Empire Performance PT

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  • Home
  • About Us
    • Meet The Team >
      • Dr. Tony Tanzi, PT, DPT, CSCS
      • Dr. Matthew PT, DPT
      • Dr. Griffin PT, DPT
      • Dr. Milad S, DPT
      • Jeffrey M, PT, MSPT
      • Alana PTA
      • Mike Tanzi Endurance Coach
  • Physical Therapy
    • Back Pain
    • Knee Pain
    • Shoulder Pain
    • Ankle Pain
  • Coaching
  • Sports Rehabilitation
  • Join Our Team!
  • Blog
  • 5 Minute Friday
  • Contact Us

Runners lifting weights?

8/7/2022

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Tony gets a lot of questions whether he does strength, resistance or weight training as a runner and triathlete.  In this episode he talks about strength, resistance and endurance training for athletes.  Here are 5 quick benefits of why you should be doing that if you are a runner or triathlete!

  • The biggest reason you should do this is because it can prevent injury and give you proper form.  It will prevent any muscle imbalances and or discrepancies whenever you step with your right, left foot or swing one of your arms-stuff like that!
 
  • It will improve your running economy and help make you an efficient runner.  
 
  • If you lift weights you will get faster.  So by lifting weights you will increase your power output.  This will make you able to generate more force while you are running.  This will make you faster!
 
  • You will maintain fitness longer as you age!  That means you will detrain faster by being stronger as you get older.  
 
  • Strength training will make you stay leaner.  The calories you are going to burn and more muscle mass you will have.  Overall you will be leaner from lifting as opposed to endurance training like swimming or running all the time.
 
  •  Along with that the type of lifts you do if you do multi joint lifts such as, a deadlift, a power clean.  Those will benefit you more so rather than doing an isolated movement like a one body part movement!
CLICK HERE TO LISTEN TO THIS 5 MINUTE FRIDAY EPISODE!
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What are those shiny tools?

7/31/2022

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Graston technique is a unique, evidence-based form of instrument-assisted soft tissue mobilization that enables clinicians to effectively address soft tissue lesions and fascial restrictions, resulting in improved patient outcomes.

When you combine Graston technique with some of the exercises we give you in the clinic it’s going to help you improve your motion and function. This tool kind of looks like a butter knife, some are in an s shape and are different in thickness and size.
  • Is Graston something that is new?
It is not something that is new, it was originally founded years ago.  The results you'll get are 75-90% of conditions it is used on in restoring function to acute and chronic injuries, pre and post surgical.  If you come into the clinic we likely will use it if you have an ACL tear or some kind of incision.  We would use it around those scars to make sure you don't develop anymore scar tissue around those incisions.
  • What conditions can be treated?
It can be used around scars, very common with Achilles tendinitis, lateral epicondylitis in the elbow and patellofemoral disorder.  We like to use it a lot on the tendons because it helps loosen them up.  Tony likes to use Graston!  It is a great form of instrument assisted therapy.  Sometimes he likes it better than massaging in the quad area on a client.  He feels like it works better and gets deeper!

With this stainless steel tool It works in a way that your hands or other tools cannot.   This helps Set Graston apart because the whole patten is inside the edge and curvature. You can purchase a tool like it on amazon, but you won’t get the same results. Tony feels like when using it on himself and on patients it works great!

CLICK HERE TO LISTEN TO THIS 5 MINUTE FRIDAY EPISODE!
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What is Kinesio Taping?

7/24/2022

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Kinesio Taping is a stretchy, moveable tape.  It comes in different colors and stabilizes the injured area lightly by adhering to the skin and applying pressure to the tissues the tape is wrapped around.  This is very popular with Olympic athletes who use this tape to alleviate pain and improve blood flow!
  • A patient asked which tape is the best one to use?
There are a couple different kinds of tapes.  You want elasticity and want it to stretch up to 140% normal length, be light, hypoallergenic, latex free, air permeable and durable. Kinesio Taping can last anywhere from 3-5 days per application depending on what you use it for. For our patients we like to use Rock tape. 
  • Is there a difference between the colors?
There is no physical or chemical difference between the colors!  Tony prefers the black tape because he thinks it is stronger.  The lighter color tapes are good to use if you want minimal visibility.  Other colors you can match with your uniforms if you want! Color choice is a matter of individual preference.
  • Is it the tape or the technique?
 It is all about the technique and how the tape is applied.  This will help alleviate pain and facilitate lymphatic drainage by lifting the skin.  This lifting technique forms convolutions in the skin increasing space and allowing for decreased inflammation in affected areas!
  • How is the tape applied?
It is applied over the affected area, the muscles will be in a stretch position and then when the tape is applied.  You will stretch the tape and then apply it down to the skin.  It will be constricting a little or stretching out, but this all depends on how you apply it.  

​They sell Kinesio tape at stores like CVS that you can purchase and use at home.  It is important to make sure skin is dry, oil free, no lotion, and sweat free.  You should try to not get the tape wet for an hour after it is applied.  They say it's heat activated so you'll have a better adhesion if it is gently warmed up with a hairdryer- don't hold too close!  Natural movement of the body will generate enough heat to give it a good stick as well!  Mostly all tapes are water resistant.  Just read the back of the box to make sure yours is!  I believe they all offer water resistant tapes such as Kinesio, Kt and rock tape.


CLICK HERE TO LISTEN TO THIS 5 MINUTE FRIDAY EPISODE!
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What is Cupping?

7/17/2022

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Picture
Cupping is supposed to draw fluid into the area; the discoloration is due to broken blood vessels beneath the skin.  This is an ancient Chinese practice where the silicon cup will be applied to reduce skin-pressure by suctioning the air out.  As this happens the muscle layer is going to be drawn into the cup and held.  

We use Rock pods made by a company called Rock tape.  These silicon cups stick to your skin to treat pain, mobility and movement function.  Typically used on the neck, back shoulders, hips, thighs, lower legs, and upper arms.  When the pods are applied they will use a negative or de compressive pressure.  This will help treat chronic pain and relieve tension.

Rock pods help treat chronic pain and relieve tension. The cups will bend to your skin and allow you to move with them.  Our pods can be moved, and you can slide them to wherever you want! With our pods they can be left on while laying, sitting and even in your movements you do for sports.  They can be used in all different ways.

Sometimes you’ll see it creates those welts on the skin, that's the negative pressure drawing blood up to the surface.  Cupping is usually always used with hands on techniques such as massage during your physical therapy session.

CLICK HERE TO LISTEN TO THIS 5 MINUTE FRIDAY EPISODE!
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Importance Of Electrolytes

7/3/2022

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Today Tony talks electrolytes! Patients have been asking Tony what he uses to replenish and what they should be using.  

Each person has about 100 sweat glands that are about a quarter the size of your skin which makes you have about a total of 2.6 million sweat glands.   The amount of sweat you excrete will depend on gender, fitness level, weather conditions, and altitude.  The importance of sweating is to cool your body down.  When you work out your body temperature will increase and can rise anywhere up to 3 degrees and that will trigger your body to start sweating.  When that happens you'll lose water and electrolytes.

What are electrolytes?
Electrolytes are substances that have a natural positive or negative electrical charge when dissolved in water. They help your body regulate chemical reactions, maintain the balance between fluids inside and outside your cells! 
What do electrolytes do?
Magnesium, calcium, potassium and sodium are critical to body function.  They help balance the amount of water in your body and help maintain body PH levels.  

How much electrolytes do you need?
The amount of electrolytes you will need will vary by person.  Tony’s favorite electrolyte supplement is UCAN Hydrate Powder.   It comes with a scooper and you just add a little bit to your water!

What are the signs of electrolyte imbalance?
Signs of electrolyte imbalances can lead to decrease in performance, muscle spasms, weak, dizzy, tired, nauseous, constipated, dry mouth, dry skin,urine and pain.  A large majority of muscle cramping can also be due to lack of muscle fitness too.  So this could just mean you are overworking your muscles.

This is why electrolytes are so important!  They regulate and control the balance of fluids in the body.  Stay hydrated!!

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CLICK HERE TO LISTEN TO THIS 5 MINUTE FRIDAY EPISODE!
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Walking Shoe Recommendations

6/26/2022

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Tony received one question in the clinic and on the website. The question was asking what kind of sneakers he would suggest for walking?!  In last week's 5 minute Friday Tony talked about running shoe basics.  So that will carry over into this week's episode!
There are a few differences between running shoes and walking shoes.  Tony doesn’t see an issue in walking in running shoes, but some people say you shouldn't have that much of a heel toe drop.  
  • It’s important to avoid heavy shoes while walking. 
  • In walking shoes some people want a lot of cushioning primarily in the heel because you are going to get heel striking while walking.  So with more cushioning you’ll have more support! 
  •  A lightweight flat shoe will allow you to roll forward while walking and not backwards.
Here are some other things to keep in mind while shopping for shoes.  It is important to consider if there is a heel flare because this kind of shoe you see the sole and it kind of goes half where your heel actually is.  This is more so in track shoes or outdoor hiking shoes. Those shoes give an additional stability, but you do not need that for walking shoes!  Especially, when you are walking on a paved road or path.   You would want your walking shoe to be as light as possible.  Try to find a shoe that gives enough cushioning but doesn't weigh too much.  
Tony recommends these walking shoes:
  •  Hoka Bondi shoes; they offer tons of cushioning and are great for walking!  
  • Walking shoes with moderate cushioning you want to make sure are as light as possible with no heel flare. 
  • Tony's personal preference to walk around all day is any Hoka shoe. 
  • If he had to choose one pair of walking shoes it would be the Hoka Arahi shoe because it has the lowest level of cushioning.  
  • He also recommends the Hoka Clifton
  • The Hoka Bondis are great if you want a lot of cushioning
If you are eager to buy a pair of walking shoes after hearing all of these recommendations, you should check out road runner sports online. They allow you to buy a pair of shoes and test them out for 30 days.  Then if you don’t like them you can return or exchange the shoes!  So that’s a great option or you can go to a local running store and try on the shoes!
CLICK HERE TO LISTEN TO THIS 5 MINUTE FRIDAY EPISODE!
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Running Shoe Basics

6/17/2022

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Running Shoe Basics

Tony wore a different pair of shoes to work this week and got lots of questions on what shoes are good to use for running.  So here are 5 tips on what you should consider when buying a pair of running shoes:
1. Shoe Size
Shoe size is important because it is very important to wear the correct size shoe.  Tony likes to buy his running shoes true to size, but the size you buy is up to your personal preference.  You want to make sure your toes have room to spread wide and they shouldn’t feel constricted where they touch the end of your shoe.  It is important for your heel to feel comfortably cupped in the back of the shoe too, this will make it so your foot doesn’t slip!  Try on different shoes until you find the ones that fit and feel the best!
2. Stack Height
​Stack height is the amount of shoe material between your foot and the ground.  This is expressed in the millimeter height of the heel and just below your toe.  A high stack usually is 40 millimeters and has more cushion. Low stack height shoes such as track shoes are about 20 millimeters.  Minimal and low stack height shoes are best for people who prefer feeling the ground over the cushioning of a shoe.  Highly cushioned shoes are good for someone that prefers feeling the cushioning of a shoe instead of the ground.  It depends on whatever you prefer!
3. Heel Toe Drop
This is the difference between the level of the heel and level of the toe from the ground. Take one and minus the other and that will give you your heel toe drop.  The greater the drop the steeper the angle from the ankle to the forefoot.  The lower the drop is considered by many to have a lower impact on the stride. The lower the drop the more the Achilles tendon is going to have to work.  The best amount of drop is a personal preference. Anything over 7 is considered a high drop and under that is going to be getting closer to that barefoot feel. Most shoes are at a drop of 6, but it’s up to you what you prefer.  
Tony sees it all the time when someone comes into the clinic and they just started running or bought a new pair of shoes.  They feel like they get a new ache or pain while running and they aren’t sure what happened.   This is because shoes have different stack heights so it creates different forces through the leg!
4. Stability or Motion Control
Stability running shoes are best for over pronators or if you have more of a flat foot.  These shoes are often more rigid and are made to support the arch of the foot, which will provide greater support through the midsole that can also extend into the heel.  Stability shoes are something to consider if you get aches and pains!  Motion control shoes can be a little stiffer and heavier than a stability shoe.  Sometimes motion control shoes have some additional heel cup support and other features in the shoe that stop the foot from rolling when running.  Stability and motion control shoes are both great options for runners and should be based on what works best for you!



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CLICK HERE TO LISTEN TO THIS 5 MINUTE FRIDAY EPISODE
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Morning Vs. Evening Workouts

5/29/2022

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We have a patient that has just started incorporating exercise in their daily routine - they asked our physical therapists when the optimal time is to workout, morning or evening? Tony shares that he personally prefers exercising in the morning. 
When determining which is best, morning vs. evening workouts, the most important factor to consider is what will work best for your schedule because the best workout is the one you show up for. However, there are other factors you can consider….
When you hear your alarm go off, sometimes the last thing you want to do is roll out of bed, lace up your sneakers and get to the gym.  However, there are some really great advantages to a morning workout! For example, studies show if you plan on doing strength or cardio it requires your body to use stored fat - burn-time will last longer after a morning workout.  Also, if you workout or lift in the morning it may result in a better night’s sleep. Additionally, studies show people who workout in the AM have a lower calorie intake compared to those that workout in the evening.  
With all that said, working out in the evening has its benefits, too. During an evening workout you might perform better and get bigger gains because you’re already warmed up and may be more motivated to workout. You may even have more power and endurance levels! An evening workout could be a great way for you to end your day. After a long day it can be a great way to de-stress and it may result in better sleep.  
Something you don’t want your workout routine to do is decrease the amount of sleep you get each day - sleep is just as important! Depending on your routine, exercising in the morning may mean waking up earlier than you should. Whereas, exercising in the evening may end up keeping you up. Ultimately, when choosing your workout routine, it should be based on what works best for you!

CLICK HERE TO LISTEN TO THIS 5 MINUTE FRIDAY EPISODE
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5 Keys To Start Running Correctly

5/22/2022

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Tony wanted to share his top 5 keys to running.  He is an avid runner so he has some great tips!  Read below to find out more:
  1. Get a good fitting pair of running shoes- Running shoes always change a lot, so there are lots of options and a big variety of brands.  Your goal is to find the best pair of running shoes that work for you and support your feet and fit properly.  You can buy them online or visit stores such as, Westchester road runner in White Plains, or Kilometers in Ridgefield where they give great foot analysis and really help you get the best pair of running shoes.  To start running you definitely want to make sure you have a good pair of shoes!
  2. Don't run too often-LISTEN TO YOUR BODY!  Most running issues don’t happen suddenly.  Your body will give you warning signs- very sluggish, constant pain, and getting burnt out too quickly.  It would be good to start off easy and run every other day or every third day so that your body doesn’t get tired. 
  3. Don't compare yourself to others- Every runner is different.  Everyone has different endurances and fitness goals.  It’s important to start off slow when you are first starting out with running.  Running a quarter or half mile everyday to prevent injury would be a good way to start!
  4. ​Start with low mileage- First, do a warm up before you start running.  It will keep your body safe and free from injury.   You want to build up and improve your endurance.   Increasing mileage to 10% every week is  important.   Starting off with low mileage will help you avoid feeling sluggish and is the safest way to avoid injury.
  5. ​Stay hydrated-LOTS OF WATER!! You will lose water through sweat, whether it is cold or hot out.  Being dehydrated will make your runs feel harder.  So you  should hydrate before, during and after your runs. This will help you avoid-headaches, feeling sluggish, and not being able to complete your workout.  Make sure you stay hydrated so you can feel great and have a great time running!


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Click here to listen to this episode!
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9 Things Tony Does After A Marathon

5/8/2022

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Tony just ran the Pittsburgh marathon this past Sunday - completing the race in two hours and fifty one minutes. Preparing and completing a marathon takes a toll on your body so a good recovery plan is key. Tony is a seasoned marathoner and he has set steps he takes post-marathon - check out his nine step routine below:


  1. Enjoy the achievement - Whether or not you hit your goals and whether or not you had a good race or not, it’s important to appreciate what you just accomplished. Remember the time you’ve devoted to training and completing the race is an accomplishment in itself! 
  2. Eat! - Tony suggests keeping it as healthy as possible, to aid his body in recovery. Refuel your body! 
  3. Sleep! - Getting adequate sleep after a marathon is very important. We know good sleep isn’t always possible - for instance, Tony has two little ones at home and getting a full night's rest just can’t happen. Also, after a marathon you may experience what’s called restless leg syndrome which could limit your sleep. Don’t get hung up on the quality of your sleep, just get as much sleep as you can. 
  4. Foam roll - Using a foam roller to roll out your muscles can provide some relief. Roll out any sore muscles, but also concentrate on areas such as your hamstrings and calves.
  5. Recovery Boots / Massage - Massages can also provide some relief. If you’re not into massages, a good alternative are recovery boots. You may have seen them at our clinic - recovery boots are compression boots that will massage different areas of your legs. 
  6. Take an ice Bath - Ice baths are a great way to speed up your body’s recovery process. Taking a dip in an ice cold bath can reduce inflammation and ease muscle soreness. Alternatively you can use ice compresses on specific areas of your body if you’re not ready to take the plunge. 
  7. NO RUNNING! - Give your body time to cool down and recover. Tony tries to avoid running for at least a week, sometimes two. If you’re an avid runner like he is, this may be easier said than done but it’s very important to give your body this recovery time.
  8. Review your training - While you’re taking that much needed week or two break from running, use the time to look at your marathon training plan. Review what you think worked and what didn't work. Try to develop a better plan for future races. 
  9. Think about my next race, (previous 5MF) - It’s also a great time to begin your process of selecting your next race. Tony developed a step by step process to choose a race wisely in last week's Five Minute Friday episode - click here to check it out.
Want to listen to this 5MF Episode? Click Here
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    Dr. Tony Tanzi: Physical Therapist, Triathlete, Runner, Performance Coach

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