Physiotherapists must provide high value care

A couple of weeks ago, I sat down and watched TV. I don’t watch TV often. I don’t cry often. But an SBS Insight episode discussing surgery I couldn’t miss, and it brought a tear to my eye. The general narrative was that in Australia, there is too much surgery occuring. A lot of this […]

Is VMO really that important to fix knee pain?

A lot of patients I see with patellofemoral pain who have failed to improve following exercise rehabilitation have spent substantial time trying to activate their VMO (Vastus Medialis Oblique) muscle. The questions we need to ask are: 1. Why have they focussed so much on exercising this little muscle? 2. Why hasn’t it worked? So […]

Is it ‘all in the hips’? Treating patellofemoral pain

Patellofemoral Pain affects people of all ages, from adolescents through to the elderly. Unfortunately, prognosis is often considered poor, although this may be the result of clinician’s poor understanding of how best to manage the condition. There are many factors to consider including quadriceps strength and function, foot motion and mobility, muscle flexibility, pain sensitivity, […]

Why do we run when it hurts? 5 key benefits of running

In the US alone, 65 million people reported running between 2008 and 2014.3 There is a growing popularity in Australia also. If you want proof of this, head to the MCG in a couple of weeks and watch the countless runners on Melbourne Marathon day. Although popular, running can be risky business. A recent review […]

Could increasing your running cadence help fix your injury?

When I assess injured runners in the clinic, I see a number of common features including excessive and/or prolonged foot pronation, heavy foot strike and over striding, poor knee function, poor hip function, poor pelvic control, and the list goes on. Attempting to change any particular feature of someones running action may help reduce stress […]

Minimising the impact of cycling on your running technique

Recently I discussed the potential detrimental effects cycling can have on your running technique. This seems to have resonated strongly with clinicians, runners and triathletes alike, which is great to see. Ky changes to running mechanics after cycling appear to be an increase in anterior pelvic tilt and hip flexion, both of which increase stress […]

Cycling can be dangerous to your running technique – Be careful

A new patient from earlier this week has prompted this blog. He is a 43 year old presenting with persistent hamstring pain during running. The pain had not responded to other treatment over the past few months including stretching, massage and dry needling. When talking to him, there was clear frustration, especially considering the patient […]

Recovering from chronic knee pain – occlusion training

Recently, our clinic was asked to help out with a research study being conducted by Lachlan Giles, a PhD candidate at La Trobe University. Our role is deliver a quadriceps rehabilitation program for patients with patellofemoral pain (anterior knee pain), something we see a lot of at the clinic here. This is not your regular […]