There is a time when we have to take a complete break from running.  Some injures require a different care plan, and running may not be the best option for them.  

However, there are many times when some running is possible, but the parameters (ie. speed, incline, duration) need to be modified according to the injury.

• Avoid Stress-shielding:  Stress-shielding occurs when we get injured, so we stop doing everything to protect the injury. There is usually some protection needed, especially at the beginning of an injury.  Eventually it becomes important to begin loading the injured area again.  Stress-shielding is when the injured tissue (ex. tendon) is so protected, that even the healthy parts begin to get weak and lose their integrity.  When returning to activity after complete protection, it can be a longer road to get back to where you were.
• Optimal loading = better healing:  Our tissues adapt to the load (training) as long as it is the correct amount and we give ourselves enough recovery time between workouts.  Injured tissue is no different.  The tissues that were injured with running, are often loaded more effectively during running!  While strength training can be an effective way to rehabilitate your injury, sometimes running is the best way to target the injured tissue and stimulate positive effects.

Many of the runners that Mike has worked with have had a history of many injuries, and persistent aches and pains.  It makes it more challenging, but he has many success stories.  There are a few important points to know:

• It can take careful "load management" to get the best results.  There is usually a certain amount of running that can be tolerated, and it is important not to cross the line.  We work hard to figure out where that line is, and then build from there.
• Mike has also worked with many runners who simply haven't had their issue properly addressed, and require referrals to other providers.  Some injuries require more than physiotherapy.  If needed, Mike can order diagnostic imaging, and/or refer you to another healthcare provider who can help.
• Some injuries create a "bottleneck" in the training process, or limit only certain types of running.  For example, some injuries may make it so you can train on flat terrain, but can't do as much hill training.  Mike will work with you to get through the bottleneck.

Our coaching appointments occur once every 4-weeks.  There is a lot to go through at these appointments (ie. giving you your next 4 weeks of training).  To adequately address your injury, we may recommend that you are seen more often, and for time that is completely dedicated to your injury.  We may recommend you follow-up before the 4-week coaching appointments for standard physiotherapy treatments.