How should strength and plyometric training vary throughout your run season and training?

What are plyometrics & why should you include them in your run training?

What are plyometrics?

Plyometrics are a form of training that often require fast lengthening of a muscle before a contraction to perform a movement. They often involve jumping, bounding and hopping in various different activities.  Hopscotch is the perfect example of this form of exercise used during our early years. This form of exercise is regularly performed in an elite sport setting to help to reduce injury but also improve performance.

How do plyometrics work?

When performing plyometric movements, muscles will go through a stretch as well as an accelerated shortening contraction. During the lengthening / stretching phase, energy is stored within the muscle and the connective tissues, then as the muscle goes into a shortening contraction, the energy previously stored is recovered to contribute to the explosive movement. This is likened to the stretching of a spring before a release back to its natural position. The more we use this style of training, the better we become at storing that energy and our ability to release energy quickly to perform a movement.

Why should runners use plyometrics in their training?

The benefits are clear for basketball players and long and triple jump athletes as to increase their ability to jump vertically or for distance. But why should it have a place in your run training routine?

A large focus of plyometric training is being able to produce the most possible force with the least amount of ground contact time, whilst not losing all the energy you’ve created into the ground.  Sound familiar? This is exactly what we go through with running.  It’s all about becoming efficient with each contact we make with the floor and taking that efficiency in to the next stride. So, whether you’re struggling for speed with your runs or find yourself having heavy contacts into the floor, plyometrics could take your running to the next level.

Where to start?

There are no official requirements to start plyometric training, however those who have experience in running and have also participated in some form of strength training will be at a good level to start adding plyometrics to their routine.

If you’re interested in learning more about how to apply plyometric training to your run training safely and effectively, contact the clinic on 01454 540066 to book a gym session with Dan.

Can I run when pregnant?

Can I run if I’m pregnant?

Yes! If you ran regularly before pregnancy. Physical activity of 150 minutes moderate intensity over a minimum of 3 days per week is encouraged!

Examples of moderate intensity activities could be swimming, water aerobics, biking, dancing, hiking, brisk walking.  It doesn’t have to be running!

So what does the evidence say?
A paper asking 1,293 women who take part in Parkrun found that exercising during pregnancy is completely SAFE & IMPROVES the chance of a healthy baby & mum.
We also know that running during pregnancy DOES NOT affect the number of weeks babies were born or the birth-weight of the baby and has been found to help…

✅reduce fatigue
✅reduce lower back pain
✅reduce varicose veins
✅reduce swelling of the ankles
✅improve mental health, reducing stress, anxiety & depression

All women are advised to take part in regular exercise during pregnancy unless you have been advised not to by your GP due to placenta previa, pre-eclampsia or other serious conditions.

Tips for pregnant runners:
1) Supportive running shoes & bra

2) Adequate nutrition & hydration
3) Focus on good technique rather than fast pace
4) You should be able to keep a conversation as you run
5) See a pelvic physio for technique guidance as your body changes
6) Perineal massage from 34 weeks + can also aid for birth preparation if you’re worried about increased pelvic floor muscle tone during labour
7) The Active Pregnancy Foundation are another great resource for information if you’d like to say active through pregnancy


Stop & seek help if you experience:
● Persistent excessive shortness of breath that does not resolve on rest
● Severe chest pain
● Regular and painful uterine contractions
● Vaginal bleeding
● Persistent loss of fluid from the vagina
● Persistent dizziness or faintness that does not resolve on rest

As always, please seek medical advice check with your GP or our Women’s Health Specialist Liz Brown, if you’re unsure!

#yougotthis #moveyourbody #antenatalphysiotherapy #antenataleducation #antenatalexercise #mumswhorun #safepregnancy #safepregnancyexercise #physiotherapy #pelvicfloor #pregnancyandpostpartumathleticism #pregnantfit #informedisbest #keepmovingbaby #runmummyrun #perinealmassage

UK CMO Physical activity guidelines, (BJSM, Smith R et al (2018)
Is recreational running associated with earlier delivery and lower birth weight in women who continue to run during pregnancy (BMJ Open Sport Exerc, Kubrt et al 2018)
Largest ever study of running habits shows that running in pregnancy is safe: Pregnancy Hub (2018)
2019 Canadian Guideline for physical activity through pregnancy Br J Sports Med, Mottola et al (2018)

Hysterectomy – What you need to know

Pete’s knee blog Nov 20 – The Background

Despite what people think even us physios get injured and suffer with aches and pains. I’ve had my share over the years and typically it’s ‘Physio heal thy self’. That’s usually the case. Our knowledge and expertise certainly help but we also need the hands on assessment and treatment from colleagues too. A big thank you to all my team for you help and support.

I’ll try and keep the background brief. I’ve had issues with my Right knee as far back as 1999 when I ruptured my ACL. I eventually had that reconstructed in 2002 at Southmead Hospital and had a successful rehab and recovery. I’ve generally kept active most of my life, gym memberships, hill walking, mountain biking and even coaching junior rugby for a spell. More recently it’s road cycling and running in the last 4 and a half years. My knee has held up very well on the whole.

Yorkshire 3 Peaks

My knee started playing up about 4 months after I took up running. It’s fair to say running was my forte but it’s something I’d started and had managed to stick with (you can read about that here). Many people worry that running will damage your knees and joints but research now tells us this is not the case. My knees just needed more time to adapt to the increased load and stress I was placing on them. After a few more weeks the legs were stronger, I’d lost a few pounds and the knee pain had gone.

Fast forward over 3 years, numerous running and cycling events later, including 1 full marathon, and all was going well until….. Summer 2019 I twisted the knee awkwardly causing some pain and swelling. An MRI at the time identified a possible tear on the medial meniscus but nothing to suggest surgery at that time. 3 months of rehab, strength work, cycling and a return to running by November, enough time to train for the London Vitality Big Half marathon I had booked for March 2020.

Post marathon photo with the winner.

So half marathon in the bag then lockdown hit. The knee was all good and training increased during lockdown, when we could get out more. I’d even started trail running along the Cotswold way. It was actually when I returned back to work that problems reoccurred. I was demonstrating how NOT TO do an exercise to a patient 🤦🏻‍♂️ that I tweaked the knee again. Stupid I know! Things were worse and a repeat MRI confirmed a definite tear in both meniscus. We’d only just returned to work after lockdown and taking time off just wasn’t an option so I delayed having surgery straight away. I went back to the rehab and strength work. Compex was a huge help and the team sorted me out with some much needed hands on treatment to release my tight quads and hamstrings. Cycling was the one thing that actually caused me more problems, so my cycling goals for the year went out of the window. Running was actually ok…. to a point. By managing the load and frequency sensibly I was able to keep going. Eventually I could tell things were not behaving themselves. I could tell I was limping more when walking. Bending past 90 degrees was a struggle. My running metrics were also showing an imbalance between my Left and Right Ground Contact Time Balance, although my times were still good. I was getting more discomfort, episodes of sharp pain and giving way. The final straw was I could tell I was compensating and was now getting aches in other places, my right hip and left calf. It was time to get things sorted. I couldn’t keep going on despite trying to convince myself otherwise.

I’m certainly glad to be covered by Tracy’s medical insurance plan. That has enabled me to get help quickly and in a timely manner. I’m so grateful, but I’m aware not everyone is as fortunate. My NHS counterparts are working through a global pandemic in some of the worst conditions the NHS has faced. Services are severely restricted and face to face contacts limited. I’m certainly hoping my recovery will be quick and efficient so I can be back at work helping my clients again.

Pete’s knee operation Blog – 24 hours post op.

Well as I’m recovering from my surgery I thought I may as well blog a bit about it for anyone interested enough or for anyone about to have a similar operation. I’ve written a separate blog here about the knee issues I’ve had in the run up to surgery.

So 24 hours after surgery. This is what’s gone on.

Operation – Medial meniscal repair

Weight bearing status – Partial weight bearing with 2 elbow crutches for 2 weeks

Restrictions in place – Flexion 0-90 degrees only for 6 weeks and no loaded flexion beyond 90 degrees for 12 weeks.

First things first, the procedure went well, no complications. Prior to the surgery I had a good discussion with my surgeon Jonathan Webb. I wanted to know what the plan was once he got in there and what his criteria were for repair vs trimming and removing the damaged meniscus. Clearly preserving the meniscus was the better long term choice if a repair was possible and we agreed that if a solid repair looked good to proceed with that. In the end I had a medial meniscal repair of the posterior root. Fortunately the joint surfaces on the inside of my knee were well preserved as too were the patella femoral joint. The lateral meniscus wasn’t as bad as the scan had indicated and was left alone. The lateral compartment however did have evidence of grade 3 osteoarthritis although reassuringly Jonathan informed me that it looked historic damage rather than recent.

Compression dressing off after 24 hours

So 24 hours on and the compression dressing is off. Arrow still visible! Glad to report minimal swelling or pain at this stage.

Goals for the first 2 weeks are to keep the swelling at bay. Keep pain on top of any pain. Restore range of movement from 0-90 degrees. Normalise my walking pattern and wean off the crutches by 2 weeks. Maintain muscle strength in the legs. Compex and cryocuff at the ready.

Right now I’m feeling optimistic. Hopefully you’ll find my progress updates interesting and informative. Please get in touch if you have any questions. Pete


Running Trainers- the difference between Neutral, Stability and Motion Control Trainers. Is it important?

Shopping for running trainers is a minefield. It is hard to know where to start, let alone what you should end up with!  The trends and the technology are changing all the time and on top of that many runners still want something that looks good.

First off let’s start with what all the different types mean.

Motion Control: These shoes are typically the most rigid and heavy shoes available. They have more support and cushion than other running shoes. They are typically recommended for people with flat feet, or who are heavy runners.

Stability: Stability shoes are recommended for people who overpronate. This means your foot tends to roll inward slightly when you are running. They provide a slight arch support in the sole and have firmer material along the inside edge of the shoe to help control the amount you roll inwards.

Neutral: As the name suggests, neutral shoes are designed for people with a neutral gait, who have fair foot posture and mechanics. They tend to be middle of the road for support and cushioning.

Minimalist/Barefoot: These shoes tend to have little to no cushioning or support. They are meant to mimic barefoot running as closely as possible while still providing the protection from a sole. The sole tends to be completely flat and very supple. You need to have fair mechanics and already be strong to tolerate this style of footwear. They require a very gradual approach to introduce these into your running and are best for shorter runs and sprint sessions.


If you are new to running buy something comfortable and progress yourself slowly, even if you’re finding it easy at first. 10% increases per week maximum and ensure you are niggle free before any increases in training.

If you have been running a while now and are thinking your trainers are looking like they need an upgrade you can plan this in a little more detail. Match the shoe to the type of running, distances, your body type etc. to get something that meets all your demands. If you do different types of running (trail, distance, speed, track work) you will need different types of trainers.

If you have an injury and are thinking new trainers will be helpful (due to advice or if your pain started within a few months of wearing your current trainers) then considering your foot posture and how you move may be helpful to guide you in this. If you have any doubts or are unsure on how to get this right then pop in for an assessment with one of the physios.

If you are an experienced runner and have been running well and injury free and are looking into getting some new trainers … then go and get hunting for the exact make and model you currently have! If it isn’t broke then don’t try and fix it.

Dry Needling. Don’t live with the pain of work!

Does this sound familiar- been sat at your desk most of the day and your neck and shoulder are aching again? It could well be a nagging Myofascial Trigger Point.

What is one of those you are wondering?

A Myofascial Trigger Point is a hyper irritable spot in the muscle that can elicit local tenderness, it can refer pain in a specific area and will be palpable to touch like a knot.  They can be found anywhere from your facial muscles to muscles in your feet.

What causes them?

Well anything from bad posture; yep I bet you just sat up straight, to moving incorrectly during sporting and leisure activities.

Myofascial Trigger Points can co-exist with other musculoskeletal condition such as Achilles Tendinopathy or degenerative conditions like Osteoarthritis in the neck.  Such conditions will affect how you move due to pain thus stressing the muscles in the surrounding areas.

So what can you do about them?

There are several treatment options to choose from. We can assess your movement health which can be used as a long term solution to reducing the stress going through your muscles which we can do here at the The Physio Clinic Bristol; Sports Massage is also a great option to kneed away the knots or we can try dry needling or a combination of the above.

What is dry needling?

Dry needling is an effective technique for relaxing those contracted muscle fibres that produce the knot feeling when you press the tender spot.   A sterile, single use acupuncture needle or sometimes several are inserted into the knotted area to relax the muscle fibres and improve local circulation. This treatment can give immediate pain relief as the muscle can start to relax straight away.  It is a relatively painless mode of treatment.  You may experience some post treatment soreness but that will be short-lived.  Sometimes a follow up treatment but you can discuss an appropriate treatment plan with your physiotherapist.

So, next time you get that nagging knot, it could just well be a trigger point.  Get yourself booked in for an assessment so we can get you back to your pain-free self and enjoying life without pain.

Nikki Jefferies

Nikki Jefferies


Man on racing bicycle

Triathlon Coaching – Running Off The Bike

Anyone who has ever competed in (or trained for) a triathlon or duathlon knows the horrendous feeling of heaviness in the quads and the jelly legs as you leave the bike rack and enter the run.

Your free-flowing running gait, which was the hallmark of your style when you ran fresh, becomes nothing more than a pathetic and painful shuffle as you struggle to maintain contact with those with whom three minutes earlier you were riding shoulder-to-shoulder.


We have all been there! Take heart: there is hope. By undertaking a couple of practices and incorporating them into your normal training regimen, you can improve your running off the bike.


So what’s happening in your body? Well, it’s a clever machine. Firstly, it will automatically direct blood to where it’s needed. Unfortunately you use different muscles when you ride than when you run. In fact you experience what sports scientists call a vasodilatory effect – or shunting – to the capillaries and the blood vessels which are servicing blood to the muscles. What this means is that blood is not able to get to the running muscles (calves especially) quick enough. As a result, your legs feel heavy and weird as a consequence.


Secondly, your muscles will respond to any demands put on them. In short, an athlete who isn’t practised in the art of transitioning will be slower and less efficient to respond. When you are riding your brain is telling your body to act in a peddling motion for cycling. Quite simply, you do not give your body enough time to respond to the new command when you get off the bike and start to run.


During training, incorporate at least one “brick” session into each week’s schedule. By definition, a brick session means a ride followed immediately with a run. This will force your legs to get used to firing the appropriate neural pathways and shunting blood from previously active to previously inactive muscles a lot quicker, without the pressure of competition.


When considering bricks in your programme, think about the aim of your session. If you’re just trying to get your legs used to running after a heavy bike ride, then this can be done weekly by a short run off a longer bike ride. If you want to maintain or develop race pace through the run, then higher intensity bike/run repeats could be the order of the day. In this case you may wish to use it as one of your high-intensity sessions of the week and provide suitable rest and recovery both before and after the session.


Brick sessions

The following sessions are designed for athletes looking to improve their bike-run performance at their goal race distance…


Sprint triathlete

Target: To deliver a good-paced run from the start.

Duration: 1:15hrs (including a 10min warm-up and 10min cool-down).

Focus: 4 x [5min bike at race pace, 3min race-pace run, 5min easy spin]. Get into your race pace on the run quickly. When running hard off the bike, drive relaxed arms to get legs moving quickly.


Olympic triathlete

Target: To run strongly despite having a tiring body.

Duration: 2:15hrs including 15min warm-up and 10min cool-down.

Focus: 20min run (steady)/30min bike (hard)/15min run (moderate)/30min bike (hard)/10min run (hard).


Middle distance

Target: Develop and improve running off the bike at race pace.

Duration: 2:10hrs including 15min warm-up and 15min cool-down.

Focus: 2 x [30min bike (15mins easy, 15mins race pace), 20min run

(3mins quick feet, 14mins race pace, 3mins just above race pace)].



Target Practise running when tired. Possibly a little out of left field for some but running when tired is an important skill for long-distance races. Adding a swim before the run not only helps the body shift blood from arms to legs but increases the session duration by adding an hour of low-impact exercise.

Duration: 3hrs.

Session: 1hr swim to 2hr run.