And that’s not all…..
I received an excellent question from a VIP client (yes, you Bill) asking if keeping your toes straight during running was equally important as when walking to prevent low back pain. I will tell you what I told him. A resounding YES!!!
When you walk or run with one or both feet “toed out”, you put your gluteus maximus (which happens to be the largest muscle group in your body) in a shortened position making it unable to work. What happens then is that all the muscles that are supposed to be assistors, such as the piriformis, ITBand, calf muscles, etc. have to over-work to take the place of the glute max. That’s when things go awry. The hip and/or low back start to hurt. It can cause knee pain (that came in 2nd place to low back pain in our findings), and even plantar fasciitis. So…. Try keeping your toes pointed forward and see if it helps!
Walk Straight!
A few weeks ago, the MIHP MoveWell team held a women’s seminar. The seminar consisted of a Keynote speech : “The Five Key Facts” about the body and its design, instruction/ participation in a partner circuit, instruction/participation in the “Daily Dozen” exercises, and 5-minute biomechanical screens. Our team of seventeen Movement Training Specialists moved 184 women through this event seamlessly. It was a huge success.
Our Lesson:
We learned that out of the184 women, 79 of them reported having low back pain! That is 43% of the participants! That’s a lot of sore backs.
Your Lesson:
Simply walking with your toes straight, rather than turned out, may significantly reduce low back pain. Try it!
Stay tuned for more tips on preventing and eliminating low back pain…….
Yaktrax “ROCK”
For the past two years my patients have been bragging about how great these "Yaktrax" are for winter running, and knowing that I had been training for spring 1/2 marathons, they highly recommended making the investment in a pair of "yaks". I have to say that I have not feared the cold temps during my winter runs, but after taking a good fall on my back a few years ago I am a little reluctant of the ice. Unfortunately my procrastination kept me from making a purchase I wish I would have made two years ago and I apologize to all those who tried to convince me then.
After completing (barely) three treadmill runs this winter, I decided I was willing to pay any price to get off that "monster", and I was not going to put it off any longer. I headed into Hanson's this past Saturday and purchased my "Yaks". They told me I would be looking for snow and ice to run on and would actually enjoy it. So I headed out at 7 am Sunday very excited to put them to the test. Of course my passion for biomechanics would cause me to assess the position of the foot in landing and push off phases of gait, if my hip felt vulnerable, and how the knees tolerated it. However, my critical analysis was quickly put to rest when I discovered how much fun I was having. It was an entire new run offering similar benefits that I have found with trail running. The challenge of the varying uneven terrain activates the larger muscles such as the hip stabilizers, hamstrings, and core muscles, which are muscles that are often inhibited with the repeated motions of road running.
When the foot is meeting different terrain with every step, the ankle joints and hips have to adapt by engaging the larger muscles in the core and hips to stabilize. This reduces the injuries that are caused by repetition of the same landing and pushing off position that occurs when running the even terrain of the road. I feel this is a large part of the reason that we see less injuries in the ultra- marathon and trail- marathon runners. On the occasion they do come into the clinic, they always present with excellent core strength, but an occasional rolled ankle. Now if we can just get the shoe companies to stop manufacturing all of those "stability trail- running shoes", but that is another blog another day.
In the meantime, I look forward to running in the snow this winter and hope to see you out there in your "Yaktrax" Enjoy the new soreness you will feel from this form of running, it is a "good soreness".
Tracy Ryckaert
Get to the Core of Cycling
We all know that core strength is important to improve performance in sports, however, a recent study was done to test the effects of core strength specifically with cyclists. A group of 15 competitive cyclists participated in the study at the Neuromuscular Research Laboratory at the University of Pittsburgh. The participants performed a “core fatigue workout” prior to cycling.
According to the November issue of the Journal of Strength and Conditioning Research (2007; 21 [4], 1300-1304), “a core fatigue workout altered the mechanics of the lower extremity”. The author suggests that cyclists “ integrate a year-round core conditioning program into current training to promote lower extremity alignment while cycling.” We couldn’t agree more.
Increased core strength in cyclists is key in increasing performance, as well as in preventing injuries. The MIHP Think Tank has developed the Cyclist’s Daily Dozen. These 12 exercises are designed to improve performance by strengthening and lengthening muscles in the three planes of motion that we move in. Two of our favorite core exercises for cyclists are as follows:
Prone Leg Swings:
Begin at the top of the push-up position and swing your right knee toward the left hand. Without touching the leg to the ground, return to starting position. Perform this exercise 10 times and repeat on the other side. Do three sets on each side. (this is also a great shoulder stabilizer and glute activator).


Revolving Plank:
Begin at the top of the push-up position and then rotate to the right, lifting your right arm and leg straight up. Hold for 20 seconds (work up to that if you need to), come back to the starting position and repeat on the left. Do five times on each side.

Let me know how it goes…
Fire up the glutes!
I really don’t mean to keep picking on Men’s Health Magazine, but I just can’t help it. I guess it’s because it’s the only fitness magazine that comes to my house, and I really enjoy reading it. So, as I was perusing the December 2009 issue, I came across an article entitled “Work Your Buns Off”. My heart started to pound. Yes, an article about firing the glutes! Under the title, it reads, “Too much junk in the trunk? Here’s how to make your gluteus or maximus”. Clever and inviting!
It’s actually a very good article describing how most people’s glutes “forget how to fire”. So true! We see that every day. When I got to the exercise portion, it left me a little flat (like a lot of peoples’ butts). Anyway, the article describes nine different exercises. SEVEN of them are in the sagittal plane and the other two in the frontal plane. All of the exercises are good for getting the glute max to initially fire, however, they need to be trained how they are used. Since our bodies move in THREE planes of motion, with the transverse plane being the most used in normal movement, you would think there would be at least one exercise in that plane. Plus, when you train in the sagittal and frontal plane and then move and play in the transverse plane, you are setting yourself up for an injury.
A great exercise to work the glute max in the tranverse plane is a simple lunge with a twist. To do this exercise, stand with your feet shoulders width apart with your toes pointed straight ahead. Step forward and slightly out to the side with your right foot into the lunge position. Be sure that your knee does not move forward over your toes and does not “fall in or out”. Keep your back straight. As you lunge, twist your torso to the right as you reach with your left hand toward your right foot. Push up from the right foot back to the starting position. Repeat this motion ten times and then do it on the left leg.

Make sure you feel the glutes (butt muscles) working, because you know, “it’s almost always about the butt!” (Sherry McLaughlin, MSPT)
'til next time......

