MSK & Sports Physio

Tendinopathy (risk factors) Mechanical👉excessive loading/muscle imbalance, misalignment/training errors Intrinsic👉past injury/aging/genetics/weight/ hormones/health conditions Extrinsic👉environmental factors/malnutrition, smoking/alcohol #tendon mdpi.com/1422-0067/21/3…

Does inflammation play a role in tendinopathy? 🤔 We had moved away from it but recent research is suggesting both local and systemic inflammation may be part of the pathology. What do you think?

Highlights from a new review on exercise blood pressure: - Exaggerated BP responses to submax exercise are associated with a higher risk for adverse cardiovascular events and mortality, independent of resting BP and other CV risk factors   - Exaggerated exercise BP due to sympathetic overactivity driven by vascular and humoral dysregulation, leading to structural CV changes that reinforce vasoconstriction and cardiac strain. - Higher fitness predicts lower submaximal exercise SBP 7 years later  - Higher fitness is associated with slower rise in BP during submax exercise   - Greatest benefits from aerobic exercise via reduced sympathetic activity, improved baroreflex function and arterial compliance, enhanced endothelial function with higher nitric oxide availability, improved mitochondrial function, greater muscle oxidative capacity, enhanced vascular function, and reduced total peripheral resistance - Some benefits from resistance exercise also but via different mechanisms. Great paper from @Joseph_Watso group.

What happens when Iran targets one of the world's busiest international airports? I spoke with @DXB CEO Paul Griffiths about resilience, recovery, and keeping passenger moving safely.

Swiss Ball Jump: A Proof of Concept Better than bands? Cool study The SBJ is a simple, cost-effective, and highly reliable tool for athletes needing to target the high-velocity portion of the force-velocity spectrum. Vacher et al. 2026 (SPSR - 2026) @jb_morin (author & video)

Ever feel unsure how to progress patellofemoral pain rehab? You give the right early exercises. But then comes the tricky part. How much load? When to progress? What’s the next stage? Without a clear structure, it’s easy to feel stuck between doing too little or too much. In this Case Study, Dr Simon Lack breaks down a 4-stage rehab progression for patellofemoral pain in a runner. See how expert clinicians progress rehab step-by-step. 👉 Explore the Case Study today: physio-network.com/case-studies/

BONE STRESS INJURY CLASSIFICATION SYSTEMS ✍️ – Written by Paul Blazey, Bruce B. Forster, Clare L. Ardern, Michael Fredericson, Adam S. Tenforde, and Karim M. Khan ➡️ This article outlines a perspective on best practice decision-making using what we currently know about BSI classification systems with athletes. Although much of what we recommend may also apply to the general public, there are often additional barriers outside of professional sport, such as diagnostic delays (related to imaging accessibility). We suggest two main takeaway points for clinicians in professional sport (or anyone with the resources to follow these suggestions): That a unified classification system based upon those proposed by Fredericson/Arendt/Nattiv be used for all BSIs (low- and high-risk), to establish a severity score (between 0-4). This classification system can be used to provide a guideline on the time needed to return to sport, although factors such as the bone injured and individual athlete factors (e.g., low total bone mineral density) may impact the accuracy of time predictions. In addition to the first recommendation, BSIs that occur at high-risk sites (except the femoral neck) may benefit from a CT scan if imaging is non-diagnostic or for navicular BSI. The CT scan being used specifically to measure the extent of any fracture line. 🔗 Read More 👉 journal.aspetar.com/en/journals/vo…

NEW OPEN ACCESS PAPER: Monitoring Training Effects in Athletes: A Multidimensional Framework for Decision-Making link.springer.com/article/10.100…

Gym ball squats are underrated! They’re a great option to strengthen the quads and load the patellar tendon. Especially useful if working into hip flexion is painful e.g. during a standard squat.

🧠A new study reveals that exercise therapy results in significantly greater reduction in pain and disability in the long-term compared with corticosteriod injection for shoulder pain management in general practice. Read the study here: buff.ly/EXIjuF8 #shoulder #exercise #injection

Semi-final spot on the line, and the boys handled it beautifully! Handling the final overs well in both innings gave us the edge. Sanju Samson’s calm presence at the crease was wonderful to watch. That kind of presence lifts a side. Brilliant effort from everyone. On to the semi-finals! 🇮🇳

Spoke with President of the UAE, my brother Sheikh Mohamed bin Zayed Al Nahyan. Strongly condemned the attacks on the UAE and condoled the loss of lives in these attacks. India stands in solidarity with the UAE in these difficult times. Thanked him for taking care of the Indian community living in the UAE. We support de-escalation, regional peace, security and stability. @MohamedBinZayed

@DrMarwanAl_D and I did this humble infography about #calf injuries

Single leg RDLs are a great exercise option to work the Hamstrings and challenge Glute Med, Max and Min!

Mindfulness practice can help with running injury!

🏃 Are you still mismanaging ITB pain in runners? If rest, foam rolling, or random strengthening is your go-to, this might be why outcomes stall. This free blog from @rwilly2003 breaks down a clear, phase-based approach to treating ITB pain in runners. physio.network/ITBtreatment

Return to running after a Tibial Bone Stress injury can be a challenge, especially with high risk stress fractures.  Here are 5 pointers from a great paper by George et al. (2024) in Sports Medicine.

Tendinopathy is more than just an overload injury. It behaves like a disease process via a cascade of mechanical, metabolic, vascular & neural changes -locking the tendon in a degenerative loop when it becomes chronic. Here is how I make sense of it with ref to the Achilles 🧬

These 5 strategies can reduce pain during running for conditions like Medial Tibial Stress Syndrome.  Our free video series covers assessment & treatment of shin pain including gait retraining, exercise selection & return to running. Access it now at resources.clinicaledge.co/shinpain

What do people with knee osteoarthritis think about receiving a weight loss diet and exercise program from a physiotherapist? See our paper out now in @ACR_Journals 👇 @CHESM_unimelb @HinmanRana @KimBennell @melaholden @PhysioUnimelb