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Fit to Run MOT

The Golden
Rule...

Prevention is always better then treatment! This appointment is for beginners and for experienced runners. The risk of injury increases if you have just started to run after a long period of inactivity or as your weekly mileage goes up so don’t let an injury stop you in your tracks. Take care of your body now and it will take care of you when you run. This is a 1 hour appointment.

The fit to run MOT can give you some basic tips to ensure your running technique is not putting adverse forces on structures that can cause you problems once you start running or you increase your mileage. A video gait analysis of your running style will be done focusing on evidence based advice to reduce excessive impact on certain points. A running MOT appointment before you increase your miles is really valuable in pre-empting issues that might arise. At UK Sports Podiatry we will be able to advise how to modify your training programme to suit your body’s needs, especially if you have existing problems.

This is a comprehensive muscle balance testing process which identifies tight, weak, overactive or underactive muscles. These screening tests allow the sports podiatrist to identify any abnormal patterns of joint movement or weakness within specific muscle groups. Results from the screening will be presented back to you with the appropriate injury prevention exercise programme being prescribed. Optional blood tests can be a vital missing component to preventing injury and to make sure you are in the best possible shape before you start a exercise programme or before you increase your mileage. See below for what type of markers we are looking for in your blood tests.

Initially it might be better to do some impact-free training to increase your fitness before pounding the pavements. We can guide you on basic leg strength work based on the weakness we find in this assessment that you can do at home on your rest days from running is a massive bonus.

Get those small niggles looked at now before you increase the amount of load going through your joints. An MOT appointment before you increase your miles is really valuable in pre-empting issues that might arise.

The cost of the fit to run MOT is £95

The podiatrist will advise you If you need an injection, shock wave, acupuncture, k-tape, orthotics or other treatment options at the fit to run MOT if you have a problem.

Bring shorts, t-shirt and your running shoes to the fit to run MOT appointment.

A blood test has an additional fee of £100 but can provide you invaluable information to prevent injuries from occurring. For a full list of markers see this link. Some of the markers we look for include:

Liver function

Exercising causes muscles to break down and for liver enzymes to go up. Small rises are normal and are actually expected, however excessive high levels of Cretinine Kinase can lead to problems.

Total Protein

Albumin is made mainly in the liver and helps to keep the blood from leaking out of blood vessels. It also helps carry some medicines and other substances through the blood and is important for tissue growth and healing.

Low albumin levels can indicate liver disease and can also be a marker for chronic ill-health, malnutrition and inflammation. It can also occur in kidney conditions such as nephrotic syndrome and diabetes.

Raised levels are usually caused by dehydration.

Cholesterol 

High cholesterol levels can cause very serious conditions but can counteracted with exercise and diet. If you have taken up running to get into shape then your current cholesterol levels would provide you with a valuable indicator of your health status.

Kidney Function

Urea is waste product produced as the body digests protein and is carried by the blood to the kidneys, which filter the urea out of the blood and into the urine. The urea test examines how well the kidneys are functioning.

Raised levels of urea in the blood can be caused by dehydration or high protein consumption or may indicate that the kidneys are not working properly.

Iron

Iron is necessary to help your blood bind to oxygen. Low iron levels can seriously impact your recovery in between workouts. Low levels of Ferritin can also seriously impact your performance. We can advise you after the blood test whether you should consider increasing iron intake in your diet or adding an iron supplement.

Vitamin B12

Vitamin B12 and folate are important for red blood cell formation and DNA synthesis. Low levels of B12 can lead to fatigue and weariness.

Vitamin D

Vitamin D is vital for healthy bones and for absorbing key minerals in the gut. Low vitamin D levels can cause fatigue, aches and may contribute to stress fracture risk of bones in the leg or foot.  According to a study in the Journal of Foot & Ankle Surgery at least half of patients with stress fractures who had their vitamin D levels tested had insufficient levels.

Calcium

Calcium is the most common mineral in the body and one of the most important. The body needs calcium to build and repair bones. The majority of calcium in the body is stored in bone, the rest is found in the blood. The role of calcium and vitamin d to prevent stress fractures has been extensively researched, view more here.

Liver Function

Alanine transferase (ALT) is an enzyme which is produced by the liver and can indicate liver damage caused by alcohol, drugs or viruses (hepatitis). Small amounts of ALT are normal, but raised levels may indicate that your liver is inflamed..

Testosterone and Oestrasdiol 

Testosterone is a male sex hormone which is produced in the testicles of men and, in much smaller amounts, in the ovaries of women. It is responsible for bone and muscle strength, as well as mood, energy and sexual function. Testosterone levels decline with age and it is unusual to find naturally elevated levels in men. Low testosterone is more common than raised testosterone in the absence of supplementation.

Oestradiol is a female steroid hormone which is produced in the ovaries of women and to a much lesser extent in the testes of men. Oestradiol can also be raised in men due to excess fat (which produces oestradiol) or in relation to testosterone levels which have declined with age. Low levels of oestradiol in women can lead to osteoporosis, problems with the menstrual cycle and fertility as well as fatigue and depression.

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