Sunday, November 8, 2009

Kineseo-Taping is the new elastic bandage

Inflammation caused by stress will present with pain and tenderness, swelling, redness, heat associated with loss of joint range. After running, repetitive stress to the lower extremities, specifically the knees, will cause micro-trauma and inflammation. This will cause the post run feeling of soreness as well as difficulty in walking. It is advised to practice preventive measures to stop progression of this inflammation and later cause osteoarthritis. Physical therapists like myself have used basic principles in the prevention and treatment of musculoskeletal injuries. These principles include joint protection, rest, ice, compression and elevation (PRICE).

The use of the PRICE treatment will help prevent post-run muscle soreness, knee/ ankle swelling and pain on movement or activity in the involved joints. Rest and elevation of both legs will help relax tense muscles and promote recovery. Ice treatment is specific for acute treatment in that it is applicable only during the 1st 48 hours after the injury and then replaced with heat therapy thereafter. Joint protection and compression helps in muscle recovery in that it prevents further injury and facilitates repair of damaged muscle, joint or ligament. Joint braces, supports, athletic tapes and sleeves are employed to provide both compression and protection.

Kinesio Taping was developed in Japan around 25 years ago and yet had only recently been practiced.


It employs the use of an elastic tape which can facilitate joint movement and yet protect it at the same time. Unlike your usual athletic tape which prevents joint movement, Kinesio tapes actually provide protection while facilitating controlled movement of the joint. This can promote faster healing and recovery of affected joints. My cousins in the U.S. (almost all of them are therapists like me) practice kinesio taping. They even brag about undergoing workshops or training on how to properly use this modality. I, on the other hand, have reduced the practice of Kinesio taping to self-experimentation.

I had recently ran a marathon and as part of my recovery I had scheduled an easy run of around 10 kilometers. Because of my eagerness to run, I deliberately increased my speed to almost 10K pace for about 3 kilometers in the middle of my easy run. This caused a slight pain at my left sole and eventually developed into plantar fascitiis. This could have been caused by my abrupt increase in speed, a change from midfoot to forefoot running style or a lack of support from my nike lunarglides. Apart from the usual ice and bandages I decided to experiment on using kinesio tapes I bought at RUNNR shop a few weeks back. I watched videos and read manuals on how to properly apply kinesio tapes in plantar fascitiis and applied them. I did not notice any immediate effect but my recovery was shortened from at least 3 days to only 2 days. After 3 days of using the tapes, I was able to do an easy run of around 7K followed by a 13K LSD run 2 days after. I was convinced. Kinesio tapes work! I noticed that kinesio tapes do allow a certain range of motion unlike conventional static tapes and may be used continuously during activity.

For more details on kinesio taping visit SportMed Info.



Tuesday, November 3, 2009

My Quest that was the Quezon City International Marathon (QCIM)


Running a marathon is addicting. Oftentimes you hear a marathoner (someone who had already finished a marathon) talking about his last marathon and ending the conversation with a plan to run another marathon in 2-3 months. James Go, a running addict, even wears a singlet that says "Running is my natural high". As a physician, I have absolutely no idea how this sport can be addicting. It will strain your entire lower extremity almost to the point of injury and get chafed, cramps, joint pains and muscle soreness for days. And yet we do it. Running the actual 42 Kilometer Race is the fun part. The torture lies in the training or preparation that occurs 3-6 months before the race. Early morning runs at 3AM. Long Slow Distance (LSD) runs on weekends. Interval and tempo runs on weekdays. Weekly Mileage increased from a recreational jogger of 20-30 Km/week to a determined Runner of 50-60 Km/week. 

I started training for the Quezon City International Marathon(QCIM) around 1 month after I ran the Milo Marathon Manila Eliminations. Because It was already my second try at the marathon I was expecting a better trained body and an even more determined mind. I ran 50-60 Km/ week with frequent uphill runs to Busay. After a few weeks of higher mileage, I noticed that I was getting faster even though I never did any tempo or interval runs. I quit joining weekly fun runs and only raced in the Runs with a specific category for Doctors. 
I was astonished when my 10Km personal record (PR) of 49m:47s (March 2009 - DocFit Run Manila) was reduced to a 44m:20s finish which landed me in 3rd place Doctor's Category (August 2009 - CDUH 4th University Run Cebu). I had cut down my 10Km PR by 5mins after training for the Milo marathon. I read in a running article that a marathon finish can be predicted by multiplying your 10K PR by 5 or your 21K PR by 2 plus 10 mins. Both these formulas predict a strong 42K finish of 3h:50s. This was my basis for the 4h:30m:00s finish during the QCIM. I had expected ample supplies of food, water and support for the QCIM because it was organized by a well established Running Org and because it was Quezon City's first International Marathon. I was wrong. Not only did they have inadequate water, fluids and food, they also planned out a "Marathon from Hell" as Pres. Jessie Taborada of CERC described.
The route was hilly with steep uphill climbs and without WATER!!! A lot of my co-runners (including me) from Cebu experienced cramps, excluding runner Haide Acuna who was used to running the Hills of Banawa. I finished the race only 10 seconds better than my first marathon and endured almost 20 kilometers of running with cramps. I kept repeating "When your legs hurt, Run with your Heart" (my singlet design) as well as "Suck it up!!!" during the last 5 km of the race and this helped me ignore the excruciating pain in both my legs. After almost 5 hours of "FUN", I did it. I finished the "Marathon from HELL". No medication can replace the instant pain-free feeling of being rewarded a FINISHERS MEDAL after a marathon.The sight of a 42K Finishers Medal after a race like the QCIM will surely make a runner ecstatic. Despite the 4h:55m:47s finish, I was elated. It was not an easy route. The support was injurious. But I persevered. I went home happy and ready to race another marathon. This time, the Cebu City Marathon in January 2010. 







Monday, November 2, 2009

1st Dr. Jacinto Velez,Sr. Memorial Fun Run

All Cebu Runners, Velez College and CIM Students and Alumni, CVGH Employees and FRIENDS are INVITED!!!

1st DR. JACINTO VELEZ, SR. MEMORIAL FUN RUN

November 22, 2009
Assembly time: 5:00 AM
Assembly Area: Velez Gym (A.Villanueva St. , F.Ramos St. Cebu City)

Start Time: 5:30 AM
Categories:  3K / 5K / 10K / 10K MD   Mens and Womens 

Registration: P150.00 (Inclusive of Singlet and Race Bib)
Register at:
1. Dr. Dennis Entera Clinic, Room 201, Cebu (Velez) General Hospital 
Tel. no: (032) 253-2117
2. Dr. James Guardiario Clinic, Room 203, Chong Hua Medical Arts Center
Tel no: (032) 253-9646

Or call:
(CVGH) Dr. Dennis Entera: 0922-8210157
(CHH) Dr. James Guardiario: 0922-8244002
(CVGH) Dr. Raymund Bontol: 0922-8266865

Proceeds will go to the CIM Charity and Scholarship Fund

Route:



RACE DIRECTOR: Dr. Dennis Entera
ORGANIZER: Cebu Road Runners Club

REEL RUNNING FANS

I AM REEL RUNNER

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Call / Text / Email: (0922)826-6865 docreelbontol@gmail.com