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

Ankle syndesmosis injuries following forced ankle dorsiflexion and lateral rotation of the foot require very specific management and rehabilitation to achieve great treatment outcomes. If you approach management of ankle syndesmosis injuries in the same manner as a lateral ankle ligament injury it will likely result in long term pain and dysfunction for your patients. In the&nbsp;previous episode of the Physio Edge podcast - How to assess ankle syndesmosis injuries,&nbsp;Chris Morgan and&nbsp;David Pope&nbsp;explored how to assess and diagnose ankle syndesmosis injuries (ASI). In this new Physio Edge podcast - "How to treat ankle syndesmosis injuries with&nbsp;Chris Morgan&nbsp;(Arsenal 1st Team Physiotherapist in the English Premier League), you will discover how to manage different grades of ASI, including: Grade 1 syndesmosis injury management  Initial injury management How long should you immobilise a Grade 1 injury for? What weight bearing should be allowed in the initial stages? Taping techniques that can be utilised during return to running, training and play  Rehab - initial exercises and progressions   How much pain is acceptable during return to training? Return to sport timeframes &amp; how you and your athlete can decide when RTP is appropriate When can contact be initiated?  Grade 2 syndesmosis injuries  Grade 2 injury management and immobilisation Which players are likely to require arthroscopy to confirm instability, and subsequent stabilisation surgery? Why rehabilitation of stable grade 2 injuries is different from grade 1 injuries Which movements you need to restrict How to maintain lower limb musculature and minimise muscle atrophy should be performed Additional general conditioning your patient should perform during the early phase of rehab How to incorporate an Alter G treadmill into rehab Occlusion training for lower limb conditioning How to modify rehab if you do not have access to an Alter G Timeframes and criteria to assess when your patient can remove their immobilisation boot Tests to perform at each stage of rehab When and how should dorsiflexion range be improved? Timeframes and criteria to meet prior to return to running Exercise progressions and variations Return to play markers and tests you can use What to do when a player still reports a ‘nipping’ at the front of the ankle after 6 weeks and is having difficultly achieving full dorsiflexion  Unstable injuries - Grades 2b, 3 and 4  Management of unstable injuries Post-surgical immobilisation and management Common return to play timeframes   Click here to download your podcast handout To accurately grade your patients ASI and prescribe the most appropriate rehab I strongly recommend listening to&nbsp;Physio Edge podcast episode 80 – How to assess ankle syndesmosis injuries with Chris Morgan&nbsp;prior to this podcast CLICK HERE to register for the free webinar - Medial knee injuries with Chris Morgan Medial knee injuries often occur in snow sports, or other sports when landing or being tackled. Different areas of the medial knee can be injured, including the deep, superficial, proximal or distal fibres of the MCL and medial knee. Depending on the injured structures, patients will either cope with a more aggressive treatment approach and early return to sport, or require a more conservative approach. How can you know the rehab approach your individual patient requires? In this free webinar with Chris Morgan (1st Team Physiotherapist with Arsenal FC), you will explore:  Applied anatomy of the medial knee Mechanism of injury, presentation and diagnosis of medial knee injuries How you can differentiate between deep, superficial, proximal, distal and Grade 1, 2 and 3 clinical injuries How imaging findings correlate with your clinical findings MRI grading (radiological versus clinical) How you can perform an objective assessment How function, pain and instability impact your treatment Accelerated vs more conservative treatment - how can you...

Physio Edge 081 How to treat ankle syndesmosis injuries with Chris Morgan

physioedge

Related tracks