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ALTA: Experience the Best in Physical Therapy & Pilates

making headway picture

March 2008

Greetings Cindy

Pilates Classes at ALTA

  Raoul with patient
Raoul at Work

Are you ready to get serious about fitness and have some fun at the same time? Our own Raoul Rossiter is excited to be teaching the first Pilates mat class offered by ALTA. The class is adaptable for all levels.

Pilates Mat Class
Fridays 12-1 pm.
Drop in rate is $15/class, or buy a 10 punch card for $120 and save!
 
For questions or scheduling, please call  303-444-8707 ext. 100 or visit our website.


Melissa with patient
Personal Attention
from Melissa

If after work is the best time for you to get in shape, consider a reformer class taught by Melissa Myers, Pilates instructor  extraordinaire.  Melissa will make you sweat, and keep you moving in this invigorating class.  Now you can benefit from Pilates on Thursday and Tuesday evenings. 

New Reformer Class

Thursdays 5:30-6:30.

Visit our website or call us for details.


  
          Cupping            

Cupping Technique Picture

Cupping technique compliments trigger point dry needling.  Connective tissue winds throughout our muscles, nerves and joints. Healthy connective tissue glides and provides a support structure for our body.  Connective tissue can lose elasticity and begin to restrict movement with injury.  In the case of the Iliotibial band the cup is placed over the ITB.

Suction is then provided through the cup and the ITB is lifted off of the thigh muscles.  Instead of pushing on the ITB as with the foam roller, cupping lifts the fascia of the ITB away from the musculature.  The cupping helps to restore the ITB’s ability to glide with movement.

The technique of cupping can be performed with movement to release the fascial restrictions within that plane of motion. Cupping also increases blood flow to the area of treatment and this hastens recovery.

 

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A Painful Iliotibial Band:
Will it be Your Downfall in the Bolder Boulder?

As you torture yourself, rolling your IT band across the foam roll one more time, do you wonder if you will ever make any headway?  And if stretching the ITB is not the answer to fixing it, what is?   

If you run, ride a bike, hike, weight lift… or for that matter, if you spend much time sitting, Iliotibial Band (ITB) problems might be in your future, if they aren't already here.  Iliotibial Band Syndrome also called “Runner’s Knee”, is one of the leading causes of lateral knee pain in runners and cyclists.

What is the Iliotibial Band and What does it Do?  

      
    single knee picture
 
The ITB is actually a long tendon. (Tendons connect muscles to bone.) It attaches to a short muscle at the top of the pelvis called the tensor fascia lata. The ITB runs down the side of the thigh and connects to the outside edge of the tibia (shinbone) just below the middle of the knee joint. You can feel the tendon on the outside of your thigh just above the knee joint. The ITB crosses over the side of the knee joint, giving added stability to the knee.

How do ITB problems develop?

The ITB glides back and forth over the lateral knee as the knee bends and straightens. Normally, this isn't a problem. However, if the ITB is tight, it snaps over the bone with repeated knee motions during walking, running, or biking. The repeated strain causes tissues on the side of the knee to become inflamed.

But what causes ITB tightness in the first place?
 

doubleknee.jpg

 

Common structural causes of ITBS:

    High or low arches (overpronated or supinated foot)
    Uneven leg length
    Bowlegged or knock knees (excess varus or valgus)
    History of back problems with adverse nerve tension
    Knee caps that face inward when your knees are straight
    Shortened muscles or connective tissue on the outside of your hip

Training habits that contribute to ITBS:

    Running only one side of a  cambered road or a banked surface
    Running downhill for long distances
    Stair climbs as part of your routine
    Increasing distance too quickly on the bike, running or hiking trail
    Too much time in your aero bars
    Cycling too many hills in early season in a big gear
    Stretching incorrectly or not at all
    Not paying attention to posture, on your bike, or in your chair.

Let’s assume you do have a tight Iliotibial Band, and you want to avoid getting into pain that interferes with your training routine.  What should you do?
 
First, check your shoes to see if there is excessive wear on the outside part of the shoe.  You may need to a) get new shoes or orthotics or, b) see if your running form is part of the problem

Ask yourself these questions about your form:

    Does my hip drop more on one side as I run?  
    Does my knee “fall in” a lot with running or riding?
    Do I ride with my feet “toed in”?
    Is my saddle too high?
    Is my stance too narrow?
    Is my back stiff or sore when I get off the bike?
    Am I able to use my core muscles to stabilize as I run? (If you are                  wondering what your core muscles are, make an appointment today!)

If you are getting the idea that everything meets in the middle, you’re right.  ITB problems can come from above (the low back), or below (the foot), from your training techniques, or your structure.  Sorting all this out can get you off the foam roller, and on to actually fixing the underlying cause of your problem. 

Like many musculoskeletal problems, there’s a bit of detective work involved to sort out the cause of your ITB pain, and that’s where the experts at ALTA can really help you! 
 
Get a plan for treatment. Whether it’s:

    a bike fit
    a core strengthening program 
    correcting lower back dysfunction and mobilizing the nerves of your legs
    changing the way you run or ride 
    orthotics to correct foot mechanics
    TDN for loosening those highly trained but tight muscles
    Cupping to help the ITB glide easily along the thigh muscles.


A Solution is Waiting for You. 

 

 
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So Make an appointment at ALTA –you’ll be glad you did.

 
 
 
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ALTA Physical & Complementary Therapies
2955 Baseline Road
Boulder, CO. 80305

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