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

Lateral knee injuries are common in football with landing from a jump or header, or during tackles when the tibia is forced into external rotation. This mechanism of injury often affects the Lateral/Fibular collateral ligament (LCL), however LCL injury is not always obvious from the patient’s history, and can be misdiagnosed.
In this podcast with Liverpool FC Physiotherapist Matt Konopinski, we discuss LCL and lateral knee injuries, and how you can identify and treat these. LCL injuries can often respond extremely well to an accelerated rehabilitation approach, and in this podcast you will discover:
Sources of lateral knee pain
- Lateral meniscus
- Osteochondral defects
- Lateral/Fibular collateral ligament
- ACL
- Postero lateral corner
Mechanism of injury
What your patients will report with LCL injury
Questions you need to ask your patients with lateral knee pain
Red flags
Objective assessment
Assessment tests you can use with lateral knee pain
When imaging is useful and when it should be avoided
Risk factors for injury
Management of LCL injury
When to commence strengthening
How to maintain strength and cardiovascular fitness during rehabilitation
How to explain the injury and rehabilitation to your patients
You can download the free podcast handout that will take you through lateral knee and LCL injury assessment and rehabilitation by clicking here.
Get your free access to videos on sports injury assessment and treatment, including accelerated rehabilitation of LCL injuries with Matt Konopinski at clinicaledge.co/matt

Links mentioned in this episode
Matt Konopinski
Free sports injury assessment and treatment videos
Free podcast handout on LCL and lateral knee injuries
Matt Konopinski on Twitter @Matt_Kono
LFC Liverpool football club
Article Impact of exercise selection on hamstring muscle activation
Free trial of clinical edge membership
David Pope on Twitter

Physio Edge 051 Lateral knee and LCL injuries with Matt Konopinski

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