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Fixing Knee Pain In Running...Don't Just Strengthen

cadence collapser Dec 24, 2019

Collapsing

In our last post, we discussed the idea of a collapsing runner. This is someone who either shows a Trendelenberg in the stance phase of gait, or collapses inward at the knee through hip internal rotation and adduction. This is common with runners experiencing knee pain.

Many times we find the typical initial prescription is hip strengthening. It makes perfect sense. The hip abductors and external rotators do not possess enough strength to control the collapse. Many runners will see improved pain levels with this plan, but it is also important to realize that many runners may have a reoccurrence of the pain at a later time. Is it possible that one of the reasons your runner improved is partially due to the time they likely spent reducing their running volume while in rehab?

Here’s the thing. Just because you improve a runner’s hip strength does not mean his/her running gait will change.²  If running brought on the pain and we’re not fixing the...

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Running Issues? Maybe You’re A Collapser

collapser it band knee pain Dec 22, 2019

Running seems simple.  All kids do it, so we should all do it well, right?  Unfortunately, many of us develop compensations that can correlate with issues.  One of these common
compensations, we like to call, “The Collapser”.

The Collapser is exactly what it sounds like.  Someone who conforms to the ground way too much.  They absorb force in an alternative plane to the sagittal, leading to abnormal forces.  How important is this?

Let’s look at what a Collapser looks like first.  You’ll notice the 2 hallmark signs of a Collapser (Picture to the Right):  Pelvic drop and an adducted/internally rotated hip. 

Typically, a runner will have one or the other, but you’ll note that this runner has both.  This can correlate with anterior knee pain3, lateral hip pain1, and a host of other issues.

So back to why it is so important.  When we walk, 3x our body weight goes through our knee.  When we run, this...

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