Energy needs must be restored *before* starting any strength work in athletes with RED-S. If done so it has multiple potential benefits. Our graphic summarises recommendations from an excellent recent paper by Dr Rich Blagrove & colleagues, available here: https://f.mtr.cool/huubwyosti

Running Repairs Online is open for enrolment. ⏳Early Bird Bonus closes in less than 24 hours! See exactly what’s included in the bonus bundle and secure your spot here ➡️ clinicaledge.co/earlyrun

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.

I teamed up with @Liz_Bayley_Physio 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.

Posterior knee pain differential diagnosis.  I’ve focused on the more common injuries but it’s worth noting that bone stress injuries (such as tibial stress fractures) and bone tumours can also cause posterior knee pain, although they are more rare.

Progressing rehab can be challenging if symptoms remain irritable. Here's an approach that's often effective and builds from what's manageable towards individual goals.

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 🥇

🦵🏻Struggling with persistent patellofemoral pain in runners? Our FREE Masterclass covers differential diagnosis, contributing factors & the 4 Pillars treatment framework for better patient outcomes. ➡️ Register now via the QR code or link in bio

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! 🤯

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

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!

Join us for our free Patellofemoral Pain Masterclass. Ideal for health professionals that work with injured athletes and want to get them back on track! Visit https://www.clinicaledge.co/pfpmasterclass to find out more!

🚨 Just released! Part 3 of our new PFP podcast series. This episode focusses on rehab solutions and how to integrate them effectively into training 👇 https://www.clinicaledge.co/tompfppodcast179

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.

🎧 Part 2 of our new PFP Podcast Series is out now! Runner's can be reluctant to change their training, even when injured. This episode focusses on why and how you can help! 👇 https://www.clinicaledge.co/pfp2

🎧 New Patellofemoral Pain Podcast! Dive into our free series and explore my framework for managing PFP with a real-world case study. Episode 1 is here! 👇 clinicaledge.co/pfp1

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)

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.

🎧 New Patellofemoral Pain Podcast! Dive into our free series and explore my framework for managing PFP with a real-world case study. Episode 1 is here! 👇 https://www.clinicaledge.co/pfp1

Training Stress AND recovery. Two vital ingredients for athletes to progress. You need both!

Running with excessive forward trunk lean can affect efficiency and increase load on the Glutes and Hamstrings. These cues can help! 🏃

Intrinsic foot muscles can be weak in patients with Plantar Heel Pain🦶 Progressive strengthening of intrinsic and extrinsic muscles can be effective, especially in runners and active individuals. See my previous posts for recent research on which exercises are effective to target these muscles.

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

Many different loading programmes can be effective for tendinopathy. The most effective ones tend to be progressive and tailored to the individual with rehab adapted based on symptom response 🏋️

Module 3 of our online course is devoted to Gait Analysis. We guide you through both treadmill & overground assessment so you know what to look for with each injury & how to address it with effective cues. Visit clinicaledge.co/runningcourse for details on all our modules & resources

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.

Neural mobility can be reduced following back pain, hamstring injury or sciatica. A gym ball nerve glide is a nice option to help restore this movement and prepare for running 🏃🏽‍♀️ ⚠️Be sure to adapt to individual need so it’s well tolerated, especially if symptoms are irritable.

Always consider bone health in patients presenting with a stress fracture. Unless these factors are addressed there's a high risk of future bone stress injuries. Multidisciplinary input may be needed for a full assessment of an athlete’s needs.

🔟 Hamstring exercise options. Each should be adapted to meet individual needs, especially sprinting which needs a gradual introduction at the right stage of recovery 🏃🏽‍♀️

Running Repairs is coming to Cambridge! Join us for 2 days devoted to running rehab including key injuries, gait re-training, S&C and lots more! Book your place today: https://f.mtr.cool/jfsbtfzvgr