I just read this awesome paper by @StuartJWarden @edwardswb @rwilly2003 on preventing BSI’s in runners and I can’t say enough good things about it! Here are a few amazing pearls:
1) All BSI’s in runners are due to training errors. The biggest? ⬆️ speed too quickly 2) the BSI will likely occur 3-4 weeks after a major training error

3) the best treatment is prevention. Children should avoid sport specialization and participate in multi-directional sports to build a robust skeleton

Great clinical commentary on patellofemoral pain in runners by ⁦@JFEsculier⁩ ⁦and team.

Key points:
1) patient education on the concepts of load and capacity should be the hallmark clinical approach

1/n pubmed.ncbi.nlm.nih.gov/33196837/ 2) length of injury is key.
—more acuity: may just need a temporary shift in load away from PFJ
—more chronic: more permanent shift in load and enhanced focus on psychosocial aspects may be warranted

2/n

The past few months around 75% of my runners have had MTSS. when asked what factors they thought contributed to their injury they told me:
•wrong shoes
•overpronation
•flat feet
•high arched feet
•not enough stretching
•running on concrete/asphalt
•LLD
•poor form
(1/n) When asked what they have tried to address their injury:
•new shoes
•iced after running
•new compression sleeves
•shoe orthoses (OTC)
•stretched more
•KT tape
•ibuprofen
•ran on grass
•took time off running (due to pain)
(2/n)

#Running gait retraining is something many patients and clinicians discuss during their #telehealth #PhysicalTherapy visits. Keep in mind a few key concepts (1/n): Here is a somewhat controversial slide. You could have an entire podcast debate on this topic. Most likely there is "better form for the individual" but one true ideal? Unlikely. So....(2/n)