091. Return to running - a guide for therapists with Tom Goom

091. Return to running - a guide for therapists with Tom Goom

When you love running or any other sport or activity, having to take time off with an injury is really frustrating. Your patients with an injury limiting their running will feel frustrated and be keen to keep running or get back to running as quickly as possible. We can make a huge difference in helping them return to running, but how do we do it?

It would be pretty simple if we could hand all of our running injury patients a standard return to running table with a list of set running distances, and send them on their way to just follow the program. The trouble is, it doesn't work that way in real life.

Each of your patients will have different goals, and respond differently to rehab and increases in running, depending on their injury, irritability of their symptoms, their load tolerance, and a lot of factors. Since recipe-based approaches won't work for a lot of patients, how can you tailor your rehab and guide your running injury patients through their return to running?

In this podcast with Tom Goom, we're going to help you return your patients to running as quickly as possible, know which factors you need to address in your rehab, and how to tailor your rehab to each of your patients. You will explore how to:

  • Test whether your patient is ready to run
  • Find your patients 'run tolerance'
  • Incorporate your athlete's goals into their rehab
  • Use their pathology to guide return to running eg stress fractures or plantar fasciopathy
  • Use irritability to guide your load progression
  • Vary your treatment depending on the stage of their competitive season
  • Address strength, range of movement, control, muscle mass, power and plyometric impairments in their rehab program
  • Choose the number of exercises you use
  • Balance risk and reward to meet patients goals
  • Four key steps to return your patient to running
  • Use impact tests when assessing whether your patient is ready to run
  • Plan training structure and progression
  • Monitor return to running
  • Identify acceptable pain levels while increasing running

We will take you through four real patient case study examples so you can apply the podcast in your clinical practice, including:

  • Achilles tendon pain
  • Medial tibial stress syndrome (MTSS)/Shin splints
  • Calf pain
  • High risk tibial stress fracture

Free running injury assessment & treatment video series available now

Links associated with this episode: Other episodes of interest:

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Episoder(177)

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

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...

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

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,...

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

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

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

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

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

172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson

172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson

Your patient presents with shoulder pain, and straight away you need to identify: Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely? Is it rotator cuf...

16 Jul 202524min

171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras

171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras

Your patient is running, playing sport, or jumping or lunging forward - an activity with fast eccentric or concentric activity in dorsiflexion,and suddenly they feel like they've been kicked in the ba...

8 Jul 20251h 27min

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