Aprivé Wellness Blog

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What causes running injuries?

If you run for fun and fitness, you've probably experienced an injury of some sort. Not something serious needing surgery or time off work, but an injury that makes you take it easy for at least a week. If you've had an injury, you may have discovered what caused it; like a sprained ankle from stepping off a curb wrong, but you may also be a bit bewildered. I've had so many clients who have torn their hamstring from running the same track they run everyday. They're confused and frustrated, and they always ask: Why did this happen today? 

What are the most common injuries in women who run?

• Plantas fasciitis
• Knee pain/ITB friction syndrome
• Ankle sprain
• Hip pain
• Calf tear
• Hamstring insertion tear

A common question I get asked is: Why do we get injured?

Many runners run the same tracks, similar distances and in the same footwear, yet get injured, seemingly randomly. However! It turns out these injuries are far from random. Below are the most common reasons for injury in runners…

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1.) Sudden changes in training causes injury

One of the main causes of running injuries is rapid alterations in training frequency, duration and intensity.

Why? Your muscles haven’t developed the endurance strength required, leading to increased fatigue, poor foot placement, decreased pelvic stability and eventually….injury.

Let’s look at a scenario. You usually run three times a week, for 10kms, along a flat trail. In 4 months you have enrolled in a 21km mountain run. How do you change your training without injury?

How to train for a half marathon

a. Frequency: Start training by adding a shorter run, an additional day per week. Don’t try running six days, straight away! Fatigue and DOMS (delayed onset muscle soreness) will be far too much for your body and you'll end up injured.

b. Duration: Running for 1.5 hours, three days a week is where you’re at - so increase by increments of ten minutes per fortnight. You’ll be at 21kms in no time, but don’t force it straight away.

Overuse injuries are most common in runners with sudden increases in training duration. Shin splints? No thanks!

Hill Running

c. Intensity: This is the clincher. You may wake up feeling energised and stronger than ever one morning, but don’t be tempted to sprint up the biggest hill you can find. Running uphill puts huge stresses on the achilles tendon and hip flexors. When they’re not conditioned for hill running, the excessive loading and propulsion forces lead to tendonopathies (tendon conditions) and inflammation.

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Running downhill

Don't try sprinting downhill straight away, and don't choose a hill with a huge incline. Running downhill requires huge concentric (shortening) contraction force through the quads, plus lengthening through the hamstrings. Avoid knee pain by slowly and gently increasing your hill training with small increments of incline, length and speed.

You will reach your goal, just remember to do it steadily. If you’re still unsure, contact a trainer or running program specialist. They will help you, step by step, to prepare for your event.

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What else causes injuries?

2.) Long Distance Running

Recent studies have found those who run greater than 40 miles per week tend to be injured more. 40 miles? That’s almost 65 kms! 

Plenty of people run long distances frequently without injury, but understanding the huge biomechanics demands of long runs is important. A lot of Physiotherapists and Kinesiologists are also running coaches, so get in touch with a reputable Physio to help keep you running safely.

3.) One time runners

Women who run once a week or less are more likely to be injured than those who run frequently. Don’t be discouraged if you’re an occasional runner. Ensure you do a correct warm up, and indulge in strengthening during the week. This can be yoga, pilates, aerobics classes, dancing, rpm - anything that encourages lower leg strengthening! Be keeping your hips and core strong, your biomechanics will be at their best, making you less likely to get injured when you run.

If you're injured right now, you're probably frustrated and really 'over it.' I've treated so many people with injuries and I wanted to share what I've learned along the way. Check out this handy article: The key to injury recovery .

Have you ever had a running injury?

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Accidental IBS: Linking digestion and stress

Our busy lifestyles of urgent deadlines, unmanageable commitments to family and friends and unhealthy diets are making modern society accidentally anxious. This anxiety is wreaking havoc on our digestion.

Without realising it, the way we live is causing biochemical changes in our bodies, including the overproduction of adrenaline. 
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Adrenaline and stress

When you're stressed out, your body produces adrenaline to help you prepare fight or run from the threat. This response comes from your nervous system, and evolved to help us outrun sabre tooth tigers and battle our neighbours for food and shelter. In modern life though, we don't (often) need to fight or run when we're stressed, so adrenaline pulses through out body, leaving us wired.

Adrenaline and your body

Everyone knows the feeling of adrenaline pulsing through your body; whether you've tried bungy jumping or you love ordering a venti coffee with 5 shots of coffee.

Adrenaline makes you wired; your blood pressure rises, your muscles fill with more blood, and the blood flow to your intestines slows.

Did you know? Adrenaline slows the blood supply to your digestive organs.

Sluggish digestion from stress

Breaking down food is hard work, and it takes energy and power to do it. With excessive adrenaline pulsing through your body, your poor digestive system is expected to work without a good blood supply. Peristalsis, the fancy word for the movements and contractions of the intestines to help move food along, is also slowed by adrenaline. Your digestion becomes sluggish, and some harder-to-digest foods can sit in your digestive tract for too long, emitting gas causing bloating and stomach pain.

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How to treat IBS

Stomach pain and irritable bowels can be caused by too much adrenaline pulsing through your veins thanks to stress rather than just the foods you eat.

So before you scrap spicy food from your diet, there are a few things you can try to lower your stress levels, decrease the over-activation of your sympathetic nervous system, and decrease the adrenaline in your body:

  • Try 5 long exhales 3 times a day- Deep breathing is proven to activate your 'Rest & Digest' system instead of your 'Fight or Flight' system.
  • Try avoiding stimulants like coffee around meal times
  • Try to avoid stressful situations (eg. a meeting with a difficult client) when your digestive system needs extra help like after lunch.
  • Gentle exercise can help with digestion, so try a walk to clear your mind, and help your process your food after lunch.
  • If you're eating at your desk, try deep breaths between bites, and avoid reading work or stressful emails during your break.

How to manage stress

If you need help finding effective but realistic ways to combat stress in your life, I'd love to help you.

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Have a happy day! 

-Caitlin xo

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Queenstown Wellness Retreat Gifts

You're all amazing, and to show you how special you are, when you come to my Queenstown Wellness Retreat on November 14th, I'll give you some special gifts from brands I love.

Beautiful natural products from local NZ brands

I'm passionate about supporting businesses I believe in, especially those that embrace balance and happy, healthy lifestyles! Luckily in New Zealand, there are some really clever brands making beautiful natural products that are luxurious and free from nasty chemicals. A few really stand out, and I just had to ask them to come on board for our retreat. And they did!

Special gifts for Wellness Retreat guests

I'm so excited to give every retreat guest a beautiful gift bag of goodies from these wonderful local brands. Click on the images below to learn about these amazing brands.


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Healthy Recipe: Peanut Butter Tofu

Gluten Free Vegan recipes

If you're gluten free like me, and you're trying to eat less meat, it can be tricky to find interesting recipes. This is one of my absolute favourites and even my friends who hate tofu love it! It's rich and beautifully creamy, perfect with fried rice for a hearty winter meal, or with an asian salad for summer.

Peanut Butter Tofu Recipe

Tip: Don’t forget to check your ingredients for gluten, as some peanut butters and sauces can have glucose or maltodextrin derived from wheat or barley. Look for maltodextrin or glucose derived from maize instead.

You’ll need:

  • 500g packet of of white tofu

  • 1/4 tamari or gluten free soy sauce

  • 2 tbsp peanut butter

  • chilli flakes

  • 3 tbsp brown sugar

  • 5 tsp sesame oil

  1. Mix your ingredients together to form a sauce, apart from the tofu.

  2. Cut the tofu into small squares the size of a teaspoon and sauté until brown (about 10 minutes)

  3. Once you've cooked the tofu, pour your sauce over the tofu like a marinade (You can always add more if you want a saucier dish)

  4. Let the mixture sit for 20 minutes

  5. Once the tofu has taken on the colour of your mixture, add some olive oil to a pan and sauté the tofu again until the mixture turns a dark, honey brown.

  6. After about 5 minutes in the pan, you're good to go!


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The key to injury recovery

I've helped treat people of all ages for injuries of all kinds, and the same thing always seems to help them overcome their hurdles: Understanding.

Injury management made easy

While working at a private sports Physiotherapy clinic in Melbourne, a woman came to me with shoulder impingement and an x-ray report. She spoke with an Italian accent but had no problem understanding English. What she didn't understand was her doctors. They had told her she was getting surgery on her shoulder, but she wasn't exactly sure why. When she'd asked, they'd referred her to a nurse who said she didn't know as she'd walked quickly away to see another patient.

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Bewildered and frustrated, she'd been referred to me, and our entire first 40 minute session was spent explaining her injury, explaining the x-ray report, and helping her understand her condition. I underlined words on the report and re-wrote them. Scapula became shoulder blade, clavicle became collar bone, acromium became hook of the shoulder (that's a terribly rough translation!) and bursa became little pillow.

Like any translation from one language to another, some accuracies get lost along the way, but the most important thing is to create understanding.

Injury recovery demystified

You don't have to be able to read an x-ray report to understand your injury, but you do need a support team. Recently I was honoured to be a guest on the popular US podcast Wellness Force by the charming Josh Trent, and we discussed the importance of a good health professional and community in injury recovery. A good Physiotherapist will explain your injury to you, and change what was a confusing, intimidating condition into a manageable issue. 

Many health-professionals, like stockbrokers, bank on the fact you don't understand what they're talking about. Take back control and speak up!

Join a community rehab program, sign up for a rehabilitation class at your gym, or even jump online and find an injury forum. The internet has brought everyone closer together, and there are likely so many people who have experienced what you're going through.

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You don't have to live through your rehabilitation or injury alone. Find a good health professional, support forum and ask as many questions as you need to ask. Please though, don't Google your questions. You might end up scaring yourself senseless, thinking you have an injury that sounds just like yours but isn't quite the same. Ask a health professional in-person! It will make all the difference to your recovery, and help you gain solid understanding of your injury and your path to recovery.

The importance of patient education

For the health professionals out there, please don't forget patient education. Clever people like David Butler and Lorimer Moseley, the authors of Explain Pain, have found the overwhelming positive influence of patient education. Every patients wants to know what's really going on with them, and it's hard to remember they don't speak anatomy. Taking the time to educate your patients can help them recovery quicker, helping make you look like a star!

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