Welcome Portland Fit members to 2011.

Congratulations to new and returning members. The medical care providers would like to help on your healthy journey getting the best from your efforts.

Every weekend both locations have tents with free 5 minute consultations and massage with medical staff. Clearwater Clinic volunteers include a mix of massage therapists, naturopaths, acupuncturist and chiropractors all with sports medicine experience.

On the simple side, come to the tents for a brief hands-on stretch out, trigger point release or focused muscle work to address any aches and pains that are getting in the way.

On the more complex side, we can also analyze your gait, assess injuries new ore chronic and answer questions regarding nutrition, general health and sports performance conditioning needs.

On the even more complex, frustrating embarrassing note is the condition of stress incontinence and lack of bladder control which is common and usually not discussed amongst many walkers and runners. Incontinence affects women far more than men and those who experience it don’t need an explaintion of how limiting it can be on all kinds of activities. For women with stress incontinence is frequent post partum, more often with c-section deliveries and does not resolve with typical kegal exercises. Kegal exercise can actually make the condition worse in many cases and walking and running is an essential part of treatment. If you or someone close to you is already anticipating limiting their participation due to incontinence please have them ask Dr. Lindsey or Dr. Bryan about how to minimize and resolve the condition.

Clearwater Clinic offers a variety of sports medicine metabolic testing and VO2 testing at a discount to members who are interested in weight loss and higher performance. Metabolic testing provides complete body composition analysis of lean body mass, fat mass, basal metabolic rate (the calories you need to consume a day to stay looking exactly how you are looking without exercise); and it can indicate if you are keeping well hydrated, electrolyte and nutritionally balanced. VO2 testing, which determines your anaerobic threshold. This information is valuable in finding your heart rate zones for burning more fat than glucose or just heart range for burning predominantly fat, which is important if your exercise goals are weight loss or increasing performance time. If you are working out and not obtaining reasonable results or you are gaining weight please ask for knowledgeable help. Knowing your target heart rate zone can also help alleviate any concerns regarding overuse injury or the ability to complete the marathon.

It is great to get a baseline pre-season with another at end of season to insure that your diet and nutrition is satisfactory for weight loss, prevention of overuse injury and getting the results you want from training.

Everyone wants you to see the best results with your marathon training efforts so please post any medical questions you have on this discussion board and check out the volunteer onsite medical staff and we hope you have a great 2011 training season and 11-11-11 marathon.

Cheers to your health,

Dr. Bryan Baisinger & Clearwater Clinic Staff

Hi Dr. Bryan

Are the BIA impedance analysis and VO2 testing offered in the tents on Saturdays?
Asking because I don't remember seeing it there.

Thanks.

novice,

We don’t have the BIA & VO2 testing onsite at PDXFIT, the VO2 testing requires a treadmill within an acclimatized environment. Before the tests are done a period of inactivity and adequate hydration is needed. If you have any other questions about testing please talk with Dr. Lindsey on a Saturday morning or call her at the clinic 503-279-0205.

Cheers,

Dr. Bryan

Hi Dr. Bryan,

I am having some knee problems... Right knee along the outside of the knee cap. I have been running off and on for several years. My knees generally get sore but that usually happens after the run and no issues during. This pain however, started at 7 miles into the the 9 miler. Walking causes no pain at all. I iced and did a run/walk on the timed runs during the week with each run feeling better. This last run (7 miler) after my first down hill I had to walk most of the way. I did notice that if I extended my stride I could run for awhile. I had my shoes fitted for me so I don't think that is a problem. What would you suggest for this week of training? I am loving everything else up to this point, good lungs, stamina etc. I'm concerned because we have the 9 miler coming up and I want to be ready. Additional info: age 45, weight 140, height 5'7.

I would greatly appreciate any suggestions.

Thanks,
~Kristin

Kristin,

From your description I think you have some muscles that are inhibited from working properly in the hip and region. This is common with a patella tracking issue that generates pain, especially on the outside of the knee. When factoring all the other variables you mentioned into the equation, if your foot/ankle stability is intact adding technically accurate resistance weight training and speed work would most likely be best to help control movement throughout the gait cycle. If you could reply with a little more information that would be helpful. Do you lift weight currently? If yes, what is your typical week? Are you doing speed work? If yes, how’s it going? Any recent or past injuries that may be showing up with the hills and distance? Lastly, any restricted scar tissue, especially abdomen? I’ll look for your reply and get back to you ASAP.

Cheers,

Dr. Bryan

Dr. Bryan,
I do a bootcamp (weight training) once per week which is an all over resistance workout, however I’ve only been to the class twice in the last two months. I have done some interval training on the treadmill i.e. 4 minutes relatively fast and 2 minutes fast walking.. but that is about it. I have noticed that even with the limited interval training my pace has picked up, I’m a historically slow runner. I don’t have any past injuries and no abdomen scarring, I’ve had two children but both were normal births..

Thank you for the response. Is there some specific exercises that I should focus on?

~Kristin