10 Causes of Knee Pain in Runners

10-Causes-of-Knee-Pain-in-Runners

One of the most common injuries in running happens around the knee because of the impact they need to absorb. We put our knees under pressure with every step, when walking, sitting standing and, of course, running. What we do and how it do it, not only when we run but all the time (this is true for everyone not only runners) is essential for healthy knees.

The kinetic chain means that every part of the body is connected to another part of the body, in such a way that a problem in one area of the body may cause problems in another area are of the body. Nothing in the body is isolated and nothing happens in only one part of the body.

If you have an injured little toe be sure that your body is adjusting to that injury as you cannot use the little toe as you normally would. Those small adjustments can lead, in a few weeks, to tight muscles on the opposite side of your body, for example. Tight muscles will eventually affect your alignment and send pressure to joints, ligaments and tendons, which is not normally their job to do.

That is why an injury, no matter how small should be taken care of as soon as possible, so as to not allow the small problem to escalate and become a major problem.

MOVEMENT

Movement squeezes synovial fluid – joint “lubricant” – into the joint. This is why it’s important to take the joint through the full range of motion. For example, if you never take your knee into full flexion, the parts of the surface that don’t come into contact can degenerate more quickly.

We regularly practice full squats, a movement which besides strengthening stability muscles around and within the joints, it also take the ankles, knees and hips through their full range of motion.

MUSCLES

Muscles do the hard work, they are the workers in the body. The brain sends them information with instructions to contract and produce movement, by pulling on the bones.

Since they are connected to the bones, joints and ligaments, injuries (strains or pulls) or weakness in the muscles can cause the knees, and other joints, to take too much pressure, do more than their part of the job and degenerate faster. They basically say “that’s not my job!!”.

THE NERVOUS SYSTEM

The nervous system is the means by which your body components communicate. It’s the network that allows the brain to community with the muscles to produce movement. It’s also the communication channel for the body to send information of position in space to the brain, which then places the body in the best position to avoid injury.

For example, when you run into a ridge on the ground, your body send a message to the brain, which then sends a message back to the rest of the body to assume the best possible position to avoid injury. That includes the arms and head. When you lose balance your arms go the side straight away, that’s why.

Going back to the nerves, if there is a problem with one of the nerves, for example the dreaded sciatic nerve, the effected nerve can refer pain in another part of the body, and that includes the knee.

In the sciatic nerve example, if you have ever suffered by a trapped or irritated sciatic nerve, known as sciatica, you probably felt the sharp pain going down the back of the leg.

A nerve problem refers pain, it’s not usually localised.

RUNNING INJURIES

Running is more associated with chronic injuries than acute ones. That means that the knee injury happens gradually, through time, and symptoms just show up at a later stage.

It’s a build up of stressing certain areas of the body. The reason running is so hard on the joint, ligaments, tendons and muscles is repetitive impact.

Each time your foot touches the ground impact forces travel upward through your lower leg, knee, thigh, hip, pelvis and spine. It’s like an earthquake, shaking everything.

So our job here at The Merisoiu Technique Institute is to help you calm down that earthquake, reduce pressure on your joint and enable you to run stronger for longer.

CAUSES OF KNEE PAIN WHEN RUNNING

The topic of this article is knee injuries or almost any kind of knee pain (doesn’t necessarily have to be an injury for the knee to hurt).

There can be many, many reasons your knees hurt. In this article we mention some of the most common knee pain causes, but it’s not an exhaustive list. In subsequent articles we will take each one and see what we can do to prevent or treat the injury or, if it’s something serious, whom to talk to solve the problem.

Thus, here’s what may cause your knee pain:

1. Surfaces you run on

Let’s begin with the surface you run on. When you run on the same surfaces over and over again there’s a gradual accumulation of the same forces applied on the same areas of the body time and time again, over thousands of steps.

That is why it’s important to add variety to your running surfaces, concrete, off road, track etc. We will talk a bit more about this later in the article.

2. Your running shoes

The shoes you choose are critical to injury or injury prevention. If your shoes are too tight, or they don’t allow for a natural bend of the foot, or don’t allow for the toes to expand, or don’t give the support you personally need your stability can be compromised.

That compromised stability will cause instability in the knee as well. Remember the body sends signals to the brain, my means of the nerve network, to position the rest of the body (including spine, arms, neck and head) in the most efficient way to avoid injury. If the information is not accurate the brain can’t act in your best interest.

A word of caution, today’s cushioned shoes mask the pain of running heavily and incorrectly. If you don’t believe be test it yourself. Take your shoes off and run 50m. You will notice how heavy you actually run. Don’t worry your body will soon begin to adjust and realign to reduce that impact. There’s an immediate foot-brain-body communication and the whole system will begin to adjust.

However, this doesn’t mean you should run barefoot, it only means you should learn the natural or barefoot running mechanics with the regular shoes one. It can be done, you can run with your shoes with less impact.

3. Your training

Same as with the running surfaces if you do the same routine over and over again you will stress the same areas of the body time and time again. If you also run the same route all the time then this is even more true.

Bring variety into your running training to reduce the risk of overuse injuries as well as to create adaptation and make progress.

It is worth, and actually important, to keep a running journal where, besides writing down distance and pace, you will note any niggles and pains during the sessions. You can then go back and maybe identify what caused the injury.

It may have been new running shoes, new route, change in speed, distance, too much, too soon and so on.

4. Change and speed

Increasing mileage, frequency or intensity by more than 10% per week can overload a body that’s not prepared for the effort, thus increasing the risk of running related injuries and, of course, knee injuries.

Running too fast while not prepared is another cause for injury. This is common when a runner transitions from distance running to interval running too quickly.

Distance running and interval running are two different types of running all together. Each requires different muscles and, actually, a different body. Just look at Mo Farah – a distance runner vs Usain Bold – sprinter.  Two different body types.

5. Running form

Your knees may hurt from continuous impact on landing and push off. That is why the running techniques we teach, with elements extracted from POSE Method, Chi Running and Natural Running, are meant to re-train your body to land softer, lighter and reduce the push-off – we pull, not push.

Since we’re talking about running technique, let’s talk about how you can address your running form to reduce the pressure on your knees as well as other joints throughout your body

 

a) Poor alignment when running

Alignment literally means arrangement in a straight line. That’s how you want to see and positions your body when you run. But most runners bend from the hips and they form this crocked line.

What’s stronger or more stable 20 bricks on top of each other on a line, or 20 bricks with just on brick sticking out?

A heel striker will bend from the hips even more pronounced because of the way the hip tilts to allow for the heel strike. If you kept your pelvis aligned you wouldn’t be able to comfortably heel strike.

 

b) Running gait – foot turnout

If your feet turn out as you run it can cause knee pain at any distance because it causes the knee to rotate inwards with every foot strike.

Consequently this will overwork the ligaments and tendons in the knee and lead to knee problems and pain.

See a more detailed explanation of a few knee injuries and conditions at point 4 below.

 

c) Heavy heel striking and landing ahead of the body (overstriding)

Pronounced heel strikers are more likely to develop patellofemoral pain syndrome, because impact forces are transferred more aggressively from the foot to the knee with this type of running.

Impact may can cause knee pain and heel strikers experience greater impact shock. However it can also be caused by excessive rotational forces, which come with a heel strike. A heel strike allows for the foot to rotate in either direction until the foot lands and grounds.

When you heel strike you are also probably landing in front of your body, it’s usually the case since you can’t comfortably heel strike if you land under your body/hips. When you land ahead of your body you are essentially breaking your forward momentum, you’re going against gravity, and you pay for it in the long run (no pun intended).

If your foot stops, as it does when you land in front of the body, and the body keeps moving, your knee becomes the transfer point for all the force. It takes more than its share.

Landing ahead of your body with a locked knee or ahead of your body with an over bent knee, both variations put a lot of stress on the knee join, tendons, ligaments and cartilage.

Also landing wide (with a wide space between your feet, wider than the hip width) ahead of the body with a locked knee and ankle can cause ITB (iliotibial band) pain.

You are landing outside your natural hip width (feet are too wide apart when landing), which causes the legs to bow out so you can move forward. This causes too much lateral movement and your hips need to compensate and adjust which stresses the IT band.

To reduce the impact on your knee join all you have to do is to pick up your feet and land under the body by leaning your body from the ankles, or run with your upper body in front of your foot strike (same thing said a different way).

 

d) Downhill running technique

Most think going downhill is actually better or easier than uphill. Think again. While running uphill your muscles burn, which means they take the load – remember muscles are the workers of the body – downhill muscles relax, and your knees take the load.

There is up to 10 times your body weight with each step when running downhill (Source: Danny Dreyer with Catherine Dreyer “Chi Running”)

6. Structures around the knee

Besides running form, shoes and surfaces you run on, another reason you suffer from knee pain may have something to do with the structures around the knees (i.e ligaments, tendons, cartilage, muscles)

 

a) Patellofemoral pain syndrome (PFPS) or anterior knee pain (where it’s usually felt) is a classic and common chronic injury in runners. It accounts for roughly 20% of all running injuries (Source: Ross Rucker and Jonathan Dugas, Runner’s World “The Runner’s Body”)

The cause of anterior knee pain when or after you run can come from structures which are connected to the knee joint, such as muscles, tendons or ligaments.

If any of the structures around the knee pull incorrectly, or exert too much or too little force, the knee cap can be pulled out of alignment or out of line and it doesn’t roll smoothly as it should.

Misalignment can be caused by strength imbalance of the muscles on the inside (adductors) and outside (abductors) of the thigh, for example the gluteus medius which is a stabiliser muscle.

If the knee rolls in as a result of weak inner and outer thigh muscles, the gluteus medius (gluteus minimus can also be included here) and a muscle called vastus medialis obliquus, can’t do their job properly, so the tensor fasciae latae (TLF) takes over.

But if the TFL has to do more than the job it’s supposed to do it can pull on the illiotibial band (ITB), increasing the lateral pull of the knee cap, again pulling the knee out of the alignment.

A lot to take it isn’t it? The body is not formed of separate pieces, it’s a whole unit. Anything that happens anywhere in the body will have a ripple effect throughout the rest of the body.

If you just run for a bus from time to time you don’t need to know these things, although you should, as general knowledge. Most people know more about how their car functions than how their body works. Which is weird, since they’re driving their body 24/7.

However, if you are a runner and you want to continue running for many years to come, it is essential to understand the basics of running mechanics so you understand how to design your training, when to pull back and when to push on. There’s a difference between productive and destructive pain.

Sometimes the best strategy is to rest and be able to run in 2 weeks, than to push on and be off training for 3 months because of the escalating injuries.

Going back to patellofemonral pain syndrome or anteriot knee pain, to  solve this problem you must find out what is causing your knee to roll in, it could be:

  • Overpronation of the foot
  • Inward rotation of the hips
  • Tight calf muscles
  • Weak abductors
  • Tights adductors
  • Weak gluteus medius (that’s part of the abductors actually)
  • Other tight structures around, below or above the knee (see quadriceps at point 7)
  • Other causes

 

b) Iliotibial Band (ITB) Syndrome

The ITB runs down the outside of the leg and is a thickening of the normal fascia that surrounds the thigh.

To give you a short definition, fascia is a thin membrane that connects or attaches every structure, muscle, internal organs.

ITB attaches to the Tensor Fasciae Latae (TFL) at the front of the hip and to part of the gluteus maximus at the back of the hip.

The TFL goes down to the outside edge of the tibia and to the head of the fibula (the 2 bones forming your shin). It also attaches to the patella (knee cap). If there is any tightness or any problem with the TFL your knee will also be affected.

ITB syndrome is the second most common injury in runners. ITBS is usually felt as a localised pain on the outside of the knee when the leg is bent. It’s usually worse going up and down the stairs and running downhill.

ITB pain can be caused by biomechanical alignment problems such as:

  • Bow legs
  • Overpronation
  • Leg length different

ITB pain can also be caused by training, such as running on the camber of the road on the same side of the road for too long, or on a track when you don’t change direction and run the same way all the time. These 2 cases load one leg more than the other.

Another cause of ITBS can be weak hip stabilisers which increase tension on the IT band upon landing .

Patellofemoral pain syndrome (anterior knee pain) is common in runners with ITBS as the internal rotation of the thigh comes with the weak hip stabilisers.

So strengthening the adductors and abductors, as well as the glutes of course, can help both knee pain and IT band pain.

 

c) Patella tendonitis or tendinosis

Tendonitis is an inflammation, while tendinosis is degeneration of the tendon.

This pain is usually at the bottom of the kneecap. Causes of patella tendonitis:

  1. Microtrauma – tiny damage to the tendon fibres
  2. Excessive excrentric overload of the quads – overload while the muscles are lengthening – which can be caused by overpronation again, turning-in of the hips or knees or excessive tightness in the quads.

 

d) Bursitis or Pes Anserinus tendonitis

Problems with this tendon are not as common but they can happen. The cause is usually tight muscles on the inside of the legs, adductors.

Tendonitis happens when the tension on the area is too great, causing inflammation of the tendon and the underlying bursae.

The pes anserinus tendon runs along the inside of the knees and is a combination of the 3 tendons of the sartorius, gracilis and semitendinosus muscles.

The semitendinosus muscle is part of the 3 muscles that form the hamstring. The other two are biceps femoris and semimembranosus.

The actions of the semitendinosus and semimembranosus is extension of the thigh and flexion of the leg, as well as assisting in the internal rotation of the leg at the knee. Problems with these 2 muscles, tightness, trigger points, injury can send pain to the back of the thigh and knee and well as a portion of the calf.

Since we are talking about hamstrings, excessively tightened hamstring muscles can overload the quadriceps, which, in turn, can refer pain to different areas of the knee. Which leads us to…

7. Quadriceps

All four muscles that form the quadriceps attach to the patella (kneecap) through a common tendon via the patellar ligament to the tibia. Well that’s a mouthful.  Just remember the quads attach to the kneecap.

The four quadriceps muscles and pain associated with them:

  1. Rectus femoris – may cause anterior knee pain
  2. Vastus lateralis – pain may be referred to the back of the knee; pain can go all the way up to the hip on the outside of the thigh
  3. Vastus medialis – can refer pain on the front towards the inside of the knee, going up the thigh as well; may cause buckling of the knee
  4. Vastus intermedius – pain over the front of the thigh; no direct knee pain, but it can affect the other muscles which then cause knee pain

Of course the muscle-pain correlation is not isolated. It’s more to give you an idea of which muscle may cause which pain and where you’d feel it. There may be one or more causes of your knee pain, as we’ve seen above.

I added the quadriceps as a separate bullet point because it’s often overlooked by runners as a cause of knee pain.

Many, if not most, runners forget to stretch and massage their thighs and if they suffer from knee pain the cause may not always be a problem like tendonitis or anything structural, it might actually be very tight quadriceps.

That is why stretching is important, among many other reasons. If you do experience any knee pain, you know, at least, you can exclude one of the possible causes.

By the way, you can overload the quadriceps due to excessively tightened hamstring muscles. So stretch those hamstrings and quadriceps.

Sudden overload through misstep or fall can also overload the quads. But this is less of a repetitive running injury, it’s a sort of accident injury. The later can’t always be avoided, no matter how much you train, it’s part of the game.

8. Cartilage problems

The menisci can be damaged or torn by low level twists. There is usually a clicking in the knee, and pain when squatting. The knee may also lock or give way. The pain is usually felt on the inside of the knee with the knee bent.

I have to add I have first-hand experience with the menisci. Since the age of about 12, because of high intensity training in karate during the growth spurt, both my knee menisci damaged (grade 3 damage) to the point where I could barely walk.

Fast forward, natural movement fitness helped re-align, re-adjust and re-educate my body and body mechanics, to the point where today I can run, jump and practice karate without knee pain 95% of the time. The damage is still there, but their pain isn’t, so I dodged the surgery and I’m able to do everything I want without pain.

It all boiled down to perfecting the art of movement. Perfecting is not quite the correct word, there’s no such thing as perfect mechanics, it’s more like fine tuning.

By the way this doesn’t mean you should ignore your doctor. Everything I write in this article and on this website is not meant to replace any medical treatment or specialised advice.

9. Nerve referring pain

This is a very, very complex situation and only an expert can give you any advice here. All I can say is that if you feel pain travelling it may have something to do with the nerves. When a nerve is damaged, trapped or injured in any way it’s not usually localised, it refers pain in another part of the body.

10. Accidents

A twisting injury or a fall can cause damage to the knee’s structure. You should get an immediate diagnosis.

 

All the underlined topics will have their own articles so look out for them.

 

Sources:

  1. Donna Finando and Steven Finando “Trigger Point Therapy”
  2. Sam Murphy and Sarah Connors “Running Well”
  3. Danny Dreyer with Catherine Dreyer “Chi Running”
  4. Nicholas Romanov “POSE Method Of Running”
  5. Nicholas Romanov with Kurt Brungardt “The Running Revolution”
  6. Ross Rucker and Jonathan Dugas, Runner’s World “The Runner’s Body”
  7. Danny Abshire “Natural Running”

Disclaimer: information in this article and on this website is not meant to replace any medical or expect advice; you should always check with your doctor.

RICE Your Running Injuries

RICE-Your-Running-Injuries

For acute running injuries such as ankle sprains or a strained muscle the first 48 hours are very important for recovery and to reduce the risk  of the injury happening again in the future. It is in those first 48 hrs when the inflammatory response occurs and acute injuries respond best to early treatment.

REST

Take pressure off the injured area and use it as little as possible.

ICE

Ice for about 10 min every 3 hours approx. Wrap ice or a bag of frozen vegetables in a towel, never put ice straight on the skin.

COMPRESSION

Strap the joint, immobilise it, if you can, to prevent further damage. It will also make sure you rest the area…you can’t use it as you normally would.

ELEVATION

Elevate so the blood flows away from the area.

 

From the RICE, Rest and Ice are crucial.

The sooner you RICE your running injury the faster the healing.

You can read more about running technique and running injuries from the following books.

5 Running Books Every Runner Should Read

5-running-books-runners-should-read

Whether you are a recreational runner going for your regular 5k runs, in preparation for a marathon or ultra or obstacle course racing you should consider knowing a little bit more about the runner’s body, your runner’s body.

Understanding the basics of how your body works at a muscular, skeletal and cardiovascular levels will enable you not only to get more out of your training, but to understand why running injuries happen and what do to if they happen.

Of course a professional, such as a physiotherapist, can look at injuries better and in more detail, prescribing a suitable treatment. And you should check with a professional when you are injured. Nonetheless you should also have an idea of what’s going on.

Some running injuries happen because of repeated movements, if you understand what movements cause your injuries then you can eliminate or change them and, as a results, get rid of the injury and avoid it in the future.

Furthermore one way to reduce the impact on your joints and tension in your muscles is to uncover a form of running that does just that.

Below you have a list of, what I believe, are the top 5 books you should read if you are a runner, regardless of the distance you run. There are many great running books I’ve read but these are 5 of them that left an impression on me. Keep in mind that this list and the descriptions are subjective, you may find you will discover something else in these books, but it will give you an idea of which book to choose.

I also organised them in an order that, I believe, will transition you to the mechanics of running in a way that will make sense even if you know nothing about anatomy.

Once you start running consistently wear and tear takes place. If you can reduce that then you can run faster, for longer and with less risk of injuries. In short you will run smarter and more aware of your runner’s body, which is what we begin with:

1. The Runner’s Body by Ross Tucker and Jonathan Dugas

This book takes you through everything that happens in the runner’s body. From how muscles work and fire, to the skeletal system and common running injuries, to the cardiovascular system, metabolic system – where they talk about nutrition and hydration, how the nervous system works and the runner’s immune system.

I find this book very detailed and educational. But you needn’t worry if you  don’t know much about mechanics and anatomy. They explain everything in easy to understand terms. Just read through it and you will catch the information that is most valuable to you at that particular time.

Click on the image below to check out The Runner’s Body by Ross Tucker and Jonathan Dugas on Amazon:

2. Running With The Whole Body by Jack Heggie

This book introduces us to the Feldenkrais Method applied to running. It’s a very, very interesting and important book in my opinion. It’s a short book but each chapter has a series of detailed exercises meant to “reset” your nervous system.

In short through these exercises you re-wire or re-educate your body’s movement to be more efficient not only when running but also when walking and moving in general.

The big picture I took from the book is the connection between the upper and lower body through the hip. Understanding how the hips works with the shoulders to get you to run lighter but also faster and reduce aches and pain will be an eye opener for you as it is for every one of my clients.

The reason this book is on the 2nd place is because running is a whole body movement, and, unless you understand that – understand it not only mentally but also physically, in your body – you cannot develop an efficient running form, in my humble opinion. So check out Running With The Whole Body by Jack Heggie clicking on the picture below.

3. Natural Running by Danny Abshire

Natural Running by Danny Abshire introduces us to the three gates: walking gate, running gate and sprinting gate. But also how to examine your own running form, educating the reader on on foot imbalances and the evolution of the running shoe as well as how to choose your running shoes.

What sets the Natural Running book apart from the others is the explanation on foot biomechanics and the three gates. I also liked the way Danny Abshire approaches the more common overuse running injuries.

Then he goes on to detail the physics of running and whole body kinematics.

You will also find a chapter on exercises to help you develop the natural running technique and an 8-week transition plan.

This is also a good book if you want to learn how to transition to barefoot running or minimalist running (with “barefoot shoes”)

All in all a great book to introduce you to the world of running mechanics. Check out Natural Running by Danny Abshire by clicking the picture below.

4. POSE Method of Running by Nicholas Romanov

POSE Method takes you through a step by step technical approach to more efficient running mechanics.

It describes exactly how to place your feet on the ground, what your legs should do afterwards, how to hold your trunk and much more. There are plenty of exercises to help you develop this particular running technique.

Although it emphasizes the mechanics of running it also dedicates a few pages to the  “thinking, seeing and feeling” process, basically the internal aspect of running.

It also takes the reader through the most common running injuries, why they happen, from a POSE Method perspective, and how to adjust your running technique to reduce the risk of it happening again or in the first place.

This technique will also enable you to run barefoot or run minimalist.

There are several elements of the POSE Method we incorporate in our own running mechanics here at the Merisoiu Technique Institute. Check out the POSE Method of Running by Nicholas Romanov below:

5. Chi Running by Danny Dreyer

Chi Running has its roots in the art of T’ai Chi, “based on the centuries-old principle from T’ai Chi that ‘less is more’ “.

The focus here is on breathing and relaxation in general, as it is in T’ai Chi, going “limp”, opening the stride behind you and letting your body flow.

It emphasises the idea of listening to your body and on patience and consistent practice.

It also talks more about the upper body movement. So take book #2 and put it next to Chi Running and you will develop a very efficient upper body movement which will help you on your toughest runs, including hill running.

Chi Running method  will “give you a physical understanding of how to put it all together in a unified movement”. Check out Chi Running by Danny Dreyer clicking the link below:

 

Hope you will take the time to read a few, if not all of these books. I assure you it’s time well spent. These books don’t only teach you about running but about movement, and movement is what you do every single day.

By the way the amazon links are affiliate links. 

Running Technique – Body Position For Optimum Performance

Running Technique-Body-Position-For Optimum-Performance

When it comes to runners who clock miles and miles every week on a regular basis attention and care needs to be directed to how they run  so they don’t get put off training for stress fractures, ankle sprains, knee injuries, shin splints, Achilles problems, back pain, or anything else we runners face. Of course nothing is guaranteed, but the more you look at how you run the less injuries and time of training you will have to ensure.

I have the habit of giving you a lot, a lot of information, and very detailed. I do this because I hope you will take 20% of what you read. Sometimes even that 20% is better than nothing.

That being said let’s talk about how you position your body to enable you to glide over the terrain, rather than stomping. And we begin with…:

A. ALIGN

This is a good exercise to practice before you go for a run. It’s connects you to your own body. With practice you will gradually bring it into your run.

A good alignment means you are “stacking” the body in the correct position, and, if you manage to maintain that your run will feel amazing. Trust me, it will. When it clicks, it clicks.

The pressure on your joints will be at angles that don’t cause so much damage. Of course, it’s impossible to keep your body stiff in one position, but try as often as you remember to align and re-align. Also, remember, good alignment means a relaxed body, if you tense up you can do more harm. So relax and go through the exercise below.

  1. Stand with feet hip width apart
  2. Toes pointing forward
  3. Distribute your weight evenly on the left and right foot
  4. Distribute your weight evenly on the front (ball of food) and back (heel) of each foot left – keep the left/right weight distribution while doing so
  5. Soften your knees; don’t bend them too much, just lock them and then relax, you are not doing a squat
  6. Lightly tuck in your tailbone (this will also allow the knees to soften) so that, if your pelvis was a bucket of water, you wouldn’t spill water in any direction; your abdominal muscles should tense slightly and your lumbar spine should flatten slightly. These are signs you are probably in a good position. It should feel comfortable
  7. Your hip should be in line with the back of your knee cap, and in line with your ankles, roughtly
  8. Relax your shoulders and align them with your hips which is aligned with your ankles
  9. Chin parallel to the ground
  10. Head slightly pushed back until you feel the back of your neck lengthening, releasing tension and the natural curve flattening slightly
  11. Ears aligned with the shoulders

You can maintain this alignment at any angle. If you lean your body from your ankles everything is still aligned. If you lie on the floor your body is still in the same alignment. But if you stick your bum out, pull your head back or turn your toes out that’s when, in time, things start to go wrong and injuries begin to show up.

 

 

B. ELONGATE

This is a simple imagination exercise, or visualization if you wish.

Holding the body in alignment as above, imagine a piece of string tied to the crown of your head and to the ceiling, a branch or the sky above you.

Imagine how this piece of string elongates your body towards the sky. Keeping its shape and alignment though

You can begin to elongate the ankles, the shins, up into the knees, through the thighs, to the hips.

Then elongate your trunk and ribs. You shouldn’t lean back, push your chest out, pull your shoulder blades together or do anything else. Just imagine. There’s no point lengthening the front of your body while tension and shortening the back by pulling your shoulders back.

Then relax your shoulders, keep the alignment, elongate your neck and head – take care not to tilt your head back here.

Then imagine the piece of string and your vertebrae like beads on a string. Allow each vertebra to pop up, away from the one below it, and then lightly stack up on top of each other. Go from the tailbone/coccyx all the way to the neck/cervical spine and up through the crown of your head towards the sky.

You can practice this as a stand alone meditation. It will help improve your posture as well as slowly making its way into your running posture and to a better performance.

 

C. LEAN

After you practice a good alignment while standing and in movement and elongate the body, the next step is to practice a slight lean. The lean should be from the ankles, as described in the POSE Method of Running, and, on a flat ground it’s a matter of millimeters.

Remember, the key is: lean should be from the ankles, not bending from the hips. You can work this out in front of a mirror.

One of the greatest mistakes I see is bending from the hips. This is very very common, so take care, especially when you run uphill. You can easily end up with low back pain and not even make it up that hill.

Some argue the lean is not the way to go. I argue it is for at least 3 reasons:

  1. For your feet to land under the hip, in alignment with the rest of the body, the hip should be slightly ahead…..which is achieved through that slight lean.
  2. Pushing off and active landing are actually very very strenous. When you land under the body, and you do this by leaning from the ankles, you can pick up the feet and control the landing.
  3. Free energy! That’s gravity. It’s so much easier to “fall” forward than to push your body forward over and over again. Let gravity take over! It saves a lot of energy and you end up running faster, as you pick up you feet faster, as a result of landing under the body and not ahead, as a result of that slight lean.

I found this exercise in Chi Running by Danny Dreyer, which is really easy to practice.

  1. Stand in front of a table, about hip height, about 2 feet away (you will adjust after)
  2. Align your body, like a column
  3. Elongate your body
  4. Lightly tens your abdominal muscles
  5. Now lean from the ankles until you can rest your hip, or pelvis, on the side of the table
  6. Keep the column straight though, even at an angle
  7. Hold the position

You will notice how much your abdominal muscles contribute to this position, as it should when you run. This lean is a lot more than what you normally need, but if you exaggerate the lean when you practice you will do it just right when you’re out there running.

Here is a video talking about the lean as well.

That’s it for today. I wanted to write a short article but it ended up a pretty long one. Just take one exercise at a time. Print this page if you wish and practice each exercise for 1 week. You will transform your running.

Need help? I have a few ways to help you with this. One is a 4 weeks course where you go through ALL the running elements. This course can also be done in 2 weeks. Or, if you aren’t close by, I do have a series of coaching videos you can learn from, a running academy. Another option is online coaching. So there are solutions. Thus give a shout if you need help with this. If not, I’m looking forward to hearing how you implemented these exercises and how they worked out for you.

Solving The Achilles Tendonitis

Solving-The-Achilles-Tendonitis

The Achilles tendon connects your calf muscles to the back of your heel. Achilles tendonitis is an overuse injury causing pain and inflammation, usually felt as a dull or sharp pain along the back of the Achilles tendon, usually closer to the heel.

Possible causes of Achilles tendonitis

1. Weak calf muscles
2. Excessive pronation
3. Excessive stress being transmitted through the tendon
4. Excessive power to begin a new stride – push off

 

Solving the problem

Fist of all, allow the injury to heal. Take a break form running, give it time to heal. There are strengthening exercises you can do to speed up healing, such as Hakan Alfredson’s heel drop, which I used to do a few years ago, when I could barely walk from Achilles tendonitis, and found very useful. Also avoid aggressive stretching. The tendon is injured, it doesn’t need more aggression.

Second, once you are back and ready to resume running observe HOW you run. It might be that the cause of your injury is in your form. You might be placing excessive stress through the tendon with every single step. This is very common and, if the cause is in your form, it can be eliminated.

Here’s what to look for:

 

1. Landing under the body

The muscles on the front of your legs are considered braking muscles (tibialis anterior – shin; quadriceps – thighs). Muscles on the back of the legs (gastrocnemius and soleus – calf; hamstrings – thigh) are considered propulsive muscles that work with the Achilles tendon (Natural Running – Danny Abshire).

Most runners absorb too much impact from breaking when they land ahead of their body and use too much muscle power to keep moving forward. This “power run” style leads to high impact, long strides and push off which puts the propulsive muscles under great stress.

By landing under the body or the GCM (general centre of mass) and landing lightly on the midfoot/forefoot, then allowing the heel to touch the ground lightly (without putting weight on), you are using the muscles and soft tissues in your foot, ankle, legs and knees (which should be flexed) as shock absorbers to reduce the destructive impact.

This is the first thing to change in your running. All the following bullet points usually take care of themselves once your landing is straight under the body.

 

2. Midfoot/forefoot landing

Modern running shoes allow us to land as heavily as we wish. We can’t feel anything, but the impact is there, the damage is happening with symptoms showing up months later.

If you were to take your shoes off and run around a little you’d realise just how aggressive your run actually is. We do this sometimes on soft ground and clients are always shocked at how heavily they land. Without me saying anything their form slowly changes. Why? Because your body doesn’t like it so it will adapt. That doesn’t mean you have to give up regular running shoes, you can land with a midfoot/forefoot strike in any shoes.

Landing on your toes (high heels) or on your heels causes a lot of problems including damage to the Achilles tendon. What you are looking for is a light landing on the ball of the foot and then a light touch with the heel before going on to the next stride.

 

3. Flexed knees

Many runners land with a stiff leg and ankle, which means the muscles will not absorb the impact and so joints and tendons will suffer. Flex the knees and allow the ankles to bend and flex, don’t hold them stiff and don’t point your toes.

 

4. Pull, don’t push

When you begin a new stride try to pull the leg under your body rather than pushing your whole weight forward. It’s much easier to pull the leg than push the body. Makes sense? After this a slight lean from the ankles, with a straight, aligned body, will move you forward. It’s light and almost effortless. Here’s a video on how to pick up and pull your feet off the ground.

 

If you are a long distance, experienced runner you might find that getting these elements into your running form will slow you down and make you feel tired. You’ll probably run less than usual. But the question is: how bad do you want to solve your problem? Addressing the cause of your pain is the only way to permanently get rid of it. Any treatment will last for a while but repeating the same movements what lead to the injury in the first place will cause the injury to recur. Mileage can increase back to your normal, but if your injuries keep coming back you will probably stop running for good.

If you are interested in exploring and developing an effortless and injury-free running style you have a few options including a fast-track 4 weeks course 1-2-1. You will have videos and material after the course to help you continue to develop your running style. If you are interested leave a comment below or contact us here.

Running Performance And Acupuncture With Jani White

The world is changing and one needs to be informed, to know the available options and to even try them out. Some may work for you while other may not, but exploring different therapies gives you the greatest chances to find the best that works for you, the one that will enhance your performance and enable you to reach your goals and beyond.

When we talk about a runner’s health we think of nutrition, strength and injury prevention. While all these are important, and I should know since I work with runners and injuries, there is a part of our bodies we seldom think about: the internal body, with its organs and hormones. This is part of a runner’s health as well and a very important one. This is one of the reasons I am talking to Jani today.

Jani is a highly experienced acupuncturist, she lectures internationally and nationally on her subjects.

We first talk about my personal experience with Jani’s treatment, when we worked on releasing tension and stress, feeling more grounded and calm.

She introduces us to acupuncture and then we talk about how it relates to runners and running performance. How it helps drive oxygenated blood to muscles for enhanced performance and faster recovery.

Acupuncture affects what is happening within your body at a neurobiological level. The majority of our neurobiological function is autonomic” (autonomic: cannot consciously control).

Acupuncture enhances and keys the autonomic system into its peak performance, streamlining your system into its peak ability, generating ultimate homeostasis” (homeostasis: the tendency towards a relatively stable equilibrium between all the systems).

She also briefly explains what meridian channels are and how each channel relates to an organ. We all know that, as runners and not only, it’s not enough to look after our quads and core, we need to take care of our organs as well. If the internal systems don’t function properly nothing else will.

We also talk about how your surrounding environment depletes your reserves and what you can do home, right now to protect your body.

Jani’s morning alkalizing drink:

  • tsp raw honey
  • tsp cold press cranberry juice
  • tsp apple cider vinaigre
  • 6 drops of bee propolis

 

Links mentioned in the video:

Jani’s Website: www.acuhouse.co.uk
Greenopedie: www.greenopedia.com