17:32 PM


WABC-TV’s Dani Beckstrom interviews HSS sports medicine physician Brett G. Toresdahl, MD and physical therapist Hector Lozada PT, DPT, OCS, CMPT, NCPT, about best practices when training for a marathon, injuries and prevention, as well as post-marathon recovery. 

Even for runners who train properly, it is important to be sensitive to soreness you can walk off or if it’s something more serious. “If it’s in the joint and not in the muscle that’s a problem,” said Dr. Toresdahl. “If there’s swelling associated with it, so if they have a knee that becomes swollen afterwards, that’s obviously not just training related soreness, but an injury.”

Injuries require rest and rehab and at HSS, the DARI 3D motion caption system creates a roadmap for how the body moves. “[DARI is] an analysis of biomechanics so it’s looking at alignment, movement and reaction forces which is another way of telling how strong you are,” explained Lozada. Beckstrom participated in a personal DARI assessment and Lozada walked her through the results.

Additionally, a study recently published in the British Journal of Sports Medicine by Dr. Toresdahl and his colleagues analyzed New York City Marathon runners during their race preparation, to identify which training programs led to the least number of injuries. The result, a link between a runner’s risk and how quickly they increase their mileage during their training, which means a shift in recommended regimens for Dr. Toresdahl’s patients. “Slow, gradual, increasing your mileage,” advised Dr. Toresdahl. “We also saw that for a lot of people they didn’t need to train 5 days a week. We saw a lot of people had successful training programs where they were running 3 days a week, or they weren’t actually increasing their weekly mileage that much. So as their long runs on the weekends were starting to go up, they were pulling back on some of their midweek runs.”  

This segment aired on broadcast on November 6, 2022.