| Prana |
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My PT suggested that my achilles tendonosis likely stems from biomechanical issues in my hips. My question is, assuming I strengthen the weaknesses appropriately, does the increase in strength 'automatically' translate into my running form, or do I need to consciously focus on tilting hips,tucking butt, etc? Does my question make sense? |
| asfadsfads |
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Strength can alter biomechanics, though it's not a guarantee. Most research on the matter has focused on knee biomechanics as they relate to hip strength. Are you doing eccentric heel drops for your Achilles tendonitis? |
| info |
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No it doesn't. To remove biomechanical issues you will need to correct the structural misalignment you now have. Now that physiotherapists have caught up to some of the other modalities you can choose, such as osteopathy, shiatsu even chiropractic in this sense, they have realised the legs are connected to and controlled by the hips. Well done. Problem is the misalignment that now exists in your hips is also in your knee and ankle. I one is out all three must be out. So go find a good osteopath and get a treatment or two. Things will feel very different afterwards. |
| Prana |
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Yes! 3x15 reps, 3x/day. |
| speakerofthetruth |
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Physical therapists think everything is caused by hip problems/imbalances. |
| info |
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They are right in saying that the hips are involved in most injuries, whether it is obvious or not. But to say they are the cause is ignorance speaking from inexperience. It's like PTs are now i high school. 20 years ago they were still in junior school. One day they will be at university level and until then i will rely on more advanced methods to help me heal. |
| Azaleas |
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Working on hip strength fixed my chronic runner's knee, which was almost certainly a biomechanical issue. |
| info |
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That's good to hear. The connections between the hip and the knee (and the hip and the lumbar spine) are better understood because it is only one step removed. The knee is the easist because it only moves in one plane of action. It gets a lot more difficult when the ankle and hip are out of alignment as they are two steps removed from one another and are both rotational joints meaning they work through three dimensions and not just one. Fortunately, Ostepathy, Alexander Technique, Feldenkrais, shiatsu amongst others all understand these connections and have methodologies to deal with imbalances throughout the body. |
| No Way |
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My issues stemmed from the hip and were fixed by PT. |
| info |
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Do you remember what the problem was and what was done to fix it? |
| No Way |
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Yes, sorry, I didn't mean to be vague. Basically I had a long time off, lost all fitness and put on weight. When I tried to start up again, I had a lot of pain on the outside of my knee which I self-diagnosed at IT band syndrome. Tried all the usual remedies but none seemed to work. Finally got frustrated enough to see a PT. She basically poked and prodded at me and said that I was compensating for a piriformis syndrome-like condition that was causing me to run with my foot pointed out which was putting extra stress on my knee which caused the pain. It was piriformis syndrome-like because as far as she could tell my sciatic nerve wasn't causing me any pain. I was kind of skeptical that she made that detailed of a diagnosis so quickly, but she massaged my piriformis as well as some other areas and asked me to run for a bit on the track they had there and see how it went. I ran a mile and was absolutely pain free, something that I hadn't felt in months. She said the massage simply loosened up the tight muscle and the effect was temporary but my massaging it with a foam roller or tennis ball I could do it myself, and by strengthening the weak muscles I would be back to normal. I went back for a few weeks for more massage (which was more effective that the tennis ball) and some strength work. Once I got the routine down I only went once a month to check progress and eventually I didn't need to do it at all anymore. |