Training Loads and Injury

There is currently emerging evidence that an athletes training loads do in fact have a clear relationship to injury. This may not come as a big surprise to many, but it can be extremely challenging to firstly understand load, then be able to accurately monitor it and then utilise this information to actually guide and […]

Lower Limb Injuries In The Adolescent Athlete

When their pain is more than just “growing pains”. Lower limb injuries in the adolescent athlete. Due to the complex architecture of the growing skeleton, children and adolescent athletes are at risk of a number of injuries that we adults are not. Young athletes can be prone to both acute injuries and chronic overload due […]

So let’s talk about the finesse of shoulder rehab

Shoulder pain is a very common complaint as the joint inherently lacks stability so that we have increased mobility and range. Most shoulder pain arises from weakness and poor positioning of the stabiliser muscles. Due to the multidirectional nature of the shoulder, painful activities can vary. However, activities like getting your wallet out of your […]

Gluteal Tendinopathy – A Pain In The… Hip

Gluteal tendinopathy is a common condition that causes pain on the outside of the hip and often the upper thigh. Like Peter said in the previous blog, often pain arises due to a reduction in tolerance of the tendon to perform certain activities. This often includes going up or down stairs, walking, sitting with crossed […]

You Can Manage Your Tendon Pain Better Than Any Doctor

Tendinopathy is a painful conditions affecting many tendons such as the Achilles, lateral elbow, lateral hip and rotator cuff tendons. The more I practice and specialise in tendons, the more I realise that all I am doing is guiding you, the patient during your recovery. In fact, I do almost nothing else to get patients […]

What happened to Osteitis Pubis? Classifying groin pain for better rehab outcomes.

It didn’t seem too long ago that professional and amateur sportspeople alike were spending lengthy periods on the sidelines with the dreaded diagnosis of osteitis pubis. Associated strongly with field sports that required fast paced agility running and kicking, osteitis pubis was a common diagnosis that often meant prolonged rehabilitation and time away from competition. […]

Patellar Tendinopathy NOT related to impact loading

Inferior pole patellar tendinopathy is almost unheard of in people who are not performing near maximal impact loading. In contrast, you do see quads tendon and distal patellar tendon issues related to compression in people that are no impact loading (e.g. sudden and unaccustomed prolonged kneeling as in DIY activity leading to a compressive quads […]

Tendinopathy Blog November 2013

Dear all Have just enjoyed 4 excellent days at the Sports Med New Zealand conference – thanks for the great hospitality and view from my hotel room Key message from my lecture to delegates was – we need to rethink our focus on tendon ‘healing’   – there is no imaging evidence it happens after […]

Tendinopathy blog August 2013

Dear all Sorry the blog is late this month, been busy, but no excuses This month won’t disappoint – interesting stuff from pain mechanisms, to PRP, to load response and hysteresis – and lot’s in there that can be applied clinically Enjoy Peter   Littlewood et al. has written review on the role of the […]