
Running or walking effortlessly isn’t as easy as you might think. Often, we’re making small mistakes that impact our everyday movement and that can lead to frequent injury or pain.
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Dr. Rangan Chatterjee
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Helen Hall
Yeah, and it's a funny thing, isn't it? It's the most innate movement, putting one foot in front of the other. It's what everything in our movement development takes us towards, from this body blob that doesn't really do much to, you know, toppling around on two little feet to then being coordinated on two feet. And it takes however long it takes to get that movement coordination organized. And then the pain element, people bump into themselves because for whatever reason, and there are so many of them, they're not walking efficiently. They didn't even know how to put one foot in front of the other efficiently because they don't know how they're walking. And they bring the way that they're walking into their running with all the restrictions that are there already. But they pass under the radar of being unnoticed because there's no pain when they walk. As soon as you add running into the mix, you've got intensity, because now the body has to mass manage both feet off the ground, landing on one little tiny bit of foot and then pushing off the same foot onto the next one. So things that are running under the radar but are there, then pop out with the running. So they were fine. They started their couch to 5k and now they're stuck. Maybe they reach 5k, but they can't go any further. Maybe they didn't even reach 5k. It's not the running. It's what they brought to their running that was the problem. But it was under the radar. Nobody knew because it didn't hurt to walk.
Dr. Rangan Chatterjee
Yeah. This key point I really want to get across is noticing. The example I want to use is last time you came to the house, you went for a run with my brother. So you didn't go all in detail like you have done with me, but you've transformed the way he runs from spending 30, 40 minutes with him. And it all came down to head over, shoulder over hips. You know, what is, do you have the forward head position or not? And what was interesting, he said to me, mate, I didn't realize that I was running inefficiently, but when Helen showed me what to do, and then we ran for a bit like that, and then she said, go back to what you're doing. Before I could just feel how sluggish and how inefficient it was. So I think that's the magic in your approach, is you allow the individual to start noticing themselves. So is our heads being forward the number one problem that you see these days?
Helen Hall
So I continually say with so much enthusiasm, because it is the beginning of everything getting better. If Your head isn't on right. Nothing great is going to happen if you don't know where your head is. Nothing great is going to happen because it is heavy and it is sensory headquarters, no pun intended. This is our most precious commodity. All of our movement coordination is organized so that we don't face plant. So if that head is off its perch, the muscles are hanging onto it for dear life. So if our head, if I just move my head there, I can turn my head this much because there's so many structures now hanging onto my head, which is not perched effortlessly on top of the spine.
Dr. Rangan Chatterjee
And for people listening, Helen just put her head forwards. So the typical sort of head forward posture that many of us have these days. And her rotation was completely limited. When she tried to move her neck from side to side, I forgot that this was.
Helen Hall
Yes. Not just me looking at you. So then I put my head on right. So I just park it where it feels most wobbly. So I'm just sat here and I can just wibbly, wobbly it about and it just feels easy and I can turn my head and I've got just this much bigger range of motion. And if you do that standing in front of the mirror, you will find you will have more movement everywhere in your body. A head that isn't on its perch is being hung onto by a whole swathe of soft tissue, which limits the joint rotations, which limits your movement.
Dr. Rangan Chatterjee
Which seems a bit sad, would you say? Cause there's obviously so many complaints people have with running but also walking, just movement in general. You know, if someone said to you, what is the number one problem you see in the 21st century with people wanting to run? Is this it?
Helen Hall
Yeah, it is, without a shadow of a doubt. My job mainly entails getting rid of the elephant in the room. Case in point, there was a young footballer, career threatening injury. It was lockdown. He reached out and I said, send me some video. The elephant in the room was a forward head of. It was epic that he was actually able to stay upright and not faceplant. His body was working so hard with that forward head position. So I just needed to make sure that nobody had mentioned this elephant in the room. Cause it was extraordinary. And I said, anybody mentioned your head position? And he went, oh, yes. Oh, okay. Okay, great. So did you do something about it? And he went, what do you mean? And I said, well, did your team physios help you with your head position? Oh, no, no, it wasn't the. No, no, it was my wife. It was okay, okay. You should listen to your wife. Yes, let's deal with this. And this guy, he hadn't been able to take a single running step despite several surgeries. And within two weeks he was running. And when he went back, they were saying, oh, you're running better than we've ever seen you move.
Dr. Rangan Chatterjee
Yeah.
Helen Hall
And all we'd done was popped his head back on place where it was meant to be.
Dr. Rangan Chatterjee
And I just want to add here because, I mean, I love this stuff, Helen, because it's like you said, you know, people don't know where their head is. I now know where my head is. I don't think I did two years ago. I kind of. I think I'm pretty good with my body. I think I've got a really good awareness, I think. But even if I did, it has been upgraded a hundredfold over the past 18 months, which is I can really see even when I'm out walking now. And I feel I've got a new joy of movement. I love movement anyway. I love it now. I love going for a walk, but not in the way that I used to. I used to love going for a walk two years ago, but now it's an opportunity for me to, yes, switch off, get some relaxation, but also move efficiently.
Helen Hall
And it doesn't matter the sport, it's just more of you being available so you have more joy from your movement and therefore maybe you'll keep it going and not stop once you've started. So the beginning of change is noticing it's awareness. So as soon as you become more aware of how you do move, how stacked your body is, how effortlessly it moves, breathing improves, digestion improves. It doesn't just stop with the time it takes to do a 5K, a 10K or a marathon. It becomes a healthful life choice. So you then can do more because your body is able through all of its functions, not just the musculoskeletal element of the function of our body, but our internal and anatomy. So it's about getting the fluids flowing so that the arteries don't get all clogged up. That's also partly nutritional, of course, but with better movement on the outside, you're getting better movement on the inside. So this is health, movement is life. This is how we stay alive for longer and feel better and live more. Right.
Dr. Rangan Chatterjee
Good quality movement is necessary for our daily lives, but it's necessary when you're 70, 80, 90. Look around at a lot of people, how they walk. I see my mum who I. I have to help care for I think I really don't want to be like that. And so if I can invest in my body, get more efficiency now, I'm going to be a healthier 80 year old, 90 year old. As I move better, my breathing has become more efficient, I feel my meditation has become, has deepened. So it ain't just one thing, you know, as you say, movement is life and it's balance.
Helen Hall
So for movement to be fluid and elegant, flowing, we have to have balance in the body, which creates balance in the system. So then people can think more clearly because thought is another movement. And throughout the whole element of noticing is there's an action and there's a thought behind the action and what does that feel like? And you connect it all together. So the movement which is the action, the thought around it, the feeling and the connection. So your son did it just like that. As soon as I showed him that his right arm was causing chaos in his other limbs and there was a way for, for him to think about that not happening. He didn't want to go back to how he was because it felt more difficult and it felt smoother when that didn't happen. So he had an action, he had a thought about, had a feeling inside his body. He connected it all together and now he's noticing and he can't not know that now.
Dr. Rangan Chatterjee
Yeah, you can't unknow what you know. Once you've felt it, once you've connected the dots, you can ignore it, but you probably won't.
Helen Hall
And it all. Everything connects to everything.
Dr. Rangan Chatterjee
I always remember this, I was asking you about people carrying phones, right. So this is common now. You see people running or walking with phones now. Sometimes they're holding it in their hand whilst they're walking and running.
Helen Hall
Yeah.
Dr. Rangan Chatterjee
What advice have you got for people? Because you've seen in real life time on Doris, this incredible machine. What happens when people actually do that? Haven't you?
Helen Hall
Yes. Anything asymmetrical, anything on one side of the body. So one stick, one phone, one water bottle, it will affect your movement patterns because everything is connected. So have two phones I or two bottles or two sticks, or better still, put them in a pocket, Use a bum bag. The carrying of the phone dramatically changes the whole way you run. Jaynem discovered this yesterday. His right arm was doing something and it was different and causing chaos in the rest of the limbs. As soon as it wasn't doing it, there was no chaos. End of chaos.
Dr. Rangan Chatterjee
He wasn't carrying a phone, was he?
Helen Hall
He wasn't carrying a phone.
Dr. Rangan Chatterjee
Good to know.
Helen Hall
We Want to carry the phone because we want to be accessible. It's a safety measure. Are all these little apps that tell us how fast we're going and how far we've gone. These are all really useful things. But we don't need to carry it.
Dr. Rangan Chatterjee
We're saying that carrying it and holding your hand on one side is probably the worst thing you can do.
Helen Hall
Yes, it's at the end of the extremity. So if we think about levers, that weight there is going to have more effect than if it was on my upper arm. So some people will attach it to their upper arm, so that's better.
Dr. Rangan Chatterjee
Attaching to your upper arm is better than having.
Helen Hall
But still the upper arm isn't as good as the upper thigh because lots of manufacturers make these trousers, leggings now with pockets for phones.
Dr. Rangan Chatterjee
Okay. So it's very tight to your thigh. So that is one sided, it's not two sided. But you've measured, haven't you? That has minimal effects because the upper.
Helen Hall
Arm is swinging and it's not as dense tissue as your leg. Your thighs are enormous. They're heavy and they're close to the core. The upper arm is also close to core, but we have this attachment to the ground. So there is less influence of a phone on an upper thigh than there is a phone on an upper arm. The holding it is effectively like, well, run with the extra weight of the phone on your shoe. So run with a clod of mud on the bottom of one shoe, you just extrapolate it and equate it to something else on another limb. So it's just the same, it's an extremity. You've got a great big clot of earth on your shoe, the weight of a phone. And you can imagine how it's going to affect. You put a little weight on your ankle, it's going to affect on that side. So this asymmetry at extremities is problematic.
Dr. Rangan Chatterjee
So why don't we sort of challenge people then who are listening or watching if you do carry your phone when you go for a run or walk, first of all, try now and again to go without your phone just to see what it feels like, I would say. But if you're gonna take it with you for music podcasts, Safety, safety. Why don't we ask people to experiment? Like experiment with it on your upper thigh. You know, tight. You don't want it loose and baggy. You want it tight against your upper thigh. Doesn't move.
Helen Hall
Yeah.
Dr. Rangan Chatterjee
And I think it'd be great on the theme of noticing, asking people to see if they can pay attention. How does it feel when you go for a walk? Let's say it doesn't have to be a run. Go for a walk or a run when you put your phone in a different place. Cause that starts the awareness piece, doesn't it?
Helen Hall
Yeah. So. And what happens to the hand that was holding the phone? Because people start to move when the phone isn't there, with their hand away from their body.
Dr. Rangan Chatterjee
Wow.
Helen Hall
It imprints. There's a motor program. So the whole time you're doing that, a motor response is traveling from the hand up to the brain, back down to the hand again. Okay. You've got to hold your arm over here. So I have seen runners, they run with one elbow cocked out, and it's the elbow with the watch on the wrist. Because they look at the wrist watch so often that they end up running with their elbow cocked out. So it's not just noticing the change when the weight isn't there and the influence in your body, it's noticing, what did that do? What did that imprint in your body? What do you now notice that arm does or doesn't. And invariably it stays still because it's learned to stay still.
Dr. Rangan Chatterjee
Yes. So we're repeating and replicating inefficient movement. This is not just how it looks. Oh, I look like that when I run with my elbow going out? Actually, no. This is affecting our function, our form, our movement, and we don't realize it. And I think that's a great example. It's not just phones, it's watches.
Helen Hall
Could I just say about that?
Dr. Rangan Chatterjee
Feel free.
Helen Hall
The phone again. So if you're holding the phone, does that shoulder elevate? If that shoulder elevates, you are leaning down on one side of your body. So that means that one side of your body doesn't have shock absorption, and one side of your body is being overloaded when you're pushing off on your trail leg.
Dr. Rangan Chatterjee
Yeah.
Helen Hall
It is such a big influencer. It is so easy to get yourself out of that little pickle. You don't need to see me. Just find somewhere else to put that weight. The water bottle and. Or the phone.
Dr. Rangan Chatterjee
Yeah. I think this is really good practical advice for people at the end of the conversation, because everyone can try that. Don't just take your word for it or my word for it. Feel the difference for yourself. That's kind of where the empowerment comes, doesn't it?
Helen Hall
Yes. And as soon as you start to become aware of what's happening in your body and on the outside of your body, you will start to notice it in others. Now it's not about being judgmental, it's about being curious about why are they moving like that? Why do they need to run like a little teapot? Their pelvis has disappeared over one side, the body has bowed to counterbalance. Why? But it's all unravelable. That's the point.
Dr. Rangan Chatterjee
That's the empowering thing.
Helen Hall
Yes, things can change. Otherwise there's nothing to talk about. God, I love that quote.
Dr. Rangan Chatterjee
Yeah. The podcast is called Feel better, Live more. When we feel better, we get more out of our lives. When we move better, when we move more efficiently, we get more out of our lives. For people listening, have you got any parting words for them?
Helen Hall
Walk before you run. It diverts the blood from the non vital organs, the glands producing the hormones and the intestines to the working muscles. The boffins tell us it's probably the most effective way to limit injury risk. So so many people shut the door and just start running. The blood you need in the working muscles in isn't there yet. If we had enough blood to be around our entire body for any given job at any given time, we'd be a balloon. It's not there yet. Know it. The experts have done lots of experiments. I don't know how they do it. It takes between seven and 15 minutes to divert the blood. Seven is the minimum. So you can help yourself most easily by just walking briskly to divert the blood. Walk briskly enough that the central nervous system thinks, oh, something exciting is about to happen. I need to get some blood to those working muscles. I rule of thumb, 10 minutes and then run and you'll probably find you enjoy it more and you'll have a smile on your face and then you'll be able to notice stuff because you'll be in a happy place and notice where is your head? First job, where is your head? Get it on better. Get it on right. There's only one place for it to be and only you know exactly where that is. If you can understand how your body moves and notice where it isn't moving and help it along a little bit better, you will move better and then further and enjoy it more and and, and and will grow.
Dr. Rangan Chatterjee
Hope you enjoyed that bite sized clip. Do spread the love by sharing this episode with your friends and family. And if you want more, why not go back and look listen to the original full conversation with my guest. If you enjoyed this episode, I think you will really enjoy my bite sized Friday email. It's called the Friday five and each week I share things that I do not share on social media. It contains five short doses of positivity, articles or books that I'm reading, quotes that I'm thinking about, exciting research I've come across, and so much more. I really think you're going to love it. The goal is for it to be a small, yet powerful dose of feel Good. To get you ready for the weekend, you can sign up for it free of charge@drchatterjee.com Friday 5 Hope you have a wonderful weekend. Make sure you have pressed subscribe and I'll be back next week with my long form conversational Wednesday and the latest episode of Bite Science. Next Friday.
Episode: BITESIZE | 3 Simple Tips For Pain-Free Running (and Walking!) | Helen Hall #568
Release Date: June 26, 2025
Guest: Helen Hall, Movement Coach
In this episode of Feel Better, Live More, host Dr. Rangan Chatterjee welcomes movement coach Helen Hall to discuss strategies for running and walking without pain. Drawing from her extensive experience working with both elite athletes and everyday individuals, Helen shares actionable insights on improving movement efficiency, preventing injuries, and enhancing overall enjoyment of physical activity.
Helen begins by addressing the common misconception that running inherently leads to injuries, such as knee pain after a short duration. She emphasizes that "running isn't necessarily bad for your knees", but rather, pain may arise from underlying issues like structural imbalances or poor biomechanics.
Helen elaborates on the significance of foundational movement patterns, highlighting that inefficient walking can lead to pain and injury during running. She explains how unnoticed issues during walking can magnify once running's intensity is introduced.
A critical point Helen discusses is the role of head posture in movement efficiency. She asserts that an improper head position can lead to a cascade of muscular and joint restrictions, hampering overall movement.
Dr. Chatterjee demonstrates this by showing how forward head posture limits neck rotation, emphasizing the physical constraints it imposes.
Helen shares inspiring stories of clients who overcame severe running-related injuries by addressing head posture. One notable example is a young footballer who, after multiple surgeries and being unable to run, regained his ability to run pain-free within two weeks simply by correcting his head position.
Dr. Chatterjee reflects on his personal growth in movement awareness, noting enhanced joy and efficiency in his daily activities as a result.
The conversation shifts to everyday habits that can disrupt movement efficiency, such as carrying phones while running or walking. Helen explains how holding a phone in one hand creates asymmetrical loading, leading to imbalanced movement patterns and potential injuries.
She advises using tools like pockets or waist belts to distribute weight more evenly, minimizing the strain on one side of the body.
Helen provides listeners with actionable steps to enhance their running and walking experiences:
Start with a Warm-Up:
Helen Hall: "Walk briskly for about 10 minutes before running to divert blood to working muscles."
Optimize Head Position:
Regularly check and adjust head posture to ensure it's aligned over the spine, reducing muscular strain.
Minimize Asymmetrical Loads:
Experiment with different ways to carry phones or essentials, such as using pockets or waist belts, to maintain symmetrical movement.
Enhance Movement Awareness:
Pay attention to how your body feels during movement. Increased awareness can lead to more efficient and enjoyable exercise experiences.
Beyond preventing injuries, improving movement efficiency has far-reaching benefits, including enhanced breathing, better digestion, and overall improved bodily functions. Helen emphasizes that "movement is life", serving as a foundation for a healthier and more fulfilling life.
This episode underscores the profound impact that mindful movement and proper biomechanics can have on physical health and overall quality of life. By addressing foundational aspects like head posture and minimizing asymmetrical loads, listeners can transform their running and walking routines, paving the way for a pain-free and more enjoyable active lifestyle.
Key Takeaways:
Empower Yourself:
As Helen aptly puts it, "Things can change. Otherwise, there's nothing to talk about." Embrace these insights to not only run and walk better but to live a healthier, more vibrant life.