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 […]
A lot of patients I see with patellofemoral pain who have failed to improve following exercise rehabilitation have spent substantial time trying to activate their VMO (Vastus Medialis Oblique) muscle. The questions we need to ask are: 1. Why have they focussed so much on exercising this little muscle? 2. Why hasn’t it worked? So […]
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 […]
Is it ‘all in the hips’? Treating patellofemoral pain
Patellofemoral Pain Patellofemoral Pain affects people of all ages, from adolescents through to the elderly. Unfortunately, prognosis is often considered poor, although this may be the result of clinician’s poor understanding of how best to manage the condition. There are many factors to consider including quadriceps strength and function, foot motion and mobility, muscle flexibility, […]
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 […]
In the US alone, 65 million people reported running between 2008 and 2014.3 There is a growing popularity in Australia also. If you want proof of this, head to the MCG in a couple of weeks and watch the countless runners on Melbourne Marathon day. Although popular, running can be risky business. A recent review […]
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. […]
When I assess injured runners at the clinic, I see a number of common features including excessive and/or prolonged foot pronation, heavy foot strike and over striding, poor knee function, poor hip function, poor pelvic control, and the list goes on. Attempting to change any particular feature of someones running action may help reduce stress […]
Adductor related Groin Pain As we’ve discussed previously, adductor related groin pain is a common presentation in athletes who participate in sports that involve agility running and kicking. Depending on the chronicity of the presentation, changes to the bony structures around the pelvis may indicate more severe pathology and a prolonged period of rehabilitation. These […]
Recovering from chronic knee pain – occlusion training
Recently, our clinic was asked to help out with a research study being conducted by Lachlan Giles, a PhD candidate at La Trobe University. Our role is deliver a quadriceps rehabilitation program for patients with patellofemoral pain (anterior knee pain), something we see a lot of at the clinic here. This is not your regular […]
Adductor related groin pain is a common presentation in junior athletes. Groin pain often affects players of field sports that involve frequent cutting, pivoting and agility running. It is especially common in sports that involve kicking, with the dominant kicking leg more frequently involved in groin injuries. Adductor related groin pain is particularly common in […]
