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Jun 23

Gluteal Amnesia: Wake Up Your Glutes

Gluteal Amnesia, though sounds silly, affects a large percent of the American population. If you suffer from back, hip, knee or shoulder pain you could be one of the many who lack proper gluteal activation. 

Why does gluteal amnesia occur

Gluteal Amnesia is when your body forgets how to activate the gluteal muscles properly. The average adult is sedentary for 64% of the time they are awake due to the overwhelming majority of adults working a desk job that require almost no physical activity. Because of this sedentary lifestyle, our muscles are not working as much as they should be, in particular our gluteal muscles. This is detrimental to the whole body because the glutes are the strongest and largest muscle in the body. Excessive sitting lengthens the gluteal muscles and tightens the hip flexors which leads to decreased stabilizing function and overall gluteal weakness. Beyond excessive sitting, gluteal amnesia can also occur because of the overworking of your quadriceps, a previous injury, poor core strength, improper body mechanics and poor posture such as an anterior pelvic tilt.

How gluteal amnesia contributes to injury

There are a number of injuries that are caused by weak gluteal muscles, here are the three most common:

Hamstring strains: The over activation of the hamstring occurs because the glute is not firing properly during hip extension. This puts too much pressure on the hamstring causing a strain. 

Low back pain: The gluteus maximus plays a crucial role in the stabilization of the pelvis and spine. Weak glutes cause your lower back muscles to pick up the slack. Because your glutes are not doing some of the work, your back will suffer. 

Knee pain: Glute weakness creates excessive rotation of the femur which puts too much pressure on the knee. Knee injury examples due to weak glutes: Iliotibial band syndrome and ACL injuries

Symptoms of gluteal amnesia

  • Tight hamstrings after a exercise that predominately uses your glutes
  • Frequent low back, hip and knee injuries
  • Turned in knee and turned out feet in a squatting position 
  • Tight hip flexors

Correcting gluteal amnesia

In order to correct gluteal amnesia, you need to retrain your gluteal muscles to activate properly. One way to reverse gluteal amnesia is to warm up your glutes prior to your workout. Before your workout do 5-10 minutes of glute specific exercise such as gluteal bridges, clamshell exercise and donkey kicks. This will activate and wake up your glutes so they are ready to be used during your workout.  Self-myofasical release can also help with gluteal activation. Use a lacrosse ball or foam roller to help loosen your over activated muscles i.e. hamstrings, hip flexors and lower back muscles. This will allow for your glutes to activate more easily.  


The medical information on this site is provided as an information resource only, and is not to be used or relied on for diagnostic or treatment purposes. This information should not be used as a substitute for professional diagnosis and treatment. 
Please consult your health care provider, or contact Viverant for an appointment before making any healthcare decisions or for guidance about a specific medical condition. Viverant shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.

Jun 15

Marathon Tapering: How Rest Increases Fitness

Rest is an essential part of training, but can sometimes be the hardest part in your running journey. Many athletes do not realize that rest and recovery actually improves performance, which is why tapering is an important part of training for a marathon or any type of competition. 

Tapering can be a challenge for many athletes. After weeks of hard training, slowing down before a race is a mental game. Reducing the miles and adding more rest time builds glycogen stores which helps the muscles heal. Tapering also reduces damage to the muscles, increases strength and even improves the nervous system which leads to more efficient running. 

Some athletes make the mistake of thinking since they are reducing the miles, they need to increase the intensity of those shorter runs. This is harmful because your muscles are not used to short high intensity workouts and it will fatigue your muscles. It is also important to remember that you may not feel great during the beginning of your taper. Many athletes feel sluggish and winded on workouts they thought should be easy, some also feel phantom pains. This is a common part of tapering and resisting the temptation to resume regular workouts can be a challenge. This feeling does not last forever though, most athletes begin to feel back to normal one or two days before the race.

It is important to find a balance that works for you because everyone’s tapering length is different. Some runners taper only a week before a race and others taper 3 weeks before. Experiment to find what works for you, and your body will thank you.


The medical information on this site is provided as an information resource only, and is not to be used or relied on for diagnostic or treatment purposes. This information should not be used as a substitute for professional diagnosis and treatment. 
Please consult your health care provider, or contact Viverant for an appointment before making any healthcare decisions or for guidance about a specific medical condition. Viverant shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.

Jun 13

The Truth About a Better Golf Swing: Beyond Expensive Equipment

There are hundreds of different types of equipment to analyze your golf swing, along with pricey clubs that guarantee an improved swing and less injuries. However these devices can only solve part of the problem. Think about it, you could have the nicest looking car there is, but without the correct internal parts it is useless, this goes for golf or any sport. 

Whether your goal is to improve your golf game or prevent injury, it is essential to understand how important proper body mechanics, mobility and flexibility are in golf. No matter how much proper swinging form can be taught, reaching your optimal performance will be an upward battle without mobility, flexibility and strength in the right areas. It is fairly easy to see what is outwardly wrong with a swing, but the real question is why? For example, maybe you have a hard time achieving a full backswing or often lose distance off the tee. Part of your problem could be poor technique, but it is more likely to do with tight hip flexors. Tight hip flexors limit trunk rotation, which then leads to other parts of the body compensating, such as the shoulders, elbows, wrists, hamstrings and lower back–often resulting in injury.

Before jumping to correct your swing technique take a step back to find out if there is an underlying physical limitation keeping you from the golf game of your dreams. A physical therapist will be able to identify these areas of weakness and immobility, and offer a personalized solution to get your body working properly to greatly improve your game. 

2 stretches for improved golf mobility:

A-Frame Stretch: Helps improve hip mobility 

Place your feet shoulder width apart. Slightly bend your knees and hinge forward and place your arm across your knees. With your other arm, rotate your trunk and your arm until your arm is pointing to the sky. Hold this position for 20-30 seconds. Repeat several times with both arms.

Split Stance Windmill: Helps improve T-spine mobility and hip rotation 

Stand in a lunge and lean slightly forward with most of your weight in your front foot. Put both of your arms out wide, parallel to the ground. If your right leg is in front, turn the trunk of your body to the right so your left arm is in front of your body and your right arm is pointing up and behind you, and your chest is facing to the right of you. Hold this position for 10 seconds and repeat 6 times on each side. 


Don't be a Charles Barkley and let the experts at Viverant help improve your golf game. 

The medical information on this site is provided as an information resource only, and is not to be used or relied on for diagnostic or treatment purposes. This information should not be used as a substitute for professional diagnosis and treatment. 
Please consult your health care provider, or contact Viverant for an appointment before making any healthcare decisions or for guidance about a specific medical condition. Viverant shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.

May 31

Slow Down Youth Injuries with Deceleration Training

Although physical activity can be hugely beneficial for kids and teens, the rise in sports injuries among young athletes is a significant concern. There are a number of reasons as to why hospital visits are trending upward, and one major factor is improper training technique.

Because young players have changing muscle mass and growing bones, they require not just sport-specific instruction, but also general training in an important skill like deceleration.

Lower Gear
A great deal of practice time goes into teaching young athletes how to get faster and turn more quickly. These skills lend themselves to numerous sports, including baseball, football, basketball, tennis, and volleyball. Even gymnastics involves sprinting in many of its floor exercises.

But deceleration, which involves learning how to slow down and change direction safely before re-accelerating, is equally important. In many cases, it's actually more crucial for injury prevention than learning to increase speed.

Big Benefits
Deceleration training is more than simply slowing down as quickly as possible. It involves a professional who looks at the body mechanics of a particular athlete, and factors in the type of sport he or she plays. For example, a teenage girl who plays basketball will have different deceleration techniques than a middle-school boy in football.

But there are some commonalities when it comes to benefits. Deceleration training prevents numerous injuries, particularly ACL tears that might result from improper turns at high speed.

The training can also improve sports performance. Although some people might think that teaching kids to slow down would hinder their ability to gain speed and endurance, the opposite is true. Because deceleration teaches body control at a higher level, young athletes are able to increase skill in a sport. For example, tennis players who only develop acceleration will excel at one movement for a swing, but will have difficulty changing direction, which will weaken subsequent shots.

If you have a young athlete — or more than one — who spends a great deal of time on practice drills, consider introducing the concept of deceleration into their training. Most likely, their knees will thank you in the long run.

May 25

Could You Benefit from a Running Gait Analysis?

One-size-fits all running guidelines can be helpful, but everyone’s body is built and moves differently. Even the slightest differences can have a huge impact. Poor posture, muscle imbalance and improper shoes can all be reasons for an irregular gait.

A running gait analysis can be a great tool to pinpoint weaknesses and help improve your running form when done holistically. A traditional running gait analysis only looks at the feet and ankles to identify abnormalities, and though this can be helpful, it may not be able to identify the underlying problem. On the other hand, a full body running gait analysis looks at how the whole body moves while running. During a full body running gait analysis, a physical therapist records the feet, ankles, knees, hips and trunk of the body from different angles, to help identify issues and determine the best ways to improve your running form. They analyze how the muscles throughout the whole body work together, to uncover abnormalities in your gait that go beyond foot and ankle placement. These abnormalities are the cause of the most common running injuries such as plantar fasciitis, knee pain and IT band syndrome. 

Correct Poor Posture
Poor posture is one of the most common reasons for lower back pain in runners. Poor posture shifts the center of your body back and does not allow you to use the muscles that stabilize the spine and the lower leg. After a running gait analysis, a physical therapist can customize strengthening exercises and stretches to help correct your posture and activate the correct muscles while running. 

Avoid Muscle Imbalance
Running relies on specific muscles, which can cause muscle imbalance. Many times these imbalances cause irregular gait patterns which increase the risk of injury. A physical therapist performing a running gait analysis can recognize these imbalances and show you corrective exercises to strengthen the lesser used muscles.

Make Proper Shoe Selection
All running shoes are not the same. Sometimes poor footwear is the reason for an altered and painful running gait. Using the correct footwear that offers the proper support can often show improvement in running form and help reduce pain with running. A running gait analysis can identify the striking pattern of your foot, so a professional shoe recommendation can be given.

A gait analysis is about looking at the interaction of the whole body while moving. Whether it is a more appropriate shoe or corrective exercises, a running gait analysis can greatly help improve your running game.

Mention Viverant at TC Running and receive 20% off your purchase. 

May 23

Why Young Athletes Need Recovery Time

In the past, a young athlete's closet might be packed with multiple types of sports gear, resulting in a jumble of tennis racquets, baseball gloves, and running shoes.

But increasingly, an emphasis on excelling in a single sport is whittling down that equipment stash — and significantly reducing recovery time as well.

Less Recovery, More Injuries
Focus on mastering a particular sport often leads to year-round competitions, clinics, and camps, which means that athletes don't get "off seasons" like they used to.

This increases the risk of overuse injuries considerably, since there are no breaks for the body to make necessary adjustments and repairs, which are particularly essential for younger athletes. Kids and teenagers are still going through numerous changes in their hormone levels, muscle mass, bone growth, and joint laxity. Depriving the body of the time and rest it needs to work on these changes may be setting athletes up for chronic injury.

Even for young athletes who do multiple sports, intense competition can put stress on the body and heighten the chances of problems. Recovery periods not only give the body a chance to rest and rebuild, but also maximizes muscle repair.

More Recovery, Better Performance

In addition to preventing injuries, recovery periods can lead to more optimized sports performance.

For some young athletes, that might seem counterintuitive — after all, what's more effective: training or recovery? But that's a trick question, because they're equally important, and they both contribute to more strength, speed, and conditioning.

During recovery times, an athlete should focus on hydration, nutrition, stretching, and rest. That contributes to a whole-body recovery strategy that leaves a young athlete feeling refreshed and ready to take on higher levels of training.

Without recovery, the opposite is true — training can lead to fatigue and stress, which may result in mood changes, difficulty concentrating, and frustration over performance plateaus.

Part of the appeal of intense training for young athletes is that they become proficient at a certain sport, or a couple pursuits. But without proper recovery, it's difficult to avoid injury and stay at the top of your game, no matter what your sport might be.

May 20

Young Athletes and Movement Evaluation

Through strategies like jump training, effective rest periods, and deceleration training, young athletes can avoid many different ligament, muscle and tendon injuries that are becoming far too common these days.

For even more preventative care and increased performance, there's another tactic to consider as well: movement evaluation.

Done by a professional physical therapist or sports therapist, this type of comprehensive assessment is often done when an athlete is not injured, in order to evaluate body mechanics and anatomic alignment. The therapist will guide an athlete through a number of movements in order to see patterns or areas of weakness that could lead to future injury. Here's why this type of assessment can help young athletes:

Establishes a Baseline: When a child or adolescent athlete comes in to see a therapist after an injury, there's no way to determine if the issue was caused by bad luck, bad alignment, or bad coaching. With a movement evaluation, a therapist will have a baseline that can be hugely useful for understanding the factors that may be contributing to an injury or condition.

Prevents Injuries: Overuse of certain tendons or muscles can cause significant damage, and weaken an athlete's body in certain areas. This creates a perfect storm for injuries. Movement evaluation can spot overuse tendencies before they become a problem, and re-train an athlete in a way that helps prevent chronic injury.

Enhances Performance: Through movement evaluation, a therapist will be able to see numerous issues, such as muscular tightness, stability problems, compensation in response to past injuries, and early muscle fatigue. By pursuing movement training that addresses these situations, an athlete is often able to increase performance and get stronger, faster, and more agile, because the body is in better alignment and operating at optimal functionality.

There are many concerns when it comes to potential injuries for young athletes. But being proactive through a tactic like movement evaluation can go a long way toward helping your young player stay safe and enjoy sports for years to come.

May 18

Ready to Play: How to Prevent Youth Sports Injuries

In addition to boosting physical activity for children and teenagers, youth sports offer plenty of benefits when it comes to teaching teamwork, discipline, and motivation. But sometimes those lessons come at a high cost. 

May 16

3 Common Cycling Injuries

Happy National Bike Month! With the weather getting warmer and the roads becoming bike friendly again, cycling injuries become much more common. Not all injuries can be avoided, but there are some simple steps to help reduce the risk of injury. 

1. Achilles Tendonitis

As the largest tendon in the body the Achilles tendon endures a lot of wear and tear. Your Achilles connects your calf muscles to your heel bone and is used for nearly all activity. Achilles tendonitis typically occurs from the overuse of the calves. Cycling puts a fair amount of strain on the calves if the bike is not fitted properly, if there is improper warm up before rides or due to inadequate rest time between long bike rides. 

Because Achilles tendonitis is caused by inflammation due to overuse, it is important to rest and ice to decrease inflammation. Sometimes Achilles tendonitis occurs because the saddle sits too high. This puts constant strain on the calves because the toes are always pointing down when the leg is extended.1 Be sure to lower the saddle enough that your heel makes contact with the pedal at the bottom of the pedal stroke. Doing this will help take off some of the strain put on the calves. 

2. Neck Pain

Riding in the same position for a long period of time puts quite a bit of strain on the neck. Cycling changes the natural weight distribution of the muscles surrounding the spine. This puts your neck in an awkward position which causes muscle stiffness and soreness, but often this can be prevented by insuring proper bike fit and position. 

To help alleviate neck pain, use proper bike fit recommendations that puts your whole spine in a good position2:

  • Slightly raising the handle bar height so you are in a more upright position.  
  • Making sure your bike is not too long causing you to reach too far forward and making your neck work even harder to keep your head up.
  • Ensure proper saddle height, making sure you do not have to strain to reach the pedal. (mentioned above).
  • Be sure your helmet fits properly. 

3. Muscle Tightness

Though you may not notice it while cycling, your calves and hamstrings are probably too tight. A proper warm up is necessary for all athletic activity, including cycling. Cycling is a repetitive movement that uses a limited range of motion causing adaptive shortening, resulting in muscle tightness3. Be sure to always, warm up, dynamic stretch and cool down to avoid muscle tightness. 


1. Ray, L. (2015). Is Biking Good for the Achilles Tendon? Retrieved May 09, 2016, from

2. B. (2015). 3 Top Tips to Avoid a Stiff Neck from Cycling - Health Essentials from Cleveland Clinic. Retrieved May 09, 2016, from

3. Murphy, S., & C. (n.d.). Eight injury-busting stretches for cyclists. Retrieved May 09, 2016, from

May 13

3 Misconceptions about Pelvic Physical Therapy

Pelvic health is a topic not often talked about due to embarrassment, and therefore few are aware of what pelvic health is. First it is important to know what the pelvic floor is. The “pelvic floor” are the muscles that attach to the front, back, and sides of the pelvic bone and sacrum. These muscles support the pelvic organs as well as control bladder, bowel and sexual function. When these muscles are damaged, become weakened, or are too tight and restricted, it leads to pelvic floor dysfunction (PFD).  Because the subject of pelvic health is widely unknown, many are unaware there are physical therapists who specialize in strengthening, re-training, or relaxing these muscles and help correct PFD. 

Here are three common misconceptions about pelvic physical therapy:

Men do not need to worry about pelvic health

Although almost one-quarter of women face pelvic floor disorders1, everyone has pelvic floor muscles, therefore men can suffer from PFD as well. The conversation of pelvic pain, incontinence and other pelvic dysfunctions are most often geared towards women, however men also suffer from these problems. On average pelvic physical therapists patients are 20% - 30% men. The most common reasons men see a pelvic physical therapist are due to complaints of pain in the pelvic area, prostate issues, incontinence and sexual dysfunction. 

Postpartum women only see pelvic physical therapists

Though this is a common reason to see a pelvic physical therapist, there are other motives. Some of the most common objectives for seeing a pelvic physical therapist include incontinence, bladder dysfunction, prolapse, poor pelvic alignment, pain with intercourse and pelvic pain due to a surgery, fall, pelvic instability or chronic disease such as endometriosis.

Pelvic floor dysfunctions are just a normal part of aging 

Yes, pelvic floor dysfunctions become much more common in those over 50, but it is not something you have to live with. Pelvic physical therapists can help. Simple behavior changes, exercises and manual therapy are all tool to help reduce the symptoms of a PFD or eliminate them. 



1. Roughly One Quarter of U.S. Women Affected By Pelvic Floor Disorders, September 17, 2008 News Release - National Institutes of Health (NIH). (n.d.). Retrieved May 09, 2016, from

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