Physio Edge podcast with David Pope29 Jun

177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss with Tom Goom

Patellofemoral pain (PFP) is one of the most common running injuries, and the high recurrence rate can make it a frustrating injury for patients to experience and clinicians to treat.

In this episode, Tom Goom (Running Physio) and David Pope break down why PFP has such a high recurrence rate, and what most rehab plans miss. You'll also discover:

The "Four pillars" framework Tom uses to treat PFP and other running injuries
How and when to keep patients running or exercising when it is essential for their mental health and social life
How to find a manageable starting point when a patient has a highly irritable pain presentation
A step-by-step load management approach to find patients training and running "sweet spot"
How to keep athletes connected to their sport during rehab (and why it matters for mental health)
The "layering" approach to training and running that avoids pain flare-ups

So you can easily apply the podcast with your patients, Tom walks through the real case of a runner and HYROX athlete who presented with recurrent PFP that flared up with each of her 3-4 weekly training sessions.

This is part one in a four-part podcast series with Tom Goom on PFP. In the next episode, Tom and David continue this case study and dive into the second pillar in the framework that will help you tackle the problem of "What to do when your runners won't reduce their training?".

Timestamps:

03:41 - Why PFP is tricky and recurs
04:45 - Meet Alice: HYROX athlete with recurrent PFP
05:32 - HYROX explained and its knee-load demands
08:47 - Presentation, irritability and moving beyond "stop running" advice
11:15 - Alice's goals
12:41 - The four pillars framework
15:29 - Pillar 1: Load management
23:39 - Testing tolerance
27:21 - Building Alice's weekly routine
30:06 - Key takeaways & free resources
34:10 - Free resources

Free resources

Running injury assessment sheet — Tom's go-to assessment sheet for every runner, giving you the structure to gather all the key information you need. It includes his screening questions for past medical history, a weekly training structure block, the key physical tests he performs, and a QR code to an energy availability questionnaire.
Free "Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)" — Join Tom's free webinar to see his assessment and treatment in action, with visuals of the assessment tests, gait assessment and the traffic-light and sweet-spot approaches, plus the exercises, evidence and best-practice guidelines behind treating patellofemoral pain.

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.

Links associated with this episode

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(179)

180. Patellofemoral pain 4 - How to get runners back on track (and trails, hills and anywhere else they run!) with Tom Goom

Patellofemoral pain (PFP) rehabilitation doesn't end when your patient gets stronger. The real challenge is getting them back to running, training and racing without triggering another flare-up. In th...

10 Jul 23min

179. Patellofemoral pain 3 - Effective rehab that won't flare their symptoms with Tom Goom

Strengthening exercises are a key part of successful patellofemoral pain (PFP) rehabilitation. Squats, lunges and single leg squats are often painful early on and can aggravate your patients pain, but...

8 Jul 32min

178. Patellofemoral pain 2 - What to do when runners won't reduce their training with Tom Goom

Many runners patellofemoral pain (PFP) is aggravated by the activity they love. They either stop running to let their pain settle, and then it returns as soon as they start back up again, or keep runn...

3 Jul 33min

176. Neck-driven shoulder pain - 5 common misunderstandings. Physio Edge Shoulder Success podcast with Jo Gibson

When is your patient's shoulder pain from their neck? Are you missing a cervical spine component in your shoulder patients? After a day in clinic reviewing patients with years of unresolved shoulder p...

4 Mar 11min

175. Tendinopathy treatment: Your guide to isometrics, isotonics & plyometrics with Dr Ebonie Rio

Should you prescribe isometric or isotonic exercises for your patient's lower limb tendinopathy? When is it safe to add plyometric loading, and how do you progress running or jumping without flaring y...

18 Feb 53min

174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson

Have any of your shoulder patients improved and then plateaued, unable to regain their full range of movement, or get rid of their painful arc? Sometimes it's not the cuff, capsule, nerves or neck—it'...

4 Sep 202517min

173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom

Anterior hip pain is often blamed on the hip flexors, but in runners, that's rarely the diagnosis. So how can you identify the real cause and guide patients to a safe, effective recovery? In this epis...

6 Aug 202519min