In this episode we were joined by Sports Podiatrist (and 2:14 marathoner) Thomas Do Canto to talk through his approach to taking a thorough history from an injured runner. Given the current global climate it is reasonable to assume there may be an increase in running injury rates: The Running “Coverload” Injury Phenomena – Griffiths (2020). Combine this with more remote/online consultations (where we may have to prioritise the subjective over the objective) and it should become clear why taking a good history from a runner is so important. Thomas talked us through his 4 page form which he sends to all runners for them to fill out before the consultation; and the rationale behind many of the questions on there and how they may really help him formulate a provisional diagnosis and management plan before he has even met the patient.
In this episode we talk with Michael Nitschke (“Nitta”) about the holy grail – running shoes that *might* reduce injury rates. In the week that Nike release the Infinity React we discuss the marketing behind the shoe, the study behind the marketing and take a deeper dive into the world of running shoes and their relationship/influence on injuries. How should (can?) we prescribe shoes to reduce injury? Is it all just about comfort? Will we ever actually know what we are doing…?
About Michael Nitschke:
Michael is a certified Sports Podiatrist (APodA) and a Partner at the sports and arthritis clinic in Adelaide. He spends his spare time as an athletics coach and distance runner, while a part time researcher looking into the training characteristics of runners at the University of Adelaide.
In this episode Dr Chris Napier, Physiotherapist and Associate Professor at the University of British Columbia (and 2:33 marathoner) summarises his recent BJSM editorial on the logical fallacies in the running shoe debate, and we talk about how runners (both uninjured and injured) should choose shoes, what the evidence tells us (and doesn’t yet tell us), how much focus and attention running shoes seem to get (and whether this is warranted), and is it just all about comfort?
About Chris Napier:
Chris is a Clinical Assistant Professor in the Department of Physical Therapy at the University of British Columbia and an associate member of the Centre for Hip Health and Mobility. He obtained his Master of Physiotherapy degree in Perth, Australia, in 2003, and his PhD (“Running biomechanics and injury prevention”) at UBC in 2018. Since becoming a physiotherapist, Chris has specialized his training with postgraduate studies in manual therapy and sport physiotherapy, achieving his Diploma in Sport Physiotherapy in 2007.
In this episode we talked with Stacey Meardon, PT, PhD about some of her research which has looked at biomechanical risk factors for injury, step width modification for MTSS and ITB issues, and also some clinical pearls to think about when someone presents in your clinic with a suspected bone stress injury. For the really nerdy, we even briefly talked about the ‘free moment’ and its potential relevance to injury.
About Stacey Meardon:
Stacey is a Physical Therapist and Assistant Professor at East Carolina University Her research involved neuromuscular and biomechanical factors that contribute to injury during running. The overarching goal of her research is to prevent injury in active populations in order to optimize long term bone and joint health and remove barriers to physical activity. Her research is directed toward identifying biomechanical factors that result in injury and elevated tissue stress during physical activity in order to identify interventions that improve biomechanical factors associated with injury, reduce pain, and improve function. Stacey is also interested in how postural control, movement variability and coordination contribute to injury.
In this episode, we talk with the physical therapist, Richard Willy. Rich explains what tissue capacity is, what he looks for during a gait analysis, the benefits and pitfalls of ‘wearables’, and how footwear may fit into the whole picture. He also summarised the key differences between treadmill and overground running, with good take homes for clinicians who analyse their athletes on the treadmill and then extrapolate that to the outside world.
About Rich Willy:
Dr. Richard Willy, PT, PhD is an Assistant Professor in the School of Physical Therapy at University of Montana. Rich received his PhD in Biomechanics and Movement Science from the University of Delaware and his master of physical therapy from Ohio University. In addition to his research interests, he been a clinician for 18 years specializing in the treatment of the injured runner. His research aims to develop clinically effective treatments for patellofemoral pain syndrome, Achilles tendon injuries and tibial stress fractures. As well as publishing in peer-reviewed journals, Dr. Willy is a national and international presenter on his research and clinical expertise on how to evaluate and treat the runner with injuries. Dr. Willy and his research have been featured in Runner’s World multiple times.
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