Return to Running Postpartum: Addressing Altered Running Mechanics and Ensuring a Safe Comeback

Altered Running Mechanics Postpartum

Many women look forward to returning to running after childbirth, but some face challenges such as urinary leakage during their runs. This leakage is a common symptom of stress urinary incontinence (SUI) or urinary leakage. Additionally, some women experience pelvic pressure, heaviness, or a dragging sensation while running, which are typical signs of pelvic organ prolapse.

Recent research has shed light on the running mechanics of postpartum women, particularly those with more severe symptoms of leakage and prolapse. These women often exhibit prolonged ground contact times (more time with the foot on the ground than necessary) and slower cadences during their runs.1 This would look like a gait pattern with slower, heavier steps. These altered mechanics can increase the demand on the pelvic floor muscles, thereby elevating the risk of stress incontinence.1 Understanding these changes is crucial for developing effective strategies to help women return to running comfortably and safely.

Running Analysis

At Pelvic Path Physical Therapy, located in the San Francisco Bay Area, we use advanced tools to analyze running gait, providing a comprehensive understanding of each individual’s running mechanics. We utilize a tablet application to film your running from four different angles. This multi-angle approach allows us to thoroughly assess various factors, including trunk position, vertical displacement, and the alignment of the knees.

Based on our detailed analysis, we provide personalized recommendations to improve your running mechanics. These suggestions may include specific cues to enhance your trunk position, exercises designed to strengthen your hip muscles, and other tailored advice aimed at optimizing your running form. Our goal is to help you return to running with improved mechanics, reducing the risk of injury and discomfort.

Conclusion

Returning to running postpartum can be a rewarding experience with the right support and guidance. At Pelvic Path Physical Therapy, we are committed to addressing the altered running mechanics commonly seen in postpartum women, ensuring your transition back to running is smooth and enjoyable. Whether you are dealing with leakage of urine, prolapse, or simply want to improve your running form, our tailored approach ensures you get the support you need to run confidently and comfortably again.

If you are interested in getting a running analysis in the San Francisco Bay Area, give us a call to learn more about our services.

Citation

  1. Ron NJ, Dolbinski SC, Hodonicky EG, et al. Associations between running mechanics, functional lower extremity strength, and stress urinary incontinence in parous female runners. Journal of Women’s & Pelvic Health Physical Therapy. 2024;48(3):147-153. doi: 10.1097/JWH.0000000000000302.
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Author
Doris Cai
PT, DPT
We help people feel confident and strong so they can return to the activities they love without leaking, pain or heaviness

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