In the middle of March, we expanded our telehealth services, to allow us to help keep staff and the community as safe as possible. During this time, it has been great to see private health funding this service, and many in the community embracing and benefiting from it. It has been great to see how […]
We have offered telehealth phone and video consults for a number of years now, and have been pushing for private health insurance to fund this service. Even as recently as mid-March, when I was pushing them on funding telehealth as part of their social responsibility, there was reluctance. But things have changed rapidly….. We are […]
We have been running GLA:D for people with hip and knee osteoarthritis for three years at Complete. Physio Exercise Performance. I have enjoyed watching how many people it has benefited, potential surgeries it has saved both at our clinic and across Australia in my role as program lead at La Trobe University. The program is […]
Running again with knee osteoarthritis at 79 years old I have previously contributed to the topic of running with osteoarthritis in many posts on other platforms – here, here and here. In short, it is a myth that you cannot run with knee osteoarthritis. Some facts: Joints need exercise and loading Participation in exercise and […]
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 […]
The Obsession With Strike Pattern Continues: But Be Careful
Recently I read with interest a paper by Roper et al (2016) which looked at whether changing the strike pattern of runners with patellofemoral pain (i.e. knee cap pain) from a heel to a forefoot strike would be effective. They made the change over 2 weeks and followed runners up a month later as well. […]
The majority of runners who seek health care for their injuries do not receive any form of running assessment and advice on their running technique. If it is assessed, it is either done so with the view of prescribing foot orthoses, most commonly in podiatry, or by ‘that guy’ in the shoe store to determine […]
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 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, […]
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 […]
When I assess injured runners at 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 […]
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 […]
