Chiropractic Health & Wellness Blog

Running Injuries need a Sports Chiropractor

April 27, 2014

Many athletes and runners have started to rely on sports trained chiropractors. While physical therapy can focus on strengthening and coordination, chiropractic care is designed to improve joint mobilization, making sure that all the joints in the body are moving correctly.

Lyn Lake Chiropractic believes that sports chiropractic care has evolved to incorporate the best of both worlds of joint mobilization techniques and soft tissue repair, creating a new gold standard of best practices in treatment plans for patients especially when the chiropractor specialize in running injuries.

Chiropractic emphasizes that not only do all the joints in the body need to move correctly, but they also need to move in coordination with the soft tissue – a healthy body is one where all the factors are Quick read more or view full article working well together. Runners who decide to visit a sports chiropractor should expect, a thorough evaluation of bio-mechanics including:

• How they are moving, How they are standing, What the arch of the foot looks like, How the knees are aligned, How the hips are aligned.

Once an evaluation is completed, sports chiropractors will create a treatment plan taking into account the needs of each specific patient to decide between a variety of techniques, each designed to help the body to heal and to help the athlete prevent further running injuries. 

Some types of chiropractic treatment for running injuries 

Active Release Technique (ART) is a combination of massage and stretching where trained therapists apply deep tension while they move a joint through a range of motion. ART is used primarily for adhesions deep in the muscle.

Active Release Technique can be beneficial – especially for iliotibial band and hip injuries – is that it combines different muscle work that breaks down scar tissue while also emphasizing correct flexibility. Through Active Release you can actually "elongate (stretch)  some of the muscle fibers making those muscles more pliable and therefore healthier.

Graston Technique is a therapy best used for surface level scar tissue that uses handheld stainless steel tools to break down scar tissue-releasing adhesions.

Electrical muscle stimulation (EMS) stimulates surface muscles to contract releasing tension as a complement to other techniques.

Staying healthy is a constant concern for professional athletes who get constant care from stretching to active release to heat or ice. Most adults or mature athletes, on the other hand, do not make the time every day to use a foam roller, apply ice or heat or keep up with stretching. Runners who have overcome an injury should consider ongoing preventive care.
Lyn Lake Chiropractic feel they can help running injuries with adjusting your spine, hips, knees, ankle and your feet.  They use many different treatments such as Adjusting, Massage, ART, Graston, Ultrasound, Stretching, Cold Laser and Rock Tape

Our chiropractor will be glad to help with assessing your running shoes or sport shoes to make sure you have the right support, and if we feel you need a different pair of running shoes we will refer you to one of our favorite running stores. 

If you have any questions please look for s sports chiropractor close to your home or call Lyn Lake Chiropractic.

"Runners Treating Runners"



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Running Shoe, Which is right for you!

March 26, 2014

Which Type of Running Shoe Is Right for You?

Because runners with different arch heights are prone to different injuries, running shoe manufacturers have developed motion-control, stability and cushion running shoes for low-, neutral- and high-arched runners, respectively.

To control the excessive pronation present in low-arched individuals, motion-control running shoes have added midsole material beneath the center of the arch. On the other side of the spectrum, cushion Quick read more or view full article running shoes are made for runners with high arches and are manufactured with a curve-lasted shape designed to fit the typical high-arched foot.

In order to improve shock absorption, the midsoles in cushion running shoes are significantly softer. To fit runners with neutral feet, stability running shoes are made with semi-curved lasts and only a moderate amount of midsole cushioning.

For more than 30 years, running shoe manufacturers have suggested that prescribing running shoes based on arch height will reduce injury rates and increase comfort. Surprisingly, despite the fact that consumers have spent billions of dollars for just the right running shoe, there is conflicting evidence suggesting the prescription of running shoes based on arch height is clinically justified.

Arch Height, Shoe Type and Injury Rates

In one of the largest studies done to date, Knapik, et al., divided 1,400 male and female Marine Corps recruits into two groups: an experimental group in which running shoe recommendation was based on arch height, and a control group that wore neutral stability running shoes regardless of arch height. After the subjects completed an intensive 12-week training regimen, the authors concluded that prescribing running shoes according to arch height was not necessary, since there was no difference in injury rates between the two groups.

In another study evaluating the value of prescribing running shoes according to arch height, Ryan, et al., categorized 81 female runners as supinators, neutral or pronators, and then randomly assigned them to wear neutral, stability or motion-control running shoes. Again, the authors concluded that there was no correlation between foot type, running shoe use and the frequency of reported pain.

One of the more interesting findings of this research was that the individuals classified as pronators reported greater levels of pain when wearing the motion-control running shoes. This is consistent with the hypothesis that excessive midsole thickness may dampen sensory input, amplifying the potential for injury because the athlete can't "feel the ground."

Supporting the belief that running shoe prescription should continue to be based on arch height, several high-quality laboratory studies have shown that the different types of running shoes actually do what they are supposed to do: Motion-control running shoes have been proven to limit pronation, and cushion running shoes have been proven to improve shock absorption.

To prove this, researchers measured arch height and evaluated impact forces, tibial accelerations, and the range and speed of pronation after high- and low-arched runners were randomly assigned to wear cushion and motion-control running shoes. The detailed analysis confirmed that motion-control running shoes do, in fact, control rearfoot motion better than cushion running shoes; and cushion running shoes attenuate shock better than motion-control running shoes.

In a study evaluating the effect of motion-control versus neutral shoes on overpronators, Cheung and Ng used electrical devices to measure muscle activity as subjects ran 10 kilometers. The authors noted that when wearing motion-control shoes, runners who pronated excessively reported reduced muscular fatigue in the front and sides of their legs.

In a separate study of excessive supinators, Wegener, et al., evaluated pressure along the bottom of the foot when high-arched individuals wore either cushion running shoes or motion-control shoes. The authors confirmed that the cushion running shoes more effectively distributed pressure and were perceived as being more comfortable than the motion-control running shoes.

The results of the previously listed studies suggest the practice of choosing running shoes based on arch height has merit, particularly for people on the far ends of the arch height spectrum.

Which Running Shoe? The Most Important Factors to Consider

When you look at all of the research evaluating running shoe prescription and injury, it becomes clear that the most important factors to consider when selecting a running shoe are that it fits the foot perfectly (width, length and shape), and that the midsole is comfortable. The size of the shoe is determined by matching the widest part of the forefoot to the widest part of the toe box, and there should be a few millimeters of space between the tip of the longest toe and the end of the running shoe. The shoe's upper also should comfortably fit the shape of the foot.

An important factor to consider when prescribing a running shoe is that the midsole should also be selected in part by running style: Heel strikers often need additional cushioning beneath the rearfoot, while midfoot strikers typically prefer zero-drop midsoles. In almost all situations, even extremely flat-footed runners should think twice about wearing heavy motion- control running shoes because they may dampen sensory input from the foot and their extreme stiffness often results in ankle and/or knee injuries.

In order to identify the midsole that is right, experiment with a range of running shoes until you find just the right thickness, stiffness and downward slope.

Though rarely discussed, perhaps the most important attributes of a midsole is its overall stiffness. In my experience, the stiffness of a running shoe midsole is the most important factor associated with comfort and injury prevention. You can easily evaluate midsole stiffness by twisting it in several directions while grabbing the heel and forefoot.

There is a surprising amount of variation in midsole stiffness, as running shoes will bend with anywhere from 5-50 pounds of force. The best running shoes will bend with very little pressure, allowing your feet to move freely in all directions.

Unfortunately, manufacturers rarely provide information regarding overall stiffness, and it is important for runners to know the precise degree of midsole stiffness that is most comfortable for them. High-arched runners tend to be drawn to extremely flexible midsoles, while low-arched runners usually prefer a slightly stiffer midsole. The extremely stiff midsoles are almost universally uncomfortable.

The bottom line with all the research on running shoe prescription is that you are always the best judge of which running shoe is right for you. However, keep in mind that heavy motion-control shoes may interfere with proprioception, while minimalist running shoes, such as the "five-finger" running shoes, are too thin to provide adequate protection and have recently been proven to produce very high injury rates. As a general rule, most runners will do best with lightweight stability shoes that match the shape of their feet.

Thomas Michaud, DC, is the author of Injury-Free Running

We thought this was a good article for runners looking for shoes and questions they can ask at the running stores when your buying a new pair of shoes.  If you have any type of running injuries with foot pain, ankle pain, achiile pain and knee pain please feel free to contact Lyn Lake Chiropractic or find a good sports chiropractor


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