Patients at New York Dynamic Neuromuscular Rehabilitation often ask about the criteria they should consider when choosing running shoes. If you’re a serious runner, you should first visit a specialty store for running shoes, where you can have a trained salesperson give you a gait analysis.
This process involves looking at your feet both when you’re walking and running and while standing still. The professional will examine the shape of your arch and the rest of your feet, as well as determine how you distribute pressure and whether you favor one side or the other (known as overpronation or excessive supination).
Overpronation means that the ankle and foot turn inward, which can cause overuse injuries over time if you’re wearing the wrong kind of shoe. The best running sneakers for those who overpronate have additional support at the arch to help correct the gait. Excessive supination typically occurs if you have a very high arch and stiff foot. Those with this type of gait usually walk on the outside of their feet. The ideal shoes for those with excessive supination have extensive shock absorption in a shoe with lots of cushioning.
People with neutral gait don’t place any undue stress on either the inner arch or outer edge of the foot. For this “ideal” foot type, a cushioned running shoe is sufficient in most cases.
After you have a gait analysis and purchase new running shoes, you should undergo this process every year to ensure that your gait has not changed. In addition, you should have a new gait analysis any time you have a serious change to your body, such as injury, trauma, or pregnancy, as all of these can affect the way that you walk and the type of shoes you need.
In addition to gait analysis, you should keep your body type in mind when choosing running shoes. Larger people tend to need more cushioned shoes than smaller people do. The type of running you usually do is also important, as there are different shoes for trail running, road running, and cross training. Try on shoes at the end of the day, when your feet tend to be slightly swollen, and keep in mind that the shoe size you normally wear can vary based on manufacturer.
Also keep in mind that running shoes are designed to last for about 500 miles. Replace your shoes as often as necessary for optimal support.
Reactive Neuromuscular Training on Kineo
Kineo – the most versatile muscle testing using artificial intelegence
Kineo – the most versatile muscle testing using artificial intelegence
Kineo – the most versatile muscle testing using artificial intelegence
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating the full thickness tear and already occurring muscle atrophy due to misdiagnosis and not referring the patient to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed to be a complete tear with muscle contraction under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris with large hematoma (blood)
Separation of muscle ends due to tear elicited on dynamic sonography examination
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