Running injuries are Load management issues

I see quite a few running injuries in clinic. They basically boil down to overload – either in the short term or long term. Short term overload/ trauma: Fall over and hit a rock, twist an ankle, tweak a knee – that tends to be a short term overload. You know you’ve done something specific to a particular thing because you remember the thing that happened. Trauma is a bit of a dramatic word to associate with it, but it is the one that we tend to use. Long term overload/ training error The other end of the scale is … Continue reading

Tissue adaptation- overload and recovery

As biological organisms we adapt. That is pretty much what enables us to survive. As individuals, we don’t necessarily evolve as such, but individual adaptations certainly show a wide range of ability to specialise in specific things. It could almost be said that as an organism, failure to adapt is an indication of something going wrong with the system- or that the system has been overloaded somehow. Rate of adaptation to an external stimulus is moderated by a number of things. How fast we learn, how mobile the tissues are, how much recovery they need etc. If the stimulus exceeds … Continue reading

The girl with the titanium back

Another one from the annals. Yes, I know that the plural of anecdote is not evidence, however, hearing others stories can be empowering to  people. This one starts with a girl of 17 who had had a number of years of back pain, a diagnosis of congenital scoliosis and, following a prolonged period of deliberation, a fairly large operation where titanium rods were inserted into her spine to make it straight. It was only after this that I met this patient – someone going through A-levels, looking at universities, and also looking forward (with some apprehension) to a post school … Continue reading

Recovery from Covid 19?

There has (quite rightly) been a massive amount of energy and column inches expended on the initial response to this Coronavirus and the acute medical problems that it throws up. Huge temporary hospitals have been set up, current ICU wards have overflowed to newly set up specialist areas and those on the front line are working some ridiculous hours in not-ideal situations in order to keep people alive. As a physio who is not up to date with skills to assist on the front line, my thoughts recently have turned to the problems that will come after the acute infection. … Continue reading

RED-S – what?!

This is something pertinent, as in the past year I have gone from not having heard of RED-S, to suggesting that patients really start thinking about it as a cause for stress fractures, and enabling them to swerve a downward spiral into long term injury and depression. Where has this come from? You may have heard of the Female Athlete Triad. Effectively it is a combination of Low energy availability, Menstrual disruption and Poor bone health. It was originally seen as a rigid structure – a diagnosis, which was not particularly useful when you have someone turning up with a … Continue reading

Oooh- don’t run, it’s bad for your knees.

They look at you as if you’re mad and say: “Oh I wouldn’t run, you’ll ruin your knees” or “I wouldn’t lift weights – it’s bad for you back”. …. And so they sit down in front of the tv with a “sharing” size packet of crisps and proceed to devour the lot. Before heading to the shops in a car, to buy more food- making sure it is low-fat, of course – because it is healthier while trying to stop you from doing the thing that might drag you out of a hole. People feel guilty for not engaging … Continue reading