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The Forgotten Disciplines of Triathlon

 

PT Kevin Capata shares why its not the lack of mileage that you put into your training schedule that has kept you from reaching your PRs, staying injury-free, or conquering plateauing, but the often forgotten aspect of cross training.

Capata-Blog
BY KEVIN CAPATA, PT, DPT, CSCS, RAUSCH PHYSICAL THERAPY

If you’re an amateur triathlete like me, you’re probably often stressed trying to juggle all the tasks of daily life with a set training plan, strict dietary guidelines, and recovery efforts. So maybe you’ve already heard about the benefits of adding cross training to your plan, but you’ve always thought, “I just don’t have time. When am I supposed to get to the gym to lift weights or attend weekly Yoga class?” “How the heck am I supposed to cram in even more training?”

All good questions, and trust me, I get it! But I challenge you with one of my own. Have a 25-mile ride planned for Monday morning? Why not make it 22 miles, and use that extra 15 to 20 minutes to do some single-leg pistol squats, burpees, plank bird dogs, and pull ups?

It’s not the lack of mileage that you put into your training schedule that has kept you from reaching your PRs, staying injury-free, or conquering plateauing. More likely than not, it’s that you haven’t unlocked your true athletic potential by adding strength and mobility to your priority list.

The Forgotten Fourth and Fifth Disciplines of Triathlon: Strength and Mobility

Many triathletes fail to realize that by developing strength, power and mobility through cross training, they can enhance their ability to maintain that high-elbow position throughout their swim stroke, keep that high-power output during the last climb before heading into T2, or prevent the dreaded “bonk” associated with form breakdown midway through the run.

Yes, specificity of training is of utmost importance and you have to get in that swim, bike and run mileage to work toward your goals. However, to perform your best—and STAY performing your best—you also have to dedicate time to keeping your body in optimal shape.

To help, here are my top strengthening and mobility exercises. Try incorporating this exercise routine into your training plan, and I think you’ll see a dramatic difference in your performance that will finally shift your mindset on the importance of cross training once and for all.

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Top 10 Strengthening Exercises

  1. Squats (back and front)
  2. Deadlifts
  3. SL squats (swiss ball)
  4. Pistol squats
  5. Push ups
  6. Pull ups
  7. Planks
  8. Plank bird dogs
  9. Burpees
  10. Resisted monster walks with OH shoulder press

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Click here to access Kevin’s Tri Strength Exercise Program on homeprograms.net

Your Patient Login information:

Your Email: tri.strength@rauschpt.net

Your Clinic ID: 1006

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Top Four Mobility Exercises

 


KCapataKevin Capata, PT, DPT, CSCS is a licensed physical therapist at Rausch Physical Therapy & Sports Performance. After receiving his Doctor of Physical Therapy degree at Columbia University, Kevin started his career at Rausch PT, where he used to work as a physical therapy aide. Now, Kevin enjoys helping his patients recognize and fix movement faults to help them overcome their injury or pain, as well as empowering them with the knowledge and tools to prevent re-injury or potential new injuries.

Click to learn more about Kevin and our other physical therapists »

 

Seven Scapula-Focused Exercises to Help You Swim Faster

 

While many swimmers work hard to strengthen their shoulder joint, few do anything to optimize the shoulder blade itself. PT Max shares why this is important and what exercises you should start doing.

BY MAX BIESSMANN, PT, DPT, RAUSCH PHYSICAL THERAPY
USAT LEVEL I COACH, ASCA LEVEL I COACH, USA SWIMMING COACH

 

Most overhead athletes, especially swimmers, know that strengthening the rotator cuff is important for performance. While rotator cuff strengthening is a vital part of maintaining shoulder joint stability and proper joint mechanics, many swimmers unfortunately overlook the shoulder blade, the scapula. All that work on stabilization at the shoulder joint/rotator cuff is pointless if the shoulder blade itself is not stable.

Understanding the Scapula

The scapula contains the glenoid fossa, where the humeral head sits and is actively anchored in by multiple structures, mainly the rotator cuff musculature. Because it does not have a direct articulation with the spine or ribs like a typical joint would, the scapula must be controlled by multiple muscles that anchor it to the axial skeleton in order to provide a stable platform for the humerus (arm) to move on.

Your posture has a big effect on scapular stabilization. For example, the common “forward head/rounded shoulder posture” forces the scapula to alter its path as it moves over a more rounded rib cage into a more forward position (adducted.) This causes the scapular stabilizers to sit in a stretched position, causing the muscles to fire outside of their optimal position and weaken them through the prolonged stretch.

Before you can start working to improve your scapular mobility for a stronger stroke, you first have to learn how to properly recruit the muscles of the scapula. I suggest reading my colleague Sean Swopes, PT, DPT, CSCS article, How to Activate Your Scapular Muscles to Alleviate Pain, to learn how to do this correctly and achieve optimal posture.

Seven Scapula-Focused Exercises to Help You Swim Faster

Once you understand exactly how the scapula needs to move, you can begin an exercise program that helps improve your scapular mobility and posture, creating a stronger platform for you shoulder to help you swim faster. Here are seven exercises I like to give my patients and swimmers who need to improve their scapular stability. The first two I explain here, while the final five can be found (with video) on homeprograms.net*.

  1. Step overs. Hold a good plank position with hands directly under your shoulders step your hand sideways up onto a small step then step up with the other hand and down on the other side. 3×10
  2. Prone 90/90s. While lying on the SB in the same position as for I’s, T’s or Y’s raise your arms up to shoulder height with good scapular squeeze then rotate your shoulders 90 degress so that your arms are even with your shoulders and hands up next to your head, hold this position for 2-3 sec then lower your hands down toward the floor and relax your arms. 3×10
  3. R: T/S Extensions and Supine Angels
  4. Serratus punches/push-ups
  5. Rows (isometric scap)
  6. I’s, T’s, Y’s
  7. SB walkouts

* Click here to access your exercise program on homeprograms.net. Your Patient Login information:

Your Email: scap.stability@rauschpt.net

Your Clinic ID: 1006

 


PT-Headshots-MaxMax Biessmann, DPT is a licensed physical therapist at Rausch Physical Therapy & Sports Performance. He received his Doctorate of Physical Therapy degree at the University of St. Augustine, San Marcos in 2016 and started his career at Rausch PT. Max is passionate about helping people achieve their goals through physical therapy and innovative rehab technologies. As the Endurance Sports PT, Max says he’s lucky to be able to combine his professional coaching experience and PT knowledge to help his patients achieve their personal bests in sports and daily life.

Learn more about Max and our other physical therapists »

How to Get Your Body Bike-Ready

 

The only things cyclists should have to worry about wearing out are their tires—not their joints! Mountain Bike PT Sean shares how to stabilize three key areas of the body to prevent most cycling-related injuries.


BY SEAN SWOPES, PT, DPT, CSCS, RAUSCH PHYSICAL THERAPY

There are certain rules-of-thumb when it comes to the human body and how we are designed to move; our bodies are designed to walk, stand, sit, sleep and eat. Not on that list? Ride a bicycle.

However, that doesn’t stop us humans from having a lot of fun riding them! In fact, with research, experience and continued learning, we can make body and bike work well together. One way is to get a bike fit, which sets up the bike’s geometry to best fit the rider. You can also find a program like Ride Right, which focuses on the rider’s biomechanics. However, the most important (and oft forgotten) step if you’re planning to get into any type of cycling is first getting your body ready to tolerate all the stress it will endure while pedaling, climbing and descending.

As the Mountain Bike PT, I work with a lot of cyclists who deal with chronic pain or injury without realizing that they need to get their body in the correct balance. Like I said, the human body was not designed to be on a bike, but if you focus on and prepare a few key musculoskeletal areas, you can ride for miles without the unwanted stress.

The most commonly injured areas on a cyclist’s body are the knees, back and hips. If you can get your body in an optimal balance of strength and flexibility (also known as stability) in these areas, you can prevent most injuries on the bike.

Sean’s “Bike Bod” Exercise Program

Here are five exercises to help you gain the crucial knee, back and hip stability you need to avoid most cycling-related injuries before you even hop on the bike:

  1. Thoracic extension over a foam roll. The goal of this stretch is to improve the mobility of the thoracic spine to improve the postural alignment of the spine and decrease unnecessary stress to the lumbar spine.
  2. Prayer Stretch (Child’s Pose.) This a truly versatile stretch that can improve your overall mobility. The key is to prevent your lumbar spine from becoming overly-flexed to emphasize maximal mobility out of the hips.
  3. Hand Up Stretch (Couch Stretch.) The focus of this stretch is to improve your quadriceps and hip flexor mobility. The key is to maintain a posterior pelvic tilt (flatten the curvature of your lumbar spine) while sitting up tall.
  4. Squat with a stick overhead. This is not only a great exercise, it’s also an assessment. It will point out the flexibility and lumbopelvic (core) weakness you have.
  5. Dynamic LE warm up: Worlds Greatest Stretch (WGS) and Inchworms. WGS will take every aspect of the body to its end-range to prepare it for what’s to come, while inchworms focus on improving mobility of the entire posterior chain.

 

*Check back soon for my video explaining more about these five exercises!

 

Conclusion

As an avid cyclist, the only things you should have to worry about wearing out are your tires—not your joints. By taking the time and doing the work to optimize your body stability, you can defy human nature and adapt your body to your bike so you can continue to enjoy riding for many years, pain-free.


Sean Swopes, PT, DPT, CSCS graduated from CSU Fullerton with a bachelor of science in kinesiology. He went on to receive his doctorate in physical therapy in 2015 from University of St. Augustine, and began his career here at Rausch Physical Therapy and Sports Performance. Sean is also a certified Strength and Conditioning Specialist. As a physical therapist, Sean’s goal is to help his patients understand their musculoskeletal impairments and work together to improve them.

Learn more about Sean and our other physical therapists »

Five Myths You Should Disregard When Buying Running Shoes

 

Getting ready to shop for a new pair of running shoes? DPT Max Biessmann debunks five common myths you encounter when talking shoes and explains what you should pay attention to when shopping for running shoes.

BY MAX BIESSMANN, DPT, RAUSCH PHYSICAL THERAPY
USAT LEVEL I COACH, ASCA LEVEL I COACH, USA SWIMMING COACH

 

How often have you been to a 5k race or local weekly run and heard different runners comparing and talking about their shoes? There are many things avid runners can and will say about shoes, such as why they run in a certain pair and why that pair is better than any other, but with so many types of running shoes out there to choose from (and just as many opinions) how do you separate fact from fiction?

As a professional triathlete and doctor of physical therapy, I’m going to discuss some common myths I hear about running shoes to help you make a better decision when buying or trying out your next pair.

MYTH #1: Brand “X” is Better than Brand “Y”

I often hear people say they will only run in [insert name of major running shoe brand here] and that [insert name of competitor running shoe brand here] is not as good because of [insert sales pitch here.] Well, this is not entirely true.

Every major brand offers a wide variety of types of shoe to address the multitude of needs of all runners, from beginner to advanced marathoner. With this in mind, it’s not necessarily a specific brand of shoe that will work best for you, but a specific type of shoe. Do you need a lot of motion control? More cushioning? Do you want more road feel? There are types of shoes that can help each of these aspects.

That being said, there are three main features that can really change the shoe and therefore should take precedence in your decision making process: the amount of pronation control, the stack height or cushioning, and the heel toe drop/ramp. Pronation control refers to the amount of support along the inside aspect of your foot/arch and is designed to prevent your foot from collapsing inward into the dreaded over-pronation range. Stack height is the amount of material in between the sole of the shoe and your foot and is often thought of as padding or cushion. Heel toe drop or ramp is the difference in stack height from the heel of the shoe to the toe of the shoe.

If you’re lost as to what type of shoe is best for you, keep these three features in mind and ask an expert. Many running shoe stores will allow you to run in shoes at the store in order to recommend a type of shoe to help get you started in the right direction.

MYTH #2: There’s an Ideal Heel Ramp/Drop for Running Shoes

As mentioned above, the drop or ramp of a shoe is the difference between the stack height of the heel and the toe. The current standard is 10mm, or a heel that is 10mm higher than the toe of the shoe. However, some companies have started advertising a “zero drop shoe” (same height at heel and toe) because higher heel ramps have been blamed for an increase in heel striking and over-striding in runners, leading to an increased injury rate. However, there is currently no sound scientific research to prove that theory. In fact, it can also be argued that since the sole of a shoe compresses under a load, then a zero drop could become a negative drop (basically the heel becomes lower than the toe.)

The truth is that there is no specific standard drop that works best for everyone; the only way to determine the best drop for YOU is to have your gait analyzed by a trained professional. So check the drop of the shoe and find one that works for you; many companies offer ranges of drop from 0mm to 10mm. If you have good success in a specific drop of shoe, be careful not to make a large, sudden change when it’s time to replace that pair.

MYTH #3: There’s a Pair of Running Shoes That Will Make You Faster Although everyone is looking for that one pair of shoes that will magically make them faster, the reality is that the shoes on your feet won’t greatly slow you down or speed you up because they are not performance enhancing in and of themselves. Shoes are a tool that help you complete the necessary training without injury. For example a recent study discovered that adding 100 g (3.5 oz) to shoe weight affected well-trained runners by 1% over a 3k time trial. At 4 min/k (6:25 min/mile) this equates to approximately 7 seconds per 3k. So unless you are looking for those few seconds to win an Olympic gold medal, shoes are not going to make a huge difference overall, and you’re best off in the shoes that are the most comfortable and allow you to train the best without injury or discomfort.

MYTH #4: Shoes With More Padding Prevent Injury

The current trend in running shoes is shifting away from the minimalist movement of a few years ago toward increased padding or stack height. Many people are embracing the increased padding trend, claiming that it will help reduce the load on the joints and, thus, injury rates.

The concept behind this is sound, but good running form and mechanics revolve around being able to absorb and reuse the load to propel the runner forward. Good running form will put about 2.5x your bodyweight of force through your legs; as this force is applied, your legs and entire body must make very quick alterations in muscle activation patterns in order to maintain proper alignment and distribute the loads correctly across the various joints. However, when you run in maximal shoes, or shoes with a lot of padding/stack height, the padding will reduce some of the sensory input from your foot that is required for your brain to maintain the proper alignment. This doesn’t mean that shoes with increased padding are necessarily bad, but they do not prevent injury as some would claim.

MYTH #5: Shoes Change the Way You Run

Shoes can have minor effects on the mechanics within your foot and up through your leg, but the most important part of running form is the way YOU move and your own mobility, strength and motor control. Certain types of shoes or designs can be beneficial in helping you achieve the proper mechanics, but they will not fix anything.

Final Tips

In the end, the selection of a running shoe is a very personal decision and depends on many factors; I hate to be cliche, but there’s really no “one-size-fits-all” answer to running shoes. Here are my final tips and things to remember when purchasing your running shoes:

  • Just because your friend swears by a certain brand or model does not mean it will be the best for you.
  • When looking at running shoes, always take into account your running history, your body type, and your average running surface.
  • It’s important to test any shoe you buy—most running shoe stores will have a treadmill or will let you try the shoes out in front of the store.
  • If you ever see a demo night for a specific brand of shoes, try them out! One of the best things you can do for your running is to play the field with running shoes and try out different designs and models.
  • It is usually best to have several pairs of shoes in your stable to use for different types of runs. Changes in shoe dynamics will change the forces relayed into your foot and body during runs and can reduce overuse injuries.

 


StaffHeadshot-MaxMax Biessmann, DPT is a licensed physical therapist at Rausch Physical Therapy & Sports Performance. He received his Doctorate of Physical Therapy degree at the University of St. Augustine, San Marcos in 2016 and started his career at Rausch PT. Max is passionate about helping people achieve their goals through physical therapy and innovative rehab technologies. As the Endurance Sports PT, Max says he’s lucky to be able to combine his professional coaching experience and PT knowledge to help his patients achieve their personal bests in sports and daily life.

Learn more about Max and our other physical therapists »

 

Are You Falling for These Four Common Running Form Myths?

 

Don’t let common running myths hold you back from reaching your full potential, or worse, put you at risk for injury. PT Kevin Capata puts these misconceptions to rest in hopes of changing the way we all think about “perfect” run form.


BY KEVIN CAPATA, DPT, RAUSCH PHYSICAL THERAPY
If you are a runner, treat runners, or even just know someone that runs, you have most likely been involved in the never-ending debate on what is the “correct” way to run. Well, I hate to burst everyone’s bubble, but the truth is this: There is no “one size fits all” answer!

These days, runners come in all shapes and sizes, and they run at various fitness and experience levels; this is why people often come up short on their search for THE best way to run—it really does depend on each individual person. However, that doesn’t mean you can’t figure out a better, more economical, and more efficient way to run depending on your individual body structure and function.

So, to finally abandon this one-size-fits-all approach to “perfect” running form and shift the way the world thinks about running, let’s examine a few common myths and misconceptions that may be holding you back from reaching your full potential, or even causing injuries.

NOTE: All these recommendations are assuming you are healthy with no current injuries. If you are unsure, first make an appointment with your physical therapist to identify and resolve any chronic injury or pain.

 

Myth #1: Running is a Hobby

First things first, it’s important to understand that running is a sport—not a hobby—which means running requires specific athleticism in terms of strength, balance, range of motion, stability, mobility, etc. As with any sport, developing fundamentals is the key to success. Once you have the fundamentals down pat, variability/adaptability become king!

Take a look at the top 10 jump shooters in the NBA. Each athlete exhibits similar and consistent fundamental motor patterns, form, and mechanics that are essential to being a good basketball player, however each individual also displays slight differences that they’ve found have made them successful. It’s these small variations built on top of the sports’ fundamentals that has set these athletes apart and elevated them to the elite level.

While it may seem totally unrelated, by treating running as a sport and applying this similar concept of developing fundamentally “good” running form, then building on it, you can get faster and prevent running-related injuries. Here are some of the fundamentals you should carry with you on every run:

  1. Maintain an upright posture with slight forward lean from your ankles, NOT from your hips or trunk. Avoid the dreaded “toilet bowl of doom” or “backseat” running postures, especially when fatigue sets in. (Fun tip: if you’re having trouble with this, go for a run where you’re sure to be seen—researchers have found that the majority of runners will straighten up when a runner of the opposite sex is coming towards them ☺)
  2. Land with your foot just in front of your Center of Mass (COM). If you land with your foot directly underneath you, you’re going to fall over, and if you overstride you’ll lose energy, endurance, go slower, and risk multiple lower extremity injuries.
  3. Focus on pushing off from your posterior chain. Yes, those infamous glutes, core and hips. Get your foot off the ground as quick as possible, working on elastic recoil and spring. Think plyometrics and quick, powerful movements. Just like you compress a slinky down and then let it go, this is how we want to think about our legs as we run.
  4. Use your arms. Reciprocal arm swing will help generate power and momentum, as well as maintain your balance and rhythm. Keep a rhythmical arm swing with your shoulders relaxed and elbows brushing up against your hips, not crossing in front of your midline.

 

Myth #2: Anyone Can/Should Run

Like I mentioned above, running is a sport—not a hobby—meaning not everyone can/should just “hit the ground running.” Now don’t get me wrong, I love running as a way to get in shape, but IF and ONLY IF it’s something that’s gradually (very gradually!) built up to. We live in a time of instant gratification, however the truth is that developing the skill of running, improving strength, and changing motor patterns are habits that take time and hard work. Read any book about building habits or becoming proficient at a skill and I bet it mentions something about “10,000 hours” or “6,000 repetitions” of focused practice to master a specific skill; running is no different.

So listen up! If you a) have never ran competitively before (e.g. high school or college cross-country, track, or other running team), b) have a BMI in the “overweight” category, or c) haven’t been doing cardiovascular fitness training at least three to four times per week for the past two to three months, then you should NOT start running on a consistent basis without first getting individual instruction, coaching, and/or gait analysis. You need to learn how to build your endurance, volume, and intensity overtime, and you should have an expert analyze your current gait and running patterns.

Why is this so important? It’s no coincidence that “running-related” injuries have become so prevalent over the past three decades. Runners used to be predominantly male athletes who ran for competition—skinny guys who were dedicated to the sport and coming in first place. Nowadays, there are more recreational runners who run a marathon just to finish; some are overweight and most are involved in cross-training activities; not to mention that females now make up the slight majority (54%) of runners.

So please, do your body a favor and be patient, take the time to make sure you “get fit to run” before signing up for that first half or full marathon. It will be more fun and rewarding and much less painful if you do.

Myth #3: You Should Run the Same Way Every Time

Efficiency and variability—develop these two attributes as a runner and the rest will take care of itself. The human body is an amazing specimen that adapts to the loads that you place on it, so use that to your advantage! Stand on one leg all day long, and I guarantee you that leg will get stronger and your balance will improve. Change the way in which your foot strikes the ground, and you will be prepared for any surface, incline, decline, or obstacle thrown your way. Again, this takes time! For instance, run some days slow, some days fast, other days both; throw in some hill repeats, some short speed sessions, increase your cadence when you’re feeling good, and slow it down when you’re fatigued.

Myth #4: Cadence is Key

According to numerous studies, the fastest runners take about 90 steps per leg each minute. However, this should not be taken as a stand alone statistic because cadence (or turnover, stride rate, etc.) is a function of an individual’s speed and stride length, as well as physical and cardiovascular capacity. Basically, each person will feel most comfortable and perform optimally at different step rates.

However, it is true that by increasing your cadence you can dampen ground reaction forces, decrease joint loading and impact forces, as well as improve your economy and speed. Therefore, the best thing to do is to either count (or download one of several apps that counts) your average cadence during your run. Play around with going fast, slow, up/down hill, fatigued and energetic, and get an average number. You should be between 160 to 190 steps per minute. If you’re within this range, you can then experiment with increasing and decreasing throughout a run and keep track of what feels most comfortable, what’s less physically taxing over longer distances, and what yields the quickest results. That is the range that your body prefers—assuming all fundamentals listed above are also abided to!

Conclusion

While running mechanics and form can become a complex and heated subject, we have to first and foremost acknowledge the fact that running is a sport and skill that requires time, dedication, and focused practice to achieve results. My main hope is that by taking this approach, we can start to limit the amount of injuries, pain, and suffering that a majority of recreational runners are experiencing on a daily basis.

If you’re still lost and want to take the first steps to becoming a better, faster, and more efficient runner, come in and schedule a Run Right with us at Rausch Physical Therapy & Sports Performance and not just PR your next race, but have fun and be injury free after.

 


K2Kevin Capata, PT, DPT, CSCS is a licensed physical therapist at Rausch Physical Therapy & Sports Performance. After receiving his Doctor of Physical Therapy degree at Columbia University, Kevin started his career at Rausch PT, where he used to work as a physical therapy aide. Now, Kevin enjoys helping his patients recognize and fix movement faults to help them overcome their injury or pain, as well as empowering them with the knowledge and tools to prevent re-injury or potential new injuries.

Click to learn more about Kevin and our other physical therapists »

 

 

Three Easy Ways to Avoid Neck Pain While Cycling

 

Don’t let cycling be a pain in the neck. DPT Max Biessmann shares his three quick fixes for helping alleviate and prevent pain, aches and soreness in the upper back and neck while on your bike.

BY MAX BIESSMANN, DPT, RAUSCH PHYSICAL THERAPY
USAT LEVEL I COACH, ASCA LEVEL I COACH, USA SWIMMING COACH

 

Approximately 66 million Americans enjoy cycling for sport, and why wouldn’t they! It’s a great workout, social, and is perfect for cross training or for people with chronic injuries because of the reduced impact cycling has on the body. Unfortunately, many cyclists find themselves struggling with pain or discomfort, whether it’s the inability to get comfortable on the saddle or one of the most common complaints: neck/upper back pain and discomfort. Many people complain of pain ranging from soreness and aching, to numbness or tingling in their arms and hands, to sharp shooting pains in the neck and arms.

What Causes Neck Pain While Cycling

While cycling, your neck is in an extended position, doing its best to hold up your rather heavy head (the average head is 10 to 11 lbs.) Not only must your muscles do all the heavy lifting since the spine is unable to support the weight directly, but this also causes a closing down of the facet joints in your vertebrae. This constant closing can cause nerve irritation and excessive wear and tear on the joints.

As with anything you do, the longer you spend in a specific position, the more your body adapts to maintain that position. So, when you’re spending hours and hours per day hunched forward at your desk, in front of a laptop, looking at your phone, and on your bike, the more your body adapts to this position. This can cause the common posture dysfunction upper crossed syndrome, which is when your neck extenders (the muscles you use to look up) get short and tight, while the deep neck flexors (the muscles that tuck your chin down) get stretched out and relatively weakened.

Three Easy Ways to Avoid Neck Pain While Cycling

This combination of muscular imbalances and decreased nerve root space can lead to any combination of symptoms from chronic aching to shooting pains. Luckily, there are several very simple things you can do to decrease these symptoms if you already have them or prevent them from starting in the first place.

#1: Check how you’re riding your bike
Lawrence performing a Bike Right session at Rausch PT.The first thing to consider is how you’re riding your bike; a very small change here can have a big positive change. Are your arms always locked out at the elbows? Do you have a death grip on the bars? Are your shoulders hunched up and stuck in your ears? All of these can lead to cycling pain. Here are some quick fixes to make sure you’re riding your bike right:

  • Make sure your elbows are slightly bent in order to allow your arms to absorb vibrations and impacts from the road or trail.
  • Your hands should be snugly gripping the bars or hoods, but still staying relaxed in order to allow proper blood flow.
  • Shoulders should be relaxed and loose to help absorb shocks your elbows can’t absorb alone.
  • Make sure to look forward with your eyes as well as your neck in order to try and reduce some of the extension in your neck.
  • Check your helmet; it may be sitting too low on your forehead and obstructing your view causing you to look up more.

Remember, while cycling the only part of your body that should be working really hard is your legs; make sure you’re keeping your neck, shoulders and arms in a relaxed ready to go state. If you don’t feel you’re moving correctly on the bike, schedule a Bike Right session and have a physical therapist assess how you’re moving on your bike; having someone else watch you ride can help isolate the specific movement deviations and bad habits you may have developed over time.

#2: Work your body

To help prevent some of the adaptive muscle shortening and nerve compression from cycling, try these 10 simple exercises and stretches. These are also great exercises to do if you work at a desk a lot!

Stretches/Mobility:
  1. Pec Stretch: Stand in a doorway and put your arms out to either side and slowly lean forward until you feel a stretch through the front of your chest into your armpit. Play with the height of your arms above, at or below your shoulders to get the various fibers of the muscle. Do 2-3x for about 30 sec each.
  2. Upper Trap/Scalene: Sitting in a chair, grab the bottom of the chair and side-bend away from that side. Look up for a scalene stretch and look down for a upper trap stretch. Do 2-3x for about 30 sec each side.
  3. Neck Extensors: While sitting, gently pull the back of your head forward while gently pushing in on your chin till you feel a stretch just at the base of your skull. Don’t crank on this one, take it easy on your jaw, it should be a fairly gentle stretch. Do 2-3x for about 30 sec.
  4. Pec Release: Take a tennis or lacrosse ball and place it between your chest, near the front of your armpit, and the wall. Roll the ball around until you find any tender spots and spend about 10-20 sec massaging that area. Spend about 1 min on each side
  5. Upper Trap Release: Place a tennis or lacrosse ball in pillow case and lean against the ball and a wall anywhere between your shoulder blade and spine up through the base of your neck. Massage out any tender or sore spots for about 10-20 sec per area; spend approximately 1 min on each side
  6. Foam Roll Extensions: In order to take strain off of the joints of your neck make sure your upper back can move well. Lie across a foam roller on your back with your arms supporting your head and your hips on the ground and lean back to extend your upper back. Start about halfway up your back and continue up until just short of your neck. Do about 5 extensions at each spot moving the foam roller up about an inch each time.
  7. Towel Rotations: Wrap a small hand towel or pillowcase around the back of your neck, grab the ends with the opposite hands. Pull down to anchor the towel with one hand and pull the towel across your chin as you rotate your head, when you get to the end of your range add a little bit of overpressure from the towel to help stretch into the movement.
  8. Thread the needle: Begin in quadruped position (on hands and knees), place foam roll on the outside of one arm. Once there, reach with the arm furthest away from foam roll under the body to make contact on top of foam roll and roll through, rotating upper spine.

 

Strengthening:
  1. Chin Tucks: Begin by lying flat on your back with a soft pillow under your head. First gently press the back of your head into the pillow as you tuck your chin in, as if you’re making a double chin, hold for 10 seconds then relax, repeat 10-20 times. If this is easy practice against a wall while doing a wall sit.
  2. I’s, T’s and Y’s: Lying flat on your stomach, across a swiss ball or end of bed or couch, place your hands at your side (I) out to the side at shoulder height with thumbs up (T’s) or above your head and out to the side (Y’s). The focus of the movement is to move your shoulder blades not so much your arms, squeeze your shoulder blades together and squeeze for 10-15 seconds and relax, repeat 10-20x in each position. The Y’s will be the hardest so start with less reps here and advance as it becomes easier. While lying on your stomach focus on good posture through your entire spine all the way to the top of your head.

 

#3: Get a Bike Fit

If none of these “quick fixes” seem to help, it may be time to reassess your bike fit. First off, were you ever fit? If so, how long ago? Your body changes, so you should really get a bike fit every year or so.

There are many aspects of the bike fit that can affect how much strain and what kind of strain is being placed on your neck and upper back:

  • The most obvious is your handlebar height; the lower they are the more you have to look forward to see (looking at you, triathletes!)
  • The length of your bike, the distance between saddle to handlebar, can also affect how much you have to reach and how you carry your weight through your arms.
  • The width of your handlebars may be too wide or to narrow, which can make it difficult for your arms to rest or settle in a comfortable position.
  • Triathletes, look at both bullhorn and aerobar pad positions.
  • The angle of your hoods on a road bike might pitch the angle of your wrists and affect how you carry your weight through your arms.
  • The tilt of your saddle can cause you to be unbalanced between handlebars and saddle.

 

Nikki performing a Bike Fit at Rock N’ Road Cyclery Laguna NiguelBike fitting should be left to a professional fitter, as small changes in one area of the bike can have a huge effect on other parts of your body. A proper bike fit is a valuable service; these pros can make the necessary adjustments to your machine that will help with comfort, injuries and power output. You can google around for local bike shop that does Bike Fits, or if you’re in South Orange County check out Rausch PT’s tried and true favorites:

 

Conclusion

Don’t let neck pain stop you from enjoying the sport you love. By making a few quick adjustments and getting a professional bike fit, you can continue to ride hard and ride long for many years to come.

 


StaffHeadshot-MaxMax Biessmann, DPT is a licensed physical therapist at Rausch Physical Therapy & Sports Performance. He received his Doctorate of Physical Therapy degree at the University of St. Augustine, San Marcos in 2016 and started his career at Rausch PT. Max is passionate about helping people achieve their goals through physical therapy and innovative rehab technologies. As the Endurance Sports PT, Max says he’s lucky to be able to combine his professional coaching experience and PT knowledge to help his patients achieve their personal bests in sports and daily life.

Learn more about Max and our other physical therapists »

 

The Four-Step (Dry) Swim Warm Up

 

While most triathletes focus on training for the run and bike portion of their race, it’s actually the swim that can make or break your day. A proper warm up is key to success—with or without being able to get into the water before your start.

BY MAX BIESSMANN, DPT, RAUSCH PHYSICAL THERAPY
USAT LEVEL I COACH, ASCA LEVEL I COACH, USA SWIMMING COACH

It’s no secret that triathlon is a very difficult sport to find the time to train. Not only do you have to train a large volume to build the proper endurance, but you also have to find the time to train in three different disciplines.

Running and cycling share the most in common, as both are leg-driven sports and make up the majority of your race, and because of this, many triathletes will focus most of their time and effort into training for these two sports. However, I believe that it’s the swim portion of triathlon that’s the most important; a solid swim starts your day off right and sets you up for success for the rest of your event. As the saying goes, “You can’t win the race in the swim, but you can lose it.”

Beating the Rush

As the first of the three events on race day, the swim has an undoubtedly hectic beginning. Everyone is still fresh, nervous, and pumping with adrenaline, which makes for a fast and chaotic start to your day. Still, if you’re looking to place well or find the feet of the right person, it’s important to be able to handle this initial energy surge and settle into your pace after the first 300 to 500 meters.

A proper warm up is crucial to combatting this high-intensity rush so you can avoid overloading your body with lactic acid or excessively tapping into your anaerobic system, which is especially important since you’re about to do an activity with limited oxygen availability.

Fish Out of Water

Most events allow racers to get into the water before start time to warm up their arms and shoulders, get their wetsuit to “settle” onto the body, and acclimate to the water temp, which is especially helpful for those of us racing in So Cal in the cold  Pacific Ocean. However, there are several very popular races on the IRONMAN circuit, such as Oceanside 70.3 or St George 70.3, that make it challenging or near impossible to get into the water before the start of the race due to race logistics.

While you should do your best to always get in the water before a race, a “dry swim” warm up using theraband tubing is another great way to get your arms and shoulders ready for the load of the swim. If for whatever reason you can’t get in the water before your race start (or even for your weekly swim workout) this “Dry Swim” Warm Up will quickly activate the stabilizing muscles of the shoulder complex to prepare you to swim at your best.

Four Steps, 10 Exercises: The “Dry Swim” Warm Up

In order to complete this warm up you’ll need a relatively long (3 to 4 ft.) piece of surgical tubing or theraband. Light resistance (green or red theraband) is best, as you’re not trying to load up the muscles or increase strength; this is just get the muscles moving and warmed up. The key is to focus on the speed and quality of the movement.

Step 1 – Complete your usual warm up or pre-race routine
  • Start with your usual jog or dynamic stretch warm up to get your lower body and cardiovascular system ready, as these will carry you throughout the entire day.
  • Put on your wetsuit so you can check in the morning clothes bags and be ready to go at any point.
  • Don’t forget your body glide or lubricant for neck, underarms, etc.!

 

Speed Skaters

Step 2 – Get your shoulders ready to move

Begin with a few arm circles, forwards and backwards, both single and double arms. This is a great time to check and adjust the fit of your suit on the neck and shoulders. Make sure to move your whole shoulder complex, including the scapula. Focus on relaxed arms, generating the movement from the trunk and shoulders and preparing the joints for movement.

Then, go on to speed skaters. This involves bending at the waist and swing your arms side to side with a bit of thoracic spine rotation—another key point in being able to swim well. Speed skaters also help by adding a dynamic stretch to your pec muscles and anterior chest. Speed skaters can also be done standing, known as helicopters.

Do each stretch for about 15-30 seconds.

Step 3 – Waking up the shoulder stabilizers

Time to break out the theraband! A light-resistance piece of theraband or surgical tubing is all you need to wake up the muscles of the rotator cuff and scapular stabilizers and prepare your shoulder joint for the stresses that will be applied during the swim stroke.

Perform 20 to 30 reps or 30 seconds per exercise.

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Internal/External rotations with arm at side

Start with your arm at your side with the elbow bent 90 degrees, then depress and squeeze the scapulas together. For external rotations, move your hand away from the body; for internal, move the hand towards the body.

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Rows

Standing facing the band with elbows bent about 90 degrees, squeeze the scapulas together and bring the elbows straight back. Make sure to keep the scapulas anchored and depressed the entire time.

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Flexion/Scaption Raises

Standing on the band, lift the band up to shoulder height with minimal hiking of the shoulder. Flexion is directly in front of the shoulder, and scaption is at about 45 degrees to the side.

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Standing Ys

With the band looped around a pole, start with both arms crossed and at the opposite hip. While squeezing the scapulas together and keeping your back straight, bring your arms up and out to form a Y shape above your head.

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Step 4 – Waking up the primary swim movers

The final step is to warm up the primary swim muscle: the latissimus dorsi muscle. This is the most swim-specific part of your warm up, and it’s a great time to work on the early, high-elbow arm position that’s critical for generating a good catch while swimming. As you move through these next four exercises, focus on the timing of the stroke pulls; start the movement slower and increase the speed through the back of the pull—just as you would with a normal stroke—then control the return (don’t just let the arm snap back to the front.)

Spend about one minute on each exercise; repeat until you’re warmed up and ready to go.

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Standing Swimmers

Stand facing a pole with scapulas depressed and controlled pull from about shoulder height down to your hips. Your arms should move in a direct line with shoulders and hips.

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Front Quadrant Pulls

Bent forward with an active core and arms out in front of the shoulders, begin a stroke with a good high-elbow position and pull back until about the shoulder. Focus on coupling scapular depression and elbow flexion in order to wake up and perfect the timing of the arm engaging with the scapula moving.

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Butterfly Pulls

Both arms together do a front quadrant pull, but continue the motion all the way back to the hips. Make sure focus on accelerating the pull from shoulder to hip. Bring arms back out to the front underneath the body in a controlled fashion. Keep the arms controlled while recovering and don’t let them elevate above the shoulder. Do not bounce the whole body; focus on isolating the arms.

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Freestyle Pulls

Same as butterfly pulls, but one arm at a time. Work on adding a little thoracic rotation. Do the first few with an under-the-body recovery, then you can advance to a more freestyle-like recovery—just be careful of pulling on the shoulder while it’s coming up behind the hip.

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Conclusion

This warm up is a great way to help prepare for the swim—with or without being able to get into the water. Make sure to play around with the timing before swimming during normal training; some races will make you wait around a while in a chute before swim starts. Also make the routine your own, you might benefit from more time doing double arm butterfly pulls to help wake up your lats and primary swimmers, or more time with speed skaters and freestyles in order to help open up your stiff thoracic spine. It is still important to get into the water as soon as possible to try and swim if possible, get water into your wetsuit, and acclimate to the temperature of the water. At the end of the day, make sure you practice this and are comfortable doing it before your normal swim training sessions: never try anything new on race day!

Have fun out at the races. Each triathlon is an adventure, don’t lose sight of the journey by only thinking of the destination.

 


StaffHeadshot-MaxMax Biessmann, DPT is a licensed physical therapist at Rausch Physical Therapy & Sports Performance. He received his Doctorate of Physical Therapy degree at the University of St. Augustine, San Marcos in 2016 and started his career at Rausch PT. Max is passionate about helping people achieve their goals through physical therapy and innovative rehab technologies. As the Endurance Sports PT, Max says he’s lucky to be able to combine his professional coaching experience and PT knowledge to help his patients achieve their personal bests in sports and daily life.

Learn more about Max and our other physical therapists »

 

Five Exercises to Increase Surfers’ Paddling Strength and Endurance

Blog-Ash
BY ASHLEY, MPT, RAUSCH PHYSICAL THERAPY

How well did your shoulders hold up to the El Niño this winter? Building strength through your shoulders and upper back to improve paddling endurance is your key to paddling out in bigger surf, catching bigger waves, and being able to stay out for longer surf sessions.

Strengthening the rotator cuff, scapular stabilizers and upper back are all key components to improve paddling strength. The rotator cuff muscles are extremely important for stabilizing the shoulder joint, which is the most mobile joint in the body. Specifically, strengthening the external rotators of the rotator cuff act to counterbalance the more dominant internal rotators (pecs & lats), minimize muscle imbalances when paddling, and promote good shoulder mechanics. Enhancing strength and endurance of the scapular stabilizers will also help you maintain good shoulder mechanics to prevent injury during extended periods of paddling.

Exercises for paddling endurance should focus on high reps and low weight, while exercises for paddling power should focus on increased weight with lower reps to maximize overall strength. As you build strength, it’s important to maintain shoulder mobility and flexibility by stretching and foam rolling before and after every session to minimize any joint stiffness throughout the shoulder and upper back, as well as to minimize muscle fatigue and soreness. Check out my previous surfing blog for the Best Foam Rolling Exercises for Surfers’ Shoulders.

Five Exercises to Target Muscles for Paddling

While the best way to gain paddling strength is actually getting out in the water, these five exercises can help compliment the work you do in the water, on dry land:

Exercise 1: Scaps Clocks

Scap Clocks

Promotes endurance of the upper back and shoulder

  • Start with the right arm. Pull tension in the band to 1 → 3 → 5 o’clock. Repeat with left arm, pull band to 11 → 9 → 7 o’clock. Make sure to keep your shoulders down and back; standing against the wall is a good cue for upright posture.
  • Perform 10-15 reps on each side.

 

Exercise 2: Alternating Rows with cables or bands

Alternating Rows

Promotes stabilization and endurance of the shoulder blade while paddling

  • Keeping your elbow at your side, pull the band back while squeezing the shoulder blades together.
  • Perform 2 sets of 20, increase resistance if you’re not fatigued by the end of the set

 

Exercise 3: Alternating Lat Pull-Downs with cables or bands

Alternating Lat Pull-Downs

Builds paddling endurance through lats for a strong pull through the water

  • Stand in a partial squat to activate your core. Pull the band down towards your hip, keeping your elbow straight. Let the tension out of the band slowly to return to starting position. Alternate arms.
  • Perform 2-3 sets of 20 on each side alternating strokes

 

Exercise 4: Prone external rotation/internal rotation on swiss ball

Prone External/Internal Rotation

Promotes rotator cuff strengthening while paddling

  • Lay prone on the swiss ball, keeping your back straight and chin tucked. Start with the shoulder abducted and externally rotated in the ‘90/90 position’ (as shown in photo.) Internally rotate your shoulder to simulate paddling while keeping your shoulder and elbow aligned.
  • Perform 2-3 sets of 10, add light weight (1-3 lbs. dumbells) as strength improves

 

Exercise 5: Simulated paddling on swiss ball with band

Simulated Paddling

  • Keep chin tucked and shoulders back and keeping your elbow straight while pulling. Slowly let tension out of band to return to overhead position, alternate arms.
  • Perform 2-3 sets of 20 on each side alternating strokes

Training to build muscle strength to help you paddle longer and faster will improve your overall surfing endurance. The best way to practice paddling is getting out in the water; these specific paddling exercises are to help compliment the work you do in the waves. See you in the water!

 


StaffHeadshot-Ashley2Ashley Heller, MPT is the newest member of the Rausch PT team. She received her Masters of Physical Therapy degree at California State University, Long Beach and is passionate about working with patients with shoulder, knee and ankle injuries. With background in orthopedic-related injuries and post-operative rehabilitation, Ashley believes that the combination of manual therapy and personalized therapeutic exercise program is vital to recovery. As a physical therapist, it’s Ashley’s goal to help her patients better understand their injuries and the plan for their road to recovery.

Click to learn more about Ashley and our other physical therapists »

Quick Fix for Dead Spots in Your Pedal Stroke

Blog-Dustin
BY DUSTIN HANCOCK, DPT, RAUSCH PHYSICAL THERAPY
When cycling, there are two things that can improve your velocity: power output and turnover cadence. However, the overall power output can be weakened if at some point during your pedal stroke, you have inconsistencies during that full, circular motion. Inconsistent torque forces, or dead spots, typically occur at the initiation of the upstroke. You can determine if you have dead spots by using a power meter or by doing a test like our Performance Lab’s Bike Right, but a simple indicator if your stroke has dead spots is smashing and hammering of the pedals.

Like most exercise movements, a healthy pedal stroke relies on the stretch shortening cycle (SSC) to be efficient. SSC occurs when a muscle stores elastic energy as a muscle lengthens; this stored-up energy is then used when the muscle immediately shortens. Since SSC is a myofascial and nervous system stretch reflex, if the body has adequate mobility and dynamic stiffness, the SSC will allow for any athlete to access free kinetic energy, i.e. more power for less work! Improving SSC can not only be a huge efficiency booster, it can also help improve joint stability and congruency to save those knees from arthritic changes.

Quick One-Legged Exercise to Improve Dead Spots

Here’s a great neuromuscular recalibration drill that you can do on a trainer to improve those dead spots.

Step 1: Hop on a trainer and warm up with the smooth circular stroke pattern focused on relaxing your legs especially your ankles.

Step 2: When you feel warm and ready, pick up the cadence to 92-95 rounds per minute (RPM) and take one foot off the pedal. Place that foot in the center frame.

Step 3: Maintain the cadence for 30-second intervals, working up to 90-second intervals for three to five rounds.

This exercise ensures the leg pulls up at the bottom of your stroke, allowing the hamstring to apply more power into the equation. It also improves the circular stroke pattern and gets you away from that less effective “smashing pedal” form. Try to apply this exercise to your warm up and see what it can do for your cycling efficiency and overall speed.

Enjoy one more thing to think about on your ride!


DustinDustin Hancock, DPT graduated from San Diego State University with a bachelor’s degree in kinesiology/nutrition. He went on to receive his doctorate in physical therapy in 2011 from University of St. Augustine, and began his career at Rausch Physical Therapy and Sports Performance in 2012. As a snowboarder and mountain bike enthusiast, Dustin specializes in treating extreme sport athletes. As a physical therapist, Dustin says he looks forward to being a companion every step of the way on his patient’s path to recovery.

Click to learn more about Dustin and our other physical therapists »

Four Breathing Tips to Beat Your Triathlon Swim

 

As someone who’s swam both competitively and recreationally for many years, I finally did my first open water swim last summer. While I have plenty of experience with stroke, breath and mechanics, I was still winded, fatigued, and admittedly a little shaken up after the 1000m ocean course. Everything that I knew about swimming went out the window as I battled three-foot waves, choppy water, and ridiculous amounts of kelp.

I should have expected it, though. I treat many triathletes as a physical therapist at Rausch Physical Therapy & Sports Performance, so I’m familiar with the triathlon-newbies’ popular slogan: “I just really hate the swim portion.” When I used to ask why (I stopped after last summers’ brush with death) I would hear everything from “I can’t breathe,” to  “I just get fatigued so quickly.” Even, “I can zone out when I run, but I just focus on not drowning when I swim.”

It’s comforting to recognize that most swimmers (even Olympians… even awesome physical therapists!) have felt that way during the swim at one time or another. However, there are plenty of tips and tricks out there to help calm those fears and get you those swimming PRs.

Four Breathing Tricks for Conquering “The Swim”

Here are my top four training tips that focus on the most important part of swim: breathing! Note that depending on the type of swimming you’re doing (distance, sprints, open water, etc.) your breathing technique is going to have to change.

Tip #1: Be odd

To ensure you train your body to breathe out both sides, try taking a breath every three strokes (when starting, then try every five if comfortable.) This not only allows you to scan the competition around you, but it also helps you avoid injuries to the neck/shoulder and impingement within the shoulder complex that can occur with repetitive, one-sided cervical spine rotation and repetitive overhead reaching. Of course, in situations that require you to take more frequent breaths, such as rough water or fatigue, go ahead and breathe on one side.

Tip #2: Channel your inner fish

When swimming, don’t lift your entire head out of the water to breathe. Instead, do a rotation with your head parallel to the top layer of water, coupled with a small, quick inhalation. You’ll look like a fish gasping for air. Most competitive swimmers use this “fish mouth” technique, but again you may have to switch it up once you hit open water and conditions change. In certain situations, you may have to actually rotate your body more to accommodate, and that’s okay!

 

Tip #3: Get nosey

People tend to overthink the breath, which can throw off your timing further. Blowing air out of your nose rather than your mouth while submerged will help your timing, especially once you add in the stroke and kicking aspects. Make sure to expel ALL of your air when underwater and to inhale fresh air during each breath.

Tip #4: Practice makes perfect

Make sure to practice your breathing techniques (preferably in a pool) before you even attempt to add the stroke, kick and endurance aspects of the sport. Your body obviously needs oxygen to function, so it’s the first thing you have to master before you can successfully add swimming to your resume. Check out master swim classes or, if you have access, a SwimLabs facility to help assess breathing mechanics.

Below you’ll find a few video tutorials to help illustrate some great breathing tips; some are more laid back while others are more technical, but I think each highlights some basic points that can help beginner/intermediate level swimmers. Even those of us who haven’t been in competition mode for years can benefit from brushing up on our breathing basics; I definitely will before my next attempt to conquer the ocean swim.

[framedbox]Additional Links and Sources:

 


StaffHeadshot-Lynds
Lyndsay DeFilippo PT, DPT, CKTP received her Doctorate of Physical Therapy from New York University in 2010. She’s a Graston Practitioner and a Certified Kinesiotaping Practitioner. Lyndsay looks at each injury as a constantly changing puzzle, which is only solved when her patient returns to what s/he loves doing. She enjoys helping with the full recovery process, which includes providing the education, tools and fundamentals to prevent re-injury and the potential for new injuries.