8 Key Risk Factors for Hamstring Injury

8 Key Risk Factors for Hamstring Injury Non modifiable: Unable to change 1. Previous Hamstring injury Significant risk factor Greater risk of recurrence with greater injury severity 2. Age 2.5 times greater risk if >25 years old 3. Previous injuries  Especially knee injuries such as an ACL reconstruction Modifiable: Able to change 4. Muscle weakness […]

5 key muscles in “Core stability” training and low back pain

Core stability training generally refers to exercises that target the lumbar spine and pelvic region. To get the most out of your core stability training, we must understand the anatomy of the area. The key muscles which need to be considered during core stability training include: 5 Key Muscles 1. Transversus abdominis (TA) 2. Internal […]

Hamstring Strain Rehabilitation: Key Principles

To maximise your outcome after a hamstring injury, it is vital to consider how you run and if this is contributing to your risk of injury. We know from research studies that the hamstring is most commonly injured during the terminal swing phase of running where the leg is extending forward preparing the foot for […]

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 […]

Should I have shockwave therapy for my tendinopathy, or save my money?

Tendinopathy is common and affects many sites around the body, including the Achilles, outside of elbow (tennis elbow) and outside of hip (gluteal) tendons. People with these painful conditions often have difficulty with functions such as raising their arm, walking, running and going up and down stairs. The only treatment that is supported by strong […]

Why we choose Reformer Pilates – and why you should too

What is a Reformer?  The Pilates Reformer is a large platform/bed comprising of adjustable springs for resistance, a sliding carriage, ropes and pulleys. In Clinical and Studio Pilates sessions it is used both as a rehabilitation tool and for full body strengthening and fitness. What does it do? In rehabilitation the reformer allows the body […]

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, […]

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 […]