Marathon runners often come to us with pain, but also they need to build up their mileage in preparation for one of the most challenging events in endurance sport. They're trying to do more when their body may be telling them they need to be doing less. 

How do we manage their symptoms, and guide them up to the marathon itself?

Find out in this podcast with Tom Goom (Running Physio).

150. Top tips for treating marathon runners. Physio Edge Track record: Running repairs podcast..

Apophyseal injury in children and adolescents are common and usually respond to simple unloading interventions. But what is the underlying pathology and why do some children succumb and others not? And why do some apophyses become painful and others fail completely with a complete avulsion? Despite these questions it is an area that is under-researched and few people have a specific interest in this area. 

Listen to the insights of Dr Matthieu Sailly, who is a French sports physician who has expertise and research interest in injuries in young athlete. He was the head of the Aspire Academy medical centre where he worked extensively with highly trained adolescent athletes and developed experience on growth related injuries and long term development strategies for immature athletes in various sports.

See also:

Physeal injuries in children’s and youth sports: reasons for concern?: http://bjsm.bmj.com/content/40/9/749.full

Sports-related acute and chronic avulsion injuries in children and adolescents with special emphasis on tennis: http://bjsm.bmj.com/content/41/11/827.full

“Goalkeeper’s hip”: acute haematogenous osteomyelitis secondary to apophyseal fractures: http://bjsm.bmj.com/content/40/9/808.full

Matthieu Sailly - Apophyseal injury in children and adolescents

Mike Stewart and further explore persistent pain, helpful language you can use with your persistent pain patients, how you can use group sessions, as well as:

How the bio fits into biopsychosocial
How you can develop an educational toolkit
Case study of a patient with persistent peripheral pain
Language & communication recommendations.
Misconceptions about persistent pain education
And much more.
Links of Interest

Physio Edge podcast episode 35 - Know Pain part 1 with Mike Stewart

Mike Stewart

Know Pain

Courses with Mike Stewart

Mike Stewart on Twitter

Virtual conferences with Physio Edge and Clinical Edge

Clinical Edge discounts for Undergraduate Physio students available by emailing verification of your student status to info at clinicaledge.com.au

Clinical Edge online education

Free Sports Medicine articles in the Aspetar Journal

Headspace

“Living in the moment” by Anna Black

“Rainy brain, Sunny brain” by Elaine Fox

Free video on Metatarsal head padding with Nick Torrance

Free video on soft metatarsal domes for acute metatarsalgia

Free video on firmer metatarsal domes for metatarsalgia

Facebook

David on Twitter

Tags: Pain, persistent pain, chronic pain, complex pain, know pain, mike stewart, physiotherapy, physio, podcast, physio edge, clinical edge, courses, virtual conference, conference, understanding, biopsychosocial, communication

PE #036 How to help patients with persistent pain - part 2 with Mike Stewart

physioedge

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