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

What are the key components when assessing and treating runners? Should your treatment of running injuries focus on glutes? How can your runners schedule their training to improve recovery?

Physiotherapists Tom Goom and David Pope answer your questions on how to assess and treat patients with running-related injuries, including:
- The key concepts when assessing and treating running injuries
- Gait retraining programs
- The best ways to change running technique
- Does gait retraining cause fatigue?
- Is gait retraining suitable in painfree runners?
- What are the most important elements to prevent injury in runners?
- Scheduling to improve recovery from injury. When should your runner run, and when should they rest?
- Can we increase leg stiffness when running? Does increasing leg stiffness reduce injury risk?
- Strengthening for runners
- Do glutes become underactive or "not fire properly"?
- Does improving glute strength improve running mechanics?
- Calf tears - how can you treat these?
- What tests can you perform for your runners calves?
- Do runners have "stiff hips", and does it matter?
- Can you help runners with meniscal tears?
- How can you treat ITB syndrome?
- Is barefoot running helpful or harmful?
- Should we run in only 1 shoe if we want to win a race?

Physio Edge 083 Running gait retraining, strengthening, glutes & ITB syndrome. Q&A with Tom Goom

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