Are You Overstriding?

 

Here’s our latest gait analysis showing an overstriding foot strike. Interestingly, this runner only overstrides with his left leg which is the side of most of his injuries. Luckily we caught this biomechanical deficiency and corrected it pretty quickly. To fix an overstriding gait, we monitor and tweak cadence (amount of steps per minute) and start with drills to practice proper foot placement. Overstriding or improper foot placement can create some of the very common running injuries such as foot pain, knee pain, and hip pain.

What is EPAT?

EPAT photo

EPAT (extracorporeal pulse activation technology) is a type of treatment that I’m extremely excited to be adding to our practice. Before this past Christmas I received a phone call from my great friend and colleague, Dr. Brad Wiest. Dr. Wiest helps run the Carolina Sports Clinic in Charlotte, NC and is an official chiropractor of the NFL’s Carolina Panthers. During the phone call, Brad mentioned to me a new type of treatment they had started administering in their clinic. He said with this new type of treatment, they were seeing much quicker recovery rates with certain soft tissue injuries and that I needed to give it a try. I listened, tested the treatment on 16 of the most difficult injuries I’d been seeing in my office, and after very good success decided to add it to our treatment arsenal. So far, we’ve had plantar fasciitis, achilles tendinopathy, knee pain, shoulder pain, calf pain, hamstring pain, and back pain  all respond extremely well. We are proud to be the only facility in Kentucky to offer this type of treatment. A bit more about EPAT:

EPAT Therapy FAQ’s

What is EPAT?

EPAT is an acronym for Extracorporeal Pulse Activation Technology. It is a highly effective, non-invasive, office based treatment that accelerates healing of injured tissues. EPAT has a proven success rate equal to or better than other treatment methods, including surgery, without the risks or long recovery. It is performed in your physician’s office without the need for anesthesia.

How does EPAT work?

EPAT utilizes a unique set of acoustic pressure waves delivered through a special applicator focused on the site of pain or injury. These pressure waves stimulate the metabolism, enhance blood circulation, and accelerate the natural healing process.

Is EPAT safe?

EPAT is a safe, FDA approved treatment with virtually no side effects. It has been used to relieve the pain of millions of patients worldwide.

What conditions can be treated with EPAT?

EPAT can be used to treat many painful soft tissue injuries. Including: plantar fasciitis, Achilles tendonitis, tennis elbow, golfer’s elbow, patellar tendinitis, quadriceps tendinitis, tendon insertional pain, acute and chronic muscle pain, and myofascial trigger points.

When will my pain subside?

Most patients will experience pain relief after 3 treatments, but some patients report immediate pain relief after only one treatment. Over 80% of patients report less pain or no pain after EPAT therapy. Treatment sessions take approximately 15 minutes per injured area, but may vary depending on the injury. Usually three treatment sessions are necessary and are performed once every 7-10 days. If you are improving after the first three treatments but are not yet pain free, up to 5 treatments may be necessary.

How is EPAT performed?

Ultrasound gel is applied over the skin of the area to be treated. The pressure waves are then delivered using a special applicator tip which is moved over the injured area.

What are the possible side-effects of EPAT?

EPAT is a non-surgical treatment with virtually no risks or side effects. In some cases patients may experience some minor discomfort which may continue for a few days and/or the skin may become bruised or red after treatment.

Who should not have EPAT?

EPAT should not be used in patients who have deep venous thrombosis or malignancy. It is also best to avoid the procedure if you are taking blood thinners.

Will my insurance pay for EPAT?

Unfortunately, insurance companies do not pay for EPAT, though the cost of EPAT can often be reimbursed from a qualified health savings account.

Where Can I Get More Information About EPAT?

Dr. Bowling at Kentucky Sports Chiropractic in trained in providing EPAT treatment and is the best person to speak with.

EPAT photo (2)

More Gait Analysis

This gait analysis study I am particularly excited about. This runner was not in any pain when she presented to our office, she just felt like things were “off”. We were able to get to the cause and solution of the altered gait immediately and the corrections will go a long way to prevent future injuries. Have a look:

Pre/Post Gait Analysis With Voiceover

If you’re a biomechanics or anatomy nerd like myself, you’ll think this video is really cool. This is the format for which I conduct gait analysis studies in my office. Here I outline a bit what we’re looking for and more importantly, how we correct it. There is voiceover so be sure your sound is on. The measurements on the left are from before I made recommendations on corrective exercise and treatment. The measurements on the right were made after just two days of corrective exercise and one treatment. The results were significant.

Are You Overstriding?

Check out one of my latest Gait Analysis studies. Here we have a high mileage runner (60-80 miles per week) who has struggled with overuse injuries primarily on his RIGHT side. When evaluating him initially, we noticed that the musculature on his right side was much more pronounced than his left. After ruling out neurological involvement that might cause atrophy (decreased muscle mass), we decided to go to some video evidence. The culprit of this issue immediately jumped out at us. Look at how far out in front of his body his right foot initially touches the ground compared to his left. There is some major asymmetry going on here. Ideally, a runner’s feet should be striking the ground directly under or slightly in front of his/her body and center of gravity. When this does not occur, too much negative force is absorbed into our legs and injuries occur. While this rule can vary somewhat due to the speed and distance of the runner, this much of an asymmetrical stride is an issue and the cause of  his overuse injuries. Some ways to correct this include being evaluated for joint or soft tissue dysfunction which would be affecting range of motion, and practicing the “Pawback” drill which retrains your feet to land at an optimal location.