Tom Goom

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!

Runners often suffer setbacks during the return to running phase so it's better to start with what feels very manageable and progress, rather than doing too much and aggravating symptoms.

Gluteal Tendinopathy can present with back and leg symptoms. A careful history and thorough examination can help confirm the diagnosis.

Mechanical factors in Plantar Heel Pain - the evidence is mixed so it’s best to assess foot and ankle strength and range to determine individual need.

No single foot strike pattern is superior! In most cases it's best to stick with a runner's habitual strike pattern and focus on other areas when treating injury or enhancing performance.

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

Cross-training is a great way for injured athletes to maintain fitness. Look for options that are comfortable in terms of symptoms and easily accessible for the patient.

The 3, 2, 1 approach works really well for injured runners as they return to training 🏃‍♀️

It's a simple, flexible framework that can be adapted to suit individual needs.

Running Repairs is coming to Cheshire! Join us for a course that’s packed with clinical gems and practical advice for treating runners that you can apply straight away in clinic. Visit https://f.mtr.cool/mqkobxxbpk to book your place.

Not all heel pain is Plantar Fasciitis!

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.

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.

Running Repairs in London is full and our course in Cheshire is filling fast!

Visit https://www.tickettailor.com/events/runningphysio/1735241 to book your place and join us for a weekend devoted to running rehab!

I teamed up with @lizbayleyphysio.bsky.social  to create this progressive rehab programme for Plantar Heel Pain. 

We've called it 'LiTHE' (Liz and Tom's Heel Exercises) and it's aimed at active and sporty patients. It's not a recipe though so it's best to adapt it to suit individual needs.

Differential diagnosis in Anterior Knee Pain.

Pain locations are approximate and will vary!

Consider history, aggravating and easing factors and objective tests in your diagnosis alongside symptom location and behaviour.

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 🥇

Running with a large forward trunk lean can affect efficiency & increase load on the Glutes & Hamstrings. These cues can help!

‼️Quick tip: Make sure the environment is right, people will lean forward uphill & to check uneven ground - suggest a safe, flat space to practice cues in 20-30 sec bursts.

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)

Are your patients running on empty? - RunningPhysio I have a question for you.What percentage of female runners do you think have Low Energy Availability (LEA)?5%? Maybe 10?

Great article from @running-physio.bsky.social I see lots of this and it’s hard for people to comprehend why lots of small muscle / ligament injuries are down to eating properly www.running-physio.com/are-your-pat...

Pounding the pavement is not a major driver of arthritis, as shown in 2024 study. (This one via @running-physio.bsky.social, thanks Tom.)

So what DOES drive arthritis? Age. Poor fitness. Old injuries/surgeries. And much of that is mediated by GENES, of course. 🧬 Let me spell that out a bit…

You read my mind on this! I’ve been thinking this for a while. Didn’t he have a good run of goals when up front for a bit under Emery? I think it was mainly in the Europa league but he I think he did quite well 🤔

Fantastic to make the front cover of @journalofpain with the featured article “Enhancing the trustworthiness of pain research: A call to action” www.jpain.org/article/S152...

It’s open access so get downloading!

Thank you! 🙏

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

#Physiotherapy #Physio #Running #RunningInjury

Multiple mechanical factors are thought to be associated with Plantar Heel Pain but the evidence is conflicting and it isn't clear what is a cause of symptoms and what may be an effect (Sullivan et al. 2020).

🔗 www.sciencedirect.com/science/arti...

#RunningInjury #Physio #Physiotherapy

Brilliant research from Dr Tim Hoenig and colleagues in the BJSM has given us a great overview of return to sport times for low and high risk bone stress injuries. See paper for details 🔗 bjsm.bmj.com/content/57/7...

Performance Physio Richmond Athletic Ground TW9 Performance Physiotherapy is based at Richmond Athletic Ground since it was established in 2000 and this practice has had strong links with the Richmond Rugby club

I think the team at www.performancephysio.com are good

Educate, involve and collaborate: three strategies for clinicians to empower athletes during return to sport Empowering injured athletes is a critical concept within sport and exercise medicine to optimise patient experiences and return-to-sport (RTS) outcomes.1–3 Unfortunately, scant attention has been give...

As we help progress through return to sport, empowering athletes becomes even more important.

Educate, involve and collaborate: three strategies for clinicians to empower athletes during return to sport

Dale, @running-physio.bsky.social and Les

bjsm.bmj.com/content/56/5...
@altmetric.com

A quick overview of muscle activity during running 🏃🏼‍♀️

#Running #RunningGait #Physio #Physiotherapy #RunningInjury

Maximise your patients rehab adherence, with Adam Gledhill, Dale Forsdyke and Tom Goom. Ep #467 Joining us on this podcast to discuss this crucial topic are Dr Adam Gledhill, Dr Dale Forsdyke and Tom Goom. Adam is Course Director for Sport, Exercise and Health Sciences at Leeds Beckett Universi

Throwback to recording one of my favourite #podcasts a couple of years back with Dale, @running-physio.bsky.social and Stefan 👌🏼

Drinking ☕️ and chatting about how to maximise your patients #rehab adherence
Ep #467 by BMJ talk medicine on #SoundCloud
on.soundcloud.com/j2CtVRKTJTZY...