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Sports Bra 101: Running and Beyond

A recent study1 reported, “9.5 million women in the UK are not supporting their breasts properly when they run.” That stat does not shock me at all, especially when we want to look cute, fashionable 😊

Why wear a sports bra?

If you want to help keep those breasts healthy, then wear a sports bra that fits! Research shows that on average, a woman’s breast moves 9.08cm with every stride when running. The average breast weighs between 250 and 300g and any unsupported movement (ie: Running) and causes three-dimensional movement: up-down, in-out, and side-to-side.

This can result in discomfort, chafing and strain on the breasts’ supportive tissue, called the Cooper’s ligaments, which can eventually lead to sagging if not supported. Once stretched, the Cooper’s ligaments cannot revert back to their original position, so it’s important to support your breasts, no matter how far you’re running.

What size running sports bra should I buy?

If you have never worn a sports bra before, start with your usual bra size but be open to trying on different sizes before you find the perfect fit. Different bras will fit differently, so try a few before finding your perfect brand. There are sports bra brands that you can buy according to YOUR size and most specialty running stores carry that brand, such as Moving Comfort, and offer a proper fitting to size you!

How should a sports bra fit?

The first sign that you’ve got the right size when it comes to sports bras is the back band is at the same level all the way round. If it rides up, it’s too big. Your sports bra should fit snugly, but not be too tight that you can’t breathe and you should be able to get no more than one finger under the band or in the cup. And you should NEVER have to wear 2 Sports bras to keep you supported contrary to what you may have heard, seen, or tried yourself. Further, the bra you wear for yoga is not the same bra you should wear for running. There are different bras offer different levels of support. The type you need will depend on your cup size and the type of exercise you do.

1. Low-impact sports bras, used for stretching or walking, are often cut like a crop-top and are, on the whole, made from thinner material.

2. Medium-impact sports bras are a mix between the two, these can sometimes be used for running, but are often not suited to larger-breasted women.

3. High-impact bras (for running) generally use less stretchy material, include supportive seams and overlays and are sometimes even underwired for larger breasts.

How long does a sports bra last?

Just like your running shoes, a sports bra has a termination life too! You’ll need to replace your sports bra every few months, or after around 30-40 washes. As a rule of thumb – you will need three new bras for every one pair of running shoes. The technical fabric of your sports bra will wear in the washing cycle, and its elasticity will diminish during use. To prolong the life of your sports bra, try not to tumble dry it: the heat will destroy the fabric on your bra!

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PATELLOFEMORAL PAIN SYNDROME (Runners Knee)

What is Patellofemoral Pain Syndrome?

It is pain in the anterior knee at or below the patella caused when the kneecap is tracking wrong on the femur. This leads to the wearing away and cracking of the cartilage under the kneecap. You may experience the following symptoms: deep ache under the kneecap, worse when ascending and descending stairs, worse with downhill running, stiffness after prolonged sitting with the knee bent.

Causes?

There are several things that can make you more susceptible to iliotibial band syndrome. The following would/could contribute to the injury:

  1. Direct traumatic injury
  2. Imbalance of strength within the quadriceps (Vastus Medialis strength needed to help track the patella correctly)
  3. Repetitive stress (wear and tear)

Treatment
In order to combat the pain and train properly, treating the cause of the problem is important. You may have to try multiple modalities until you find the culprit!

  1. Ice
  2. Correct the muscle imbalance
  3. Tape the knee cap (see diagram below)
  4. Stretch

Exercises for Patellofemoral Pain



Stretches = 3 sets, 20-30sec hold; For Strength = 2=3 sets, 12-15reps ; 3 times a week
This is how to tape yourself using KT Tape, or grab an Athletic Trainer, like myself, to tape your knee if possible!
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ILIOTIBIAL BAND SYNDROME

What is Iliotibial Band Syndrome?

It is pain and inflammation on the outside of the knee. The IT band is a fibrous band on the outside of the thigh- when it becomes tight it results in a friction syndrome by rubbing against the femur as it runs along the knee joint or hip joint. The symptoms you experience are usually sharp pain on the outside of the knee and/or progressively worse pain throughout a run.

Causes?

 There are several things that can make you more susceptible to iliotibial band syndrome. The following would/could contribute to the injury:

  1. Weakness of the quadriceps and hip lateral rotators, and probably weakness of the gluteus maximus
  2. Bowed legs
  3. Uncorrected overpronation,
  4. Leg length discrepancy
  5. Hard downhill running
  6. Excessive speed work
  7. Running on banked surfaces

Treatment

In order to combat the pain and train properly, treating the cause of the problem is important. You may have to try multiple modalities until you find the culprit!

  1. Rest and ice
  2. Stretching
  3. Switch to softer surfaces
  4. Shoes with ample heel support and rearfoot cushioning
  5. Strengthening the quadriceps, hip lateral rotators, and gluteus maximus
  6. Stretching the IT Band, quads, and hip rotators, as well as gluteus maximus

Exercises for Iliotibial Band Syndrome

Stretches = 3 sets, 20-30 sec hold; For Strength = 2=3 sets, 12-15 reps

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PLANTAR FASCIITIS

What is Plantar Fasciitis?

Inflammation of the plantar fascia which is a thick, fibrous band of tissue in the bottom of the foot which runs from the heel to the base of the toes. The symptom(s) you may feel is pain and local tenderness beginning at the heel and radiating to the arch, heel pain on the first couple of steps of the day, and/or pain at the beginning of a run but better at the end of the run.

Causes?

There are several things that can cause this condition. The following would/could contribute to the injury:

  1. Inflexible calf muscles
  2. A tight Achilles tendon,
  3. Uncorrected overpronation
  4. Overtraining
  5. Hard surfaces for training
  6. High arches

Treatment

In order to combat the pain and train properly, treating the cause of the problem is important, just like any other injury. The following can be tried one at a time to find the true culprit!

  1. Ice massage
  2. Custom orthotics and/or running shoes fit for your foot
  3. Stretching the calf
  4. Wearing a night splint ( I love the Strassburg Sock for this one instead of a bulky boot)

Exercises for Plantar Fasciitis

  1. Roll a golf ball or frozen 20oz water bottle before bed on bottom of foot for 20-30 seconds, 3 reps – I like placing mine in freezer to make it cold for the inflammation
  2. Stretch the bottom of the foot 20-30 seconds, 3-4 reps each morning and evening
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Protein: What is the Hype and What Type?

Protein! What is the Hype and What Type?

WHAT IS A HIGH-QUALITY PROTEIN?

A high-quality protein = 3 Things

  1. Protein digestibility (i.e. “Can your body break it down?”)
  2. Amino acid content (i.e. “What’s really inside the protein?”)
  3. The resulting amino acid availability to support metabolic function (i.e. “Will your body be able to use those amino acids the way you want it to?”)

The process of digesting food begins in your mouth when you chew. But protein is unique in that your body’s digestion of it truly begins in the stomach and continues into the small intestine. Within those organs digestive enzymes and other components break down intact proteins into smaller chains of amino acids, the building blocks of protein. Before a chain can be absorbed into your bloodstream, it must be shortened into individual amino acids and put into an “amino acid pool.” Only then, when these amino acids hit the bloodstream, can they be transported and do all the good for your body. Your body can turn to this pool and take the exact amino acids it needs to create a larger protein molecule required for one function — such as building muscle or helping with the quality of your skin.

HIGH-QUALITY PROTEIN SOURCES

The following are top sources of protein:

Dairy products; milk, whey powders, cheese and cottage cheese, yogurt

Eggs

Seafood and fish

Beef

Chicken

Bison

Pork

Pea Protein

Soybeans

Blended meals (beans and rice)

Vegan protein powders with multiple protein sources

AMINO ACIDS: WHY YOU NEED THEM IN YOUR LIFE

Every source of protein has a different amino acid profile. These amino acids are a big determinant of whether or not a protein is high-quality. Your body can produce many amino acids on its own. But there are some it can’t make. Which is the following:

histidine

isoleucine

leucine

lysine

methionine

phenylalanine

threonine

tryptophan

valine

These are the “essential amino acids,” and you must get them through your diet only. Any food that contains all nine essential amino acids is known as a “complete protein sources.”

Nearly all animal proteins are highly bioavailable and complete protein sources (the body can use them efficiently and effectively and contain all the essential amino acids). This includes dairy, which supplies many of the amino acids, including a high amount of leucine. However, if you are like me and eat vegetarian mostly then there is still ways to get what is needed, which I explain latter.

While collagen and bone broths are popular for their potential to support joint health and other tissue function within the body, collagen protein is high in only 3 amino acids (glycine, proline, and hydroxyproline). Bone broths may deliver health benefits, but they alone won’t help with muscle building or fat loss (or satisfy your body’s amino acid requirements, unless you add chicken or beef to the broth). I am sure I will upset a few people with that information but knowledge is power.

WHAT ABOUT PLANT PROTEIN?

Conversely, most plant sources have an amino acid profile that differs drastically from that of humans. Many plant proteins are low in various essential amino acids, especially leucine. This is important because leucine plays a critical role in turning on muscle protein synthesis (MPS), which is key for building and repairing muscle tissue. The big exceptions are soy and select sources of pea protein (like pea protein isolate). These vegetarian sources contain all, or nearly all, of the essential amino acids you require. Outside of those sources, most plant-based proteins are not complete. All this means is that consuming one lone source of plant protein cannot support body growth and maintenance. But if you combine different plant protein sources, then you can receive adequate amounts of all nine essential amino acids.

Examples of complementary proteins include combining legumes and grains, such as red beans and rice, or vegetables and legumes, as you’d find in a 9-bean vegetable soup. When you eat complementary proteins, the combined sources equal a complete protein source. You don’t have to do this at the same meal. Your body will store the amino acids as they come in, and then resynthesize proteins as it needs by pulling from body cells and blood supplies later. So, even if you had rice at breakfast and beans at dinner, you’re covered. Often, you need to eat more plant-based protein to get the equivalent amount of amino acids that you would from a smaller amount of animal protein, which is why supplemental plant protein powders can be so effective for those who follow a vegan, vegetarian, or plant-based diet.

RECOMMENDATIONS VARY – SO CHECK IT OUT

Check out the table above I created to find the recommended protein intake by various, reliable sources for all types. Often I have people come to me asking how to “build muscle” after seeing a decline with age. Remember, our muscles atrophy (shrink) as we age for various reasons, so adding better protein sources, along with the recommended amount, help us retain and build muscle to keep us lean and tone. The same goes for those who may be sick with hypermetabolic syndromes, such as cancer patients, burn victims, HIV patients, or any major process that is occurring that requires energy to repair your body and use those essential amino acids to repair skin, build muscle, retain muscle, etc.