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How To Run And Walk Without Pain & How To Tackle Stress Incontinence When Nothing Else Works with Helen Hall #481

Oct 1, 2024 2h 26m 41 insights
Today, I am delighted to welcome back my dear friend, Helen Hall, for her 3rd appearance on my podcast.    Helen is a movement therapist, running coach and pain expert with over 40 years of experience and, she is one of the best coaches in any modality, that I have ever come across. With a lifelong passion for analysing posture and movement - her clients include elite athletes - whether they be cyclists, runners or premier league footballers - but also ordinary amateurs - regular, everyday people who simply want to walk or run without pain.   Due to her incredible results, Helen is often booked up in her clinic for months, so, to help more people, she first shared her movement philosophy in her wonderful book ‘Even With Your Shoes On’. Since then, she has created a series of online courses for professionals but also for member of the public who simply want to move better and without pain. In fact, she has just launched her brand-new course: ‘A Troubleshooting Checklist For Walkers And Runners: The 6 Most Common Fundamental Movement Patterns That Seem To Need Help.’ This is her shortest and most practical course yet and listeners of my podcast, can claim 20% off until the end of October, using the discount code FBLM20. You can see all details about Helen, her book and her online courses at her website: www.helen-hall.co.uk    Helen’s first two appearances on my podcast have already transformed countless lives and in this third conversation, we continue where we left off. We touch on crucially important themes from the first two conversations - like the importance of our head position and our foot health -  but we also explore many new topics, including why walking is a super-power that affects everything from our gut health to our lymphatic system, how cultural differences influence our approach to balance and posture,  how exactly we can start to become experts in our own bodies and we also do a deep dive into stress incontinence for women - something that is extremely common and not spoken about enough. Helen shares her approach to tackling it, especially when conventional approaches have failed.   I have been working with Helen for over 5 years now and as a result, I am moving better today than I ever have before. She is someone with a high level of expertise and many decades of real world experience, but I think what I love the most about Helen, is just how passionate she is about helping everyone move more efficiently, without pain. I hope you enjoy listening. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Thanks to our
Actionable Insights

1. Improve Breathing for Incontinence

Prioritize improving your breathing mechanics if you experience stress incontinence, as poor breathing is consistently observed in all affected individuals.

2. Holistic Core Approach for Incontinence

If conventional methods for stress incontinence have failed, adopt a holistic ’tin can’ approach by coordinating the function of the pelvic floor, abdominal muscles, and breathing diaphragm as a single unit.

3. Practice Diaphragmatic-Pelvic Breathing

Practice breathing in by allowing your diaphragm to descend and your pelvic floor to relax downwards (breathing into your perineum) without forcing it, ensuring the ’tin can’ expands harmoniously.

4. Consciously Coordinate Diaphragm-Pelvic Floor

Once you’ve established full diaphragmatic breathing (e.g., lying prone), consciously connect it with your pelvic floor, aiming for the pelvic floor to descend on inhalation and ascend on exhalation, rewiring this coordination with consistent practice.

5. Retrain Pelvic Floor Release

If you’re accustomed to Kegel exercises, practice pulling up your pelvic floor on the exhale, then consciously and completely letting go on the inhale to retrain the natural downward movement.

6. Prone Breathing for Rib Expansion

Lie on your tummy and observe your breath, allowing it to fill your lateral and posterior ribs, as this position encourages fuller diaphragmatic breathing by restricting anterior belly swelling.

7. Stop Holding Your Tummy In

Avoid habitually holding your belly in, as it restricts breathing and can hinder free, efficient movement, making you faster for less effort.

8. Optimize Head Position

Consciously position your head correctly, as a forward head posture significantly increases the effective weight your neck supports, reducing movement efficiency and potentially causing pain throughout the body.

9. Improve Organ Circulation via Posture

Correcting a forward head posture is crucial not only for pain but also because it prevents the squishing of internal organs, thereby improving circulation and their overall health.

10. Find Optimal Head Rotation

To improve head position, intentionally jut your head forward, then slowly bring it back until you find the ‘wibbly wobbliest’ spot where you have maximum rotational movement when looking over each shoulder.

11. Improve Neck-Rib Cage Connection

Lie on your back, locate where a necklace would sit at the base of your neck, and gently imagine sending that point down to the bed, allowing your chin to drop and the base of your breastbone to rise, always within a pain-free range.

12. Address Movement Disconnects

If your head or rib cage doesn’t move fluidly during the neck-to-bed exercise, gently assist the movement (e.g., with a small head nod) to help rewire the connection, then re-test for smoother motion.

13. Maintain Head Freedom

Actively find your head’s freest position and develop awareness of when and why you deviate from it, helping you maintain optimal alignment throughout the day.

14. Enhance Foot Freedom

Assess your foot freedom by videoing yourself walking, then enhance it through daily foot wiping and rope play to ensure active, symmetrical movement and prevent stiffness.

15. Self-Assess Foot Movement

Record yourself walking barefoot towards a camera to observe how much your feet are moving and identify any asymmetries, as your feet should actively engage their 33 joints during walking.

16. Engage in Rope Foot Play

After foot wiping, spend five minutes playing by walking up and down on a 30-40mm diameter rope, draping your feet in various ways to dynamically improve foot mobility and address tightness.

17. Know Your Feet Better

Develop a deeper awareness and understanding of your feet, recognizing their complex role in movement rather than just as passive structures, as they are crucial extremities often overlooked.

18. Improve Foot Mobility for Shin Splints

If you experience shin splints or other lower leg pains, focus on improving your foot mobility, as restricted foot movement can be the root cause of issues further up the leg.

19. Optimize Walking/Running Tracking Width

Consciously optimize the space between your feet (tracking width) when walking and running, as an ideal width supports pelvic stabilization, efficient weight transfer, and the innate strength of the pelvic floor, preventing lower limb strain.

20. Widen Tracking Width for Chafing/Incontinence

If you experience chafing when running or stress incontinence, try increasing the space between your feet (tracking width), as this can improve pelvic floor function and reduce related issues.

21. Use Tracking Width for Pelvic Insight

Adjust your tracking width (space between feet) when moving to gain insight into your pelvic floor function, as its critical role involves stable pelvic stabilization and weight transfer between legs.

22. Make Daily Walking a Habit

Integrate daily walking into your routine, recognizing its fundamental importance for running performance, general health, and the optimal function of your lymphatic and cardiovascular systems.

23. Prioritize Regular Walking

Engage in regular walking as it’s a whole-body movement practice that internally massages organs and provides beneficial load and impact for joints, bones, and muscles.

24. Walk for Venous Return

Make walking a daily practice, as the action of dropping the heel into the step is the strongest known method for promoting venous return and aiding circulation.

25. Walk for Lymphatic Health

Walk regularly to optimize your lymphatic circulation, which is a vast network responsible for collecting and eliminating metabolic waste and dead cells.

26. Increase Daily Walking Opportunities

Choose to park further away at places like supermarkets to increase your daily walking, adding significant movement value to your day through whole-body engagement.

27. Cultivate Movement Awareness

Become more aware of your body’s movements and your surroundings, shifting from a ‘heads down, eyes down’ focus to engaging peripheral vision and noticing how you move.

28. Enhance Body Self-Awareness

Start to feel and think more about your body and movements, as increased self-awareness is the most important step towards understanding and improving your physical well-being.

29. Expand Movement Perspective

Avoid viewing your movement ability solely through the lens of pain; instead, consider its impact on overall efficiency, internal organ health, and general well-being.

30. Master Four Pillars of Health

Focus on optimizing your diet (whole foods), movement (e.g., 30 mins walking daily), sleep (circadian biology, 6-8 hours), and stress management, as these fundamental pillars can resolve many health issues.

31. Practice Postural Awareness

Develop a constant awareness of your balance and posture throughout the day, drawing inspiration from cultures that carry items on their heads, which fosters innate structural alignment.

32. Aim for Postural Improvement

When working on head position, aim for gradual improvement rather than perfection, as even slight corrections will yield benefits and gains for your entire body system.

33. Practice Short, Focused Movements

Perform movement exercises in short, focused bursts until you feel a slight improvement, then re-test the initial movement as a marker for change, avoiding mental fatigue.

34. Trust Your Body’s Innate Wisdom

Listen to your body’s innate knowingness and gut feeling; if a health practice doesn’t resonate or yield results, it’s a signal to explore alternative approaches rather than blindly following external advice.

35. Address Walking for Running Issues

If you experience pain or problems when running, investigate your walking mechanics, as the root cause may lie in restrictions within your walking pattern, which is neurologically more complex.

36. Run for Your Body’s Efficiency

Instead of adhering to a specific running method, focus on finding the most efficient way for your individual body to move, allowing your body to guide the process.

37. Activate Dormant Side for Unilateral Pain

When experiencing pain on one side of the body, focus on ‘waking up’ and activating the non-painful side, as the symptomatic side may be overloaded from compensating for its less active counterpart.

38. Begin with Extremity MOT

Start your body improvement journey by performing an ‘MOT’ on your extremities (head, feet, hands/arms), as these areas provide foundational information that influences the entire central axis of your body.

39. Check Shoulder Girdle Tilt

Regularly check your shoulder alignment in a mirror to identify any tilt, as asymmetry indicates a lack of freedom in the shoulder girdle that can affect your entire body’s movement.

40. Correct Shoulder Tilt via Head Position

If you observe a shoulder girdle tilt, work on improving your head position, as a forward head posture often contributes to shoulder asymmetry, and correcting it can restore balance.

41. Reframe Exercise as Movement

Consider reframing the concept of ’exercise’ as ‘movement’ to help appreciate the value of simple actions like walking.