In this post I have listed some common marathon training mistakes to look out for in the lead up your big race. These are all lessons learned from not only my own three marathon campaigns, but the many runners seen at the physio clinic, runners I have coached and experiences of other coaches I have […]
With the Melbourne marathon only 11 weeks away and training programs in full swing, it is important to be on the lookout for injury which can disrupt even the best of preparations. Research suggests that running injuries alone are very common and occur in 18 to 92% of all runners (Dias Lopes 2102). Unfortunately, as […]
8 Key Risk Factors for Hamstring Injury Non modifiable: Unable to change 1. Previous Hamstring injury Significant risk factor Greater risk of recurrence with greater injury severity 2. Age 2.5 times greater risk if >25 years old 3. Previous injuries Especially knee injuries such as an ACL reconstruction Modifiable: Able to change 4. Muscle weakness […]
Six Quick Tips for Beginner Runners 1. Start slowly While the motivation is high don’t be tempted to go too far and too fast early on. We all know the tortoise and the hare story, right? Easy does it. 2. Rest Make sure you get at least 1-2 days rest between each run. You […]
To maximise your outcome after a hamstring injury, it is vital to consider how you run and if this is contributing to your risk of injury. We know from research studies that the hamstring is most commonly injured during the terminal swing phase of running where the leg is extending forward preparing the foot for […]
Tendinopathy is common and affects many sites around the body, including the Achilles, outside of elbow (tennis elbow) and outside of hip (gluteal) tendons. People with these painful conditions often have difficulty with functions such as raising their arm, walking, running and going up and down stairs. The only treatment that is supported by strong […]
Injections are often offered in the management of tendinopathy when things are not going so well. The pain may simply not be settling, things may be dragging on, and exercise and other treatments just not hitting the mark. Unfortunately, patients do get to these cross roads and it can be frustrating. Some have a […]
Hamstring Origin Tendinopathy Hamstring origin tendon pain can be debilitating and is common among runners and even walkers. This short blog post will cover how to identify it and what the key steps to managing it are. How do I know I have it? Pain localised to the sitting bone (see figure below) Pain that […]
There are multiple potential causes of tendinopathy, so as you can guess, there are also multiple potential treatments. The most evidence-based treatment is progressive loading. There may be many reasons for this. Load may increase the ability or tolerance of the tendon by having an effect on pain mechanisms, tendon tissue function or neuromuscular function. […]
There is a lot we do not know about tendinopathy, but there are some inalienable truths that you should know as a clinician and patient. (the references below provide proof). 1) Tendinopathy does not improve with rest The pain may settle but returning to activity is often painful again because rest does nothing to increase the […]
In this blog I will outline the diagnostic process for tendinopathy. For detailed info and specifics on diagnosis for each lower limb tendon and lots of clinical assessment and management info check out upcoming courses in Melbourne, Sydney, Brisbane and the UK. One of the issues with tendinopathy is that there is limited evidence and […]
Dear all Here is a brief case presentation of an interesting patient I saw in clinic recently. Some good clinical messages for clinical reasoning non-responsive tendinopathy patients. If you are interested in more detailed clinical reasoning, assessment and management of tendinopathy patients please check out upcoming courses in Melbourne, Albury and Sydney. I hope you enjoy […]
