running pain

Is it safe to jog or run while I am pregnant?

running while pregnant

Is it safe to run while I am pregnant?

This is a question we get asked a lot here at Optimus. Gentle exercise during pregnancy is really important (and safe) for you and your baby. Not only does it help you maintain the strength and fitness necessary to support your baby while pregnant and get through the delivery, but it also helps in maintaining a healthy weight and helps manage stress. The goal of exercising when pregnant is to maintain a good fitness level throughout pregnancy based on exercises YOU ARE USED TO but this is not the time to challenge your body to achieve new fitness targets.

But is running safe?

If you did not jog or run before you became pregnant, now is not the time to take it up. During pregnancy, your body produces the hormone relaxin, which loosens your joints. Due to the reduced stability of your joints while pregnant the increased load on your pelvis, hips and knees during running can make you more prone to injury. If you're not an experienced jogger, it is best to stick to other forms of exercise like walking, cycling or swimming for your cardiovascular workout.

However, if you are used to jogging YES, IT IS SAFE FOR YOU AND YOUR BABY!. Gentle to moderate jogging or running is fine to continue for as long as you feel comfortable. As your pregnancy progresses and your bump size increases you will naturally find yourself winding down the distance, time and intensity of your workout.

There are some things to consider though:

In the first trimester:

- Make sure you aren't pushing yourself too hard. Your should be able to comfortably carry on a conversation while running (1) .

- Make sure to stay well hydrated. Dehydration can reduce blood flow to your uterus (womb) and may even cause premature contractions.

- Don’t overheat! Choose to run at cooler times during the day to control your body temperature, wear sensible clothes, hydrate and don't push yourself too hard.

- Wear proper running shoes that are comfortable and provide plenty of support for your feet as this will help lessen the load on your pelvis, hips and knees as well.

In the second trimester:

- Be aware of pelvic floor dysfunction. See more on this below.

- Your balance may be compromised as your centre of gravity changes with your changing bump size so jog on the flat if you can to avoid a trip.

In the third trimester:

- Watch out for signs of overload on your back and pelvis, with aches and pains. As your baby bump size increases there will be more load and pressure on your low back or pelvis which may lead to aches and pains. This load will be increased by running and may exacerbate the issue.

Generally, listen to your body and watch out for any signs that you might be overdoing things!

Let’s talk about your Pelvic Floor…

Be aware of pelvic floor dysfunction. From the second trimester, the changes in your pelvis and uterus, as well as the increasing size of the baby, will mean there is progressively more stress on your pelvic floor muscles. This will be exacerbated while running. If you feel heaviness in your pelvic floor region during or after jogging or associated leaking this is a sign of pelvic floor stress and it is safer in the long term for your pelvic floor health to reduce or cease running.

When to stop!

Danger signs that you might be overdoing it include dizziness, heart palpitations, leaking from your vagina, nausea or vomiting, a sudden change in body temperature or swelling in your feet or hands. If you experience are of these symptoms you should see your doctor for clearance before continuing.

How can we help?

Got any questions about exercise or running while pregnant? Our physios can guide you on any pregnancy related issues or goals or work with you in conjunction with our strength and conditioning coaches can help tailor a program specifically for you. Book online or give us a call on 9913 8986.

Running related injuries: Learn the lessons from the past and don’t get a running related injury!I

Senior Physiotherapist KP

I have taken the measure get ahead of the game at Optimus and give everyone a warning! Regardless of all the reasons why one would all of a sudden take to running like a duck to water (perhaps people isolating at home during COVID!) we saw one too many running related injuries.

We have seen restrictions ease and then be placed back on a few postcodes. This has resulted in various sporting competitions pull the pin on the 2020 season. One thing I will bet my bottom dollar on is that more people will take up running in an effort to stay fit!

Whether its patellofemoral pain syndrome (runners’ knee), Achilles tendinopathy or calf strains, these runners definitely kept us busy and a few of these individuals learnt a few tough lessons. However do not make the same mistake!

The commonalities between each injury are evident. There is a load vs capacity mismatch! Our friends from the strength and conditioning world are awesome at explaining this and is a great way to explain how an individual got to where they are (i.e injured and presenting in front of me for treatment).

Ultimately the main goal is to get you running, and running well!. The general education and advice that I would give to you as a hot tip to not succumb to these dreaded running related injuries includes:
1. At this present moment in time, running is a great way to stay fit and healthy
2. There is a load (e.g. distance, pace) you have to overcome when trying to run.
3. You also have an inherent capacity (e.g strength, endurance, technique) you have that will determine whether your run well, or will fall apart and begin to sustain a few injuries.
4. The good news is to get you running, make sure you’re running well and reduce the chance of injury is to increase your capacity!

Personally - I really enjoy working with this population - most runners want to run and with this goal in mind I often see unparalleled compliance as they apply themselves to a rehab program.

Understanding that sometimes all we need to do is drop to a manageable load where your body can recover well is far better than stopping all together!

Between now and when you want to ramp up your running, lets concentrate on building up your capacity, increase your strength, work on how they are running and address any underlying issues. This is key in ensuring you (p)rehab well and prevent these problems from occurring.

 

COVID Running got your knees aching?

knee pain richmond.png

COMMON CAUSES OF KNEE PAIN

RUNNERS KNEE

Where it hurts? Pain under your kneecap, feels worse after running and when you go up/downstairs

Why? Occurs when the patella (kneecap) undergoes significant stresses that are beyond its capacity to tolerate

How do I treat it? Reduce running, stretch glutes, foam roll quads (DONT stretch quads- this will increase the compression of the patella on the femur) and TFL (pocket muscle), shorten stride length/ increase cadence

Prevent it! Strength train, foam roll regularly, shorten your stride

PATELLAR TENDINOPATHY

Where it hurts? Pain below your kneecap and at the top of your shin, will hurt going up and down stairs and pain will increase when running.

Why? The patellar tendon may have too much force going through it, in a short amount of time, compared to what it is able to absorb

How do I treat it? Reduce running, a physio may recommend a patellar strap or alternative measure to offload the tendon, load management is key!

Prevent it! Strengthen key muscles around the knee, stretch your quads & hamstrings, foam roll, manage your running loads to within the tendon’s capacity to tolerate load

IIiotibial band sydrome

Where it hurts? The pain will be on the outside of the knee (location where physio Bryan speaks about in the video), will come on quickly and subsides when you finish running.

Why? The ITB runs from your hip to your knee, a fluid filled sac called a bursa sits between the ITB and the outside of your femur. When the ITB compresses this bursa, it causes pain.

How do I treat it? Reduce your KM’s, foam roll your glutes and TFL (NOT the ITB itself), consider if your shoes are right for you.

Prevent it! Strong glute and core muscles are the key, so a strength program will help. Foam roll glutes, quads and TFL and shortening your stride may reduce forces at the knee.

If you would like one of our experienced physiotherapists to diagnose your knee pain and provide the correct advice and strengthening exercises make an appointment now.