Category: Women’s Clinic

This category and subsequent sub-categories and topics are designed for Women’s Clinic participants and all runners and walkers to read and post comments.

  • Trigger Point Therapy

    TRIGGER POINT THERAPY

    Trigger Point therapy is an effective injury prevention strategy, increasing muscle elasticity and functionality. It’s like doing your own deep tissue massage. Trigger Point therapy helps you gain a better appreciation of which muscles are tight and how to release them. IT Band Syndrome, Plantar Fasciitis, Shin Splints, Piriformis Syndrome and other common conditions are addressed through TP therapy. You can learn to take care of yourself by treating the cause of a problem, not just the symptoms. You can minimize the aches, pains and conditions that steer you off the path toward your goals, and you can function at a higher level.

    What are trigger points?

    Pain related to an irritable point in muscle or fascia, not caused by acute local trauma, inflammation, degeneration or infection. The painful point can be felt as a nodule or band in the muscle, and a twitch response can be elicited on stimulation of the trigger point. Palpation of the trigger point reproduces the feeling of pain, and the pain radiates in a distribution typical of the specific muscle harboring the trigger point.

    What is muscle elasticity and why is it important?

    Muscle elasticity is the muscle rebounding to its natural state. It is important for sustaining optimal performance without factors of fatigue and injury. Proper muscle function is key for flexibility, balance, power, stamina and injury prevention. An inelastic muscle is like a rope. The muscle loses its ability to lengthen and rebound. In some cases, the rope-like muscle has knots. You cannot stretch a knot out of a rope, or a knot out of a muscle.

    How does the use of Trigger Point tools give me elasticity?

    The TP Massage Ball, TP Footballer and TP Quadballer work to improve the body’s performance by increasing elasticity within the muscles, allowing them to rebound to their natural state. This is achieved through increased blood flow and elevated oxygen use and reduction of scar tissue and muscle adhesions. The tools knead out the adhesions, scar tissue and knots within the muscles. The kneading and the increased blood and oxygen combine to increase elasticity, making the muscle function like a bungee cord instead of a knot-filled rope.

    What is the difference between elasticity and flexibility?

    Flexibility describes how far a muscle can stretch, without regard to how elastic the muscle actually is. Elasticity is the ability of the muscle to rebound to its natural state after it has been stretched. If you tried to stretch a knot in a rope, it just gets tighter. If you stretch a bungee cord, it returns to its normal state. Factors of aging, wear and tear and biomechanical dysfunction due to inelasticity of the muscle and the surrounding connective tissue and fascia can significantly reduce the range of flexibility.

    Gallagher Fitness Resources has been selling Trigger Point therapy tools since 2007 and offering classes since 2008.

    Contact: 503-364-4198 or E-mail Susan for more information or to schedule a Trigger Point session.

  • Using Heart Rate As Your Exercise Guideline

    Exertion is necessary when exercising. Breaking a sweat is good. Over-exertion, on the other hand, especially for beginners, leads to more than just injury. Typically, it’s one of the primary reasons people quit. Unfortunately, they don’t realize it. This is partially because they don’t know how to measure effort and when highly motivated, the tendency of human nature is to over-do it.

    How do you know how much effort is enough and how much is excessive? Using a heart rate monitor or “effort-based” training are tools to help guide you and increase your awareness of effort, be it low (EASY), moderate (COMFORTABLE) or high (INTENSE). Heart rate or “effort-based” training is at the foundation of long term exercising. This, done consistently, leads to life-style changes and the attainment of your personal goals.

    Guidelines listed are for Women’s Clinic participants or anyone starting an exercise program or returning from an extended lay-off. Let’s break up the exercise session into three parts. If going by effort, it’s easy, comfortable, then easy. As mentioned, beginners generally don’t truly understand what easy or comfortable feels like. Their tendency is intense right out of the chute. Stopping to manually take your heart rate is an option. Using a heart rate monitor, however, provides immediate, objective feedback and removes the guess work. Plus, there’s no stopping to check your HR. You simply glance at your monitor.

    Many heart rate monitors apply the 220 minus your age formula and instruct users to program in their birthday. The unit then displays where the user is within a 65-85% range, with optional visual or audible alerts when under or over the target range. For the Women’s Clinic and most beginners I work with, a 60-80% range is suggested, with 85% being a red flag for over-doing it. Most heart rate monitors allow a manual adjustment to personalize your target HR range.

    Warm-up Phase: 60-65% (Effort feels EASY)
    Aerobic Conditioning Phase: 65-80% (Effort feels COMFORTABLE but more of an effort than EASY)
    Cool-down Phase: 60-65% (Effort feels EASY)

    HINT! If your effort is too hard, or you’re not having fun, SLOW down!

    Additional beginner guidelines during Aerobic Conditioning (middle) Phase:

    Less fit people:
    “Error on the Conservative” Try not to go above 75%, especially in the first 6 weeks. You’ll see this reflected in your homework.

    Moderately fit people:
    “Generally” okay to go up to 80%.

    Chronically fit people:
    Occasionally okay to “gradually” progress up to 85%, but do this towards the “end” of the Aerobic Conditioning phase, not during the “entire” phase.

    Generally, be aware that it’s a bit hectic the first week of HR checks but we get through it and it gets easier. So hang in there, respect your group leaders (especially the big groups) and do your best. Read through this information a few times so you know what to expect. You are being given a tool to help you exercise at the pace that’s right for you. Remember my comment on the first night, you’re here for one reason or another, but “nobody here is training to qualify for the Olympic Trails.” Although a few of you may be returning, most of you are still building your fitness base. There is no need to exceed the guidelines. Consistency is the key to your success.

    MEDICINE

    Some drugs raise heart rate and some lower it. Medications may also influence hydration levels which can affect heart rate. If you are on medications and are not sure what effect they may have on your exercise heart rate, please contact your physician and be inquisitive. Let the doctor know your exercise plans and concerns regarding medicine use and heart rate guidelines. How does the medicine you are taking affect heart rate during exercise and what precautions should you take?

    Remember, we’re aiming for an increased awareness of the importance of starting EASY (Warm-up Phase), staying Comfortable (Aerobic Conditioning Phase), and ending EASY (Cool-down Phase). Begin to associate “effort” (what it FEELS like) with your HR numbers, so that eventually you KNOW your effort and trust it.

    Click the following links for more on Using Heart Rate as Your Exercise Guideline:

    Heart Rate Formula

    Conversation Pace

    History of Taking Heart Rates

    Your True Resting Heart Rate

    Three Stages of Aerobic Fitness

  • Three Stages of Aerobic Fitness

    You may have heard that aerobic exercise is the most efficient way to improve overall fitness. This is mostly true, but there is more to overall success in fitness than aerobic exercise. It is the necessary first step to improve overall fitness; and it is certainly the quickest step in the process.

    “Getting Fit” involves three major steps that occur in this order. Be aware, the human body is pretty wise to shortcuts!

    The Three Major Steps

    1. Aerobic Fitness – your heart and lungs get used to processing more blood and oxygen and your cardiovascular system responds by becoming more efficient. Major gains in aerobic fitness can occur in as little as 4-6 weeks.
    2. Muscle Fitness – your muscles adapt to the increase in exercise by getting stronger. This process takes a bit longer – about 8-16 weeks.
    3. Musculoskeletal Fitness – your bones, tendons, ligaments, and joints adapt to having a better cardiovascular system and stronger muscles. This process takes the longest time of all – about 3-6 months! (Depending on your beginning fitness level.)

    Whenever you try to shortcut the process, the human body usually responds with its most noticeable message – pain. Pain is the body’s defense mechanism and it can be employed at any time during these three major steps of getting fit. There are few things more discouraging than to get hurt after “I put all that time in exercising.” Listen to your heart, literally, and many of those aches and pains will never appear.

    Pain is highly avoidable if you exercise patience. You have all been told to avoid huffing & puffing and to keep your pace at a “conversation level.” The primary reason is to keep your heart rate in the right zone. The aerobic zone is between 60-80% of maximum heart rate. Keeping it there for 3-6 months during the majority of your workouts will allow your body to adapt gradually to your new level of fitness. Follow this advice and you will be truly amazed at how much higher that new level will be 6 months from now!

    Monitoring heart rate, during & after training, is a great tool to develop and maintain proper workouts. Heart rate gives immediate feedback on how the body is responding to exercise and to the conditions of the particular day. (See Factors Affecting Your Heart Rate.) The pulse is a direct measure of the effort being put on the heart and the body. Trust it! It’s the best indicator we’ve got.

  • History of Taking Heart Rates

    Historically, during Heart Rate checks in the Women’s Beginning Walking and Running Clinic, many are surprised to discover that they are going too fast. This is a very important discovery because prior to HR checks, they don’t think they’re going too fast. They’re motivated and they’re moving forward. They think they’re doing just fine. Just a few weeks into a program, this “yucky” feeling occurs. Does this sound familiar? With beginners, “yuck” happens when you’ve overdone it.

    Once you realize you are exceeding your Target HR Zone, and associate this with what your effort FEELS like, and what your ABILITY TO TALK is, then you allow yourself a chance to slow down. You gain new tools to experiment with, new tools to assist with the learning process of enjoying exercise and all its wonderful benefits.

    Heart Rate checks, Conversation Pace and learning to “Listen To Your Body” are simply tools to use during this learning process. And it truly is a “process” in that it doesn’t happen overnight and it is ongoing. It takes years to really learn to “listen to your body” and trust and respect it, and then, to actually do what it says! This is where patience comes in. Be patient with the process, have fun learning how to use the tools, and trust your instincts. Then you will know when to slow down and when to pick it up, with confidence and pure enjoyment!

  • Factors Affecting Your Heart Rate

    Factors Affecting Heart Rate
    Happy Running Heart

    Factors Affecting Heart Rate

    There are certain factors affecting heart rate when exercising. Your body relies as heavily on the oxygen/fuel ratio as your car does. Much like your car’s engine, your body uses oxygen and various fuels (carbohydrates, fats, and proteins) to yield muscle energy. When this ratio is not in balance in the body, a whole series of physiological events occur.

    These events can be gauged with your body’s tachometer — your heart rate. And much like the automobile engine, the true efficiency of the body’s engine is dependent upon a multitude of parts working efficiently together. Your heart rate will indicate if there is any sign of trouble in your body’s engine.

    A Brief List of Factors Affecting Heart Rate

    These factors play a role in directly affecting heart rate while running or walking:

    1. Emotions and anxiety can raise your heart rate! Unlike an automobile that is purely mechanical, we are not solely governed by working parts. Some days you can “feel” your way to a higher HR.
    2. Body Temperature: If you become too hot or too cold your body senses a thermal stress load. Blood is sent to your skin to enhance heat dissipation to cool you or increases blood flow to warm you. Apparent temperatures (which account for humidity or wind chill) above 70 degress (F) and below 35 degrees (F) will increase your heart rate at least 2-4 beats per minute. Over 90% humidity can equal as much as a 10 beat increase in heart rate.
    3. The terrain. Walk or run uphill and your HR increases. Walk or run downhill and your HR decreases.
    4. Wind. Walking or running with the wind at your back is easy, therefore HR decreases. Walking or running into the wind is more difficult: HR increases.
    5. Dehydration. As you become increasingly dehydrated during a long walk, hike, or run, your blood becomes thicker and waste products build up in bloodstream. Your heart will work harder to maintain constant cardiac output. A fluid loss of 3% of body weight increases pulse rate because of decrease in circulating blood volume.
    6. Diminishing glycogen stores — your muscles primary fuel source. As the fuel depletes, in order to maintain the same walking or running pace, your HR rises.
    7. Insufficient nutrition. HR increases.
    8. Insufficient sleep. HR increases.
    9. Insufficient recovery after a long hike, run, or other hard workout. HR increases.
    10. Recent illness — or — a signal of impending illness. You guessed it!
    11. Medication – depending upon the medication, heart rate can either decrease or increase. Be certain to ask your physician about any medication you are taking and its effects on your exercise heart rate.
  • Your True Resting Heart Rate

    Record your “true” resting heart rate. First thing in the morning, before rising from bed, take it for 15 seconds and multiply by four. Take it 3 or 4 times a week and note the lowest recording. It varies depending on how rested and calm we are, how hydrated we are and generally how healthy we are, or not. Track how it changes, both with life variables, and over time. Happily watch your “true” resting heart rate go down as your fitness level improves. This tells you your consistency is paying off! This gives you proof that you are getting in shape.

    Next, practice taking your heart rate in various situations. For example, take your HR while sitting and relaxed; following a bit of typical daily walking, such as from one room to the next or through a parking lot; after a meal with various beverages; following a “heated” discussion; following a hectic commute, etc. You get the idea. Then practice bringing it down. In my experience, focusing on breathing is the simplest method of bringing it down. Practice, practice, practice! “Are you breathing?” We’ll talk more about breathing in another session.

  • If the Shoe Fits

    Pronation is a normal foot in motion, from foot-strike on the outside of the heel through the inward roll of the foot. Pronation occurs as the foot rolls from the outer edge to the inner edge. Everyone pronates, and the initial pronation is considered an important and healthy response to the intense amount of shock imposed upon the foot and is integral to propelling you forward. If the foot pronates too much or too little and does so frequently, several biomechanical problems may result that will cause a decrease in performance and increase the possibility of injury.

    Fit

    No matter how expensive your shoes are or how much technology your shoes contain, they will not do their job unless they fit correctly. Here are useful tips that can help assure you are getting the proper fit.

    When trying on shoes, if you have custom orthotics or over-the-counter inserts, bring them with you.
    Combining rigid orthotics with supportive shoes can sometimes result in over-correction. Consult with the experts to make sure your shoes accommodate your orthotics for a comfortable match.

    Make sure there is adequate space in the toe box. Leave 1/2 inch between the longest toe and the end of the shoe. This is about a thumb’s width. This measurement should be done while standing since the foot elongates while weight-bearing. If this measurement is done while sitting, there is a good chance the shoe will be too short.

    Check the heel counter to make sure your heel won’t slide excessively and is firm enough to provide stability. A little slippage is normal, but not too much.

    If your feet tend to expand throughout the day, try on shoes in the afternoon or evening to insure you have enough toe room.

    Walk or run in the shoes while in the store, and experience how they feel. They should be comfortable right away, not needing to be broken in. General rule of thumb: If it hurts in the store, it will hurt at home. An expert sales associate will observe your biomechanics while you try out the shoes, providing knowledgeable feedback.

    Knowledgeable Staff/Specialty Shoe Store
    Use the knowledge of staff at a specialty shoe store, Gallagher Fitness Resources. We listen to your specific foot concerns, explain the technology of the various categories, assess the wear pattern of your old, worn shoes, and observe the biomechanics of your stride. Taking all this into account, we can help take the guess work out of finding shoes that will provide you the best comfort and functionality.


    Durability

    There is a wide variety of running/walking shoes. The main types are neutral/cushioned, stability and motion control. Regardless of the type of shoe, the constant pounding will wear out the midsole cushioning before the rest of the shoe. The impact at heel strike is typically 2.5 times or more your body weight. This is the same force that is translated to the ankles, knees and lower back. Running shoes are specifically designed to redistribute and absorb shock to preserve the health of these joints. It is recommended to change running shoes every 350-500 miles or every 6 months to maintain proper shock absorption and help prevent injury.

    Minimalism

    The running shoe world has been buzzing with minimalist/barefoot hype. Gallagher Fitness has an entire line of minimal/natural footstrike shoes from New Balance, Brooks, Saucony, Nike and Altra in addition to the “minimal” racing flats we carry from Asics, Nike and adidas. We want to represent as many choices to our customer base as possible without finding ourselves awash in a tsunami of inventory. To be certain, there are some fads and pretenders trying to make a buck before this minimalist movement implodes. Yet at the same time there are some quality products built by manufacturers who have taken the time and effort to research the final offering and produce a product that will stand the test of time.

    We recommend a very careful and methodical transition to using minimalist shoes, especially if you’ve been in conventional shoes for most of your life. If you’re curious about trying them, we encourage you to talk to our staff individually when you come in for shoes. Trust the cumulative experience we have at GFR over the marketing, which can be confusing and misleading. When used correctly, minimal shoes can be a tool to strengthen your feet and lower legs and assist with form awareness. However, they don’t work for everyone. We’ve seen quite a few injuries. The Good Form Running classes at GFR twice a month will increase your awareness of form, regardless of your shoes. We encourage you to sign up. It’s more involved than princess steps.

    “If it’s not broke, don’t fix it.” However, if you try minimalist shoes, start slowly and proceed gradually. What works for some, doesn’t work for everyone.

  • Conversation Pace

    “Conversation Pace” is the key to getting started and staying with it.

    Walking and running should feel good. Your effort, in general, should be comfortable. We are often asked, “What’s comfortable supposed to feel like?” or “How do you define comfortable?”

    Comfortable means being able to talk in complete sentences while exercising. Using the “talk test,” you’re doing fine if you can “comfortably” carry on a conversation. If you can’t “comfortably” talk in complete sentences while you are exercising, you’re trying too hard. Slow down and get back to “Conversation Pace.”

    “Conversation Pace” doesn’t mean gasping for air every few words or forcing the end of the sentence, wishing the session were over. It means talking so comfortably that you are totally involved in the conversation and you don’t even notice you are exercising. The session is practically over before you realize it, and you think, “Wow, that was so easy!”

    When you are comfortable, your fitness level improves. The more comfortable you are, the more you can do, and the fitter you get. Here’s how it works… Your heart and lungs get used to processing more and more blood and oxygen every time you go out. Your cardiovascular system responds by becoming more efficient. You respond by being more comfortable doing more work.

    Most beginners and many experienced people have a tendency to “over-train” when exercising. They think they’re able to talk but it’s with way too much effort. They fail the “talk test.” They aren’t getting enough oxygen and the cumulative effect of this leads to over-training. Day in and day out they eventually get anaerobic and they aren’t aware of it. This is why staying comfortable is so important.

    Staying comfortable and exercising at “Conversation Pace” is also more fun. You get to know the people you are working out with and time just seems to fly by. When it’s fun you’re more likely to stick with it. What a simple concept this is. Regardless of the actual pace that you are walking or running at, if you simply carry on a conversation, you know you are going at the right pace.

  • Delayed Onset Muscle Soreness – DOMS

    Comment:

    Susan, Just wanted to let you know that my hips are really sore today (thursday).  Must have been those princess steps!!  Felt a little sore yesterday but more so today.  Hope you have a wonderful trip and we’ll see you when you guys get back.  Thanks for joining us on our walk tuesday night…was fun and learned alot…

    Reply:

    Thank you for the feedback, I really appreciate it. Just like John mentioned, “delayed onset muscle soreness” or DOMS, sometime more so the 2nd day than the first day following the activity. You used muscles in a way you haven’t used them in awhile, so you are really feeling them.  Hopefully that’s good and the soreness will subside within another day or two. Remember the 48-72 hour rule? It is mentioned in the Injury Prevention handout, accessible on the website. (also attached)

    Pain is relative… some people have a high tolerance, others don’t. If you’re experiencing pain and you’re not sure what to do, apply the 48-72 hour rule. Back off considerably or stop for 48-72 hours. This gives appropriate time to allow natural healing. Icing usually helps. If there is significant improvement between 48-72 hours, continue or resume exercise. Monitor your condition and proceed with caution. If there is no improvement between 48-72 hours, or if it worsens, stop exercising entirely until pain disappears. Take additional time off or do some other form of exercise that is pain-free. Options may include pool running, swimming or stationary biking. If the condition persists for 7-10 days without improvement, you may consider medical intervention.

    Anyway, hang in there, and go easy on your next walk. I mean ease into it and continue to practice the princess steps. But mainly, feel really good about not only starting the program but sticking with it and truly enjoying the progress you are making. Believe that you are making progress, and feel good that you are feeling those muscles working. I’m really excited for you and can’t wait to get out there again with you! Cheers!

  • Injury Cycle

    Injuries can be avoided when you discover YOU can alter the cycle that creates them.  Hydration, proper recovery, massage, and rolling out with trigger point tools are all important pieces to the training puzzle.  We want you to reach your goals.  Taking care of your body is the easiest way to get there.  If you ignore the easy things your goals are harder to reach and unexpected injuries are just around the corner.

    Here’s a message from Cassidy Phillips, Trigger Point creator, talking about the role dehydration plays in the injury cycle.

    http://www.youtube.com/watch?v=Ry1Q67x5NmU