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Warm Up to Jogging

Be reasonable with your expectations. Even if you are fit, you need to ramp up to vigorous activity if you have slacked off over the winter months. — Nicholas Greiner, DO, a primary care sports medicine specialist at St. Anthony’s

We’re starting to get those first warm weather days again and you may be itching to get outside for a brisk walk or run. Good for you — but remember to ease into high levels of activity so your body can adjust to intense workouts.

“Be reasonable with your expectations,” says Nicholas Greiner, DO, a primary care sports medicine specialist at St. Anthony’s. “Even if you are fit, you need to ramp up to vigorous activity if you have slacked off over the winter months. So if you've never run a mile, don’t start at a fast pace or go the full distance the first time out.”

By gradually increasing an exercise routine, you can minimize the potential for injury. Dr. Greiner, himself a confessed weekend warrior and runner, says keep these points in mind when picking up your fitness pace:

As a sports medicine specialist, Dr. Greiner is a primary care physician with advanced training in non-surgical treatment of musculoskeletal and athletic conditioning and injuries. The subspecialty is growing in popularity, especially since musculoskeletal problems are one of the primary reasons that people see a doctor.

“The type of person who probably could benefit the most from seeing a general practitioner with a sports medicine certification is a young teen or middle age adult who is seeking a healthier lifestyle,” says Dr. Greiner, who sees children through older adults in his practice. “We can help by identifying appropriate types of exercise based upon their health conditions, educating them on injury prevention, and caring for them when they have a problem.”

Nicholas Greiner, DO

Nicholas Greiner, DO

The most common injuries for joggers and runners are over-use injuries, such as tendonitis, and knee, ankle or foot pain. Pain can be caused by inflammation, stress fractures, muscle imbalances, or even mal-alignment of the joints. “Rest and ice can oftentimes help treat most soreness and physical therapy can help address muscle imbalances and specific strength deficiencies,” says Greiner. “But if you have consistent patterns of pain at the same time when you run (e.g., 1/2 mile from home) there may be an injury or mechanical alignment that needs to be addressed.”


Dr. Greiner and his colleague, William Feldner, DO, are two of only a handful of board-certified primary care sports medicine specialists in the region.

Both have specialized training to handle pre-participation exams and return-to-play decisions as well as acute and overuse injury assessment and treatment. In addition, they also evaluate performance issues and the use and benefits of nutrition supplements. If you want to know how a primary care sports medicine specialist can help get — and keep — you on the road to a healthier lifestyle, call 314-ANTHONY (268-4669) for a FREE “MEET AND GREET” with either physician at their office, 2900 Lemay Ferry Road, Suite 104.

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For information, please call our Health Access Line at 314-ANTHONY (268-4669) or 800-554-9550 or visit find a physician online.

Working as trusted partners, the physicians and employees of St. Anthony's Health System will deliver care distinguished by its demonstrated quality and personalized service. We will be visibly engaged in improving the health and well­ being of the communities we serve in South County and beyond. We will stand together, proud to set the standard for independent community health systems.