Tom Goom

🗣️ Our online course is open for enrolment. Visit clinicaledge.co/runningcourse to find out how it will help you assess and treat runners of all levels 🏃🏽‍♀️🏃‍♂️🏃🏾‍♂️🏃‍♀️

Heel Pain, Battle of the Guidelines! - RunningPhysio Recent guidelines for Plantar Heel Pain (PHP) highlight both sides of this story. They offer guidance on what treatments to consider

Heel pain, battle of the guidelines

"My patient isn't working properly."
"Have you tried turning it off then back on again?" 😴

Running injury is rarely down to one single thing! It’s important to see the bigger picture 🏃🏻

Stress fractures of the foot and ankle.
⚠️ Note the 'high risk' sites they need thorough assessment (including imaging) and cautious management.
(Adapted from Mandell et al. 2017 in Skelelal Radiology)

The Endurance Performance Pyramid.

Start with a strong base of consistently, recovery and fuelling and then progress up the pyramid by building volume then adding intensity and S&C.

Consult a Running Coach for a plan to achieve your goals 🥇

Return to running after a Tibial Bone Stress injury can be a challenge, especially with high risk stress fractures. 

Here are 5 pointers from a great paper by George et al. (2024) in Sports Medicine.

Kinesiotape or low dye tape for Plantar Heel Pain?

Both strategies may be effective for short term pain reduction in PHP. Consider patient preference, goal activities and previous response to taping.

3 key sprinting phases and how to train them! 🏃💨

Based on a fantastic overview of sprinting performance by Haugen et al. (2019) in Sports Medicine - Open.

It's *open access* so be sure to read the full article!

How to differentiate between Gastroc and Soleus injuries

Does marathon running increase arthritis risk? A recent study of 3,804 runners would suggest not!

There are limitations; arthritis prevalence was determined by asking runners if they'd been diagnosed with it by a doctor. See full paper for details DOI: 10.1177/19417381231190876

Why are fifth metatarsal stress fractures 'high risk'? - RunningPhysio This history combined with bony tenderness on palpation raised my suspicions for a fifth metatarsal stress fracture.These are considered high risk due

Why are fifth metatarsal stress fractures high risk?

3 key sprinting phases and how to train them! 🏃💨

Based on a fantastic overview of sprinting performance by Haugen et al. (2019) in Sports Medicine - Open.

It's *open access* so be sure to read the full article!

Under fuelling can impair performance and increase injury risk. 

Carbs are a vital source of energy for athletes. Eating 3 meals per day and building a routine of fuelling before, during and after training can help ensure energy needs are met. Speak to a Sports Nutritionist for tailored advice.

Ranking exercise parameters for Achilles Tedninopathy (AT) 🥇🥈🥉

For rehab of mid-portion AT contraction intensity appears to be key. With insertional AT dorsiflexion range may play a more prominent role. We still want to load progressively but we often start out of painful, dorsiflexed positions.

It's recommended that we load at ≥70% of 1 Rep Max during rehab but what does this translate to in terms of reps to fatigue? Nuzzo et al. (2024) suggests 70% of 1RM is ~15RM which is a good place to start with loading & can be progressed towards 6RM (& heavier) as symptoms allow

Choose your words with care!

Patients tend to interpret phrases like ‘degenerative’ and ‘wear and tear’ very negatively. 

Check their understanding too - one study found that some patients thought a knee ‘effusion’ meant the joint was fused together! 🤯

Not all heel pain is Plantar Fasciitis!

Muscle activity during running 🏃🏽‍♀️
The quads, calf and glutes are important shock absorbers and the hamstrings work hardest during the swing phase.

How to differentiate between Gastroc and Soleus injuries

Kinesiotape or low dye tape for Plantar Heel Pain?

Both strategies may be effective for short term pain reduction in PHP. Consider patient preference, goal activities and previous response to taping.

Does marathon running increase arthritis risk? A recent study of 3,804 runners would suggest not!

There are limitations; arthritis prevalence was determined by asking runners if they'd been diagnosed with it by a doctor. See full paper for details DOI: 10.1177/19417381231190876

Words are not always enough change a patient's beliefs.
Sometimes we need **positive experiences** to do that.
If they see an activity as harmful or expect it to worsen their pain then we may need to guide them successfully back to that activity to alter their beliefs.

Kinesiotape or low dye tape for Plantar Heel Pain?

Both strategies may be effective for short term pain reduction in PHP. Consider patient preference, goal activities and previous response to taping.

What are the peak forces involved in running? - RunningPhysio Peak forces during running can be surprisingly high! The calf, quads, glutes and hamstrings all manage high peak loads during running which is why

What are the peak forces involved in running?

Stress fractures of the foot and ankle.
⚠️ Note the 'high risk' sites they need thorough assessment (including imaging) and cautious management.
(Adapted from Mandell et al. 2017 in Skelelal Radiology)

🗣️ Our online course is open for enrolment. Visit clinicaledge.co/runningcourse to find out how it will help you assess and treat runners of all levels 🏃🏽‍♀️🏃‍♂️🏃🏾‍♂️🏃‍♀️

Does marathon running increase arthritis risk? A recent study of 3,804 runners would suggest not!

There are limitations; arthritis prevalence was determined by asking runners if they'd been diagnosed with it by a doctor. See full paper for details DOI: 10.1177/19417381231190876

Under fuelling can impair performance and increase injury risk. 

Carbs are a vital source of energy for athletes. Eating 3 meals per day and building a routine of fuelling before, during and after training can help ensure energy needs are met. Speak to a Sports Nutritionist for tailored advice.

Words are not always enough change a patient's beliefs.
Sometimes we need **positive experiences** to do that.
If they see an activity as harmful or expect it to worsen their pain then we may need to guide them successfully back to that activity to alter their beliefs.