It's almost January, here we go again!

Well, here we are. The big C is over and we can finally get back to normal, whatever that may be for you. For many of you that is setting next years goals (personally I do that throughout the year, but everyone is different). If January goal setting is your thing, here are a few tips to help you make the most of it.

1) Buy a diary. Not joking at all about this. I bought a diary/journal to track goals, appointments, fitness - everything! And it has helped me no end. It has helped me to decide which goals are actually important and ones that maybe aren't so important. The one I bought I got on Amazon here. It's handy for tracking specific goals and also helps me reflect on the day, week, month.

2) Keep your goals simple and realistic. It's so easy for us to think we can lose 20 pounds in a month or run a marathon in 4 weeks. Start small, you want to be able to reach your goal.

3) Have long and short term goals. The short term goals need to be attainable, that way you can get to the long term ones. For instance if you need to run 5k  before you can run 10k. Or, if it is career goals decide on what steps you want to take before making the jump. Maybe you want to learn a new skill, think about what you need to do, get, or buy first.

4) Don't worry if you don't reach it on the exact day you wanted. Sometimes lift does get in the way. Just don't lose complete focus and get back on track once you realise you've got off it. It's pointless to beat yourself up about it.

5) Get help. If it's a fitness goal or a career goal, seek advice. Personal trainers or a career coach can help you find out what you really want and start you on the path to get there.

In no time at all you'll be planning, working towards and reaching your goals!

If you have any questions about sports injuries or rehabilitation please email me at sara@prestigesportinjury.co.uk

Get ready for the cold weather!

It might not seem cold now with all the mild weather we’ve had , but it will be getting cold soon and being prepared is better than being caught out in the cold.

When it comes to spring marathons winter training is a necessity. There’s no way around it, you will have to run in the cold, wind, rain, snow and ice if you’re going to run a spring marathon. But it doesn’t have to be horrible. If you’re prepared clothing-wise and mentally you can train without pain (metaphorically, you will feel pain while training).

Layering will be your best friend, I promise. Temperatures below 10C only require tights or shorts, a long sleeve top and a light jacket to pack away in case it rains.

As temperatures dip below 5C start with a synthetic thin base layer, this will keep you dry when you sweat helping to keep you warm. Next layer it with a thin long sleeve top then light jacket, if it’s windy a windproof one is good, if it’s raining waterproof is better. A pair of tights will keep your legs warm.

When temperatures dip below 0C thermal tight with the above top layers will keep you warm but not hot. A warm hat and gloves will be required to protect your hands.

If you’re dedicated and run in -2C be sure to wear winter tights or track bottoms over your tights, along with the above kit.

You don’t want to be too hot, remember when you’re running it will feel 10C warmer than the actual temperature. And don’t forget to take windchill into account.

If you’re running in the dark wear reflective clothing and a torch so that others can see you. Safety is important in the dark.

If you have any questions about sports injuries, injury prevention and rehabilitation please email sara@prestigesportinjury.co.uk

Strength training is for more than just weightlifters!

https://app.acuityscheduling.com/schedule.php?owner=14751866

I’m amazed at how many runners still do not have strength training included in their training plan. I’ve written about strength training before, but maybe the benefits have not been advertised enough.

I embarked on a strength training program in June after I completed Dorchester Marathon. I started with doing HIIT training and strength training throughout the week. At first it was hard, bloody hard! But after four weeks I already felt stronger. After the initial four weeks I began running again. I used a simple training plan that included two strength training sessions a week and three runs (3 miles easy, 3 miles tempo and a long run starting at four miles). I started out at a 10:49 minute mile and four weeks later I was running a 9:58 minute mile.

Taking out the slightly faster 5k time what I did notice was how much easier it felt when I was out running. This is where many of the benefits lie. Yes, performance will get better (especially the longer you do it for) and this is often due to the perception of an easier run. More strength in your legs will help you feel better while running.

So, what exercises are best for runners?

This is the question I am most asked. My advice is to choose posterior strength exercises like deadlifts, Bulgarian squats, calf raises, lat pulls and superman’s. Hip strength and mobility exercises such as monster squats, x-walks and side-lying abduction. And finally, glute strengthening like hip bridges, hip hitches and step ups.

If you’re unsure where to start you can also seek the help of a personal trainer who specialises in running. If you live in the Maidstone area Bjorn Fitness is PT who specialises in running and is well worth it if you’re looking to up your game and keep injuries at bay.

That gets to my second point. Injury prevention. Strength training may not stop all injuries, but it will help to prevent overuse and underuse injuries. If you progress your strength training as you would your running, then there will be no negative effect on your running. Strength training will help your muscles cope with the demand place upon them when running and thus reduce the likelihood of injury.

Lastly, two strength training sessions a week will help you see the benefits during your running. Ideally don’t do a heavy session the day before a long run and if you must do both running and strength on the same day, do the running in the morning and strength in the evening.

If you need any advice on sports injuries, injury prevention and rehabilitation please email sara@prestoigesportinjury.co.uk

Are you ready to start your marathon training?

It’s that time of the year again where many of you are waiting to hear if your London Marathon Ballot has been accepted. If you’re one of the lucky ones and it’s your first marathon, or if you’re ready to tackle your first marathon regardless of the ballot, below is some advice to help you along.

Running coach: It is advantageous if you have a specific time as a goal to have a running coach. There are many available in person, online and with a running club. In fact, joining a running club can be very helpful to learn more efficient and economic running styles.

Equipment: You don’t need all the fancy gadgets. A running watch with GPS that can give you distance, speed and pace is great for training. Shoes that fit and are comfortable. Go see a specialist like Runners Need or Podplus in Ashford, Kent. They will not only do gait analysis with a specially trained individual to get you in the right shoe. Always buy socks made from synthetic material, DO NOT USE COTTON! All other clothing should be appropriate for running and comfortable.

Training: You don’t get better running if you don’t run. So, expect to be out there a lot, normally 3-4 times a week. And it’s not just doing the same thing over and over again. Be sure to vary your running from tempo runs, interval runs and long slow runs – this is where a running coach can be helpful. Also, don’t just run. Include strength training to your regime. If you’ve never done any strength training, get a good base going during your early training while the running mileage is lower.

Recovery: Probably the most important thing here. Get a good night’s sleep as much as possible. Sleeping is when a lot of our muscle recovery happens. Get a good diet, don’t eat crap all the time and wonder why your runs all suck. Try and get your five a day, avoid too much alcohol and drink plenty of fluids. All other things like recovery tights, sports massage and foam rolling are less important and helpful than sleep and food.

Have fun: Even if the training plan goes down the toilet, if you don’t have a tight time limit on your marathon, your best plan is to finish and have fun doing it. All of us have bad races, it’s okay and not the end of the world.

If you have any questions about sports injuries and rehabilitation, please email me sara@prestigesportinjury.co.uk

Are you under-recovering?

We've all been there. Focused on a goal, whether it be a weight, distance or time. So we push ourselves, sometimes too hard.

Symptoms of overtraining/under-recovering can seem mild at first, but they become more prevalent as time goes on. If we ignore the signs, we're heading into a downward spiral. Symptoms often start as an increase of muscle soreness, elevated heart rate, an increase in colds due to reduced immunity, increase occurrence of injuries, irritability, depression, loss of motivation, insomnia, decreased appetited and eventually weight loss. 

If you've ever had this happen then you know all too well that not recovering properly can leave us feeling pretty low. But, there are ways to ensure that you don't put yourself into this position.

Rest, yes, rest is the key. If we don't allow the body time to recover we will suffer. Make sure you take a break after a hard training day, don't force yourself to train 6-7 days a week without rest. You can also reduce the volume and intensity of the exercise. For instance, a runner can reduce effort or distance, a weight lifter can reduce reps or weight.

It is also important to make sure you are eating properly. Often, in search of weight loss, we don't eat enough for the amount of energy we are exerting. Having a balanced diet of carbs, good fats and protein is essential for a good recovery. Avoid fad diets. If you're unsure of where to start with nutrition, seek the advice of a registered dietician. 

A great way to make sure you stay on track is to use the help of a personal trainer to help you make a training plan. There are plenty of folk that can help you produce a running plan that will keep you on track, just make sure you take advantage of rest days!

Always remember that it's okay to take an unscheduled rest day. If you are feeling under the weather or sore from the training from the day before, one day won't hurt you. And if you think you're suffering from a lack of recovery, take a short time off and let your body recover with other types of exercise like swimming, stationary bike or cross training.

If you have any questions about sports injuries and rehabilitation please contact me at sara@prestigesportinjury.co.uk

Back to school, but is it a training nightmare?

Back to school time is never easy for anyone trying to juggle kids, a job and training for an event. But there are things you can do to help you maximise your time. It’s true that we all have 24 hours in a day and it’s what we do in those hours that counts.

One of the ways we can get training is by joining the 6 or 5 am club. This is no easy feat. Having done it myself while attending university it is a struggle. But getting up early and getting your hill reps or training runs in will benefit you in the long run. You’ll be back before the kids are up and when it is time for race day you won’t be shocked to get up early as you’ve been doing it all along.

Another way to help is by doing some lunchtime runs. Not always easy if your workplace doesn’t have a shower facility. But, if it does, it’s a great way to sneak in a 5k training run and not have to worry about the kids. Alternatively, a post or pre-dinner run could suffice, but this only helps if you have someone who can watch your kids while you’re out running.

Maximise your time. We all know as runners we should strength train at least twice a week. So why not sneak some squats in while brushing your teeth, or do some push ups in the kitchen while it’s cooking? Who cares if it looks ridiculous at least you’re getting healthy!

Maybe, you could get your kids involved in the process. Let them be your time keeper while running intervals up and down a field. Or put on a post school boot camp for them and help them also live healthier lives.

It’s all about being more creative and thinking outside of the box. Don’t let others judgement matter, so what if you’re doing HIIT training on the village green! If you make exercise a priority in your life you will not regret it. No one ever regret running a 10k or a marathon. And what’s more important than living a longer, happier and healthier life? Nothing.

If you would like to know more about sport injuries or rehabilitation, email sara@prestigesportinjury.co.uk

My issues with the 'Hate exercise, Love activity' campaign

Some of you might have seen the mew Public Health campaign “Hate exercise, Love activity!”. Unsurprisingly, many physios are not happy with it, and neither am I.

First off, the ‘Hate exercise’ part. Talk about giving people negative presumptions of exercise itself. Instead of hating exercise how about we help people find an exercise they enjoy. Not everyone is a runner, however, cycling and swimming are good alternatives. Maybe you don’t like the gym, exercise outside. MAube you don’t like the outdoors, go to a gym. To me they would have done better to help people find exercise they enjoy instead of giving it a negative connotation.

Second, ‘Love activity’. Activity does not equal exercise. Walking, while great, is not the same as high intensity cardio. Playing with the kids is good, but it’s unlikely you’re reaching heart rate targets to help burn fat. A poodle around a swimming pool is not the same as swimming laps!And the term ‘activity’ does not even say what kind. Is it high intensity like running around with the kids or is it low intensity like darts.  No one knows!

And finally, I think what PH are trying to do is a good idea in premise, but they’ve missed the mark here. We need to get people exercises, not just bimbling around. We need to get GP’s to prescribe exercise to patients that need to lose weight and not shy away from the truth. A lot of patients won’t like this but tuff! We as an industry need to get people out there and not be afraid of working hard to save their own lives.

As a Sports Therapist I get my clients to take an active role in their recovery, I don’t do passive treatments for injuries, it’s a waste both their and my time. Instead, I focus on the importance of doing the exercises and keeping up with cardio while they’re injured. If more GP’s did this with overweight and unhealthy patients we could start to reverse the tide of obesity.

If you would like more information on sports injuries or rehabilitation, please contact sara@prestigesportinjury.co.uk

Getting your family active

Summer break, a time when your kids are home all day bored and driving you nuts. You have less time for your own health and wellness and you’ve been turned into an entertainer for little ones.

But, what if there was a way to stay active and get your kids active as well?

First, you can make a mini boot camp for your kids, get them running for 20 seconds, a minute’s rest then do some squats, rest and finish with some star jumps. Before you know it all of you have had an intense 20-minute workout and they’ll be ready to rest.

Second, a simple family walk can help wear them out. Try and get them to find and identify wildlife or plant life. Get them interested in geography and maps as well by finding a local trail to follow. This will help expand their appreciation for the outdoors and nature.

Third, if it’s raining just have a dance-off in your house. Put on their (and your) favourite music and see who can dance the best!

There are also other exercises such as jump rope, hide & seek and more structured classes such as karate or judo which will help burn all that excess energy.

So, just because the kids are home during the summer, doesn’t mean you can’t stay fit and keep them healthy as well.

Stay strong while on holiday

Two words you don’t want to see together, eh.  You’re on holiday, right? And who wants to spend all day in the gym when you can spend it at the beach or by a pool?

You’re right. You shouldn’t spend a whole holiday exercising if you’re meant to be relaxing. So, the best option is to choose short high intensity workouts (HIIT).  They can be done in a hotel room with little space, require no equipment and should take less than twenty minutes. There are a variety of HIIT programs on the internet, so you’re spoilt for choice. You can alternate running in place, squat jumps and push ups to get a whole-body workout in your hotel room.

You can also include normal holiday activities such as swimming and cycling. Instead of taking a taxi or car somewhere, why not ride a bike (if it’s safe, of course). Or have a brisk swim in the morning at the pool, or in the sea?

There’s no need to spend all morning in a gym or on a long run (unless you want to) when you can incorporate fitness into your holiday with little to no disruption.

Obviously, on holiday you may be eating more than normal, and you shouldn’t feel guilty if you splurge a little.

Keeping your fitness up during a holiday means you’ll have more energy and feel better during and afterwards. You don’t need to do it every day, only a few times in the week to reap the benefits.

If you would like to know more about sports injuries or injury prevention please email me at sara@prestigesportinjury.co.uk

Moderation is the key

We’ve all heard the term. But what does it really mean for every person?

Well, let’s start with exercise. According to Public Health England every adult should get 150 minutes of moderate activity a week in sessions of 10 minutes or more. This includes brisk walking and cycling. If you prefer a higher intensity exercise such as running 7 5minutes spread across the week is also suitable. They also suggest strength training at least 2 days a week. This is the bare minimum we, as adults, should be doing to stay healthy.

Many of us don’t hit those guidelines and some of us will go well over them. Moderation is key. If you don’t do enough you’re not reaping the benefits and if you do too much, without working up slowly, you can over train and make yourself fatigued and unwell.

Next is food. Now anyone who knows me knows I love food. However, even I know I can’t eat donuts every day. Yes, I can indulge a little (not go crazy and over eat) on the weekends or at some point during the week. But, I shouldn’t be indulging every night. Nutrition is individual and if you are seeking help finding exactly what you should be eating I advise to find a qualified dietician to help you. Public health diet guidelines are not specialised per the individual and I highly doubt I could get away with eating 2000 calories a day and not put on a substantial amount of weight.

Aps such as My fitness Pal can help you track what you eat and how much you burn exercising. It’s not perfect but it is an easy way to start tracking your diet, be honest! It is important to see what you’re eating so you can make positive changes without feeling starved or denied your favourite foods. You shouldn’t feel guilty if you spurge occasionally.

Finally, recovery. Many people training for events don’t focus enough on their recovery. They train and train and train until they make themselves ill. Sleep is an important factor is recovery. But once again, in moderation. Sleeping less than 6 hours and more than 10 hours of days can have negative health implications. And if you’re training for a difficult event, you can always add a short 30-minute nap during the day, after a training session.

In summary, there is such thing as too little or too much of a good thing! Keep going in moderation and keep up the healthy living!

Run in a new place and put a smile on your face

I blogged before about losing your running mojo. This usually happens after a period of training cumulating in an event, such as a half marathon, marathon or ultramarathon. Often, we can feel deflated and unsure of what to do next. In times like these I like to suggest running tourism. I see may Park runners on Twitter going out and doing Parkrun tourism, even if it’s still relatively local.

Running tourism provides you with a new route, new people and new adventures. It doesn’t matter if it’s a Parkrun, or a self-planned running route, it is important to just try and seek new adventures.

Some words of warning, if you are going to plan your own route and don’t have any outdoor navigation training, I advise you to stick to well-published trails.  If you want to know more about outdoor navigation there are many running coaches who provide that kind of training, such as the National Navigation Award Scheme.

Some well-published trails include the North Downs Way here in Kent. I have run this trail in different locations and have been able to navigate it easily. Along with well-published trails, you’ll want to make sure you bring a phone with GPS, your ID, and a compass. If you think you might get lost, get some training first. Don’t risk it.

Running tourism is a lot more fun, and safe, if you bring a friend or two along. As always there is safety in numbers, especially if you are unsure of the area you are going to be in.

Research. This is so important. Make sure you research the area you want to run in. Use ONS maps to check the terrain and pack appropriately. Check the weather before you head off and be prepared to cancel if it is going to be poor.

Resources: For parkrun, they have a list of all their events on the website. If you’re looking farther out it is worth doing your research (see above).

So, enjoy the outdoors while the weather is nicer, and get out running in new and exciting areas of your own backyard.  

Couch 2 5K resources

Now that the weather is starting to turn warmer, many people will get the inclination to start running. I started running in May of 2013, mainly for health reasons. Ans I know many others that started running in May/June, so I though I would publish some helpful Couch to 5K resources for those of you ready to become a runner.

Obviously my first stop is the NHS Couch to 5K program. It’s a 9-week program and has helpful hints on progressions. It also has an App you can follow to keep you going.

There is also the Couch25K website itself. It is also a 9-week program and has plenty of articles on running with your pet, running for beginners and a list of books to help you with your running.

BBC has a Couch 25K running challenge, if that’s the kind of thing that motivates you. Many of us do well when we’re challenging ourselves. This too is a 9-week program.

And, finally, there are many Personal Trainers who provide Couch 25K programs. Bjorn of Bjornfit has an online Couch 25K forum on Facebook and provides gym clients help with running specific training and injury prevention.

My advice as a Sports Therapist is that you progress slowly. Don’t go out too quickly, let your body adapt to the training. Often, I treat people who have started or recently started running again, who don’t let their body adapt. This can lead to shin splints (MTSS), Achilles tendinopathies, plantar fasciitis and many other injuries. So, progress no more than 10% mileage per week, and be sure to eat enough food and sleep enough in the evening to recover properly.

If you’re interested in sports injuries and injury prevention and have any questions, please email me sara@prestigesportinjury.co.uk

Ditch the watch and just enjoy running again

When we’re running we tend to have a look at a lot of numbers as we go along: distance, pace, heart rate, time. But, are we focussing too much on the numbers rather than enjoying the exercise for its own sake?

Many of us who are training for an event need to keep track of our distance, time and pace to ensure we’re on track for a successful event. However, after the event sometimes we lose focus and aren’t’ sure what to do next.

My advice is to turn off the numbers. Go out running without a watch and use your own rate of perceived exertion and don’t rely on pace numbers. It’s a good way to just get down to the bare bones of running. Try and enjoy being in the outdoors and use mindfulness techniques to check in with how your body feels from your head to your feet.

Running without fear of being slow or fast can be a freeing experience. And once you’ve found your love of running again and decide on your next event you can move back to using your watch. But, don’t let it dictate your entire life.

Bored with your routine, include your furry friend!

Have you ever thought about exercising with your dog? It’s a great way to help grow the bond between you and your dog and keep you both fit. Having a furry friend who helps keep you going even on rainy days is a huge benefit to your health and wellbeing.

But what are the best ways to exercise with your dog?

Obviously running is a good choice. Like with people make sure you progress your pet slowly and if it’s too hot bring plenty of water for them to drink or if it’s ridiculously hot skip the run.

Stand up Paddle Boarding. Probably best for smaller breeds. Be sure to start slowly to let you dog get comfortable on the board. Regardless, you’ll both likely end up in the water but that’s part of the fun!

Cycling. Once again make sure you’re not dragging your dog and start slowly until they get the hang of it. Same rules apply as with running about the heat.

Dog yoga. Okay this is more of a fun one that an actual fitness one for your dog. But it’s a great way to strengthen your bond and help check them for lumps during the massage.

If you don’t have a dog, don’t fret! There are many local dog shelters looking for dog walkers and other volunteers.

Stay sensible in hot weather

For any of you who took part in any running over the London Marathon Sunday then you’re aware of the discomfort that warm weather running can be. Especially since most of you would have been training during the cold winter and very cold March.

Now that we’re into May we need to start thinking about how we can make warm weather running more tolerable so that you keep going in the summer.

First, try running earlier or later than normal to get most of the cooler temperatures. Avoid running during the peak of the day. If you must run during the daytime, try and find a shady path or trail to avoid the heat of the sun directly.

Second, stay hydrated. This doesn’t mean drinking all the water you can on a run but more like staying hydrated during the day and day before you’re running. Be sure to drink an electrolyte drink when you’ve been training in the heat.

Third, slow down! Remember the pace you normally run at may not be comfortable or tolerable. Running at a perceived rate of exertion rather than a specific pace is more sensible.

Finally, if it’s too hot and you have access try running on a treadmill. Especially for shorter runs this may be the best choice to keep you going.

And remember if you’re on medication make sure to check if they have a sensitivity to heat.

Please stay safe in the heat and enjoy the weather!

I've lost my running mojo!

It’s happened to all of us, we lose our running mojo. Maybe it’s post-marathon and you find yourself lacking motivation or we lose the passion for running. Whatever the reason it’s very common and you shouldn’e beat yourself up about it.

If you’ve lost your running mojo and need some inspiration to get it back why not try these ideas:

·         Read running books for motivation. Some good ones are Born to Run by Christopher McDougall, Running for My Life: How I built a better me one step at a time by Rachel Cullen, The Terrible and Wonderful Reasons Why I Run by Matthew Inman (this one is hilarious!)

·         Check out some running blogs: Here are a few, but there are tons out there! http://www.lazygirlrunning.com/blog, http://eatprayrundc.com/, http://www.dreamingoffootpaths.co.uk/

·         Try some different types of exercises such as swimming, triathlons, cycling and weightlifting. Having some variety can help you find your love of running again.

·         Find a new path or trail to run. Sometimes a change of scenery is all you need to get the mojo back.

·         Forget about training or racing, ditch the watch and just go run for fun. Often we put ourselves under too much pressure to perform and we forget why we love running.

·         Try some Parkrun tourism. Running in different places can help chase the boredom of the same old route away.

·         Run with a friend or friends, make a morning of it and end it all with a yummy breakfast or lunch!

Don’t be ashamed if you’ve lost your mojo, we all do. It’s just part of running and is often a short phase which passes.

No shame in being a newbie runner

Inspired by the upcoming marathon season, but not sure where to start? You’re not alone. All of us started as a newbie, so don’t be afraid or feel intimidated as there are many resources that you can use to get you started.

First, while information is good, don’t get too wrapped up in it. It’s best to just get out there and be proud of every milestone.

Equipment:

This is my bug bear. As a graduate sports therapist, I see many people who are having foot, ankle and knee pain, often due to improper shoes. So, my first rule is to get your gait checked. NOT by a high street store. Go to a specialist shoe store with appropriate gait equipment and advice. Two near me in Kent are: Up & Running, Sevenoaks and The Running Hub, Tunbridge Wells. You can also seek the advice of a local podiatrist.

Having the appropriate shoes is important especially when you start racking up the miles, you’ll thank me later.

Athletic Clubs:

A great way to make new friends and get support is through an athletic or running club. Most have organised runs twice a week and participate in races throughout the year. Clubs are also a good way to work on technique.

Injury Prevention:

Now this is a biggie! There are a ton of resources for injury prevention, however, the best advice I can offer is to make sure you include strength training into your regime. I have a beginners program here which will help you to get started without little equipment. It’s important to work your posterior chain, single-leg strength, core strength and hip mobility. This will make you a more efficient runner and help reduce injuries.

Another way to reduce injuries is to make sure you progress slowly. Don’t push yourself into injury. Don’t progress more than 10% per week, meaning if you run 6 miles per week, you should only progress by .5 miles the following week. It is also important to allow your body to recover after training, give yourself at least one day of non-running after a day of running, or plan on running 3 times per week.

If you do get injured don’t try and Google for help. Go see a Graduate Sports Therapist or Sports Physiotherapist and get your injury assessed and appropriate rehab started. I focus on sports injury rehab, as do many other sports therapists, but please ensure the person you are seeking help from is qualified. A graduate sports therapist or Level 6 is qualified to assess and diagnose injuries using clinical reasoning to give you the best rehab possible. Anything less than 5 is not qualified to assess injuries, so be sure to check their website and make sure they’re qualified.

Running Plans:

If you’re just starting out, try the NHS Couch to 5k training plan. It’s a run/walk program that’s great for getting you started. You can even use Parkrun as a way to help improve your running and meet new people, to find your nearest parkrun click here. When you complete that you can move on to the 5k to 10k plan, Cancer Research has some training plans that could get you started.

Nutrition:

I’m not a nutrition expert but eating fruits and vegetables and unprocessed foods are best. I have used books such as Fast Fuel – Food for Running as a guide, but there are a ton of resources out there. If you have money to spend you can also seek the advice of a local nutritionist who can help you meet your goals.

Coaching:

There are some great online running coaches that you can use to help you reach your goals. By using an online coach, you can relax and let them put together your plan. This means all you need to do is get up and go running. Two online coaches I can recommend are Kyle Kranz, he’s based in America, but does his plans and coaching online for anyone in the world. The other is Alexa Duckworth-Briggs from On the Run Health and Fitness who is a running coach, outdoor leader, sports massage and offers nutrition advice, she’s based in the UK.

Self-care is not selfish, it's necessary

Self care is one of those words that gets batted around like, wellness and wellbeing. But do you practice it?

We live in an age of information and are bombarded daily with current events and world problems. We live in an age where, if you have children, you’re dropping them off at school and clubs throughout the week then off to work in a rush. Or perhaps you are someone’s carer you are unlikely, to even stop for a minute to relax.

You may be asking yourself, what is self-care? Self-care is the act of taking care of yourself. It is not selfish or greedy, it is merely putting yourself first for a moment and recharge your batteries.

I was a single parent during my last year of military service and my first year out. It was one of the most difficult times of my life. I was solely responsible for getting my son to before-school club, getting to work, picking him up on time (which was no easy feat), feeding him and making sure he got to bed on time with a book – all the while attending college online and in class. I had very little time for myself, and after a while it becomes relentless.

But, even in those times, I took time out. Even if it was the time after I put him to bed and studied to when I went to sleep, often only a half hour or so. Sometimes, I would book annual leave just to have a day to myself while he was at school, just to get food shopping done in peace.

How can we practice self-care? First, you need to make a conscious decision to take time out for yourself. Put it in your diary, make sure you do it daily. It’s not like having a cold and you only need to take medicine while you’re ill, you need to perform acts of self-care daily to make it a habit.

Second, you don’t need to spend money on self-care. There are many things you can do for free.

Third, self-care is about the mind, body and spirit. So mental relaxation, exercise and acts of kindness can go a long way.

Here are some brief ideas on ways to perform acts of self-care:

·         Mini-mediation at lunch time or before bed

·         Mini declutter: pick three things from your wardrobe to donate to charity

·         Unplug from your phone/laptop for an hour – great before bed

·         Remove or mute negative people from your social media feed

·         Dance around your living room

·         Go for a walk outdoors during your lunch hour

·         Make a healthy change in your diet

·         Get 15 minutes of sun – especially in the winter

·         Help someone – open a door, carry some bags, help an old lady across the street

·         Give yourself an hour date – read a book, visit a museum or practice your hobby

By doing these things little, but often you will start to feel more satisfied. It can be difficult working, having children, or being someone’s carer and you need to think about yourself as well.

If you have any questions about sports injuries and rehabilitation please email me at sara@prestigesportinjury.co.uk

Keeping hydrated, a guide.

We all know the importance of hydration during exercise, but do we really know how to measure it? As most people know, sweating leads to fluid and electrolyte loss. If we don’t replace the lost fluids or electrolytes we become dehydrated, leading to muscle fatigue, confusion, lack of coordination, inability to regulate heat and heat exhaustion.

It is important to know how to measure your water loss as it varies person to person, you can do this by weighing yourself before and after exercise and checking the colour of your urine. and ensure you are hydrated prior to exercise. The darker the colour the more dehydrated you are. The ACSM guidelines for dehydration and weight loss  are as follows:

Well hydrated: -1 to +1% (body weight (bw) change), Minimal dehydration: -1 to -3% (bw change), Significantly dehydrated: -3 to -5% (bw change), Severely dehydrated: -5% (bw change)

As stated above, prior to exercise you should check the colour of your urine and weigh yourself. If your urine is dark to very dark, be sure to hydrate as follows at least four hours prior to exercise: 16-20 fluid oz (450 - 570 ml) water or carbohydrate (5-8%) sports drink. Then 10-15 minutes prior to exercise take on 8-12 fluid oz (230-340 ml) of water.

During exercise for under 60 minutes you should take 3-8 fluid oz (85-230 ml) water. For over 60 minutes exercise you should ingest a carbohydrate/electrolyte sports drink 3-8 fluid oz (85-230 ml) every 15-20 minutes. DO NOT CONSUME more than 1 lt per hour of fluids!

When you have completed your exercise, be sure to weigh yourself to determine how much fluids you should ingest within 2 hours. ACSM guidelines suggest 20- 24 fluid oz (570-680ml) for every pound lost.

Be careful not to overhydrate as this can lead to a potentially lethal condition so do not ingest more than 1 litre per hour of fluids. If you suspect you have over-hydrated contact your GP to begin tests.

I hope this helps to keep you hydrated this spring and summer.

If you have any questions about sports injuries and rehabilitation, please contact me at sara@prestigesportinjury.co.uk

The easy answer isn't always the answer

So a wee while ago I read a blog post by Adam Meakins the Sports Physio about the devolving of self-efficacy. Basically we're becoming a society  of people who cannot take care of themselves and healthcare professionals who complicate the process.

Adam is 100% correct. And I felt I needed to write a post expanding upon this with my view.

We are humans and as humans we want to do things in the easiest way possible. We're always looking for the easy answer, the fastest results and what requires the least amount of effort. In one way this makes us very innovative, but on the opposite side of the coin it makes us very lazy. 

When it comes to sports injuries and rehab it is important that the client is on board with their own rehab. If they don't buy into it or aren't ready to help themselves then the whole process is a mute point. Many sports injuries require us as sports therapists or physios to use the biopsychosocial model, which in short means looking at the biology, psychology and social factors of the client. This means it's not just prescribing exercises to help a client, but the client needs help to reduce their stress and ensure their social circle and lifestyle doesn't impede the process. All this equals a lot of work from the client.

Because we're creatures who want the easy answer, most people will see many different professions before realising that most of them are not actually helping. Most seek those who perform manual therapy, which is the most passive of treatments, and means the least amount of work from the individual. However, passive usually doesn't work. So they see a variety of people and then get to a point where they realise they're tired of "treatments" and want to get better. Until a person is ready to make a change efforts to help using exercise and stress relief techniques are futile.

Reliance on passive treatments makes us, well, passive in our own health. Adam points as professionals we need to make sure we're not part of the problem and reassure our clients and not confuse or frighten them. Sometimes a client doesn't need a steroid shot or surgery or even complicated exercises, often simple is best. Obviously, we need to be aware of any red flags when assessing clients, so in the absence of red flags we can proceed as needed.

I'm sure some of my clients have left thinking "Well, that doesn't seem like much." But, I choose the best exercise for what we're trying to accomplish, not the most complicated and cool looking exercises. This may only be 4-5 exercises, maybe less, but less can be more. If a client sees the rehab as a burden that's going to take too much time, they won't do any of the exercises. Short and simple can be the best remedy. I'm not in the business of performing treatments that aren't necessary or try and make something simple sound complicated just to get more work. My clinic is a  no BS zone!

So, if you've been "treated" by a variety of professions and still aren't any better it might be time to seek the help of a professional who won't complicate the problem. If you are suffering from chronic pain there are physios out there who specialise in using the biopsychosocial model to help you help yourself.

If you have any questions about sports injuries or rehab please email me at sara@prestigesportinjury.co.uk

Don't forget to get your Zzzzzz for recovery

As athletes we often here about the importance of sleep for recovery. But what is recovery, and why is it so important?

For me, I feel that sleep is the most important part of recovery, and probably the one that most people ignore. Becoming deprived of sleep leads to an increase of cortisol, the stress hormone. People under stress often have higher levels of cortisol than those not under stress. A lack of sleep also decreases glycogen and carbohydrates, leaving your muscles lacking the energy stores required for exercise. Less sleep also means a higher likelihood of fatigue, low energy and poor focus. Which means a higher likelihood of injury. Sleep deprivation also effects the brains ability to repair memory, consolidate memory and release hormones such as testosterone.

So, what does sleep do for us? Sleep restores brain function and alertness, good for hard training sessions. It enhances muscle recovery through protein synthesis and human growth hormone release, important for body builders. Sleep also repairs damaged tissues, this can take from 24-36 hours post session.

Good sleep and recovery means a reduction in injury rates. Muscles that are tired and sleep deprived cannot protect tendons, ligaments and bones from injuries as well as recovered muscles.

There are 5 stages of sleep 1-4 are non-REM sleep and 5 is REM sleep. Both types are important and necessary. These 5 stages run in cycles thorough out the sleep period, lasting about 90 minutes.

So, what can you do to help improve your sleep?

Have a night time ritual. This means turning off and removing your phone from your bedroom. The blue light from electronics tricks the brain into thinking it is daylight, so be shot of it. Get to bed before midnight, this is the better time to begin sleep rather than after. Make sure your room is dark and cool, blackout curtains are helpful to keep unwanted light out. Buy a high-quality mattress that is comfortable for you. Before going to sleep you can meditate or partake in positive self-talk.

Have a morning ritual. Get up the same time each day, even weekends! Get sunlight as soon as possible. Wake up and open your curtains.

What can affect sleep. Poor nutrition can affect sleep, avoid processed, fatty and spicy food. Avoid alcohol and watch your caffeine intake in the afternoon.

It can be helpful to track your sleep to help determine if high or low intensity work outs should take place. If you are feeling sluggish or tired, postpone your hard workout for a light one such as walking, hiking or cycling.

If you feel signs of fatigue, be sure to take the time off to recovery. Fatigue can manifest as tiredness, cold-like symptoms, lack of balance and the feeling of heavy feet.

So, remember, when you build a training plan, be sure to build in recovery and sleep. IF you’re not sure how to make a training plan there are many coaches online or personal trainers who can help take that burden off your shoulders.

If you have any questions about sports injuries and rehabilitation, please contact me at sara@prestigesportinjury.co.uk

Being outdoors is just the bees knees.

I know these currently cold days might want to keep you indoors, but don’t forgo the outdoors altogether! Whether you run, cycle or just go out for a walk the benefits of being outdoors are numerous and ones that you won’t want to miss.

If you’re looking to boost your creativity get yourself outside. I often use my outdoor run to think about business decisions, blog posts and even what craft project I’m going to work on next. A fair few years ago Stanford University noted the increase in creativity of 60% while walking outside. Some of this clarity may come from the alone time your brain gets when outdoors. Even when you’re out with other people there will be moments of peace away from conversation. When we’re inside there are many distractions such as the TV, internet and chores! This time alone gives us the ability to increase our concentration on tasks when we return from the outdoors.

A huge benefit of the outdoors in the decrease in stress when we’re out there. It has been noted by scientists that we, as a species, do not go outside enough. This could be contributing to our high stress lifestyles. By not taking time away from our household and work responsibilities we are impacting our mental health.  What better way of being in the present moment than walking, cycling or running outside? We don’t have to worry about the what if’s, what next or what has happened in our lives.

Self esteem can also be improved from just 5 minutes of outdoor exercise, being near a green space or near water can enhance this effect. The best activities for this is walking, running, cycling, horse back riding, fishing and gardening.

Going outdoors is also relatively low cost. For short in-town excursions to a local park all you need is a pair of walking shoes and proper outer wear for the weather. Many cities also have rental bike schemes if you want to try cycling without the commitment of purchasing a bike.

So, if you want to have improved mood, better self-esteem, less stress and better creativity get yourself outside and enjoy what nature has to offer us!

Mo' mobility, less problems

We’ve all been told that mobility training is good for us, but do we know why?

To start off mobility itself is the ability to control a joint in full range of motion. It is a consistent effort to increase the amount of range of motion in a joint through specialised strength training.

The first reason it is important is if you use the full range of motion from a joint you can execute more power and efficiency in your exercise. This is good news if you’re trying to increase reps or weight during training. It is also good if you’re a rugby player, football player or any other sport that requires explosive powerful movements.

The second reason is injury prevention. If you’re not using a joint in full range, there is the likelihood that you’re compensating both other muscles and joints for the lack of mobility. For instance, lack of mobility in the ankle can lead to stress to the knee, hips and lumbar. Similarly, if you don’t have full range of motion in the shoulder and your humerus is not in the optimal position in the glenoid labrum you can put your rotator cuff muscle at risk of injury.

Finally, mobility is a good way to warm up the joint prior to exercise or events. Warming up the joint is created by movement and the shifting and warming of synovial fluid in the joint. This also works out any restrictions from tight muscles from affecting your event.

The great news is that you don’t need that much time for mobility, 10-15 minutes a day is enough to start reaping its benefits. When you start doing it you may also notice where your weaknesses are in each joint and can make specific changes to your strength training routine to remedy it.

A good way to get started is to choose some full mobility exercises such as: overhead squats (with a lightweight pole or bar), a prayer stretch on a bench and knee-to-elbow bird dogs. There are examples of these on you tube from a variety of practitioners.

If you have any questions about strength, mobility and sports injuries please email me at sara@prestigesportinjry.co.uk

Is whole body cryotherapy worth the hype?

Short answer, Not really. I’ll explain further.

Cryotherapy is a method of recovery which is done by lowering the skin temperature of the body. Some of the most common modalities are ice packs, ice massages, gels and cooling creams. Recently whole-body cryotherapy (WBC) chambers have been introduced to high level foot ball and rugby teams. But is this new, and costly, method really the best way to enhance recovery through cryotherapy?

I hit the research hard. One of the first studies I found from Hausswirth, el al (2011) claims the benefits of WBC on highly trained runners. One large flaw in this study is that the other modalities involved were far-infrared (not a highly reliable modality) and basically sitting in a chair for ten minutes. These two “sham” modalities would, of course, show that WBC is a reliable way to recover after running.  It’s studies like this that make me angry. They manipulate the data by introducing two modalities they know won’t work to “prove” that WBC is reliable.

Other research I won’t even mention here were studies paid for and sponsored by companies that make WBC chambers. I don’t give research like this the time of day. Many involve manipulated data to sell a product to teams that can afford it.

A more recent study by Viera, et al (2015) studied the effect of WBC on a vertical jump after high intensity training by placing participants in a chamber at the suggested -110 degrees for 3 minutes and a control temperature of 21 degrees for the same time. In this study there was no significant difference between the WBC and control group. Thus, suggesting that some of the “benefits” of WBC are possibly due to the placebo effect. 

One of the better studies from Holmes & Willoughby (2016) looked at previous studies and compared WBC to cold water immersion on recovery and skin temperature. One of the claims of WBC is that the extremely cold temperature is more effective at lowering the skin temperature than other modalities. In this study participants used a WBC chamber at -110 to -120 degrees for 2-4 minutes and cold-water immersion at 8-14 degrees for 5-10 minutes. The results showed that using cold water immersion lowers the skin, muscle and core temperature more effectively than WBC. The study suggests that further high-level studies on WBC be performed to confirm their claims.

My personal opinion is that WBC is very expensive and some of the membership rates are well over £100 a month. Most people would not use the WBC more than once or twice a week, making it a very expensive means of recovery. Plus, it means coming home from your run or workout, getting in the car, driving to a centre, going in a chamber for 3 whole minutes then driving back home. A lot of effort when you can simply fill your tub with cool water once you get home and sit and chill in it. Studies are not conclusive of its claims, and with that kind of cost, you may be better off buying a gym membership or hiring a personal trainer.

However,  saying that, its definitely worth trying. I will admit though getting a snapshot of yourself in the mittens, slippers and headband in a chamber is pretty cool, but unless it works for you, it’s just a lot of money for cold air.

If you have any questions about sports therapy, sports injuries and cryotherapy please feel free to email me sara@prestigesportinjury.co.uk