Sports Medicine Project

Takeaways

Metatarsal stress fractures are common injuries in athletes.

Understanding the remodeling process of bones is crucial for recovery.

Subjective questioning can reveal important clues about the injury.

Palpation techniques are essential for accurate diagnosis.

Systemic factors like energy availability can influence bone health.

Imaging, particularly MRI, is vital for diagnosing bone stress injuries.

Treatment should focus on offloading the affected area.

Recovery time varies significantly between individuals and injuries.

Communication with patients about their condition is key...

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Chapters

00:00 Evaluating Shockwave Therapy in Tendinopathy

00:44 The Role of Exercise in Rehabilitation

03:43 Understanding Patient Ecosystems and Health

06:23 Case Studies: Practical Applications in Treatment

08:49 The Complexity of Pain Management

11:43 Resear...

We discuss the latest review PMID: 39704142 with Prof Peter Malliaras

✅ Identifying early responders – Can we predict who will benefit?

✅ Effect – Does it work?

✅ Diminishing returns – When does adding SWT to exercise stop being beneficial?

✅ Types of shockwave therapy – Why radial shockwave was chosen in this study

✅ Sham treatments – Do they still have a therapeutic effect?

✅ Mechanisms of action – Neuromodulation, therapeutic alliance, and tendon adaptation

✅ The ‘Big Machine Effect’ – Is patient belief in SWT part of its effectiveness?

✅ Comparisons to exercise – Would fewer appointments with exercise yield similar outcomes...

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1. Keep Intensity the Same

This is the biggest and easiest mistake. If your Achilles is sore, what will aggravate it most is higher rates of loading—formally, this happens more when you run faster. Yes, it might warm up during the run, but you’ll pay for it 24 hours later. You need to stress it just a little, see how it responds, and build from there.

2. Rest, Then Go Straight Back to Full...

Mr. Ian Reilly qualified as a Podiatrist in 1988 and became a Podiatric Surgeon in 1996. Over his career, he has performed more than 11,000 surgical procedures under various anaesthesia types, showcasing his extensive expertise.

You can out more below by clicking the link on his website.

From 2001 to 2024, he led Podiatric Surgery at Northamptonshire Trust, significantly advancing podiatric care. Now retired from NHS practice, he focuses on private care, operating weekly at Three Shires Hospital in Northampton and treating patients across self-pay, insured, and NHS pathways.

Mr. Reilly specializes...

We get so many questions each week that need more then a voice note or instagram post to answer so we're doing it here.

Casual yarn about what it is being a health professional with questions we get asked over the week.

Support the shoe - new content out on Patreon. How to assess the 1st MPJ (30 min how-to video) + how weekly video realises on the treatment of those common big toe pathologies, joint/sesamoid/adventitialbursa/met stress/FHL, PF.

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Takeaways

Bone health is crucial for injury prevention.

Resistance training is essential for building strong bones.

High strain rates and magnitudes are key for bone loading. In this episode, you will hear me talk about moving quickly to increase strain rate. I briefly touch on you can try to move the weight...

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Agenda. Chapters available.

Clinical recap - Foot orthosis and PFP, Surgical case rehab & PRP for chondromalacia...

In this episode of The Sports Medicine Project, we explore navicular stress fractures—a high-risk injury requiring a unique approach due to the bone’s anatomy, biomechanics, and healing challenges.

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We cover:

Addressing all the myths we hear about Bone stress Injuries and explaining the FACTS.

We're tackling a topic that’s often misunderstood—bone stress injuries. From runners to weekend warriors, many people have heard myths about these injuries that just aren’t true. In this episode, we're breaking down the myths and uncovering the real facts about bone stress injuries.

With Beau Tyrrell

https://www.instagram.com/stressfracturephysio/

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Send us a Text Message.Ian Harris, an orthopedic surgeon practicing in Sydney and a Professor of Orthopedic Surgery at UNSW, has published extensively on the effectiveness of surgical interventions.Key Discussion Points:Key Findings in Surgical EffectivenessEthics and ImprovementsUnderstanding PlaceboPersistence of Ineffective SurgeriesImpact of the COVID-19 PandemicClinician’s Role and Informed ConsentDiagnosis and Treatment DecisionsPRP and Other TreatmentsRethinking MedicineFeatured Books:...

Send us a Text Message.No guest this week legends,Clinical Case reviews + Social media & HealthcareSupport the Show.Clinical content to help you day to day:https://patreon.com/SportsMedicineProject?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=creatorshare_creator&utm_content=join_linkSign up for a free weekly Research review about topics related to Sports Medicine straight to your email: https://gmail.us14.list-manage.com/subscribe?u=c3dca95db0740390c605a128e&...

Send us a Text Message.We chatted about the details of Lisfranc injuries and midfoot osteoarthritis We explored the unique structures involved and why this injury is distinct. We discussed the key steps in diagnosing a Lisfranc injury, including the essential imaging techniques. We covered the various surgical options available and what these procedures entailed.We also addressed the potential risks of delayed intervention and the importance of foot orthoses and appropriate footwear...

Send us a Text Message.https://www.drstacysims.com/Dr. Stacy T. Sims is an internationally recognized exercise physiologist and nutrition scientist.Her research focuses on female athlete health and performance, challenging existing dogma and improving research on women.Dr. Sims authored the book "ROAR," which explores sex differences in training and nutrition across the lifespan.She has been named one of the top 50 visionaries of the running industry and one of the top 40 women changing the p...

Send us a Text Message.Explore the intricate relationship between hormones and performance in this podcast episode. Delve into common myths and truths about hormones, particularly regarding their impact on soft tissue and bone changes as we age. Learn about the nuances of the ovarian hormone profile and its influence on training and performance, including strategies to alleviate menstrual cycle symptoms. Discover the debate surrounding phase-based training and the considerations for women usi...

Send us a Text Message.Dr. Barton is a Melbourne-based practitioner and researcher specializing in sports and musculoskeletal therapy. With additional training in implementation science and communications, he contributes to physiotherapy education at Bundoora campus and conducts research on implementation science. He serves as an Associate Editor and Deputy Social Media Editor at the British Journal of Sports Medicine and is involved with the Victorian branch of the Musculoskeletal Physiother...

Send us a Text Message.Throughout the episode, Ben provides invaluable insights and practical tips for clinicians seeking to enhance their understanding of pain, movement, and patient-centered care.In this episode of the Sports Medicine Project, we are joined by Ben Cormack, the owner and founder of Cor-Kinetic. Ben brings over 15 years of experience in musculoskeletal therapy, rehabilitation, and exercise, with a particular focus on pain and its relationship to movement. As a highly sought-a...

Send us a Text Message.Chatting about:How does structure affect the risk of injury and pathology? MRI detailing Type 1 and Type 2 muscle fibers and what this means for injury and performanceACL risk in femalesWhy do females get injured more?When to stop running with pain?Should you run with pain?When should a navicular stress fracture go into a boot and for how long? (Corrected "aboot" to "boot")Approaching women's sports discussions (Changed "sprites" to "sports")Surfing for females in ...

Send us a Text Message.Papers referenced: Female Strength Training: https://pubmed.ncbi.nlm.nih.gov/37948036/#:~:text=These%20studies%20indicated%20that%20concurrent,were%20reported%20in%20individual%20studies.Achilles RCT: https://pubmed.ncbi.nlm.nih.gov/36095045/NOI group - https://www.noigroup.com/We feature two prominent speakers: Luke Bongiorno, Director of Noigroup, and Brendan Mouatt, Accredited Exercise Physiologist. The speakers delve into profound questions about pain, the purp...

Send us a Text Message.Steven Collins, a Physiotherapist and ASCA Level 2 Strength and Conditioning coach, delved into the intricacies of exercise prescription and programming for rehab and performance on the podcast. He addressed the challenge of appropriate dosing for patients, emphasizing the common issue of underloading. Understanding the 'why' behind exercises emerged as crucial, with insights on overcoming compliance barriers. Collins highlighted the significance of integrating strength...

Send us a Text Message.Join our Patreon:https://patreon.com/SportsMedicineProject?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=creatorshare_creator&utm_content=join_linkDr Chad Cook profile:https://medschool.duke.edu/personnel/chad-e-cook-pt-phd-mba-faptahttps://twitter.com/chadcookptWe cover:Challenges in behavior change at patient-practitioner level.Emphasis on social norms and health policies influencing desired outcomes.Do Health professionals' roles extend beyon...

Send us a Text Message.Enjoy listening our Podcast Highlights of 2023:We can't wait for 2024! Cracking year of guests already lined up!Brief Summary:Rich Willy: Emphasizes biomechanics' importance close to the ground and the impact of energy availability as you move away. Discusses the unique load distribution in the sacrum and its connection to low energy availability.Peter Malliaris: Challenges the notion of heavy resistance for tendinopathy management, highlighting the significance of tend...

Send us a Text Message.G'day legends!First 18 minutes we discuss Acupuncture for Achilles pain, Adjuncts for tendinopathy heel pain care, Big toe OA and cavus feet.Skip to 18 mins to get straight to John Osbourne talking heel pain.In-depth exploration of Plantar Heel Pain (PHP)Examination of factors accompanying PHP, including considerations of tight calves, flat feet, and the impact of footwear.Insightful discussion on the nuanced relationship between exercise, pain, and movement in the effe...

Send us a Text Message.Dam! You're all going to love this!Welcome Dr Keith Baar. If you see tendons in clinic, you need to listen to this!What does Keith do? (In his own words)The goal of my laboratory is to understand the molecular determinants of musculoskeletal development and the role of exercise in improving health and performance. To achieve this goal, we work on muscle, tendon, and ligaments from 2- and 3-dimensional tissue culture, in vivo wild type and genetically modified animals, a...

Send us a Text Message.Link to Dr Tim Gabbet's websitehttps://gabbettperformance.com.au/profile/Welcome to our podcast featuring Dr. Tim Gabbett, a seasoned applied sport scientist with a remarkable 25 years of experience working alongside athletes and coaches from diverse sports backgrounds. Tim's expertise spans the spectrum of high-performance strategies, from effectively overloading rehabilitation and training programs to maintaining athletes' skills under pressure and fatigue. Whether yo...

Send us a Text Message.It's been an interesting journey learning about pain. We were both exposed to it at different times and we think about it differently. If pain has been something you've found interesting or perhaps you've struggled to understand its origins, you'll enjoy this podcast.Book link:https://www.noigroup.com/product/explain-pain-second-edition/Support the Show.Clinical content to help you day to day:https://patreon.com/SportsMedicineProject?utm_medium=clipboard_copy&utm_so...

Send us a Text Message.Paper review:Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research? J L Cook, E Rio, C R Purdam, S I DockingWe discuss this paper in length working from function and pain, tendon pathology and and we how think it comes about to describing relevant clinical elements (pain, function and structure) to begin to build a better understanding of the condition. It is a great paper with lots of clinical translation.Paper link bel...

Send us a Text Message.Listen to his Podcast below and follow him:https://shows.acast.com/joint-actionhttps://linktr.ee/profdavidhunterProfessor Hunter is a rheumatologist clinician-researcher with a primary focus on clinical and translational research in osteoarthritis. He holds the distinguished title of the world's leading osteoarthritis expert on expertscape.com and serves as the section editor for UpToDate's osteoarthritis section. Additionally, he holds the position of Editor in Chief f...

Send us a Text Message.Listen to his Podcast below and follow him:https://shows.acast.com/joint-actionhttps://linktr.ee/profdavidhunterProfessor Hunter is a rheumatologist clinician-researcher with a primary focus on clinical and translational research in osteoarthritis. He holds the distinguished title of the world's leading osteoarthritis expert on expertscape.com and serves as the section editor for UpToDate's osteoarthritis section. Additionally, he holds the position of Editor in Chief f...

Send us a Text Message.SKIP TO 14 minutes TO HEAR from Dr. Jorge Chahla.Kelly and I discuss Kelly returning to running 4 weeks post femoral stress reaction, too... soon?Dr Jorge Chahla is a renowned orthopedic surgeon based in Chicago, specializing in intricate knee, hip, and shoulder issues, along with sports-related injuries. He is a team physician for esteemed teams like the Chicago White Sox, Chicago Bulls, and Chicago Fire. Holding an Assistant Professor role at Rush University Medical C...

Send us a Text Message.SKIP TO 29 MINUTES TO HEAR from Dr. Jorge Chahla who is a renowned orthopedic surgeon based in Chicago, specializing in intricate knee, hip, and shoulder issues, along with sports-related injuries. He is a team physician for esteemed teams like the Chicago White Sox, Chicago Bulls, and Chicago Fire. Holding an Assistant Professor role at Rush University Medical Center, Dr. Chahla also directs the Biomechanical Research and International Fellowship Program, attracting su...

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Send us a Text Message.Head back on Episode to hear Part 1 if you haven't!Join us for an illuminating exploration of hypermobility with Dr. Taylor Goldberg, a chiropractor grounded in evidence-based practice! In this episode, Dr. Goldberg unravels the intricacies of hypermobility, delving into its effects on the body and offering effective management strategies.Discover how hypermobility can shape diverse aspects of health and movement. Gain invaluable insights to better assist your patients....

Send us a Text Message.Get ready to dive into the fascinating world of hypermobility with Dr Taylor Goldberg, a knowledgeable and evidence based chiropractor! In this episode, Taylor sheds light on the intricacies of hypermobility, its impact on the body, and effective management strategies. Discover how hypermobility can influence various aspects of health and movement, and gain valuable insights to support your patients. Tune in to hear the nuances of hypermobility with Taylor as your guide...

Send us a Text Message.Listen through to Bronte Williamson talking everything nutrition & eating disordering.She is the director of Nourished Not Deprived and a wealth of knowledge!Bronte Williamson is an Accredited Practising Dietitian, Lead Dietitian and the Director of Nourished Not Deprived, graduating with a Bachelor of Nutrition and Dietetic Honours from the University of Newcastle, Callaghan.Through previous struggles with her own disordered eating journey and young experiences wit...

Send us a Text Message.Dr Jai Kumar is a Newcastle orthopaedic surgeon specialising in disorders of the knee and shoulder. He was born and raised in Newcastle, NSW, completing undergraduate studies in Science/Law in his hometown before graduating from the University of Sydney Medical Program with Honours. He then completed his general orthopaedic training through the Australian Orthopaedic Association. During his final year, he served as the President of the Australian Orthopaedic Registrars ...

Send us a Text Message.Dr Jai Kumar is a Newcastle orthopaedic surgeon specialising in disorders of the knee and shoulder. He was born and raised in Newcastle, NSW, completing undergraduate studies in Science/Law in his hometown before graduating from the University of Sydney Medical Program with Honours. He then completed his general orthopaedic training through the Australian Orthopaedic Association. During his final year, he served as the President of the Australian Orthopaedic Registrars ...

Send us a Text Message.Wrap your ears around Part 2Antony Lo is a physiotherapist, educator and podcast host from Australia who works at the junction of Musculoskeletal/Ortho, Sports, and Pelvic Health. He runs The Physio Detective Clinic, My PT Education, The Women’s Health Podcast, and The Diastasis Project. He helps the general public and health and fitness professionals who struggle to progress their clients by cutting through the BS and thinking outside the box so they confidently assist...

Send us a Text Message.Antony Lo is a physiotherapist, educator and podcast host from Australia who works at the junction of Musculoskeletal/Ortho, Sports, and Pelvic Health. He runs The Physio Detective Clinic, My PT Education, The Women’s Health Podcast, and The Diastasis Project. He helps the general public and health and fitness professionals who struggle to progress their clients by cutting through the BS and thinking outside the box so they confidently assist people to achieve their goa...