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| Case History of an Injured Runner |
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Mary Peck is a 19 year old girl. She's also a runner. A good runner. Maybe a great runner. She dreams of the 2004 Olympics.
Mary ran a 3:11 in Boston 2000, and this past November, ran a 58:00 plus 15k in cold, hilly upstate New York. Very promising. Until her back gave out. With no warning, her entire back ceased up on her. She could barely walk let alone run. She couldn't get beyond 4 miles without the back going into a full spasm. Her sole identity had become that of a young, promising runner, and now, she was unable to run. Mary's success has been a result of her commitment to hard work. It was now out of her hands. The situation was beyond her control.
Seeking Answers
Mary went the normal route, seeing several doctors, looking for solutions that would allow her to keep training. Tests, treatments and hopes didn't produce the results she needed. Mary was now an injured runner with no "program". This feeling was foreign and unacceptable to her.
I first met Mary at a clinic I gave last August at the Olympic Training Center in Lake Placid. Mary spoke to me after the clinic, and there was no doubt she was a focused and committed runner.
It was now mid-December, and Mary Peck was on the phone. She briefly explained her situation. We set up an appointment. After going through her history, a couple things jumped out at me; first, no doctor had convinced Mary they knew what her problem was, and second, she was still as bad as the day it started, almost 30 days prior. Mary was living in a freeze-frame and unable to run.
One of the doctors Mary had seen was a chiropractor. She'd been seeing him for several months. Mary liked him. He was a sportsmedicine expert. His treatments were once per week before she became injured, and once injured, he re-took her x-rays to see if there was anything "seriously" wrong. He found nothing, so his treatment continued at once per week. Even Mary recognized the illogic here, and decided to look elsewhere.
Using the x-rays that were taken at his office, I immediately noticed Mary's sacral base angle, which is normally 36°-42°, was 50°. An increased sacral base angle will cause the low back to cease up prematurely under stress (such as in running). Ceasing up equates to spasms in the low back. The muscles go into a defensive mode to protect any stressed areas in the body. Typically, this is a cumulative condition, the result of many influencing factors. Simply put, once a person's workload reaches a certain level and their body mechanics are imbalanced, problems occur.
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