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Brian Schiff’s Blog

Injury Prevention, Sports Rehab & Performance Training Expert

Archive for 'rehab'

I am pleased to announce that my new e-book on overcoming knee injuries and maximizing running performance is now available!  As someone who has run 4 half-marathons, a full marathon and several 5Ks, I know firsthand how frustrating an injury can be. Perhaps worse than the injury itself, is the fear of re-injury when every step brings trepidation in the back of your mind that the same pain could come back at any moment.

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Over the course of my fitness and therapy career, I have worked with hundreds of runners ranging from beginners to competitive runners.  Many have been sidetracked by anterior knee pain and IT Band Syndrome.  While there is no way to prevent all injuries, I have found that learning to assess the body and incorporate corrective strategies to eliminate asymmetries and imbalances along with proper conditioning allows individuals to run faster, longer and relatively injury free.

Up to 50% of all lower extremity injuries with runners involve the knee.  I have been working on a manual that summarizes my approach to injury prevention, rehab and training for runners.  You see, many people are not really fit to run when they start running. If more people knew how to detect potential issues and train adequately to prepare their bodies to run, injury rates would decrease and performance would subsequently increase.

As such, I wrote Fit For Running: Overcome Knee Injuries and Maximize Performance.  This 70 page e-book covers assessment, stretching, strengthening, soft tissue mobilization, plyometric training and injury recovery guidelines.  It focuses on preparing the human body for optimal performance – a manual for physical readiness if you will.  It is perfect for runners of all ages and abilities, running coaches and fitness trainers working with runners.

While my book aims to target knee pain, it really offers considerable knowledge and insight that would help a runner with any overuse injury. Given the proportion of knee injuries, I chose to focus the injury/rehab portion of the manual on this topic.

Click Here to download a free sample and learn more about this great new resource.

Running is in full force as Spring has sprung.  If you have ever experienced shin pain during or after your training runs, you know firsthand how aggravating this condition can be.  I treat many runners with overuse injuries.  Common issues include anterior knee pain, IT band pain, plantar fasciitis and of course shin splints.

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Click here to read an earlier post on the link between poor ankle mobility and overuse injuries.  Unfortunately, shin splints can progress to a more serious stress fracture if not diagnosed and treated properly.  Recently, I was interviewed for a series of articles on thew topic of shin splints by Fitness Magazine.  You can read those articles below:

What are shin splints?

How to prevent, treat and heal shin splints


If you follow my blog, you may remember that about this time last year I posted some info about a compilation of body weight training resources.  Well, a new version is back for 2015, and as a person who contributed to the project, I wanted to make you aware of the offering.  It is available from today until March 27 at 11:59 PM and includes content from different disciplines within the health and fitness community.

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Get the NEW Bodyweight Bundle 2.0 bundle here

It includes:

8 Bodyweight muscle building resources

6 Bodyweight fatloss programs

6 Bodyweight “trick” manuals

7 Bodyweight video/workout programs

4 Bodyweight flexibility/rehab programs (including my shoulder e-book)

Plus…

… fat-burning recipes, meal plans and more.

You can harness the power of bodyweight exercises from multiple experts to transform your body and your life.  You can own all 37 resources for only $37 for a limited time!  Click on the image below for more information.

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Halo Trainer

I recently received a Halo Trainer from Bryce Taylor, its inventor and program director.  I am fortunate enough to test and sample many new products related to fitness and rehab.  Many of them are one dimensional, full of fluff or new takes on an old product. This product really delivers for those in the rehab and fitness worlds.

Disclaimer: I am not being compensated for this product review or paid to endorse this product.  I simply love what it has to offer. The Halo Trainer offers countless training possibilities for so many people despite their backgrounds and abilities.

In fact, here is an excerpt from the Halo Trainer website:

Halo Training currently consists of 4 levels of difficulty for functional bodyweight training.   We all know that people have various levels of strength, flexibility, coordination, etc. so we at Halo Rehab & Fitness believe that individuals should not be performing the same exercises.  Although it is always to goal to increase the challenge, it is not always appropriate.  Sometimes an exercise can be advanced and other times an exercise needs to be made a little easier to meet the specific level of the individual.

For this reason, the Halo training development team has created four distinct levels of difficulty based on scientific principles. Our team has created levels of difficulty for over 300 exercises so that you can create a specific progressive individualized program to maximize bodyweight training.  Just pick a starting level and progress to the next level when you are able to complete the challenges of your current level.


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So, I just returned from the Combined Sections Meeting for the APTA that was held in Indianapolis.  There was lots of great networking and presentations to be sure.   I attended sessions on ACL rehab/prevention, femoroacetabular impingement, elbow injuries in throwers, running gait analysis, and shoulder plyometric training with the legendary George Davies.  I thought I would give you my top 10 list of helpful nuggets I picked up over the weekend in no particular order of importance.

1. Performing upper body plyometrics has no effect on untrained subjects so don’t waste time putting it into the rehab program, where as it does benefit trained overhead athletes.  The one caveat is it also increases passive horizontal external rotation so keep this in mind when working with athletes who have shoulder instability.

2. A new study  coming out in 2015 in AJSM revealed no major differences in throwing kinematics between those following UCL reconstruction (Tommy John) and age-matched controls.  This is good news for those worried about pitching mechanics after the procedure.

3.  According to Dr. Reiman at Duke, the orthopedic hip exam does a better job of telling us they do not have a labral tear than it does telling us they do have an intra-articular problem.  The tests have poor specificity.  In fact, he goes on to say that the “special tests are not that special.”  That brought a chuckle from the crowd including me.  Bottom line – we are not really able to conclusively say “yes you have a labral tear based on my exam today.

4. Reiman also feels we must consider look for mechanical symptoms during the lowering portion of the Thomas test, while considering the fact that fat pad impingement may cause anterior hip pain as opposed to joint pain.  Again, things are not always as they appear in the “FAI” crowd so we need to take a great history, look at the classic tests and also see how squatting and loading affects the hip.

5. More experienced pitchers do not drop the glove side arm, but instead tend to move their body toward the glove to conserve angular momentum and overcome small moments of inertia.  Less experienced pitchers rotate their trunk sooner in pitching cycles whereas pitchers who threw at higher levels rotated later and produced less torque at the shoulder.  Consequently, many players with higher elbow valgus torque and distraction force at the shoulder rotate too early.


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