As a runner, chances are at some point or another you’ve experienced pain in your hamstrings, knees, or lower back that just won’t seem to let up no matter how much you stretch.
Interestingly enough, this pain may actually be stemming from inactive glute muscles (also known as the ol’ butt).
Luckily, performing a few simple activation exercises pre-run can stop this pain in its tracks, allowing you to run powerful, strong, and injury free.
“So why aren’t my glutes firing?” you may ask.
The most commong reason is that most people sit for long periods of time. The glute muscles tend to stop firing due to a lack of oxygen and tightened hip flexors. This, in return, puts more strain on the lower back, hamstrings, and knees, that imbalanced and stiff feeling when you head out for a run.
Add these simple exercises to your warm up routine and get those glutes firing.
Turn up the intensity of these exercises by adding a resistance band. Aim for 2 sets of 10 reps on each leg.
>> Glute activation video via Single Leg Squat <<
Exercises:
1. Clam shells 
Lay on your side, with your knees bent at 90 degrees. Keep your feet and ankles together and raise your top knee. Make sure not to raise the knee too high-you should feel a slight tug in the glute area
2. Single Leg Bridge
Keep your one knee bent, and straighten the other legs. Slowly move your leg up and down. Make sure you aren’t feeling this in your hamstring, you want the glutes to be doing all the work.
3. Prone Leg Lifts
Lying flat on your stomach, focus on raising first one leg at a time. If the knee bends you are using too much hamstring.
4. Fire Hydrants
Place your hands underneath your shoulders and your knees underneath your hips. Flex your feet and keep both your feet flexed even as you raise one leg.
Then raise one leg out to the side, keeping the knee bent to 90 degrees. Lift it as high as you can while keeping your arms straight. Try to not let the foot get higher than the knee or the knee get higher than the foot. Really squeeze the butt cheek as you lift.
Hold for a second or two at the top. Lower down and then repeat. Complete all reps on one side before switching.
Part 2: Running Through the Pandemic – Recovery from Injury
For the second installation of Running Through the Pandemic, I want to share my personal injury recovery from this year.
First off, injuries are no fun. As I’ve discussed training, time trials, and social distanced running with you over the past 2 months, I realize that some of you are in the same boat as me = unable to run.
In normal times injuries leave us without our beloved “Runners’ High”, often time a lack of focus, sometimes weight gain, and a general ambivalence about our path forward. It feels like this is magnified 10x via our current disruptive work environment, home schooling and overall lack of socialization.
I began to experience chronic knee pain in January. Unfortunately, this we not the typical tight quads and non-firing glutes. On July 16th, I had a scope of the knee to remove some loose pieces and examination of the trochlea head.
Not surprisingly, my surgeon discovered evidence of all the 60,000 miles of running my knees have endured over the last 30 years.
My recovery has been slow. I am near pain free walking but can’t do single leg squats which is one of the markers, my physical therapis Ky set as a prerequisite to running.
Frankly, this has left me unfocused in everyday tasks, less productive, generally ambivalent and somewhat rutter-less.
Sound familiar?
When I walked on at Penn State, my coach - the late, great Harry Groves, made this guarantee to me: if you train hard – you will improve and eventually get injured.
Coach Groves passed in February with a tremendous legacy of instilling strong work ethic in young men and I’m often reminded of the lessons he taught. He had a way of challenging us with lots of explicit-ridden acronyms such as “GOYFA”, where G = Get, O = Off, Y = Your and I’ll leave the F & A to your imagination.
With no running in the past 6 months and probably none until at least next year, I was forced to think of how I would move forward and get off my proverbial seat. The real impetus for the start of Runcoach was that running has always been more than a sport or exercise for me. When I’ve been stuck, running is the milieu for a path forward.
Almost always injuries are mitigated with physical therapy. Often times it is not the therapy itself, but the psychosomatic benefits of doing something as opposed to nothing. So, I continue to be religious with my PT.
After years of despising the bike and spin workouts, I’ve found a new, non-inflammatory love of the Peloton. There’s just something about that leaderboard and those spunky instructors urging me along. I’d love to follow you on Peloton and join you for a class and my user name is RuncoachTom.
Meanwhile, my former running partner, Lester (yellow lab) continues to need his exercise and at 8 years-old my knee injury is a Blessing for him. We routinely log 15K steps/day and sometimes stretch to 20K+.
The combination of my PT, the Peloton, and walking Lester keeps me moving forward. In these times, we need to find whatever we can to resiliently keep on.
I also am grateful for all the miles I was able to run and those still ahead. It is funny how much one appreciates something routine after it is gone.
For all of you who have been on the sidelines like me either currently or historically, I encourage you to focus on what you can do today, and the potential of what tomorrow may bring.
As always, any movement leads to activity which becomes a path forward.
Coach Tom’s Top-5 List for Moving Through Injury in the Pandemic
1. Focus on your physical therapy, flexibility and strength work as there are multiple benefits
Written by Jennifer Van Allen
Updated by Hiruni Wijayaratne 
One of the most challenging parts of getting fit is staying healthy and injury free. Dr. Ashley Perrott is an Ironman finisher, busy mom, and family medicine physician at Novant Health Salem Family Medicine in Winston-Salem, North Carolina. (See photo, left, of Ashley with her parents and brother). Dr. Perrott is answering some of the most-common questions our users have on staying on track.
Muscle soreness can be expected for 1-2 days after a more intense workout or more intense week of training. This soreness should improve daily. Recovery with rest or light workouts after an intense workout can help muscle soreness and stiffness. Try a light massage or foam rolling.
Muscle injuries lasts longer than 1-2 days. You may notice the inability to complete a light workout or even regular activity. Rest will generally help this pain. Any pain that gets worse with activity should prompt the athlete to reduce speed/intensity to avoid injury. Muscle pain or weakness that persists despite rest is a reason to see your MD.
Joint or bone pain, swelling, or redness may represent more significant injury. Certainly a specific episode of injury (rolling ankle, falling, tripping) that causes deformity should prompt an evaluation at the MD in some fashion.
If your joint pain feels worse with pressure on that joint (expecially if your are just resting and can feel the pain) schedule a doctor appointment immediately.
Reoccuring pains, these are aches and pains that show up like clock work should be addressed. Shin splits, IT band stiffness, runners knee, achilles tendonitis are all chronic pain that tend to simmer down and flare up as you increase activity. It's critical to address the root cause of these pains, perform corrective exercises, and break the pain cycle for good.
Have a question about staying healthy and injury free? Contact Us.
#1-Elliptical
This month in Ask the Practitioner, we inquired about high hamstring tendinopathy with Renee Songer, Clinical Director of Agile Physical Therapy. 
