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The Secret To Pain-Free Running (and Walking!) with Helen Hall (Re-release) #391

Oct 7, 2023 2h 2m 30 insights
Today’s episode is a re-release of a conversation I had just over 2 years ago, a few weeks after completing the London marathon for the very first time. I have decided to re-release it because I am seeing so much online about people being injured, struggling with their running, their walking or their sport. I believe that this conversation - and my wonderful guest - can help. My guest is my dear friend, Helen Hall. Helen is a movement therapist, she's a running coach, a pain expert…in fact, to be frank, all of these labels feel a little bit limiting - in many ways, I would call her a detective for the human body. Helen has had a lifelong passion for analysing posture and movement, and her clients include elite athletes as well as regular everyday folk who simply want to walk or run pain-free. She combines objective clarity from motion analysis technology, 46 years of visual experience, and study in the field, to seek out the root causes of chronic pain and injury that often seem resistant to standard treatment protocols.   Helen first shared her movement philosophy in her wonderful book Even With Your Shoes On. More recently, she has launched an online course called PFM Pilot. It is aimed at both professionals working in the field of movement, pain, and injury, and also for amateurs keen to learn more and help themselves. We look at the core principles of Helen’s approach. Awareness is everything and she teaches clients to really notice what their body is doing. Where is your head sitting? How are you using your arms? It’s only when you’ve noticed that you can begin to change. And changing means becoming more efficient – learning the adjustments that help you to move with freedom. Movement, Helen points out, is a ‘job share’. We need to be able to recruit as much of our bodies as we can to do it well. I can testify to this holistic approach. Working with Helen hasn’t just changed my running, it’s helped me to walk faster, breathe better and stand more comfortably. It’s made me aware of how past injuries and trauma can affect you for decades. I’ve even learned how the surgery I had for appendicitis as a child played a huge part in my experience running the London Marathon. And, this conversation is my first real deep dive into my marathon experience. It wasn’t the race I’d planned, but it turned out to be the race I needed. Helen helps me unpack why I found it so emotional and explains why my physical struggles were a sign of progress not limitation. I hope this conversation conveys just how valuable I think Helen’s approach is. Whether running is for you or not, I know it’ll get you thinking about how you’re sitting or standing right now, and noticing how you use your body for the rest of the day. Thanks to our
Actionable Insights

1. Cultivate Movement Awareness

Become more aware of how your body moves, how it’s stacked, and how effortlessly it moves, as this awareness is the beginning of change and leads to improved breathing, digestion, and overall health.

2. Prioritize Noticing for Change

To initiate any change in your body or movement, you must first notice what is happening and what isn’t, as awareness is the fundamental starting point for progress.

3. Optimize Head Position

Ensure your head is properly ‘on right’ and effortlessly perched on top of your spine, as a forward head position limits movement, restricts joint rotations, and negatively impacts overall body function.

4. Improve Internal Flow via Head

Correcting your head position improves the body’s internal ‘plumbing,’ allowing better blood flow, metabolic waste removal, and air circulation, making all movement easier and more efficient.

5. Look Beyond Symptom Location

Understand that the area where you feel pain or experience an injury is often not the true source of the problem, requiring a broader investigation to find the root cause.

6. Investigate Pain’s Root Cause

When experiencing pain, understand that the site of the symptom is not always the site of the problem, and investigate the underlying reasons for the pain rather than just treating the symptom location.

7. Listen to Your Pain

View pain as a communication from your body, indicating that the painful area is likely doing too much work and asking for relief or for other body parts to share the load.

8. Avoid ‘Mean’ Movement

If an activity like running causes pain, the solution isn’t to stop the activity entirely, but to stop performing it in a way that is ‘mean’ or harmful to your body.

9. Empower Self Through Body Knowledge

By learning about your own body and its movements, you gain control to navigate challenges and make physical tasks as easy as possible, preventing unnecessary difficulty.

10. Utilize ‘Puncture Kit’ Movements

Instead of pushing through pain, pause, walk, and use a pre-identified ‘go-to’ movement or stimulus to address fatigue or discomfort in a specific body part, allowing you to recover and continue without further injury.

11. Implement Brisk Walking Warm-up

Before running, engage in a brisk walk for 7-15 minutes (rule of thumb: 10 minutes) to divert blood flow to working muscles, which is the most effective way to limit injury risk and enhance enjoyment.

12. Allow Adequate Muscle Recovery

Recognize that intense exercise requires a minimum of 48 hours for muscle fiber recovery, and for some individuals, it can take up to a week, so plan training to avoid cumulative fatigue.

13. Prioritize Under-Training Over Over-Training

When preparing for an event, it is always better to be slightly under-trained than even minimally over-trained, as starting fatigued can lead to injuries and hinder performance.

14. Believe in Pain-Free Running

Challenge the misconception that running is inherently bad or not for you if you experience pain; instead, believe that with proper learning and addressing underlying structural, biomechanical, or form issues, almost everyone can run pain-free.

15. Identify Underlying Walking Inefficiencies

Recognize that running injuries often stem from pre-existing, unnoticed inefficiencies in walking mechanics that become problematic when the intensity of running is added.

16. Use Running as Diagnostic Tool

View running as a valuable teacher that can reveal underlying imbalances or inefficiencies in your body, providing an opportunity to identify and address the root causes of pain or limitations.

17. Self-Assess Shoulder Asymmetry

Stand in front of a mirror to observe if one shoulder is consistently higher than the other while standing, marching, or trotting, as persistent asymmetry indicates an underlying issue affecting shock absorption and propulsion during movement.

18. Analyze Shoulder Movement Quality

If you notice shoulder asymmetry, test the ease and quality of overhead arm movement for both shoulders, as this can help identify which side is restricted, even if the asymmetry itself doesn’t pinpoint the problem’s location.

19. Rethink Stretching for Long Muscles

If a muscle, like a hamstring, is in a chronically lengthened position due to postural asymmetry, stretching it further might exacerbate the problem; instead, focus on correcting the underlying alignment to allow the muscle to shorten and function optimally.

20. Avoid Asymmetrical Carrying During Movement

Refrain from carrying items like phones, water bottles, or sticks on only one side of your body while moving, as this asymmetry will negatively affect your overall movement patterns.

21. Distribute Carried Weight Evenly

If you must carry items while moving, either carry them symmetrically (e.g., two bottles) or place them in a pocket or bum bag close to your core to minimize their impact on your movement.

22. Carry Phones on Upper Thigh

If carrying a phone, place it in a tight pocket on your upper thigh rather than on your upper arm or in your hand, as the thigh’s density and proximity to the core minimize its negative influence on movement.

23. Check Shoulder Elevation When Carrying

When carrying a phone or other item, observe if one shoulder elevates, as this indicates an imbalance that reduces shock absorption on one side and overloads the other, impacting propulsion.

24. Observe Imprinted Motor Programs

Pay attention to how your body parts, like your arms, move even when you’re not carrying an item or looking at a watch, as repetitive actions can imprint motor programs that lead to inefficient or asymmetrical habits.

25. Recognize Body’s Memory of Trauma

Understand that the body ‘keeps the score’ and can maintain compensatory shapes or movement patterns long after an injury or surgery, which can contribute to recurring issues if not addressed.

26. Reframe Event Outcomes for Growth

Instead of viewing a challenging event as a failure, reframe it as an opportunity for self-discovery and growth, recognizing that learning about your resilience and potential can be more valuable than achieving a specific time goal.

27. Learn from ‘Bad’ Experiences

Embrace challenging or ‘bad’ experiences in movement or life as profound learning opportunities, as they often reveal more valuable insights than smooth, successful ones.

28. Cultivate Curious Observation of Movement

As your awareness of your own body’s movement grows, extend this to observing others’ movement with curiosity rather than judgment, seeking to understand the underlying reasons for their unique patterns.

29. Holistic Benefits of Efficient Movement

Recognize that improving movement efficiency and body stacking has systemic benefits beyond just physical performance, enhancing breathing, digestion, internal fluid flow, and overall health and longevity.

30. Integrate Action, Thought, Feeling

To achieve fluid movement, foster balance in the body and system, and integrate the action of movement with the thoughts and feelings associated with it, connecting these elements to deepen awareness and facilitate lasting change.