← Feel Better, Live More with Dr Rangan Chatterjee

Why Running Isn’t Bad For Your Knees, How To Exercise Without Pain & Move Faster (Without Even Trying!) with Helen Hall #434

Mar 13, 2024 2h 45m 13 insights
Today I’m thrilled to welcome my dear friend, Helen Hall back to the podcast. Helen is a movement therapist, a running coach, a pain expert and one of the best coaches in any modality that I have ever come across. She has had a lifelong passion for analysing posture and movement, and her clients include elite athletes, whether they be runners, cyclists or premier league footballers, but also everyday folk who simply want to walk or run pain-free.   She combines objective clarity from the most advanced motion analysis technology in the world, with 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.    In order to help more people than those able to visit her in person, she first shared her movement philosophy in her wonderful book ‘Even With Your Shoes On’. She has gone on to create a series of online videos to help more people move pain-free. Helen has also launched an online course called ‘PFM Pilot’ which is getting fantastic reviews - it is aimed at both professionals working in the field of movement, pain and injury, and also amateurs who are keen to learn more and help themselves. Helen first came on my podcast on Episode 216 in November 2021 and many of you got in touch to say how helpful the tools shared in that episode were.  In this conversation, we continue where we left off: We talk again about the vital importance of our head position – and how to become aware of how you’re holding your own head, if you’re struggling to know. We bust the myth that running is bad for your knees. We discuss walk-run strategies and how they can help all of us reduce injury, recover more quickly and run faster. We discuss why ‘foot wiping’ - a very simple practice that I do on most days - could help you move with more ease. We talk about the importance of spending time barefoot. We discuss minimalist shoes and why we are both big fans.   Since I began working with Helen she’s become a cherished friend, whose wisdom and insights cover much more than walking and running. Her message for this brilliant episode is straightforward and optimistic: think about your head, think about your feet – and don’t assume that you can no longer move without pain. She is an inspiring lady, this is an inspiring conversation, I hope you enjoy listening. Thanks to our
Actionable Insights

1. Question Limiting Beliefs

Identify and challenge invisible belief systems that keep you stuck in movement or other areas of life, such as the idea that ‘it only counts if I run the entire way.’ Unpicking these beliefs can open up new opportunities for movement, reduce injury, and improve overall well-being.

2. Address Head Position for Pain

If experiencing neck, shoulder, back, hip, knee, or foot pain, investigate your head posture as a primary root cause. A forward head can add significant load (up to 18 kilos) to your body and flex your spine, limiting movement potential.

3. Practice Head Position Awareness

To improve head awareness, lie on your back with a slippery surface under your head, place a hand on your crown, and gently nod and rotate your head within comfortable ranges. This provides sensory input to your brain, helping it understand your head’s position and encouraging spinal extension without creating a double chin.

4. Practice Foot Wiping Daily

Vigorously scrub every millimeter of your foot soles, including the arches and under the toes, for a few minutes daily (e.g., while brushing teeth) to ‘use up’ hypersensitive or hyposensitive receptive fields. This clarifies sensory information to the brain, improving foot function, balance, stride length, and overall movement efficiency.

5. Increase Barefoot Time & Minimalist Footwear

Prioritize spending time barefoot and wearing minimalist shoes (without cushioning or heel elevation) to allow your feet to move naturally and provide essential sensory feedback to the brain. This can improve foot strength and reduce downstream problems like back or hip pain; transition gradually to allow foot muscles to adapt, and ensure socks don’t restrict movement.

6. Utilize Peripheral Vision

When moving, cultivate a ‘soft gaze’ or peripheral vision by seeing ahead and observing houses on either side of the street, rather than focusing intently on one spot or looking down. This informs spinal activity, extends the spine, and relaxes the autonomic nervous system, leading to more functional upright posture and improved movement.

7. Adopt Run-Walk Strategies

Implement run-walk strategies from the start of any endurance activity, rather than waiting until you’re tired, to prevent fatigue, reduce injury risk, and aid muscle recovery during movement. This approach allows for continuous progress and can lead to faster times and a more enjoyable experience by recovering as you go.

8. Maintain Good Posture When Tired

Consciously maintain good posture even when fatigued during physical activity, as allowing your body to slump makes movement harder and less efficient. Use mental effort to find a ‘wibbly-wobbly’ head position and press hands on the upper chest to encourage spinal extension, allowing for freer movement with less effort.

9. Encourage Barefoot Play for Babies

Allow babies ample time out of baby grows (consider chopping off feet or using socks) to explore their feet with their hands and mouth. This natural exploration provides crucial sensory input, triggering reflexive movements essential for developing strong, functional feet and fundamental movement patterns.

10. Seek Movement Feedback from Partners

Ask your partner or close friends to observe your posture and movement patterns, as they often notice things you don’t see yourself. This external perspective can provide valuable insights into habits that might be contributing to pain or inefficiency.

11. Use Poles for Movement

Incorporate walking or running poles from the beginning of your activity to offload up to 75% of body weight from your knees and engage your upper body dynamically. This makes movement a whole-body activity, improves circulation, and can lead to happier knees and better outcomes, especially for those with existing conditions.

12. Vary Movement Patterns

Introduce variety into your movement patterns by switching up gears (e.g., alternating between walking and trotting) to avoid repetitive strain and keep your brain engaged. This makes movement easier on both the body and the brain, preventing fatigue and improving overall efficiency.

13. Don’t Stop Running Due to Knee Pain

If you experience knee pain while running, do not immediately stop running, but instead investigate the root cause of the knee’s discomfort. The knee is often taking the brunt of issues originating elsewhere in the body, such as the head, hips, or feet.