FAQs

FAQs

General FAQs

Should I come to the SPEED Clinic if I am in acute pain?

A rapid increase in symptoms (acute), including pain, should be first addressed by your physician who will determine the need for diagnostic tests and appropriate treatment. Moreover, pain can change movement and movement can change pain.  We will not be able to complete a thorough assessment of your movement in the presence of acute pain.

 

How do assessments at the SPEED Clinic differ from seeing my Physician or Physical Therapist?

Physicians establish diagnoses and prescribe treatments. Physical Therapists assist injured individuals by either increasing musculoskeletal dynamic control or by reversing soft tissue limitations that decreases symptoms and enhances tissue function. However, chronic symptoms that do not resolve with physical therapy, can cause long term limitations to tissue healing and negatively affect peak athletic performance. Furthermore, the source of chronic symptoms varies significantly based on diverse training schedules, individual structural alignment, and sport specific techniques. Following assessments, our qualified staff is able to pinpoint individual differences in biomechanical properties that address the root of your chronic symptoms. Your physician or physical therapist may then use the information derived from our assessment and the recommended functional interventions to ensure a comprehensive approach to healing and more importantly, prevent recurrence of your symptoms.

 

I have chronic “______”. I’ve been to my physician and have performed repeated sessions of physical therapy. I have also read a lot of information in magazines and online. Rest helps, yet my symptoms recur when I resume training. What more can you offer?

We often assess individuals at the SPEED Clinic who are not responding to common treatments. Most overuse injuries are caused by subtle musculoskeletal imbalances that become magnified following “high volume” training and are frequently difficult to assess in clinical environments. Understandably, physicians are not optimally equipped to identify these roots of musculoskeletal problems. Rest, prescription drugs, and physical therapy can help alleviate symptoms. However, resumption of training frequently unmasks tissue imbalance and symptoms recur. Our attention to detail regarding the root of your problem allows us to correct the subtle musculoskeletal imbalances to help prevent injury recurrence.

 

What are the differences between exercises prescribed by either my Physician or Physical Therapist and exercises recommended by the SPEED Clinic?

Several individuals do not benefit from physical therapy programs because of poor exercise techniques or the exercises only address your symptoms. The key to our successful exercise prescription program is 1) the recognition of individual differences and limitations in strength and flexibility, and 2) the ability to identify the movement-based causes of your individual situation.  By pinpointing your individual movement characteristics, we are able to make specific recommendations to enhance your exercise technique that ensures functional gains during healing. We also spend extra time to ensure that you are provided with detailed technique cues that you can integrate into sport specific training.

 

Do I have to do stretching exercises for my injury for the rest of my life?

No. Contrary to common belief, stretching injured tissue “lifelong” without a specific limitation does not increase performance or decrease the propensity for recurrent injury. Our goal is to provide you with an exercise program that corrects the specific, restricted movement pattern. The total duration of exercise programs varies between individuals, but you should notice a difference in a few days to a couple weeks. As your muscles develop new “memory” for correct movement patterns and specific limitations are reversed, the need for repetitive exercise to correct the underlying limitation will decrease. As a result, you will be able to train more efficiently and your athletic performance will improve. Our goal is to help you be a better athlete, not just to make a “better stretcher.”

 

I’m not injured, but I want better performance. Can you help me?

Yes!  Examining performance variables allows us to distinguish alterations in force transfer throughout your body. No matter what your sport is, these variables are directly correlated to efficiency of movement.  Greater efficiency  = better performance and better focus. 

 

What level of athletes do we assess at the SPEED Clinic?

Each individual has talent and untapped potential for improvement. We welcome everybody. Thus far, we have assessed individuals with diverse athletic abilities – from a mother of four children to world class athletes. Individuals have come to our clinic from a mile away to several thousands of miles away. We understand that each athlete has specific goals and our mission is to do our best to help you achieve your individual goals. Athletic ability and level may vary between our clients, yet the service provided to all individuals is the same.

 

How often do I have to come into The SPEED Clinic? Is there and additional charge for a second assessment session?

Typically, in a single session, we are able to perform a comprehensive assessment and provide you with a detailed overview of potential musculoskeletal imbalances and problems. We have received positive feedback from hundreds of individuals.  They have been able to effectively utilize information we provided following their assessments and importantly, have adequately implemented recommended exercise programs as part of their daily routine.  As a result, several individuals have noted improvements in symptoms, enhanced training regimens, and marked improvements in athletic performance following just one session.  However, individuals have also returned for additional assessments to obtain objective measures of change following the implementation of our exercise recommendations.  We are able to utilize baseline data from the initial session to make comparisons. The “follow-up” session is billed as an additional session.

 

Running – Specific FAQs:

Should I come to the SPEED Clinic if I am in acute pain?

A rapid increase in symptoms (acute), including pain, should be first addressed by your physician who will determine the need for diagnostic tests and appropriate treatment. Moreover, pain can change movement and movement can change pain.  We will not be able to complete a thorough assessment of your movement in the presence of acute pain.

 

How does your gait analysis differ from an analysis either at my running shop or by my coach?

Many running shops and coaches are well trained and can serve as an excellent “starting point” to identify basic issues such as “improper running form” or inappropriate footwear.  Our experienced staff includes competent sports physicians and physical therapists, well versed and published in sports biomechanics.  We dedicate our careers to analysis of athletes like you.  Our unique motion analysis laboratory at the SPEED Clinic has equipment that is able to perform detailed assessments that cannot be accomplished elsewhere in the United States.  Using a rare “force instrumented” treadmill in conjunction with a state of the art camera system, we have the unparalleled ability to obtain “multi-stride” force data (kinetics) at steady state that allows us to quantify how hard you are working to control each joint (kinematics) during movement.  This information cannot be obtained in motion analysis laboratories that use only cameras to assess only range of motion (kinematics) data.

 

Will you make recommendations on running footwear? Do I need orthotics?

We use objective criteria and work with local footwear experts to make shoe recommendations.  We have no monetary or other incentive to steer you to a particular brand.  Footwear is an essential piece of equipment in running because it serves as the interface between the athlete and contact surface.  Appropriate selection of footwear has been shown to accelerate healing.   Conversely, healing is prolonged healing following the use of inadequate footwear.  At this time, we do not fit orthotics.

 

I’m coming in for a Gait Assessment. What do I need to bring?

Since we have to adhere reflective markers to a good portion of your body, bring:

1.   Shorts, preferably not below the knee

2.   Ankle or low-cut socks

3.   The shoes and any inserts/orthotics in which you typically run

4.   A comfortable t-shirt or top (you may run with your shirt off as well)

5.   Minimize reflective clothing/shoe material

Please note the markers may stick to body hair, and removal of markers at the end of the session is much like taking off a band-aid.  There is on-site access to a changing area and shower. 

 

Will I be running for the entire time?

No.  Much of your visit will be spent on the musculoskeletal screen, taking injury history, calibrating the markers, and doing exercises specific to your needs.  The total time can be reduced if you supply us with an injury history in advance.  Most people actually run less than 10 total minutes. 

 

I have _____ condition that only starts to hurt after 4+ miles of running?  How does the SPEED Clinic address that?

This is common and an example of imbalances and fatigue catching up with your tissue thresholds.  Typically, the imbalances start small and build.  Our technology will pick up on the causes early on, even if you don’t feel them yet.  However, if you feel compelled to be analyzed with a specific level of fatigue, you are welcome to run outdoors or indoors before-hand.  Typically, this is not necessary.

 

Once I leave the SPEED Clinic, what happens?

We are committed to long-term improvement in your performance.  Visiting us for a couple hours and going home with nothing but a list of drills and thoughts is not good enough.  Therefore, we are developing a system whereby you can have encrypted access to your specific drills and exercises.  These videos, pictures, and texts can be downloaded to your mobile device.  You’ll have access to them anywhere, even while running!  And by downloading them you’ll not have to worry about streaming data usage from a large host site with ads. 

If you are open-minded and diligent about your “homework,” we expect to see meaningful results within a couple weeks.  But our commitment to your satisfaction does not end there. We can supply you with progressions for each exercise and drill to upgrade the challenge and hopefully the results. 

 

Golf – Specific FAQs

All golfers are encouraged to be cleared by their physicians to participate in moderate exercise.  Think along the lines of walking up a moderate hill as the most strenuous level of activity we might ask of you. 

 

Should I come to the SPEED Clinic if I am in acute pain?

A rapid increase in symptoms (acute), including pain, should be first addressed by your physician who will determine the need for diagnostic tests and appropriate treatment. Moreover, pain can change movement and movement can change pain.  We will not be able to complete a thorough assessment of your movement in the presence of acute pain.

 

How does your service differ from a video lesson I could get at my club?

Video analysis has merits but the true movement of joints in space are often masked by slow frame rates, insufficient camera angles, clothing, etc.  Our technology at 500 frames per second does not miss anything from any angle.  Moreover, we can deliver an assessment of your joint movements synchronized with weight shift and specific joint torques.  To our knowledge, this level of analysis is not available anywhere else.  We are the most well-equipped facility to identify the true causes of power leaks and joint overuse in your specific swing. 

 

Our goal is not to put you on video, draw a couple lines through your shoulders and ask you to swing like Tiger Woods so the lines all look parallel.  Very few people are physically capable of achieving such positions.  More importantly, peer-reviewed scientific research suggests focusing on specific positions is detrimental to your ability to focus on releasing stored energy to the target.  In other words, asking you to swing with same shoulder lines as Tiger Woods may not only be physically inappropriate, it can distract you from the true path to improvement. 

 

I’m coming in for a Golf Swing Assessment. What do I need to bring?

Since we have to adhere reflective markers to a good portion of your body, bring:

1.   Shorts, preferably not below the knee

2.   Ankle or low-cut socks

3.   Your own shoes and clubs

4.   A comfortable top which will likely be tucked in

5.   Minimize reflective clothing/shoe material

Please note the markers may stick to body hair, and removal of markers at the end of the session is much like taking off a band-aid.  There is on-site access to a changing area and shower.  The main benefit of our complete analysis is the ability to figure out where inefficiencies lie and give you immediate, on-site solutions.  So please come prepared for at least a little exercise.  We’re not going for all-out workouts here but expect some work to be done in your visit.  All clients are encouraged to consult with their physician for approval for moderate exercise. 

We capture your swing with your club of choice (most people choose their driver) with an option to capture additional clubs. 

 

Can you help me with my short game?

Yes!  Short game swings and strokes make up well over 50% of your shots in a round.  The #1 key to a good short game is solid contact.  Without that, your distance control will never be optimized.  Our sophisticated technology can detect what’s holding you back from solid contact.  Not only that, but there are simple physical and mental solutions that can improve your results.  We have the ability to analyze chips, pitches, putts, and full swings.  Currently, our indoor camera set-up does not allow bunker analysis.  However, we’re confident that our expertise in swing and mental coaching can also improve this part of your game. 

 

Once I leave the SPEED Clinic, what happens?

We are committed to long-term improvement in your game.  Visiting us for 3 hours and going home with nothing but a list of drills and thoughts is not good enough.  Therefore, we are developing a system whereby you can have encrypted access to your specific exercises, drills and mental approaches.  These videos, pictures, and texts can be downloaded to your mobile device.  You’ll have access to them anywhere, even on the driving range!  And by downloading them you’ll not have to worry about streaming data usage. 

If you are open-minded and diligent about your “homework,” we expect to see meaningful results within a couple weeks.  But our commitment to your satisfaction does not end there. We can supply you with progressions for each exercise and drill to upgrade the challenge and hopefully the results.