In my clinic, the majority of my patients are runners. Strange for a chiropractor, I know, but I have developed a bit of a niche due to:
– my background in biomechanics,
– a penchant for running,
– knowledge of soft tissue treatment (I’m an instructor for Active Release Techniques).
During a typical day, I certainly see a wide variety of conditions, but at the same time, there are certain aspects that become repetitive.
For example, – the question, “Are these shoes good for me?” or any variation of that theme is certainly one of the most commonly repeated scenarios. When you have a “Groundhog day” moment like that on a daily basis, you start looking for more efficient ways to handle it. So generally, I search the web for appropriate media that fits with current evidence. Unfortunately, I am often unable to come up with anything that I feel is suitable. So, when I see a need for something, I try and fill that need.
I’ve dabbled in 3D animation and use a free program called “Blender”, so I try making short, evidence based videos for my patients to watch. My hope is that these videos explain things in a well thought out way, with visual representation – and better than I could do off the cuff in the office.
Here is a sampling of some of these videos:
1) Tendon Compression: Tendons are particularly vulnerable at sites where they wrap around and are compressed by bony protuberances. During the initial stages of treatment, it is often important that patients understand this concept and try to avoid positions or exercises that may increase the compressive load.
2) The Science?? of Prescribing Running Shoes: As referenced above, this is one of the more common question I get. This should be a patient friendly version that everyone can understand.
3) Increasing Anterior Ankle Impingement by Limiting Pronation: This video is embedded in this blog post. I am frequently encountered with patients suffering from anterior ankle impingement and they are running in zero drop shoes or shoes that limit midfoot pronation. I use this video to explain why this is probably a poor choice.
4) Craigs Test: Explaining the idea of femoral anteversion isn’t easy without some visuals. This video accompanies this blog post.
5) Hamstring Tension During Running: This is a video explaining various factors of sagittal plane position of the pelvis will affect hamstring tension during running.
6) The Forward Lean Reducing PFPS Forces: This study reports that increased trunk flexion angle will reduce patellofemoral joint forces. While this is true, this video demonstrates an alternative. This video accompanies this blog post.
Any ideas for further videos? I’m open to suggestions.