Polestar Pilates
Runners Knee: The Science Behind Injury and Prevention
Runners Knee – Discover the science behind the injury and how to prevent and treat PFPS.
Many of our online followers have been asking us about patellofemoral pain syndrome (PFPS), more commonly known as runner’s knee. What is it? What exercises can prevent it? What exercises can treat it? With the abundance of conflicting information on the internet, finding answers to these questions can feel like a wild goose chase. We called on Juan Nieto, Polestar educator and co-founder/master trainer of Runity, to shed some light on the science behind runner’s knee and what you can do to prevent and treat it. Among runners, lower extremity injuries are very common– up to 79.3% of runners will experience these injuries, about half of which occur in the knee (Van Gent et al., 2007). Patellofemoral pain syndrome, also called anterior knee pain syndrome or runner’s knee, describes an overuse disorder that occurs in the patellofemoral region and results in pain behind or around the anterior knee. The causes of PFPS can vary widely due to the complex interactions between intrinsic anatomic and external training factors (Collado et al., 2010). In other words, runner’s knee describes the symptoms of a painful knee injury, not the cause of the injury. The cause is subjective and depends on the runner’s anatomy, strategy, and training. Searching the internet to find specific exercises for your runner’s knee will produce a mixed bag of results due to the subjective nature of the injury. Depending on whether your injury is associated with vastus medialis/vastus lateralis imbalance, hamstring tightness, or iliotibial tract tightness, the best exercises to treat it will vary. What can you do to prevent runner’s knee? According to Juan, there’s no standard set of exercises to prevent the injury since it depends on the person and their movement strategy. When choosing exercises, it’s important to pick exercises that bring relief and do not flare up pain. The only true method of prevention is to make sure that the tissue capacity of the runner is bigger than the workload. In other words, the runner has to be fit enough to run the distance they want to run and allow the appropriate resting periods in between to let the tissues recover. Additionally, technique retraining could reduce the amount of ground reaction forces that the runner is receiving, meaning they can run the same volume but reduce the workload for the tissues. If you already have runner’s knee, what can you do to treat it? Again, there’s no magic routine to treat the condition because causes vary. The best thing you can do is see a movement specialist who can conduct a proper assessment and use sound clinical reasoning to design an exercise plan, test it out, and modify it as necessary to settle on a final selection of exercises that create gradual, positive adaptation (strengthening) without irritation. If you have runner’s knee, it’s important to remember to avoid irritative exercises and to try to resist running too much too soon. Most importantly, KEEP MOVING! Movement heals and having positive movement experiences throughout the body will quicken the healing process for your injury. Want to learn more about efficient, pain-free running, try RUNITYThe Power of the Breath in Pilates
Educator Highlight: Dr. Diedra Manns





Unplug & Live in the Moment
A funny thing happened to me this week – I was overjoyed to receive my brand new iPhone Plus to replace my “tiny” and outdated iPhone. As a tech lover, it has always been tricky to balance the desire to be plugged into the world as it relates to all the things that interest me with the actual “doing” of all those same things. I thought I had found the solution as I would go on walks, runs, social events, etc. with my little smartphone in tow…ready to report on the latest “experience”, return a quick email, listening to my favorite music, or to take a quick glance at what others in my online Pilates community were doing. It seemed like the perfect balance…I could be outside and “connected” at the same time. As much as “unplugging” seems like an obvious piece of advice, it’s not always the easiest thing to do when the convenience factor of whipping the smartphone out of your pocket exists.
Joseph Pilates stated that in order to attain full-body health, we needed to have plenty of fresh air and sunshine with a balance in life, work, and play. Wasn’t I getting that? Well, technically I could be outside in the sunshine and getting physical activity, but I would not always be completely present to experience it. So how does this relate to my new ginormous, thin, and dare I say slippery new phone?
I typically make it a point to walk to work most mornings, but this particular morning I didn’t do it the usual way, which typically includes taking care of emails and catching up on social media while on the walk. No, this morning was different. I was terrified that if I removed my shiny new phone from my pocket, I would surely drop it as its larger size makes it more awkward to manage while moving. So, I made the decision to keep it tucked away, and this is where Joseph’s wisdom really hit me.
With my head up, I was in awe of this amazing panoramic view that my eyes and brain had gifted me with. The colors were brighter, the depth of perception was richer, and the light of the morning sunshine danced on everything it hit.
With my head up and arms able to swing freely, I was more aware of how wonderful my body felt just to move and feel the earth beneath my feet, and I had this enormous sense of gratitude that I could do just that. With my upright posture, I breathed in deeper and with greater ease which allowed me to taste the sweetness of the air following our recent rain. My breath became more deliberate as though I wanted to cherish each long wonderful breath. A small smile passed through my lips as I felt the cool air moving past them and the breeze against my skin. With my head up, I was sensitive to all the beautiful sounds of the water, birds, and tiny critters without my earphones blocking their entry into my ears. In 20 minutes, I arrived at my office with a smile on my face, relaxed yet energized, and feeling alive. My intentions were clearer and my direction more focused throughout the day, and my energy was contagious as my patients and clients seemed to sense a difference. My cues were richer and more effective as if my own increased awareness of my own body allowed for greater awareness and intention in theirs.
I was reminded of the power of Nature and the earth’s energy and how we can use it as a resource to recharge. However, to truly harness it, we need to allow ourselves to be present in the moment to appreciate the effect it has on every system of our bodies, and then, we have the greater ability to pass that energy and intention onto others. While I’m happy to own my new technology, it is a reminder that some things are best enjoyed separately.

Morning Reflection: Here’s what I noticed when I let the technology stay in my pocket…

POLESTAR® Educator Ada Wells, owner of ProBalance, brings 20 years of Physical Therapy, Pilates, and sports performance expertise to her clients in rehabilitation, fitness, and educational settings. Ada is a Level 3 Certified Golf Medical Professional through the Titleist Performance Institute (TPI) and is a PMA Certified Pilates Teacher and Polestar Pilates Educator. She is a member of the American Physical Therapy Association (APTA), PMA, and IDEA Health and Fitness Association.Ada received a B.S. in Physiology with honors from the University of California at Davis and graduated at the top of her class at Chapman University with a Masters of Physical Therapy.
In addition to her continuous development of specialized sports rehabilitation and performance programs, Ada is a Pilates Educator for Polestar Pilates, teaching the craft to future Pilates instructors. She provides lectures on rehabilitation and fitness for golf, sailing, and other sports. She presents seminars based on her DVD, “The Cruising Boater’s Workout” for Strictly Sail Pacific and other sailing organizations and events. For the past ten years, Ada has provided her services to celebrity golfers at the American Century Golf Championship nationally televised on NBC. She has appeared in a variety of publications including: Cruising World, ESPN Magazine, Pilates Style, Dance Teacher, Rehab Management, Health Club Management, and Physical Therapy Products Magazine. She is also a guest instructor on the Athletic Training Channel of Balanced Body® Podcasts and for Pilates on Tour®.
Wellness in the Workplace: 5 Simple Steps

- Set an alarm to incorporate movement every hour.
- Bring your own lunch and eat in the office as a group – then utilize your lunch break for an hour long walk – this will increase your daily steps and you will return to work refreshed and in good spirits.
- Periodic Breaks will help you work longer and be more productive throughout the day. Try cycles of (50 minutes work / 15 minute break) or (20 Minutes of work / 5 minute break).
- Challenge: Experiment with work to break ratios and find your sweet spot.

- Adults should be drinking 10 to 15 cups of Water Per day.
- BYOB – Bring your own Bottle and take ownership of your hydration and health! Stop wasting cups and help the environment (it will make you fee good!).
- Water is still the #1 substance for Detoxification – helping your body flush out toxins.
- Adding Citrus Fruit Slices to your water can help your digestive system and add a hint of flavor making hydration that much more delicious! (Most Fruit-juice drinks are Loaded with Extra Sugar).
- Challenge: Note how often you are drinking and adjust accordingly to meet daily requirements – Knowledge is power!

- Host a DIY Terrarium Team Building experience (we did!) and create a terrarium for your desk.
- Plants help reduce stress and create a feeling of well-being.
- The green guys also improve air quality – Reducing carbon Dioxide and certain pollutants, such as benzene and Nitrogen dioxide levels.
- Not into green? Bring in and display your favorite rocks or gemstones from your travels!
- Challenge: Find one natural thing that inspires you and bring it into your workspace.

- Find something about your work that you love. Consider bringing your favorite things into the work place (pictures of your family or pets, sports memorabilia, memories of fun times).
- Work can be a significant cause of stress – Consider career counseling or a career change, it could add years to your life!
- Read one of our Blog posts about becoming a Pilates Instructor. Many people in the Polestar community have made career changes and love their new lifestyle in the health and wellness field.
- Hey Joe! – Know that person you’ve walked by 20 times in the hallway? Learn their name and introduce yourself.
- Challenge: Say Good-morning to someone everyday before you walk into the office!

- Feeling tired? Standing increases your level of alertness and can give you a boost of energy. It requires alignment of the spine and opens your entire torso encouraging diaphragmatic breathing.
- Sitting for long period of time can cause back pain. Taking standing breaks will help, also try raising your computer screen to be directly in-front of your gaze. We lifted out monitors and felt instant neck relief
- Standing burns more calories than sitting! If you stand one hour per day you will start to burn more calories. Multiply that over 6 months or one year and you could end up burning 1000’s of extra calories.
- Challenge: Take a pause in your work to notice how you sit – Do you lean to one side more than another? Try to sit evenly between the sits bones – this will set the foundation for your spine to thrive!
