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Sports Medicine

Runner's Knee Part 2: Hip & Ankle Mobility - How It Relates To Patellofemoral Pain Syndrome

Runner's Knee Part 2:  Hip & Ankle Mobility - How It Relates To Patellofemoral Pain Syndrome

In part 1 of our runner’s knee series, we discussed the specific anatomy involved, how and why we experience pain over/in the front of the knee, and most importantly, how running, and specifically downhill running, can hasten your onset of patellofemoral pain syndrome. ->Read Part 1 Here <-

Today, in part 2, we are going to move away from the knee and look at the friendly joints above and below. As we know, and you will soon find out, the hip and the ankle are in control of the knee and more times than not, pain at the knee is caused by faulty mechanics, immobility, or strength and stability deficiencies at either or both of these joints. Read on!

Runner's Knee Part 1: What Is Patellofemoral Pain Syndrome (PFPS) And Why Is It Common In Runners?

Runner's Knee Part 1: What Is Patellofemoral Pain Syndrome (PFPS) And Why Is It Common In Runners?

If you have been running for any period of time, then you have most likely had a run in with, or are currently battling, Patellofemoral Pain Syndrome (PFPS), or Runner’s Knee as is better known in the endurance community. PFPS is one of the most common causes of knee pain in runners but is also one of the most challenging conditions as the specific cause can be elusive. Furthering the challenge, Runner’s Knee itself has been used as a blanket diagnosis when runners present with any kind of knee pain, especially to clinicians unfamiliar with runners and running mechanics.

Our goal through this series is to help runners of all abilities better understand their knee pain, its cause, and how to self-treat and prevent future occurrences. Additionally, as a provider based in Utah, we are the land of abundance when it comes to downhill races. This causes a sharp increase in PFPS cases that come through our office during the fall marathon season.

How Often Should You Stretch?

How Often Should You Stretch?

The title of this post may confuse you and you may be asking, 'What has changed with stretching?' (To bypass my ramblings, scroll to the bullet points at the bottom).

That is a GREAT question! It seems that about every year or two, we change our opinion on stretching. Should we do it? Should we not do it? When? Where? How? After a while it all gets very confusing and we fall back on the ol', 'Well, if that works for you, then keep doing it' mentality.

Iliotibial Band Syndrome Pain - What You Need To Know & What You Can Do About It.

Iliotibial Band Syndrome Pain - What You Need To Know &amp; What You Can Do About It.

Runners in Utah and all over the country have expereinced that stabbing knee pain, during and after a run, that seems to come out of no where, leaving you sidelined and unsure what caused it or how to deal with it.  Iliotibial Band Syndrome, or ITBS, is one of the most common injuries experienced by new and veteran runners alike.  We discuss some of the basics and a few simple tools to help deal with it.  

The Best Running Warm-Up To Help Prevent Injury

The Best Running Warm-Up To Help Prevent Injury

If you are like SOME runners, you prepare for your run by completing two quick stretches. First, you bend over and touch your toes. Next, you stand up, grab your foot from behind, and pull it toward your butt.

If you are like MOST runners, you don't even do that! In place of a long-winded stance on why you should be doing this and how research shows that warming-up before exercise not only prevents injury but improves performance. We are going to cover the bases of a great running warm-up through our Bands, Balance, & Bounce Running Warm-Up Routine.

Running Into The Ages

Running Into The Ages

There are many myths about the effects of running on your body as we age, some positive, some negative, many rooted in hearsay. Most of the negative remarks we hear about running as we age often come from ‘non-runners’ - but do their comments have validity? I want to take a look at a few concerns and address what current literature has to say, give some suggestion on training, and just help you continue running... because any way you look at it, healthy and safe running is a fantastic way to maintain strength, mobility, and quality of life to age successfully!

7 Things You Need To Know About Dry Needling

7 Things You Need To Know About Dry Needling

The more we study dry needling, the more we understand its benefit and expand its use in the treatment of musculoskeletal injuries. Addressing everything from low back pain, migraines, and sports injuries; dry needling proves beneficial in the most common muscle, tendon, ligament, and joint issues seen in a physician's office.

As more practitioners utilize this technique, it is important to know the basics about dry needling, what to expect from treatment, and what conditions can benefit from this therapy. Below are seven important items to understand when seeking treatment.

What's The Deal With Hip Internal & External Rotation?

What's The Deal With Hip Internal &amp; External Rotation?

As I near my 2 year mark in clinical practice, you start to realize trends. Sometimes these trends solidify what we already know, align greatly with what we are already practicing, and allow us to continue down the beaten path. However, there are things we begin to see as key indicators on how an injury occurred, things that are so simple, they often get overlooked in a treatment plan. Today I want to briefly discuss an item that falls under both of these categories.

Hip range of motion (ROM) is often taken for granted, until that time comes where one side is severely restricted and we are unable get up off the floor without the use of our hand, or the assistance from another. As I have progressed clinically, hip ROM started as just something to jot down in a patients notes, but has quickly become one of the first areas I look to and address for nearly all of the low back pain** and lower extremity complaint (acute and overuse) patients that come into our clinic.

The problem we see is that the restriction is never symmetrical, causing compensatory patterns that quickly lead to injuries and confused patients. While getting you out of pain is our job, our goal is education and prevention. Below are some great stretches and mobility movements that are not only easy to perform, but effective is restoring symmetrical movement. Enjoy.

Break Up the Endurance Training With Some Strength!

Endurance athletes, especially runners, tend to shy away from strength training due to what I would consider a misunderstanding of what it can provide. After working with hundreds, probably thousands by now, of runners and triathletes over the last few years, I find very few have a regular strength plan. Some are afraid of getting hurt, some do not know how to effectively strength train, and some still have the ridiculous notion that if they lift weights they will get so bulky, the can no longer run!