Waterloo Chiropractor, Waterloo Physiotherapist, and Massage Therapist (RMT)

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2022

Meet our Waterloo Chiropractor and Physiotherapy Team

Our team of Waterloo Chiropractors, physiotherapists, and registered massage therapists are here to help you get out of pain, and back to the life you enjoy as soon as possible. We use only the necessary treatments, nothing more.

We always take the time to conduct a full history and physical exam to identify exactly what is causing your pain. You will always be provided with a precise diagnosis, an explanation of your injury, a variety of treatment options, and a prognosis so that there are no surprises.

We are Evidence-Based

Our treatments are based on what only the newest and best scientific research is showing- you do not have to be concerned with pseudoscience or poorly understood concepts.

Dr. Sean Delanghe & Dr. Rebecca Blackburn both graduated from the most highly regarded chiropractic school, CMCC.

We strive to prevent recurrence

Our goal is not only to help you become pain-free, but also to stay pain-free.

With every injury, there will always be an option for different interventions to help prevent your injury from returning. This may include options ranging from ergonomic training to custom exercise plans.

By: SAYAKA TIESSEN, HONS. BKIN, MSCPT

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Ankle sprains, AKA rolled ankles, have got to be one of the most common injuries out there. They can happen in the most innocuous situations, like stepping on an uneven surface, or during sports that require cutting and landing. The words “walk it off” are synonymous with ankle sprains. Get up. It’s nothing serious. Back to business.

I get the sense that most people that sustain an ankle sprain do not seek any guidance from a physiotherapist. It might swell up nicely for a day or two, but then you limp around and manage to get on with your life. What you might not appreciate though, is that ankle sprains have a high recurrence rate due to the residual effects of the initial injury. Things like ligament laxity and damage to the neural and musculotendinous tissue around the ankle can inhibit complete recovery. This can present as weakness, poor balance, and slower muscle response to load. You might not notice these deficits when you are walking around, but they do make you susceptible to re-injuring the area. This is why I always advocate for getting any old rolled ankle assessed by a physiotherapist.

I often prescribe a blend of resistance and balance training for my ankle sprain patients. But if you are super crunched for time, is there one that is more efficient than the other?According to a 2021 study, although resistance training and balance training on their own improves strength, hopping (explosiveness and control), and dynamic balance, if you had to pick one, balance training takes the edge. This is likely due to the high training load used in the study (20-30 second holds, 10-20x, 3-5 sets over multiple exercises), and the fact that you need to be strong and coordinated to balance well, and strictly strengthening will not challenge your proprioception (balance-ability). Time to get your Karate Kid on.

Want to know what kind of exercises are appropriate for you? Or have you sprained your ankle before and feel things are not quite right? You can book an appointment with me here!

We’re back again for the latest in my series on strength training for endurance athletes!

I’ve written previously about how and when strength training should be used in a nuanced way- it’s not as simple as ‘strength is always good!’ Check it out: hereherehere and here.

Now, the next question: is there a downside to strength training? Time costs aside, are there risks or detrimental aspects to including strength training in your quest to be a better endurance athlete? That is what I am taking a quick look at in this article.

Muscle hypertrophy:

First and foremost, based on my previous articles, we know the goal of strength training is to improve our running economy without losing any other components of why we run well. However, it’s not as simple as ‘build power, go faster;’ it’s about how you maximize your power-to-weight ratio.

The other consideration is that if you put on muscle mass, the ratio of the density of blood vessels carrying oxygen to the muscles vs. the volume of muscles they supply goes down – once again, hurting endurance performance.

The key with this is that higher rep, lower weight exercises don’t seem to give the same boost in performance that high weight, low rep strength work does. The flip side to this is that low rep exercises are what builds mass – something we don’t necessarily need to be faster. So, what’s the balance?

CLICK HERE to read the rest in the Run Waterloo Magazine.

Welcome back to my series on strength training and endurance sports. My last article looked at strength work and cycling economy- which was way back in June. I have a good excuse though: the birth of my daughter, Adeline Delanghe!

I would like to say “now that her sleep is normalizing blah blah,” but that simply is not the case. Instead, I’m just getting better at squeezing stuff in, which hopefully will result in more science of training articles for you all!

In any case, if you haven’t already, please review the first three articles in this series. The idea is not to give you a cookie-cutter, magical answer on how endurance athletes should utilize strength training. Instead, this is meant to introduce you to some of the nuances in the science, and how to decide if, when, and how much resistance training you should do.

Strength training 101: Impact on V02Max
Strength training 102: Impact on Running economy
Strength training 103: The impact of cycling economy

To add to the above, today’s article will take a look at another parameter of endurance performance- lactate threshold.

Strength Training and your Lactate Threshold (LT)

What is your LT? This is essentially the exercise intensity at which lactate accumulates in the blood faster than it can be removed. This is the “breaking point” so to speak between low and high-intensity work.

While V02max is important, having a high lactate threshold is crucial in endurance performance. The higher the lactate threshold is as a % of your V02max, the harder the effort you will be able to sustain for long periods of time. We don’t race at our V02max, but we do spend lots of time in and around our lactate threshold!

While V02max is a popular thing to measure and be proud of, as we have noted before, somebody with the highest V02max doesn’t always win the race, especially in running. As we discussed, this is in large part due to exercise economy. However, this is also seen when somebody has more effectively trained their lactate threshold despite not having the same max oxygen-consuming ability. In other words, having a slightly lower V02max that’s good enough, and a very highly trained LT can allow you to beat a competitor with a higher V02max.

V02max is the ceiling, and we want to max it out, and then get our LT as close to it as possible to be at our best!

CLICK HERE to read the rest on the Run Waterloo Blog.

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