Don’t let yourself get dragged into other people’s goals. I know what you’re thinking, what the heck are you talking about Sara? I’m talking about reaching your own goals and seeking the things you desire, not someone else’s.

Some people like challenges, I think we all do, but some people REALLY like challenges. And it’s important that you find a challenge you’ll enjoy and be proud of.

In this day and age, the challenges are getting longer, harder and crazier. There is a market for these things as many people like to push themselves to the absolute limit.

Finding a running style and distance is a personal thing. I think the natural assumption is that if you run you must at some point do a marathon. But this isn’t true. Some people like 5k’s, 10k’s or half’s and have no desire to run a marathon. Good for them!

Some people like to run really fast, and others just want to plod along merrily.

As athletes, we like to push each other, which is excellent, but we need to know when to stop pushing someone. I see it a lot on the internet, someone get’s super excited about their new challenge and try to get others to join in. This is not a bad thing, but when someone says ‘no’ we need to listen. Just because you want to run a marathon backwards doesn’t mean everyone else wants to join you.

If you’re new to running I highly recommend joining a friendly couch to 5k running club (I hear the Beginners to Runners is nice) and finding like-minded people. If you already know you like a challenge joining an athletics club might be more appropriate. If you like being alone, run alone, just be safe about it and keep phone and ID on you for emergencies.

If you’re already a seasoned athlete, then please just respect everyone’s choices. We are all individuals and all run for various reasons so let’s keep it pleasant and support everyone.

How can I reduce fatigue?

Fatigue is both a physiological and psychological response to exercise, so how can we help prevent it? Fatigue comes in two forms central and peripheral. Central starts in the central nervous system and works to reduce bodily harm and peripheral is the failure to maintain output such as a depletion in glycogen and occurs in the muscle itself. However, the exact chain of events leading to both is not determined. For most athletes’ fatigue is fatigue no matter where it originates and will affect performance if not managed properly.

How to we prevent fatigue?

First, having a good training program with appropriate periodization is a good start. Factoring in the individual, prep phase, specific prep, competition, travel, injury and personal beliefs. If you are an athlete who has a “season” this is fairly simple. If you’re an athlete with various events throughout the year, it’s a little more complicated. My advice with training is to seek the advice of a coach. This doesn’t always have to be in person, there are many coaches online (especially running ones) who can put together training plans and help you reach your goals.

Second, make the most of your post exercise routine. This is where things can get complicated. With regards to fatigue there are a variety of ways to help from active recovery, massage, cryotherapy, compression garments etc. In this systematic review it was found that all of those reduced perceived fatigue. Inflammation was best combat with massage and cold exposure.  Note, please, that there have also been studies stating the opposite. For instance in this study it notes that cryotherapy is no better than active recovery for reducing inflammation, this could save you a few quid in the long run.

As a note, it has been found that active recovery at a moderate intensity is likely better than just resting. This is due to better blood flow and lactate distribution.

In my opinion, active recovery is the best place to start, for instance, after a long run or hard session have a brisk walk or brisk bike ride. No pressure, no clocks, nothing. Just you and the open air. This also works after a difficult event as well, I find if I walk after a marathon I’m not as sore as I am when I don’t. If that doesn’t help, sit in a cool tub (10C) for ten minutes, another cheap option to try.

If you still feel sore or tired book in for a massage. Obviously, prices range on location and experience, but booking in for a one-hour session will at least help you decide if it’s for you. Compression garments may also be a good investment. I won’t lie, I use mine after long runs and after marathons. Yes, this is likely only reducing perceived fatigue and therefor may not work for everyone.

Fatigue can also stem from stress or a lack of sleep, so if you’re not sleeping properly, you’re not going to recover from training properly. If you are having trouble sleeping you can try a variety of  methods to see if they help. If not, speak to your GP and get appropriate advice. 

And don't forget the importance of nutrition. If you are not eating enough to eat you will not have the energy to compete. This has been a focus recently in the news, so make sure you are eating appropriately and if you are not sure, seek the advice of a dietician.

Recovery can be a very personal thing for each athlete and it is important to find what works for you.

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!

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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

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.

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

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

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

Exercise is the cure for what ails you!

We all want to live forever, right? Well, sadly while that’s not possible, we can live longer, happier and more productive lives through the magic of exercise.

Yes, I said exercise. There have been many news articles recently telling of all the advantages of a healthy, active lifestyle. Many of us sit at work, and then sit at home living almost sedentary lives. This lack of exercise is giving rise to obesity, type 2 diabetes and heart disease, as well as increases in dementia and mental health problems.

So, why is it that exercise is so good for us?

Over 30% of children in the UK are overweight or obese, so it’s important to make time for exercise in your child’s day. Exercise in children stimulates bone, muscle, joint, heart and lung development. Exercise also helps children maintain their weight, allows them to develop friendships with other children and reduce the chances of anxiety and depression.

For adult’s exercise improves cardiovascular health and lowers bad cholesterol which in turn reduces the likelihood of stroke and heart disease. This is best achieved with at least 15 minutes per day of walking at a brisk pace or any other activity that can be done at a brisk rate like cycling, rowing or running.

Muscle and bone health is also improved with exercise. By using resistance (strength) training you improve the function of muscles and allow the bones to remain strong and healthy. This will lead to fewer fractures, injuries and falls later in life. If specific exercises are used strength training can also reduce low back pain.

If you already suffer from osteoarthritis, it is important to continue to exercise to keep the joints moving and strong. This can be done through walking, swimming or cycling to reduce pain.

The C word, cancer. If you exercise regularly you are less likely to develop cancer. This is due to the advantages that exercise has on weight management. Maintaining a healthy body weight reduces the likelihood of bowel and breast cancer as obesity is a major risk of developing cancer.

Diabetes effects 3.2 million people in the UK, by reduce weight through exercise you can reduce the likelihood of developing type 2 diabetes. Regular exercise can also keep blood glucose levels within ideal range and lower blood pressure.

Improvements in mental health. Regular activity can reduce your chances of developing depression and help reduce its symptoms in those already diagnoses. This is due to the chemicals in the brain, dopamine and serotonin, which are affected positively by exercise. This improves your mood and thinking. A good place to start is with an outdoor running group, parkrun or just taking brisk walks with friends. People diagnosed with mental health conditions are also at a greater risk for respiratory and heart disease, so exercise will help reduce the likelihood of both.

The greatest benefit of exercise is weight management. Being overweight predisposes you to a variety of diseases. IT’s important to also eat a well-balanced diet and allow yourself to recover after exercise.

How do we know how much exercise to do?

According to the NHS and Public Health England the aim is to be active every day for at least 150 minutes per week of activity. This means moderate activity of at least 10 minutes or more such as brisk walking, cycling, running or swimming. Public Health England also advised of at least 2 or more days of strength training of the legs, hips, abs, chest, shoulders and arms. The addition of balance training can also help reduce the likelihood of falls in older age.

So now you know the whys and the how’s there is no excuse to get off your laptop or smartphone and go out in the outdoors and exercise.

If you would like to know more about how exercise can help you and what you can specifically do for your sport please contact me sara@prestigesportinjury.co.uk

Before you up that mileage, you need to get stronger!

Everyone knows that resistance training is good for running, right? Then why is it that so many runners choose not to incorporate strength (resistance) training into their program? Part of the answer may lie in the fact that many runners do not know the benefits of strength training can add to their running. Running itself is not enough, using weights can help reduce the effects of muscle loss as we age (8% every decade after 40 years of age).

So, what can strength training do for runners? First off it reduces overuse injuries by strengthening the tendons, ligaments, muscles and fascia. Next it can help stabilise the joints through increase muscle strength. Finally, it can help tissue capacity which leads to a higher tolerance to load, speed, range and endurance changes. But it is not just the muscular system that benefits, strength training also improves bone health, inflammation and anxiety. All these changes lead to a better performance and running economy – good right!

So, what is resistance training, well in the short it is exercise that requires the muscles to hold against and applied force or weight. It can be done is many ways such as dumbbells, resistance bands, kettlebells, power bags, medicine balls or even body weight. As a sports therapist, I often incorporate resistance training into my rehabilitation programs for those with overuse musculoskeletal conditions.

But general resistance training is not what runners need. Runners benefit from single-leg loading, posterior chain strength, hip stabilisation and core strengthening exercises.

Single-leg loading exercises such as Bulgarian splits, step ups and lunges help reproduce the conditions of running. It is basically a sport-specific exercise that will help the body adapt to the requirements of running.

Posterior chain (lats, erector spinae, glutes, hamstrings and calves) strengthening helps with shock absorption, propulsion and power. Weakness in the posterior chain can affect running mechanics and lower limb kinematics. Ineffective body form may cause excessive body movement leading to hip and knee injuries.

Hip strengthening, including quadricep strengthening, has been known to reduce patellofemoral pain and prevent overuse knee injuries. Hip stabilisation is beneficial for low back, sacroiliac, hip, knee and ankle pain as well as improve performance.

Core strength (not just your abs!!!) helps improve performance through better movement. NO single muscle helps with spine stabilisation it is the combination of all muscles during specific movements.

There have been many myths about resistance training and running and it is important to realise that you will not get bigger, injures, slower or tighter through strengthening. You will only get healthier and perform better.

If you are interested in starting a strength program it is important to seek the advice of a graduate sports therapist, sports physio or knowledgeable personal trainer to assess your function first and determine which exercises will be best for you. They will also ensure you start at the appropriate level and progress appropriately and safely.

TO summarise, resistance (strength) training is a good thing for runners that should not be avoided, especially as you move into longer distance running (half marathon and above).

If you have any questions about resistance training, please feel free to contact me sara@prestigesportinjury.co.uk