Tag Archives: Injury Prevention

Running Injury Free

As an avid runner, I’m quite familiar with the fellow runners in my community. Since the pitches, arenas and gyms have all been closed, I’ve noticed a huge surge in the amount of people who have taken up jogging as a new form of exercise. While jogging/running is a great workout, you need to be mindful of several risk factors that could lead to injury. Whether you’re a seasoned runner, or just a beginner, here are some tips to keep you running pain free.

Tip #1: Don’t let your old, lingering injuries wreak havoc on your running form and potentially cause new injuries. For example, that nagging knee pain that you ignore may be part of a bigger problem, like weakness in your glutes, which likely will change your biomechanics and put more stress on the knee, ITB or achilles, along with annoying knee pain you will likely develop  hip and calf pain. All the therapists at Sheddon can be reached by email and will gladly set up a Telehealth appointment to discuss strategies and exercises to help you overcome old injuries. Don’t wait until it’s too late, or until we re-open the clinic. Fix your injuries now!

Tip #2: Newbie runners are more susceptible to injury and should focus on slowly progressing their distance in order to avoid injury. Increasing one’s distance too quickly is one of the most common risk factors for injury in runners. The golden rule is that you should increase your distance by no more than 10% each week. As a beginner, you should just focus on running consistently 2-3 days/week, and don’t worry too much about increasing your distance at first.

Tip #3: CROSS-TRAIN!!! Running is great, but you need to add strength training to prevent muscle imbalances from the repetitive nature of running.

Tip #4: What you put on your feet matters. Not every running shoe is the same, and not every runner has the same foot. Runners will have a different preference in what shoes work best for them. Unfortunately, with stores closed, you can’t exactly walk into the Running Room and ask to try on every shoe  in order to see which one feel the best. In the meantime, you can make do with what you have, if your current shoes aren’t causing you any issues. Otherwise, if you have a shoe that’s worked for you in the past, you can order them online. Not sure where to start? You can ask our Pedorthist, Sarah.

Tip #5: Don’t be afraid to ask for help. There are many professionals who deal with every running issue that you could possibly imagine. The therapists at Sheddon can help you with injury prevention, exercise prescription, running shoe selection, and gait analysis. The group at the Running Room can help you with training programs and gear. Surround yourself with the right people.

If you are in need of our services and are curious if virtual care is an option for you, please click on the link below to schedule a Free 10-minute Telehealth Discovery session with one of us.

Book A Discovery Session

Looking “Fore”ward to the Golf Season

With the warmer weather approaching, many avid golfers are itching to get to the driving range and golf courses. Doug Ford announced last week that golf courses can begin  preparing for the season. However, golf is going to look a little different this season because of COVID-19. Most clubs have been collaborating in order to brainstorm ways to ensure that courses open safely. Physical distancing must still be upheld at all times, and ball washers, benches, and bunker rakes will be removed. There will be fewer tee off times and longer intervals between groups. Furthermore, don’t expect to kick back and enjoy a bite to eat or a drink afterwards, as dining rooms and clubhouses will initially remain closed. Despite all these changes, many are still looking forward to dusting off their clubs. What can you start doing now, while you are isolated at home in order to be ready for your first round?

The golf swing involves powerful muscle contractions coming from multiple body parts, with a lot of stress being generated on certain muscles, joints and ligaments. Improved overall fitness correlates with lower golf scores and less risk of injury. Proper conditioning for golf includes a variety of factors, such as the strengthening of particular muscle groups for a powerful swing, including the rotator cuff, scapular stabilizers and core musculature. The exercise below helps develop trunk and lower body stability, upper body strength, core strength and rotary mobility.

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Instructions: Loop a theraband around your arms. Start in a proper golf address position, engage your core and bring your arms slightly apart so there is tension on the theraband. Raise your arms into a half backswing slowly and follow through into a downswing. Repeat 10 times per side and 3 sets.

Flexibility is also a key component, especially in the hips, shoulders and trunk in order to achieve a full range of motion from the back swing to the follow through. Below you will find a great exercise to develop better flexibility in your chest muscles, thoracic spine, rib cage, shoulders and lower back.

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Instructions: Lie on your side with your top knee bent at around 90 degrees supported on a medicine ball (or something of equal height to keep the pelvis level). Place the arms out in front of you at shoulder level with the palms facing each other. Slowly lift your top arm up opening up your chest as you rotate the trunk. Try to keep both shoulders on the ground, and your knee in contact with the ball, as you look over your top shoulder. Hold for 30 seconds and repeat on each side 3 times.

Another fitness component that is often overlooked in golf is cardiovascular fitness. Walking the average golf course is equivalent to walking 10 km. Once you add in a few fairway hills, sand bunkers and carrying or pulling your clubs, the peak heart rate for most golfers can get as high as 80% of the maximum heart rate value. While practicing social distancing, take the opportunity to go for a walk. Start with 15 minutes and gradually increase the time and difficulty (add hills, etc.).

The last fitness component essential for golf is balance. Poor balance will lead to faulty swing mechanics and compensatory patterns. The exercise below is a great exercise to work on overall balance and stability.

Instructions: Stand on one leg, keeping the hips leveled. Reach forward as far as you can while keeping your balance (you can bend the support knee slightly). Come back to the center and without putting your foot down on the ground, reach out to the side as far as you can. Come back to the center and without putting your foot down on the ground, reach back and across to the opposite side as far as you can. Come back to the center and repeat the sequence.

While you’re home you can also take the opportunity to work on your short game. You can easily set up targets in your backyard, such as hula hoops, and practice trying to chip the ball, and have it land in the hoop. You can also work on your putting stroke whether it be on carpet or a fancy indoor putting green.

Don’t wait until injury prevents you from swinging a club. Get assessed now, before the season starts, to find out how to prevent injuries, get stronger and bring your golf game to the next level. While our clinic is closed, we are still open for virtual telerehab appointments. During your appointment, a physical assessment will be completed in order to identify any areas of weakness or potential limitations. From this assessment, a plan will be put in place addressing any areas needing improvement, which is usually achieved through golf specific exercises that will be taught to you.

If you want more information on how to treat your current golf injury or develop a golf specific training program to reduce the risk of injury this season, your Sheddon Physiotherapist can get you started. Call us at (905) 849-4576 or visit us at our website Sheddon Physiotherapy and Sports Clinic.

Happy Earth Day: Recycling an old blog on Achilles Tendon Rehab

Happy Earth Day!! While this is a difficult time, and we are all staying home to help stop the spread of COVID 19, the earth is also getting a chance to heal itself. The skies are cleaner and the waters are clearer. When COVID-19 is behind us, we will need to be mindful of the environment and to take individual action, so that we can continue to see the blue skies. During this difficult time, remember to take care of yourself, go for walks, take stock in your life and take the time to get some fresh air and appreciate Earth Day.

The most effective way to reduce waste is to reuse and recycle. So today, we are going to recycle a great, old article on Achilles Tendon Rehab.

Injuries to the Achilles tendon is one of the most common injuries experienced among athletes, especially runners and soccer players. Statistics show that roughly 24% of athletes develop pain in the Achilles. It’s also an injury that can linger for long periods of time, if left untreated. One recent study found that 63% of athletes with Achilles tendinopathy still had symptoms two years after onset.

Causes of Injury to the Achilles:

  • Poor footwear;
  • Repetitive overstretching;
  • Training errors;
  • Abnormal Biomechanics;
  • And the most important:  Repetitive overuse and lack of proper training that causes the building blocks (tenocytes) to be poorly produced.

What does Treatment entail:

Initially one of the main focuses of treatment is decreasing the pain, which can be achieved through rest, manual therapy, taping and heel lifts. After this brief period of rest, a proper graduated exercise program is  one of the best ways to promote tissue repair.

Here are examples:

  • Start with some isometric holds in a slightly lengthened position;
  • Progress onto isometric holds in a lengthened position, but with a focus on one leg at a time;
  • Next, do some concentric heel raises, still in a slightly lengthened position, one leg at a time, lowering yourself down with the support of your opposite foot;
  • Finally, add in some running backwards and stopping in that same lengthened position, in good control. This adds an abrupt stoppage;
  • Progress the last exercise from an abrupt stop to a change of direction.

Watch the video below for examples:

And finally:

To pamper yourself, we are offering Gift Certificates for Massage.

Get yours now to help show the ones you care about, that you care enough to see them feel better.

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

What are teenagers Growing Pains?

Growing Pains

Osgood Schlatters (OS), Larsen-Johansson (LJ) and Severs disease are common adolescent conditions that affect young rapidly growing athletes. These injuries occur where the muscle tendons attach to the bone. During a growth spurt the bones, muscles and tendons are all growing at different rates. If the muscles are tight they put extra stress on the bone resulting in inflammation and pain. In the case of OS and LJ the pain is felt at the knee, where Severs affects the heel. Many athletes are specializing in sport earlier and are engaging in year round training, how can you make sure your young athletes can continue to train during this stage of development without suffering from growing pains?

Injury Prevention Strategies

Risk Factor #1

The bones are growing faster than the muscles can adapt in terms of flexibility. Which puts a lot of stress on the muscle-tendon junctions, bone-tendon junctions, ligaments and growth cartilage.

Prevention strategy: Implement a regular stretching program focusing on the hamstrings, quadriceps, and calves, which have all been shown to be excessively tight during the adolescent growth spurt. Stretching should take place when the body is warm, i.e., at the end of your workout. Stretches need to be held for at least 30 seconds to be effective x 3 sets.

Hamstrings: Raise one foot onto a bench, lean forward bending from the hips and keeping your back straight. You should feel a stretch at the back of your leg.

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

 

Quadriceps: Stand on one leg (holding onto to something for support if needed). Bend your opposite knee and bring your heel towards your buttock as you hold your foot with your hand. You should feel a stretch in the front of the leg.

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

Calves:

1. Gastrocs: Stand in front of a wall/bench and bring one leg back ensuring your toes are facing forward. Keep your heels on the ground and lean forward keeping the back leg straight. You should feel a stretch in the back leg.

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

2. Soleus: From the same position as above bring your back foot forward. Make sure both heels stay on the ground and bend through your knees. You should feel a stretch in the back leg.growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

 

 

Risk Factor #2

“Adolescent Awkardness:” the athlete is growing at different rates and there is now an imbalance in strength and coordination.

Prevention strategy: Exercises focusing on glute strengthening, core stability and neuromuscular control. Stability and strength of the pelvis and spine help with proper mechanics and loading of the lower extremity in running, kicking, and changing directions. Perform the exercises below 2x/week for 10 repetitions and 3 sets.

GLUTE STRENGTHENING:
Start position for exercises below. Start in an athletic stance, both knees/hips slightly bent with your chest and head up. A band is wrapped around your knees or ankles. Your knees should be in line with your 2nd toe. Make sure your knees are not caving in (see bad/good form below).

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

 

1. Mini walks with a band: Start in an athletic stance. From this position take a step outwards and then feet back together again. Repeat 5-8 steps in one direction and then back in the other direction.

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

Single leg balance (with or without a band): Start in an athletic stance with a band around your knees for added difficulty. Keep one leg bent and raise the other leg out in a 45 degree angle. Hold for 5 seconds and return to start position and repeat on the other side.

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

CORE STRENGTH:
Plank (with/without a ball pass): Start in a plank position from your elbows or hands, making sure your back stays flat and core stays tight. Hold for 30 seconds. For added difficulty hold the position while rolling the ball to a partner or wall.

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

Side plank: Place one hand on the ground, extend your legs out so you are in one straight line. The only thing touching the ground is your hand and the outside of one foot. Make sure your hips don’t sag towards the ground. Lift the top leg up for added difficulty. Hold for 20-30 sec and switch to the other side.

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

POSTURAL CONTROL:

Y balance exercise: You can use tape to draw a Y on the floor (or imagine a Y on the floor) while you are doing this exercise. Stand on 1 leg with the support knee slightly bent, while reaching out in three different directions with the opposite leg. Position 1 is in front, position 2 is out to the side and back, and position 3 is back and across to the opposite side. Perform each position once and repeat the cycle for 3-5 sets. Ensure your form is good, and your stance knee is staying in line with your 2nd toe (not caving in).

growing pain for teenagers Sheddon Physio Sports Clinic Oakville Mississauga

 

Risk Factor #3

Congested training schedule with very little rest

Prevention strategy: Modify your exercises and training if you are suffering from an injury. I.e., Single leg landing, jumping and sharp cutting drills puts a lot of stress on the knee and heel and will aggravate these injuries. Modify or eliminate these exercises as needed.

If you are the parent, coach, or trainer of a young growing athlete be proactive and chat with one of the therapists at Sheddon on injury prevention strategies.

For more info, contact Sheddon Physiotherapy and Sports Clinic at 905-849-4576.

We are located only 6 min East of Oakville Place and 4 min from Oakville & Milton Humane Society

Book Your Appointment

Questions? Contact us

Top 8 Strength and Conditioning exercises for soccer

Lets face it, we all like to think that we’re still as strong, fast and agile as we were in our prime. Unfortunately, aging will get us all. Our endurance, strength, balance and flexibility aren’t what they used to be. Injuries happen more often and take way longer to recover from. To top it all off, lots of us need to make a living, raise a family and maintain a household. Where is the time for working out? Many older athletes would rather spend their time playing the sports they love than pushing weights around a boring gym. Unfortunately, if you’re only playing soccer (or any other sport) 1-2x a week, and spend the rest of your time behind a desk on your tush, chances are you’re a ticking time bomb for injury. Spending most of your week sedentary will make your muscles weak, stiff and poorly conditioned for any sport. You don’t have to be a gym rat to see benefits; you just need to maximize your time at the gym and do the RIGHT exercises. Hitting the gym will not only improve your health and fitness, but it will also increase your success and performance on the field.

Where to Start and What to do?

Soccer requires endurance, strength, power and agility. Therefore, your workouts should focus on improving all of these areas. Strength training doesn’t need to be done everyday. If you’re short on time, make sure you’re doing a full body workout 2x/week.
***IMPORTANT*** Every athlete is different. Talk to a therapist at Sheddon Physiotherapy and Sports Clinic if you have specific injuries or health concerns before starting an exercise program. The program described below is for a currently healthy, injury free individual. You don’t need any fancy equipment or a gym membership to perform these exercises. Remember, changes don’t happen overnight; it takes 6-8 weeks to see true strength and conditioning changes.

Unless otherwise stated all exercises will be completed for:
3 Sets
10-12 Reps
60 seconds Rest

If you’re short on time, go through each exercise as a circuit and repeat the whole circuit 3x with no rest in between exercises.

Back lunge to high knee:

Stand with your feet hip-distance apart, step back into a lunge bending at both knees and then bring the back leg into a high knee position. Ensure your stabilizing knee does not cave in. Repeat 10 on one leg before switching to the other side. Progression: add a weight in each hand, medicine ball, kettle bell, band around your ankle etc.

WHY? Improves strength, stability & balance

Monster Walks

Start in an athletic stance with both knees slightly bent and feet together. Take a step sideways and then bring your feet together again. Repeat 10 steps in one direction and then ten steps back. Place band around knees to start and progress to ankles and feet. Placing the band around the feet will be the hardest but has the greatest activation of the glut med and max muscles.

WHY? Strengthens the glutes, a weak link in many athletes. Strong gluts will result in a more stable knee with decreased risk for injury.

Nordic Hamstring Curls

Can be completed with a partner holding your legs or hooking your feet under something heavy. Lower yourself forward, keeping your back and hips straight. Once you cannot go any further push yourself back into start position.

WHY? Eccentric hamstring exercises have been shown to significantly decrease the risk of hamstring injury.

Adductor Theraband

Tie a theraband around your ankle, start with your leg away from your body, stand upright and engage the core. Slowly bring the leg towards your other leg and slowly bring it back out.

Why? Kicking, changing direction and reaching in soccer puts a large eccentric force on the adductor muscles, which puts them at risk for injury.

Side plank with leg raise

Lie on your side with your right elbow on the ground. Your bottom leg should be bent and your top leg straight. Raise your body off the ground so that your elbow and knee are the only parts in contact with the ground. Hold this position and slowly lift your top leg up and down. Repeat 10x / leg.

WHY? Core strength and pelvic stability is crucial for soccer players for changing directions, kicking and sprinting on the field

Squats

Bring your feet slightly wider than shoulder width apart, imagine a chair behind you (or actually put a chair for better form). Squat down and touch the chair and lift yourself back upright. Add a weight in front of your body for added difficulty.

WHY? Squats help build strength and power in all the leg muscles.

Push-ups

Start from your knees if from your feet is too difficult

WHY? A stronger upper body will help with throw-ins and pushing through defenders

1 Arm Row

Keep your feet hip width apart, slightly bend both your knees, engage your core and rest one hand on a chair or bench for added support. Holding a weight in one hand bring your arm back bending your elbow.

WHY? A stronger upper body will help with throw-ins and pushing through defenders

How to Progress

If you want to take it up a notch you can add in high-intensity interval training to provide a more sport specific/game like situation (i.e., after every strength exercise add a 30 sec AMRAP, “as many reps as possible”) of drills like squat jumps, burpees, box jumps, sprinting, etc. ALWAYS REMEMBER QUALITY OVER QUANTITY. 5 perfect squats is far more beneficial than 20 mediocre squats. You can also add in simple ladder footwork/agility drills. These drills will help with changing direction, tracking the ball, and being quick on the field. Extra Goalie Exercises: Lateral Bounds are great for developing goalies strength and speed for quick side-to-side movements in the net. In addition, vertical jumping is essential for goalies looking to get a little higher reach in net.

If you’re looking for a sports medicine clinic in the Oakville and Mississauga area to treat your current injuries or help put together a program to prevent future injuries, contact Sheddon Physiotherapy and Sports Clinic at 905-849-4576.

We are located only 6 min East of Oakville Place and 4 min West of Canlan Ice Sports.

Book Your Appointment

Questions? Contact us