causes can include poor posture, lack of physical activity and prolonged stress. 

Heavy handed massage can stir up more irritation in the muscle.

Dry needling is more like using a sniper approach - with a few direct releases, you can release the traps and get the blood flowing much more effectively and deeply. 

This study recommended dry needling for immediate pain reduction in upper body myofascial trigger point dysfunction.

Using heat on the traps via a wheat pack is really helpful, especially in the evening before bed.

Also make sure you are getting enough down time as chronic upper traps tension is a sign of sympathetic over-activity.

7. Infraspinatus

Infraspinatous-TrPs.jpg

The infraspinatus is a sneaky little muscle that sits behind your shoulder blade. 

It is often weak and gets overloaded when using your arm and shoulder.  

When the infraspinatus gets tight, you'll often feel pain in the front and deep part of your shoulder.

Dry needling de-activates the trigger points quickly, but be prepared for a dead arm for a few hours.

Don't forget to re-build with some simple strengthening exercises with a thera-band.

 

8. Wrist Extensors

extensor-digitorum-ring-finger-trp.jpg

Tennis elbow is a very common condition that primarily affects the extensor tendons on the outside of the forearm. 

The pain often drags on for months and years due to a very poor blood supply in the elbow tendons.

The research shows that dry needling releases a very specific chemical, known as Platelet-Derived Growth Factor (PDGF), that produces a strong increase in blood flow into the muscle.

In effect, blood is a healing agent, bringing oxygen and critical healing chemicals to the damaged cells.

No other technique that I know of is capable of doing this.

9. Biceps

biceps-tps.jpg

When was the last time you stretched your bicep muscle?  

Another muscle that gets used a lot, and builds up a great deal of tension. 

You'd be surprised how that niggling pain in the front of your shoulder improves after your biceps is released through dry needling.

10. Hamstrings

Biceps Femoris, Semitendinosus, Semimembranosus.png

Tight hamstrings are pretty common. 

Stretching them normally does more harm than good (see here).  

Dry needling produces a quick and effective release.

Specific strengthening exercises that lengthen the muscle gives the best long term solution. 

Conclusion

Dry needling certainly isn't for everyone, but it can be a very effective and powerful treatment in the right context. 

Two quick notes:

1.  There are different types of dry needling and this blog refers to the type that activates a local twitch response. 

This is very different to acupuncture and dry needling where the needles are inserted superficially and left in for 20 minutes as the practitioner leaves the room. 

2.  Dry needling is always used as part of comprehensive treatment approach

This includes assessing your thoughts and beliefs about your injury, movement patterning and general health considerations. 

Specific exercises targeted towards your individual needs will help give you the best long-term outcome.

If you have any questions about dry needling - please feel free to give us a call 1300 657 813.

If you'd like to schedule a dry needling session and start feeling better straight away, please book online below: