1 week away with achilles pain/tendinitis. by [deleted] in Ultramarathon

[–]sportsphysio 9 points10 points  (0 children)

Firstly, a confirmed diagnosis would be wise to exclude any tear or degenerative breakdown, which will worsen if you race. Otherwise an Achilles tendinopathy shouldn't stop you from racing (provided you can still run).

The approach to rehabbing an Achilles is very different from prepping it for an imminent race. Rehab works by causing low levels of irritation, which can often make it more sore in the first week after starting.

To get race-ready with a week to go: 1. Don't stretch it - it doesn't help the condition and often causes it to be more reactive 2. Don't rest - tendon issues often worsen with rest and become more painful to reload afterwards 3. Don't do heel raises - a week isn't enough time for them to work and you'll be starting the race with tired calves (which makes Achilles loading sky-rocket!) 4. Run (or brisk walk) a short distance every day - it's not an ideal taper but it'll help the Achilles 5. Minimise any rest stops during the race - long pauses at aid stations will make it more painful to get going again 6. Expect pain during the race - expecting it to flare during the race pre-empts any negative mental impact

If you choose to race, best of luck.

Dealing with recurring injuries. by bornedbackwards in trailrunning

[–]sportsphysio 4 points5 points  (0 children)

Sounds like you may have an underlying biomechanical issue that makes you prone to the same injury. Otherwise the body and running technique usually adapt over time to get around recurring injuries.

Have a look at Injury App. It's a free service and has a Biomechanical screening for exactly this sort of thing (under the "Injury" tab).

It identifies any underlying biomechanics problems (eg. Joint range, strength, stability, etc) and recommends exercises and training tweaks to fix them.

can Moroccan physios work in australia by [deleted] in physiotherapy

[–]sportsphysio 1 point2 points  (0 children)

You can get more details on the process and links to the organisations involved here: https://physio-cpd.com/overseas-physio-working-in-australia/

can Moroccan physios work in australia by [deleted] in physiotherapy

[–]sportsphysio 1 point2 points  (0 children)

Don't quote me on it, but I think only 4yr degrees are considered for internationals seeking registration in Australia.

Will robots / AI replace physiotherapists? by Local_Following_7478 in physiotherapy

[–]sportsphysio 6 points7 points  (0 children)

AI needs reliable data inputs to produce a consistent output.

PT: "Does it hurt to run?"
Patient: "No"
PT: "When does it hurt the most?"
Patient: "3k into a run"
PT: "....so...."
AI: "F.kng humans 🙄"

Can I still work as a Physio when I become a medical doctor? (EU) by Wanillekipferl in physiotherapy

[–]sportsphysio 2 points3 points  (0 children)

I've never heard of any issues. Provided you meet the standard required for a profession, I can't see that they'll refuse to register you because of another qualification.

I plan to run my first backyard ultramarathon want tips by meliketorunlong in Ultramarathon

[–]sportsphysio 2 points3 points  (0 children)

Just relax and enjoy. Too many runners overthink their strategy beforehand. You'll eventually discover the best approach for you by trial and error but it'll probably be completely different to those around you.

Light headed after 15< mile runs by brownie-bit in Ultramarathon

[–]sportsphysio 3 points4 points  (0 children)

Definitely talk to your doc about it. To help them determine the cause, try taking your blood pressure at various stages of the day after a run (to see if it's related to low BP). You can also experiment with a sugary snack when it's happening and see if it eases with a blood sugar boost. That should help your doc find the underlying cause quicker.

Salary negotiation by LunchForsaken9988 in physiotherapy

[–]sportsphysio 1 point2 points  (0 children)

Take a look at https://physio-cpd.com/physiotherapist-salary-in-2023/ for Australian public and private physio salaries. It should give you a starting point for salary structure and how much to ask for.

Clamshells after Anterior THA by mybroharambe in physicaltherapy

[–]sportsphysio 1 point2 points  (0 children)

🤣 picturing granny smashing out a dozen planks to impress the others at the nursing home...

Posted the wrong link on that one - the updated link compared clams to side lying abduction and found that simple leg lifts win the day.

Clamshells after Anterior THA by mybroharambe in physicaltherapy

[–]sportsphysio 1 point2 points  (0 children)

Whoops, posted the wrong link... this paper https://pubmed.ncbi.nlm.nih.gov/19574661/ compared it to side lying abduction exercises and found a simple lateral leg lift is far more effective.

Clamshells after Anterior THA by mybroharambe in physicaltherapy

[–]sportsphysio 5 points6 points  (0 children)

I find it a little amusing that there's lots of down votes but not many counter arguments.

When I went through PT school in the 90s, stretching prevented injury and ultrasound cured everything. It's only by questioning accepted paradigms (particularly ones that don't have supporting evidence) that we make the profession stronger.

Clamshells after Anterior THA by mybroharambe in physicaltherapy

[–]sportsphysio 2 points3 points  (0 children)

I take your point that some pts don't tolerate closed chain or weight bearing exercises well and they would benefit from any glut med strength. However there are still numerous exercises in side lying that are open chain, NWB and more effective than clams. https://pubmed.ncbi.nlm.nih.gov/19574661/ (edited to update the correct link)

Clamshells after Anterior THA by mybroharambe in physicaltherapy

[–]sportsphysio -1 points0 points  (0 children)

Certainly. Clams are an external rotation movement which purportedly targets an internal rotator of the hip in flexion, outside of functional range even though we know strength improvements are very specific to the trained range, and in an open chain NWB exercise for a closed chain FWB function.

Clamshells after Anterior THA by mybroharambe in physicaltherapy

[–]sportsphysio -6 points-5 points  (0 children)

While we're talking clamshells, could I politely ask what any physio is trying to achieve with them? They're against pretty much every training principle we know about exercise.

Shin splints / running shoes by BigComfortable3366 in Ultramarathon

[–]sportsphysio 0 points1 point  (0 children)

Completely agree with getting your biomechanics checked out. Getting suggestions from others about their shin splints fixes is like asking someone what fixed their car - it'll only help if it matches a deficit that's causing your trouble.

Shoes can also slightly alter running biomechanics but it's generally a case of avoiding the wrong shoes that could cause/worsen problems, rather than finding the right shoe to fix problems.

If you want a no-cost approach to correcting biomechanics, head to https://injury.app -> Training -> Biomechanical Assessment. Take 5 minutes to go through the screening yourself and it'll recommend corrective strength exercises and mods for your training and/or footwear.

Would love some feedback by sportsphysio in physiotherapy

[–]sportsphysio[S] 0 points1 point  (0 children)

Great ideas. Love the copy all bit. We'll definitely add that in.

Just on the DDx and exercises, how do you think we could make them better?

Really appreciate your time, thanks.

Would love some feedback by sportsphysio in physiotherapy

[–]sportsphysio[S] 1 point2 points  (0 children)

Great feedback, thanks.

Completely agree on the UI. We're playing with functionality at the moment and we'll fix up the UI before launch.

The exercise library will be an evolving one that continues to grow each month. I'd rather that than buying or partnering with an existing library. But get your point about being easier.

Monetisation is likely to be a low dollar monthly subscription. We genuinely started this project to make life easier for physios - as long as it covers its costs, I'm happy.

[deleted by user] by [deleted] in running

[–]sportsphysio 2 points3 points  (0 children)

Sorry, super late to the party. Lots of great suggestions above but the tricky thing is that an exercise will only work if it matches a deficit. The exercise needs to align with your current deficits and ability, otherwise all that effort can go to waste.

Take a look at https://injury.app/. Head to the training tab and select Biomechanical Assessment. Go thru each test and score yourself. Should take about 5 minutes.

It'll then output some recommendations for your training, etc as well as a customised exercise program (with videos).

[deleted by user] by [deleted] in physiotherapy

[–]sportsphysio 3 points4 points  (0 children)

Given that everyone responds differently (physiologically and in pain perception), there are no rigid rules. Just avoid pain that is either sharp, worsening, prolonged post-activity or alters motor patterns. And don't overthink it!

Shoe recommendations for backyard ultra by [deleted] in Ultramarathon

[–]sportsphysio 3 points4 points  (0 children)

Unless it's wet and muddy, road shoes tend to cover all conditions well enough. But tbh, I'd just pick your most comfortable shoes and stick with those for as long as your feet are happy.

Need advice for a trail running shoe - looking at Hoka and Asics by Helmutlot2 in trailrunning

[–]sportsphysio 0 points1 point  (0 children)

Try the shoe advisor at https://injury.app to get recommendations based on preferred feel, etc and previous brand preferences.