Fall Marathon Training and Injury Prevention

By Chris Lauretani, PT, MS, CSCS, CKTP

Physical Therapist and Injury & Rehab Consultant

Depending on which fall marathon you are planning to run, chances are by mid-August, you have begun your training. Whether your plan calls for 3, 4, 5, or 6 days of training, these late summer runs can be a grind, especially when juggling, work, kids and the hot, humid, summer weather. If you are running your first marathon or your twenty first, there are a few things to keep in mind as you continue your training so you are not limping to the start in October or November.  The following post with focus on outlining some exercises that are important in the development of your summer training routine as well as some hydration facts and tips to carry you through the race.


Fall Marathon Strength Training and Hydration Basics











































Aside  —  Posted: August 28, 2015 in Uncategorized
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Athletic tape has been a staple of certified athletic trainers and healthcare practitioners for decades. As a certified athletic trainer myself, I have lost count of how many ankles I have taped up for practices and/or games. I have found that I can brace almost any injury with only a roll of 1.5 inch white adhesive tape. You would be surprised how crafty one can be with a simple roll of tape. So when kinesiology tape was introduced to me, I was a tad skeptical. I mean after all, I can do anything with white tape right?

I was offered the opportunity to take all three Kinesio Taping Association International (KTAI) approved courses in the winter of last year. After taking the courses and utilizing this new tape in my athletic training room, I found the advantage of having more than just white tape at my disposal. While white athletic tape is rigid and meant to offer support by therapeutic joint restriction, kinesiology tape is meant to offer support and stability without restricting joint/muscle mobility and facilitate the body’s natural healing process.

Kinesiology tape was first designed by Dr. Kenzo Kase in Japan in the 1970’s and made its international public debut during the Seoul Olympics in 1988. Since then, Dr. Kase has continually studied and advanced the tape itself as well as developed the Kinesio taping method practiced by certified practitioners internationally.  The tape itself provides soft tissue manipulation and targets different receptors in the somatosensory system of the body. It can alleviate pain and facilitates lymphatic drainage by actually lifting the skin and increasing the interstitial space, allowing for a decrease in inflammation to the affected area. The tape was also designed with every patient in mind. It is latex-free, gentle enough for both pediatric and geriatric patients and can last several days when applied correctly.


Now although it may look like anyone can apply the tape by simply placing it on the skin over the affected area, it is important to understand that there are many variables that go into the tape’s application process that determines its efficacy.  These variables are taught only in the approved kinesio taping courses offered by the KTAI. It is important to talk to your physical therapist, athletic trainer or healthcare provider and find a Certified Kinesiology Taping Practitioner to apply the tape if needed.

For more information about Kinesio Tape and where to find an approved KTAI course near you, visit http://www.kinesiotaping.com/

By Amanda Bachmann, MS, ATC

find your atc

Have you seen this health care professional??

Often present on athletic fields and courts alike. Typically seen sporting the traditional sports medicine garb of khakis and a polo shirt along with an ever-fashionable fanny pack that is undoubtedly stocked with tape, gauze, scissors and an assortment of other emergency medicine paraphernalia. May or may not have medical gloves in back pocket of khakis. If you do see one of these professionals either on the sideline or running to the aide of an injured athlete, make sure to shake their hand because these masters of sports medicine are none other than the heralded profession of certified athletic trainers!
Certified athletic trainers are health care professionals that follow five domains: prevention, clinical evaluation and diagnosis, immediate and emergency care, treatment and rehabilitation, and organization and professional health and well-being. Athletic trainers can be found in a number of different settings from professional and collegiate sports, to secondary/high and middle schools, to physical therapy/orthopedic clinics, to industrial settings. One thing that is universal between all athletic trainers is that they must have at minimum, a bachelor’s degree from a CAATE (Commission of Accreditation of Athletic Training Education) accredited program and must pass a national certification exam. In fact, more than 70% of certified athletic trainers hold a Master’s degree or higher.
Certified athletic trainers are becoming more versatile and needed than ever. With the increasing number of young people participating in sports, having an athletic trainer on the field or court is essential to maintain a safe environment. Athletic trainers serve as the first line of healthcare to athletes during sports activities and can help to evaluate and treat injuries that require immediate care, like bone fractures or concussions, as well as administer first aid. In a clinic setting, certified athletic trainers are trained in using therapeutic modalities such as electric stim and ultrasound and are typically well versed in proper lifting technique and nutrition.
It is sometimes said that an athletic trainer’s job is about 20% visible to the public while the other 80% is spent behind the scenes, and it is that 80% that helps athletes/patients perform. From heating and stretching, to taping and wrapping, from preseason physical screenings and concussion baselines to initial injury reports and rehabilitation protocols, from long bus rides and 14-18 hour days, to practice and game coverage with endless water coolers and ice bags, all while maintaining their certification by fulfilling continuing education units every two years and doing budget, inventory and ordering for the athletic training room as well as coordinating practice and game schedules and let’s not even get started on insurance companies! *deep breath* But alas, they get up every morning with a smile (and an extra-large coffee) and go to their jobs where they care and treat some of the best people. The people like the soccer player who wants to pass that hop test for her lateral ankle sprain so she can get back on the field for championships. And the patient who wants to conquer those step-ups after his knee replacement so he can run around with his grandchildren. And we can’t forget the factory worker who needs proper hand and finger technique on the floor so that he can continue his passion of playing guitar. Or the middle school swimmer who wants to go to the Olympics when she grows up but is having some shoulder pain while doing her free style and needs some strengthening. These people are what matter. And these are the lives that certified athletic trainers touch every day.
And as a new morning dawns and a fresh batch of initial injury reports wait to be written, the certified athletic trainers of the world take the day on with a determination to help, to heal and to aid those whole need it most. For there will always be an ankle to tape, a shoulder to evaluate, a knee to ultrasound, an insurance claim to file and a budget to calculate and for all of these things and more, an athletic trainer will be there!

By : Amanda Bachmann, MS, ATC

Head Athletic Trainer at The College of New Rochelle

direct access

Direct access to physical therapy is your opportunity to be evaluated and treated by a licensed Physical Therapist without first seeing your physician for a prescription/referral. If payment is approved by your insurance company, direct access is your opportunity to save time and money and expedite your treatment, relief and recovery. If your therapist feels that your injury requires the expertise of a Physician or radiology consultation (MRI, x-rays, etc), then we are able to refer you to a physician who specializes in a particular field (orthopedics, rheumatology, etc) and expedite that visit as well. Eliminating the referral process makes physical therapy care more accessible to more people, and allows patients to receive earlier and more cost effective services.

Physical Therapists receive extensive education and clinical training in the examination, evaluation, diagnosis, prognosis, and expert treatment of patients with functional limitations, impairments and disabilities. Physical Therapists are qualified to recognize when a patient presents with signs and symptoms outside the scope and expertise of the physical therapist and when the patient should be referred to a physician.

To learn more about direct access, and whether you may benefit from Physical Therapy without a physician’s referral, contact us at info@symmetrypt.com or 914-738-1748. We accept most insurance plans and one of our billing specialists can explain your potential financial obligation (typically a co-pay or deductible) prior to your first visit.


Considering the subzero temperatures lately in the Tri State region, we felt it appropriate to discuss ice and its many benefits after injury.  Following an injury, regardless of how minor or severe the injury is the use of ice is often recommended. In order to make better decisions regarding the use of ice, it is important to understand how body tissue reacts to ice and treatment length.

The use of ice causes several changes within the body. Two important effects are the narrowing of capillaries to decrease swelling and decreasing the sensation of pain. When ice is applied to the skin local vasoconstriction or the narrowing of blood vessel occurs due to a reflex action of local smooth muscle. In the case of immediate injury there will be a decrease in the swelling. However, if swelling is already present ice cannot help reduce it.

Ice helps decrease the sensation of pain. This occurs by the cold decreasing the nerve’s ability to respond to stimuli, which increase the pain threshold of the individual. The area being iced does not automatically achieve this state of numbness. There is a progression in sensation from feeling cold in the beginning, to a mild burning, to aching, and finally numbness. The progression through these stages can take about twelve to twenty minutes. The recommended treatment time for ice ranges from twenty to thirty minutes in order to prevent undesired effects.

It is important to note that when using ice for treatment times should not exceed 20 minutes every hour or more because of a complication associated to over exposure to the subfreezing temperatures known as frostbite. Another complication that can occur is a nerve paralysis when cold is applied to nerves that are close to the surface of the skin.

The use of ice after injury has been shown to help decrease swelling by causing local blood vessels to narrow, as well as decrease the sensation of pain. When ice is coupled with rest, compression, and elevation many of the negative components of injury can be reduced. 

Daniel Rodriguez, ATC

Head Athletic Trainer New Rochelle High School

From Knee to You!

Image  —  Posted: January 31, 2014 in Uncategorized


I am often asked about the use of alternative medicine and treatment methods for soft tissue injuries.   Patients may struggle to get back to their normal daily activities or sports in a short period of time after an injury.   Several medications, herbal supplements, and treatment methods out there claim to increase the healing rate of your body, including low level laser therapy.  Today, we will discuss LLLT more in depth.

Low level laser was approved by the FDA in 2002.  It is an application of non-thermal light to an injured area in order to stimulate changes at the cellular level.  The absorption of light energy by the tissue is thought to improve muscle and bone repair, reduce pain, and decrease inflammation.  It does this without heating up the tissue.

Because of its mechanism, LLLT may have the best effect on chronic pain and soft tissue injuries such as rotator cuff tendonitis, plantar fasciitis, or long term muscle pain (trigger points).  Treatment should last 5-10 minutes and has minimal side effects.  Laser may not be indicated for all patients such as those that are pregnant or going through active cancer treatments.

The research on the use of laser for treatment of injury is still inconclusive, which is why it is not covered by most health insurances. While alternative treatment methods may claim to heal injuries in a fast and efficient time period, the best results tend to be when they are included in a comprehensive treatment plan put together by your physical therapist.

Call us today if you are experiencing chronic pain from a particular injury because we can help.  We have two offices conveniently located in Pelham (914-738-1748) and White Plains, NY (914-610-3881).

Kevin Trexler, DPT