Patient Spotlight – Dr. Kristen & Emily

During Emily’s annual OBGYN exam she mentioned the pain she was feeling during intercourse to her gynecologist. When her gynecologist examined her she asked Emily to relax while doing so and that is when Emily realized she had no idea how to relax her pelvic floor muscles. Her gynecologist informed her that her pelvic muscles were tighter than normal! That is when she was referred to Physical Therapy. Emily’s gynecologist assured her that she wasn’t alone and that pain during sex was NOT normal. She told her that she would benefit from Pelvic Floor Physical Therapy and Emily was willing to do anything that might help!

After Emily’s first visit at Rausch Physical Therapy, her pelvic floor therapist, Dr. Kristen, diagnosed her with vaginismus. Dr. Kristen made it very clear that visits with her were not scary, she was there to help her physically and mentally. Through Pelvic Floor Physical Therapy, Emily learned reverse kegle exercises that helped her relax before and during sex. Through these exercises and realizing that she shouldn’t try intercourse without being aroused, she believes that she is starting to heal! Emily’s life has changed astronomically through pelvic floor therapy. She no longer endures pain during sex, allows herself to be fully aroused before sex and she believes her sex drive is slowly coming back due to no longer associating pain with sex!

4 Most Common Cycling Injuries – and How to Avoid Them

Cycling improves overall function in your lower body and strengthens your leg muscles without overstressing them. It targets your quads, glutes, hamstrings, and calves. Although it’s inherently a low-impact exercise on your joints, there are some precautions people should take. Check out the four most common cycling injuries – and, most importantly, how to avoid them! Need our guidance and support? We are here!

Cycling – whether indoor or outdoor – gets a reputation as a pretty “easy on the body” venture.

After all, while cycling is a great way to strengthen your heart and lungs, it’s inherently low-impact on your joints.

It’s also scalable, making it an excellent workout for cardio newbies and endurance veterans alike.

That said, just like with any exercise, if your technique isn’t on point, cycling injuries are more likely to hit your body.

We’re not just talking about traumatic injuries like a pulled muscle or broken bone from falling off of your bike.

Incorrect set-up and riding mechanics can lead to overuse (aka wear-and-tear) injuries that can very quickly drain the fun from your workouts — or halt them altogether.

Here, experts share the four most common cycling injuries, along with the best ways to prevent aches and pains while cycling.

1. Saddle Sores

Every cyclist knows the literal pain in the butt that starting a biking routine can be.

But sometimes, it’s not just general groin soreness that’s a problem.

Many riders can develop straight-up saddle sores when cycling.

What are saddle sores?

They are patches of skin on the buttocks or groin that, due to friction against the bike seat, get irritated, inflamed, and if they open, can even get infected, explains professional cycling coach Garret Seacat, CSCS.

How to Avoid Them

As common as saddle sores are, they are not OK, or something to just accept will happen.

When getting started with a new bike – or if you have any discomfort – Seacat recommends going to a specialty bike shop to get fitted for a bike seat.

“There is often a device you can sit on that will measure where your sitz bones are,” he says.

When riding, you should be perched on top of these sitz bones (aka the ischial tuberosities) and not scoot back and forth.

Seacat says that when people have rear-end pain, they often look for a wider seat, but a narrower one may actually be what enables you to get into a correct, more comfortable position.

And while you’re at it, buy special cycling shorts.

“When you’re cycling, without a doubt, the best investment you can make is the bike itself, but close behind are cycling shorts,” Seacat says.

Look for a pair ergonomically cut for your biological sex, he says.

Resist the urge to wear underwear with them; doing so increases your risk of chafing.

2. Knee Pain

There’s a reason that patellofemoral syndrome – pain at the front of the knee, around the kneecap – is sometimes called “cyclist’s knee.”

“People who cycle tend to get a lot of knee injuries due to muscular imbalances,” says kinesiologist Jake Harcoff, C.S.C.S.

One primary reason: Cycling develops the quads and hip flexors while keeping them in a shortened, flexed position.

“The quads can get so tight they pull on the tendon that goes over the top of the kneecap,” he explains.

It’s also common for cyclists to have their seats incorrectly positioned, which can dump more stress into overly tight, overworked tendons and ligaments, he says.

How to Avoid It

For immediate relief, check your bike seat’s height. When you stand next to the bike, it should be at hip height.

And when you’re cycling, your knee should never completely straighten, Seacat explains.

(Remember, you should pedal through the balls of your feet, not your heels.)

Over the long-term, focus on integrating posterior-chain-strengthening exercises like deadlifts, hip thrusts, and reverse lunges into your workout routine.

Doing this will strengthen the muscles that connect to the back of your knee, helping to balance out your leg musculature and reduce your risk of cycling injuries, according to Harcoff.

3. Lower Back Pain

Tight hip flexors can make more than your knees ache. They can also throw your lower back out of whack, Harcoff says.

He explains that it’s common to see cyclists have what’s called an anterior pelvic tilt.

With such a tilt, the hip flexors pull the front of the pelvis toward the floor, angling the buttocks upward and making the lower back arch excessively.

That can stress both the spine and the muscles and tissues that help support it.

How to Avoid It

Cycling tightens the hip flexors, so you need to perform stretches dedicated to relaxing them.

Harcoff says one of the best stretches you can do to relieve tension in the front of your hips is the couch stretch.

To perform the couch stretch:

  • Get on one knee facing away from a couch.
  • Raise your back foot until your foot is directly above your back knee, then scoot back to brace your shin against the couch.
  • With your opposite foot on the floor in front of you, squeeze your glutes and breathe. You should feel a deep stretch in your back leg’s hip and thigh.
  • Work up to holding the stretch for 90 seconds or longer, and never push through the pain.

4. Elbow and Wrist Pain

While anyone who keeps their arms locked out or leans forward when cycling is likely to experience some upper-body joint pain, these cycling injuries are most common among people who take indoor cycling classes, Harcoff says.

Because indoor cycling classes typically involve a lot of upper-body movements that use the handlebars, many class-goers (and instructors) lean forward excessively when riding.

As a result, they can stress out their elbows and wrists.

How to Avoid It

You shouldn’t need to put a ton of pressure on your arms to keep from falling forward on your bike whether you’re sitting or standing.

If you’re unable to perform upper-body moves or hold onto the handles without dumping your weight into your hands or locking out your elbows, you likely need to spend the bulk of your time riding upright.

Then, between classes, you can work on developing the core strength necessary to take a more forward posture without potentially irritating your arms.

Focus on stability and anti-rotation exercises like the planks, dead bug, and Pallof press.

Regain strength and reclaim your mobility with Rausch PT. Your physical therapist will create a customized program just for you and your needs. Start your journey to recovery today — (949) 276-5401. Don’t forget to join us on our Facebook page.


You can contact  from https://www.trainabsolute.com to learn more about cycling and endurance training!

Reference: [https://www.beachbodyondemand.com/blog/cycling-injuries]

Why Do I Feel Pain After Exercise?

Mild soreness after a workout can cause discomfort but it is generally not a bad thing. It’s just a sign that the muscle has been taxed. The stress on the muscle causes a microscopic breakdown of muscle fibers, which in turn causes discomfort. The muscle breakdown serves a purpose: when those fibers rebuild, the muscle is stronger. This leads us to this funny fact: it’s not working out that makes you stronger, it’s the rest between the workouts. For more information about the pain that you feel after working out, read below.

Have you ever felt sore after starting a new activity or pushing yourself harder than usual during a workout?

Muscle pain that shows up a day or two after exercising can affect anyone, regardless of your fitness level.

But don’t be put off. This type of muscle stiffness or achiness is normal, doesn’t last long, and is actually a sign of your improving fitness.

Why do my muscles feel sore after exercising?

Sore muscles after physical activity, known as delayed onset muscle soreness (DOMS), can occur when you start a new exercise program, change your exercise routine, or increase the duration or intensity of your regular workout.

When muscles are required to work harder than they’re used to, or in a different way, it’s believed to cause microscopic damage to the muscle fibers, resulting in muscle soreness or stiffness.

DOMS is often mistakenly believed to be caused by lactic acid build up, but lactic acid isn’t involved in this process.

Who can DOMS affect?

Anyone can develop DOMS, even those who have been exercising for years, including elite athletes.

It can be alarming for people who are new to exercise, and it may dent their initial enthusiasm to get fit. The good news is that the pain will decrease as your muscles get used to the new physical demands being placed upon them.

The soreness is part of an adaptation process that leads to greater stamina and strength as the muscles recover and build. Unless you push yourself hard, you’re unlikely to develop DOMS after your next exercise session.

What type of activities can cause DOMS?

Any movement you’re not used to can cause DOMS – in particular, movements that cause the muscle to contract while it lengthens, called eccentric muscle contractions.

Examples of eccentric muscle contractions include going down stairs, jogging or running downhill, lowering weights (such as the lowering phase of a bicep curl), and the downward motion of squats and push-ups.

How long does DOMS last for?

DOMS typically lasts between three and five days. The pain, which can range from mild to severe, usually occurs one or two days after the exercise.

This sort of muscle pain shouldn’t be confused with any kind of pain you might experience during exercise, such as the acute, sudden and sharp pain of an injury, such as muscle strains or sprains.

How can I treat DOMS?

There’s no one simple way to treat DOMS. Nothing is proven to be 100% effective. Treatments such as ice packs, massage, tender-point acupressure, anti-inflammatory drugs (such as aspirin or ibuprofen), and rest may help ease some of the symptoms.

DOMS doesn’t generally require medical intervention. However, seek medical advice if the pain becomes debilitating, you experience heavy swelling, or your urine becomes dark.

How can I prevent DOMS?

One of the best ways to prevent DOMS is to start any new activity program gently and gradually. Allowing the muscle time to adapt to new movements should help minimize soreness.

There’s little evidence that warming-up will be effective in preventing DOMS. But exercising with warmed-up muscles will reduce your chance of injury and improve your performance.

While stretching has many benefits, there’s currently no evidence stretching before or after exercise helps reduce or prevent DOMS.

Can I continue exercising with DOMS?

You can exercise with DOMS, although it may feel uncomfortable, especially during the warm-up phase. You may find the pain goes away during the session, but returns after exercising once your muscles have cooled down.

If the pain makes it hard to exercise, it’s advisable to refrain from the activity for a few days until the pain eases. Alternatively, you could focus on exercises targeting less affected muscles to allow the most affected muscle groups time to recover.

Will I keep getting DOMS?

DOMS is a type of muscle conditioning, which means your muscles are adapting to the new activity. The next time you perform the same activity, or exercise at the same intensity, there’ll be less muscle tissue damage, less soreness, and a faster recovery.

Just one bout of DOMS actually develops a partially protective effect that reduces the chances of developing soreness in that same activity for the following weeks or months.

Looking for personalized treatment and professionals who care? At Rausch Physical Therapy, we will help you recover, improve mobility, and make sure you’re ready for the next adventure you plan – or life throws your way. Contact us today at (949) 276-5401 and join our Facebook community.


Reference: [https://www.livehealthily.com/sports-injuries/why-do-i-feel-pain-after-exercise]