When a runner in her early twenties came into Capital Chiropractic, she was in the middle of a busy training schedule with race day approaching. As her weekly kilometres increased, she began noticing discomfort that was starting to affect her runs. Because running places repetitive demands on multiple areas of the body, we began with a comprehensive assessment to better understand the factors that might be contributing to her symptoms.
Looking at the Full Picture
A concern like this often benefits from assessing the entire kinetic chain rather than focusing on a single area. We looked at how different joints and movement patterns were working together throughout her stride.
Rather than focusing on a single area of discomfort, the assessment aimed to identify contributing movement patterns throughout the body.
Hip and Pelvis
We began by assessing the hip and pelvis to evaluate mobility, movement patterns, and load distribution. When certain areas are not moving efficiently, the body may adapt in ways that place additional stress on surrounding tissues during training.
Knee, Ankle, and Foot
From there, we assessed the knee, ankle, and foot to better understand how force was travelling through the lower limb while running. Each joint plays a role in overall movement, and changes in one area can influence how other structures respond during repetitive activity.
Myofascial Release
Alongside chiropractic care, we incorporated myofascial release techniques to address areas of soft tissue tension that had developed during training. Repetitive movement and increased training volume can sometimes contribute to muscle and fascial tightness, which may affect movement quality and comfort.
A Closer Look at Foot Mechanics
During the assessment, we also observed moderate pronation that may have been contributing to increased stress through the lower limb while running. To provide additional assistance during training, we fitted her with custom foot orthotics designed to help accommodate her individual foot mechanics and movement patterns.
Returning to Training
With a gradual care plan and ongoing monitoring, she was able to return to training comfortably and continue preparing for her upcoming race.
“What I enjoy most about working with runners is being able to look at how the body moves as a whole. A broader assessment can sometimes help identify contributing movement patterns that may otherwise be overlooked,” says Victoria Chiropractor Dr. Nick Milton.
The focus was not only on helping the patient manage her current discomfort, but also on promoting healthy movement habits as she continued training.
Running Smarter, Not Just Harder
Training places repetitive demands on the body, especially during higher-volume running blocks. Taking the time to assess movement patterns, joint function, and overall biomechanics can help runners better understand the factors contributing to discomfort and encourage more efficient movement over time.
For new patients and experienced athletes alike, a comprehensive approach is not just about staying active today. It’s about supporting comfort, mobility, and confidence throughout the training process.
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