The Physical Performance Show 74: Dr Rich Willy - Running Researcher & Physical Therapist at University of Montana (Assoc Prof.)
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Sep 4, 2017 Dr. Rich Willy, Running Researcher & Physical Therapist at University of Montana, discusses running mechanics, injuries, strength training for runners, running shoes, and trends in running technology. He shares insights on knee pain, the impact of increasing running cadence on joint loads, and the role of strength training in running. He also explores the potential downside of relying too heavily on devices and promotes his work and book on strength training.
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Personal Struggle With Knee Pain
- Rich Willy had persistent patellofemoral pain for years and thought alignment was the cause.
- He later learned treatment and understanding evolved and that non-surgical exercise approaches often work better.
Knee Pain Isn't Just 'Bad Cartilage'
- Patellofemoral pain often does not originate from cartilage because cartilage is not innervated.
- Pain usually comes from surrounding tissues like the fat pad, synovium, or subchondral bone.
Treat Knee Pain With Strength And Movement
- Use active exercise therapy and strength training to treat patellofemoral pain rather than defaulting to rest or surgery.
- Keep moving and consider short-term gait changes while you build tissue tolerance.