Sports Medicine Project

In this conversation, Blake Withers and Kelly Kortick host Esther Keown and Dr Claire Badenhorst to discuss the importance of understanding female physiology in sport, particularly running. They explore the challenges young female athletes face regarding body image and performance, the significance of individualised training programs, and the role of communication in supporting female athletes. The discussion also highlights the launch of Femmi's membership, which aims to empower women through education, community support, and personalised training that considers the unique physiological needs of women. The Femmi app is available for download on iOS and android: iOS: https://apps.apple.com/au/app/femmi-running-plans-for-women/id1672881899Android: https://play.google.com/store/apps/details?id=com.femmico.femmi&hl=en&pli=1Femmi: https://tinyurl.com/c7r732bsEsther: https://www.instagram.com/estherkeown/?hl=enClaire: https://www.instagram.com/claire_bades/?hl=enTakeawaysUnderstanding female physiology is crucial for optimizing training and performance.Communication about body image and performance is essential for young female athletes.Individualized training programs are necessary to accommodate the unique needs of female runners.FEMI provides resources and support for women to understand their bodies better.The menstrual cycle significantly impacts training and performance for women.Empowerment through education can enhance confidence in female athletes.Community support plays a vital role in encouraging women to participate in running.Research on female physiology is still evolving and needs to be more inclusive.FEMI's membership offers personalized training and expert guidance for women runners.Tracking menstrual cycles can help women understand their bodies and improve performance.Chapters00:00 Introduction to FEMMI and Its Mission01:29 Understanding Female Physiology in Training02:17 Optimizing Communication and Support for Female Athletes02:44 The Impact of Societal Norms on Female Athletes04:21 New Chapter04:36 The Role of Coaches and Clinicians in Body Positivity07:24 Understanding Female Physiology and Injury Prevention10:04 Research Insights on Female Athlete Well-being13:08 The Importance of Open Conversations in Sports Medicine15:45 Celebrating Progress in Female Sports Education24:24 Understanding Menstrual Cycle Research Limitations30:16 Individual Variability in Menstrual Cycle Symptoms33:13 FEMI: Tailoring Training to Female Physiology37:24 The Complexity of Hormonal Impact on Performance42:52 Recognizing Luteal Phase Defects and Their Implications51:31 Empowering Women Through Cycle Tracking56:12 Understanding Your Body and Hormones57:12 The Importance of Iron for Female Athletes01:06:43 Debunking Foot Strike Hemolysis01:11:30 The Dangers of Generic Training Programs01:14:35 Maximizing Performance for Female Athletes01:17:54 Introducing the Femi MembershipKeywordsFEMMI, female physiology, running, training programs, women's health, empowerment, communication, performance, menstrual cycle, community support

TakeawaysMetatarsal stress fractures are common injuries in athletes.Understanding the remodeling process of bones is crucial for recovery.Subjective questioning can reveal important clues about the injury.Palpation techniques are essential for accurate diagnosis.Systemic factors like energy availability can influence bone health.Imaging, particularly MRI, is vital for diagnosing bone stress injuries.Treatment should focus on offloading the affected area.Recovery time varies significantly between individuals and injuries.Communication with patients about their condition is key to effective treatment.Injury prevention strategies should include monitoring training loads. ** You should always see a medical professional for diagnoses and assessment. This is not medical advice and is for educational purposes only.SummaryIn this episode of the Sports Medicine Project, hosts Blake and Kelly delve into the complexities of diagnosing metatarsal stress fractures and bone stress injuries. They discuss the importance of understanding the clinical assessment process, including subjective questioning, palpation techniques, and the role of imaging in diagnosis. The conversation emphasizes the significance of systemic factors and adequate recovery in preventing these injuries, as well as the need for effective treatment strategies. The hosts share insights from their clinical experiences, making the discussion both informative and engaging for listeners interested in sports medicine and injury management.Chapters00:00 Introduction and Overview of Metatarsal Injuries03:01 Understanding Bone Stress Injuries05:46 Diagnosis and Clinical Assessment09:04 The Role of Training Load and Recovery12:06 Systemic Factors Influencing Bone Health14:49 Imaging and Diagnostics for Metatarsal Injuries18:01 Palpation Techniques and Patient History20:53 Conclusion and Key Takeaways25:35 Palpation Techniques for Metatarsal Assessment32:06 Clinical Decision-Making in Bone Stress Injuries37:54 Differentiating Between Tendon and Bone Injuries48:02 Imaging and Diagnosis of Bone Stress InjuriesKeywordsmetatarsal stress fracture, bone stress injury, diagnosis, clinical assessment, imaging, treatment, sports medicine, recovery, palpation techniques, systemic factors

Gregs social: https://www.instagram.com/greglehman/Pro version Heidi AI Scribe (time saver) Link: ⁠https://scribe.heidihealth.com/?via=SMP⁠Support the show: ⁠https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLinkGregs Website: https://www.greglehman.ca/Chapters00:00 Evaluating Shockwave Therapy in Tendinopathy00:44 The Role of Exercise in Rehabilitation03:43 Understanding Patient Ecosystems and Health06:23 Case Studies: Practical Applications in Treatment08:49 The Complexity of Pain Management11:43 Research Critique: Shockwave Therapy and Evidence14:10 Psychological Factors in Pain Perception17:02 Clinical Decision-Making in Patient Care26:00 Trusting Experts and Knowledge Translation27:21 Challenging Established Beliefs28:30 Comparing Treatment Philosophies31:03 The Role of Patient Understanding33:35 Exercise vs. Alternative Treatments34:26 Load Management in Rehabilitation35:54 Creative Approaches to Running Rehabilitation37:06 Resistance Training for Runners40:12 Skepticism Towards New Research42:50 Understanding Bone Stress Injuries54:53 Understanding Pain and Structural Changes58:59 Navigating Risks in Running Injuries01:04:20 The Role of Social Media in Health Information01:09:39 Strength Training and Recovery Insights01:12:24 Research Aspirations and Future DirectionsKeywords:shockwave therapy, tendon rehabilitation, exercise, pain management, sports medicine, patient education, metabolic health, case studies, research appraisal, individualized treatment, training protocols, bone health, stress fractures, plyometric training, rehabilitation, pain management, social media, health information, research ethics, performance.Summary:This conversation delves into the complexities of sports medicine, focusing on shockwave therapy, exercise rehabilitation, and the importance of understanding patient ecosystems. The speakers discuss recent research findings, the role of exercise in pain management, and the need for individualized treatment approaches. They also explore the psychological factors influencing pain and the critical appraisal of existing research in the field. In this conversation, Blake Withers and Greg delve into various aspects of training protocols, bone health, and the complexities of rehabilitation. They discuss the importance of flexibility in training, the role of frequency in plyometric exercises, and the nuances of managing pain in relation to structural changes. The dialogue also touches on the ethical considerations of pain in research, the impact of social media on health information, and future directions in rehabilitation research.takeawaysShockwave therapy may not provide additional benefits compared to exercise.Exercise should be critically evaluated just like other treatments.Improving a patient's overall health ecosystem is challenging but essential.Patient motivation is crucial for successful rehabilitation.Understanding the mechanisms of pain can enhance treatment outcomes.Research in sports medicine often lacks strong evidence for certain treatments.Individualized treatment plans are necessary for effective rehabilitation.Psychological factors play a significant role in pain perception.Exercise can positively influence peripheral nociception.Critical appraisal of research is vital for informed clinical practice. People can improve despite not following traditional protocols.Flexibility in training is crucial for optimal results.Frequency of training may be more important than intensity.Understanding bone health is essential for preventing stress fractures.Pain is not always a reliable indicator of injury severity.Social media can be a double-edged sword for health information.Research ethics play a significant role in studying pain management.The relationship between structure and pain is complex and often misunderstood.

We discuss the latest review PMID: 39704142 with Prof Peter Malliaras✅ Identifying early responders – Can we predict who will benefit?✅ Effect – Does it work?✅ Diminishing returns – When does adding SWT to exercise stop being beneficial?✅ Types of shockwave therapy – Why radial shockwave was chosen in this study✅ Sham treatments – Do they still have a therapeutic effect?✅ Mechanisms of action – Neuromodulation, therapeutic alliance, and tendon adaptation✅ The ‘Big Machine Effect’ – Is patient belief in SWT part of its effectiveness?✅ Comparisons to exercise – Would fewer appointments with exercise yield similar outcomes?We also discuss clinical implications—will these findings change how shockwave therapy is used in practice?🔗 References & Studies Discussed: • Alsulaimani et al. (2024) - Achilles tendinopathy & shockwave RCT • Benli et al. - SWT vs. exercise alone • Heide et al. - Shockwave therapy for plantar heel painFind out about Peter and upcoming course:https://www.tendinopathyrehab.com/homeSocials: https://www.instagram.com/tendinopathyrehab/https://www.linkedin.com/posts/petermalliaras_my-new-tendinopathy-rehabilitation-framework-activity-7296743926009368576-GNRW/?utm_source=share&utm_medium=member_ios&rcm=ACoAAAexDmkBlV5e4jGTX2E4X9J6s8ZitO8yX0M&fbclid=PAZXh0bgNhZW0CMTEAAabnnAaDDYH_S3We7eJaZZbOHWHxrtGYC_5AiRO-rDUtmh29GdmHqrWh9fI_aem_FLbCehDnORljxK3cgMA8fQ

Patreon: ⁠https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink 1. Keep Intensity the Same This is the biggest and easiest mistake. If your Achilles is sore, what will aggravate it most is higher rates of loading—formally, this happens more when you run faster. Yes, it might warm up during the run, but you’ll pay for it 24 hours later. You need to stress it just a little, see how it responds, and build from there. 2. Rest, Then Go Straight Back to Full Load You shouldn’t completely rest and then jump straight back to the same training load. If you usually do speed work on Tuesdays, and you’ve had a week or two off, that first run back shouldn’t be the same session. Don’t do that. Start gradually—try something like 6 x 1-minute efforts and progress from there. 3. Wear Flat Shoes Heel pitch helps Achilles tendon pain. A higher heel reduces both tensile and compressive forces by limiting dorsiflexion. Achilles pain isn’t just about the run—it’s about everything you do throughout the week. If you’re on your feet all day, even if it’s not sore at the time, that will contribute to your pain during training. 4. Not Question the Diagnosis Sometimes, it’s not Achilles tendinopathy. Yes, if you’ve had it before, you can get it again—but not always. Other things mimic Achilles pain. Be sure. 5. Keep Training Load the Same If you’re dealing with Achilles pain, take something away. Reduce intensity or volume—adjust something. If you’re not sure how, see someone who can help you make it graded. 6. Think the Adjuncts Are the Answer They can help, but they’re not the solution. Shockwave, massage, needling—useful, sure. But if you’re not loading appropriately, nothing else will fix it. 7. Not Load It Properly You have to load it. Strength, plyometrics, progressing appropriately—it all matters. 8. Smash the Anti-Inflammatories and Think That’s Enough Anti-inflammatories aren’t bad, but if that’s all you’re doing, you’re missing the point. This isn’t an inflammatory condition—it’s a load issue. 9. Think Injections Are the Quick Fix Too many people jump to injections too early. They can have a role in specific cases, but they’re not a cure. 10. Ignore the Psychology Behind Injury This is huge. Achilles pain isn’t just about the tendon—it’s about the mental load of not running, the frustration, the identity shift. Understanding this can change everything. Achilles tendinopathy, injury management, running injuries, health professionals, rehabilitation, load management, resistance training, anti-inflammatories, psychological impact, running performance

Mr. Ian Reilly qualified as a Podiatrist in 1988 and became a Podiatric Surgeon in 1996. Over his career, he has performed more than 11,000 surgical procedures under various anaesthesia types, showcasing his extensive expertise. You can out more below by clicking the link on his website. From 2001 to 2024, he led Podiatric Surgery at Northamptonshire Trust, significantly advancing podiatric care. Now retired from NHS practice, he focuses on private care, operating weekly at Three Shires Hospital in Northampton and treating patients across self-pay, insured, and NHS pathways. Mr. Reilly specializes in: Injection Therapy: • Cortisone Injections Podiatric Surgery: • Cyst and ganglion excision (soft tissue lumps and bumps) • Morton’s neuroma surgery (trapped nerves) • Subungual and other bony exostectomies (bony bumps) • Lesser toe correction (hammer toes) • Metatarsal surgery for forefoot pain • Surgery for hallux limitus (arthritis of the great toe) • Surgery for hallux valgus (bunions) • Haglund’s deformity (heel bumps) • Plantar fasciitis (heel pain) • Flatfoot surgery Minor Surgery: • Verrucae, corn, and skin surgery • Nail surgery Dr Ian Reilly website: https://podsurgeon.co.uk/ Youtube: https://youtube.com/@ianreillypodsurgeon?si=rDK6BHAwRGBu4L3F What it takes to become a Podiatric surgeon? file:///Users/blakewithers/Desktop/ian%20pod/The%20Royal%20College%20of%20Podiatry.html Mary PoppinsProbably Needed Orthotics article https://podiatrym.com/Highlights2.cfm?id=3286 Patreon: https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink 00:00Introduction to Dr. Ian Riley02:07Career Progression in Podiatry05:53Surgical Experience and Case Studies07:24Injection Therapy in Podiatry13:55Managing Neuritis and Injection Guidelines18:43Understanding Osteoarthritis and Injection Therapy23:41Patient Case Study and Emotional Impact26:50The Role of Podiatry Post-Surgery32:22The Evolving Perspective on Orthotics35:12International Standards in Podiatry37:06The Importance of Imaging in Diagnosis39:42The Forefoot Examination Process42:28Understanding Morton's Neuroma46:02The Role of Imaging in Treatment Decisions48:31Surgical Indicators for Forefoot Conditions01:03:10Understanding Patient Concerns and Predictions01:05:14The Role of Orthotics in Treatment01:06:53The Importance of Communication in Healthcare01:08:57Navigating Conflicting Opinions Among Clinicians01:11:18Injection Therapy and Its Efficacy01:15:29Challenges in Treating Mid-Foot Osteoarthritis01:22:33Research Aspirations in Injection Therapy01:24:45Interviewing Historical Figures for Insight01:26:24Future Teaching and Learning Opportunities

We get so many questions each week that need more then a voice note or instagram post to answer so we're doing it here. Casual yarn about what it is being a health professional with questions we get asked over the week. Support the shoe - new content out on Patreon. How to assess the 1st MPJ (30 min how-to video) + how weekly video realises on the treatment of those common big toe pathologies, joint/sesamoid/adventitialbursa/met stress/FHL, PF. https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink Cheers, Blake and Kelly (sub 20 parkrunners)

Pro version Heidi AI Scribe (time saver) Link: ⁠https://scribe.heidihealth.com/?via=SMP⁠ Support the show: ⁠https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink Takeaways Bone health is crucial for injury prevention. Resistance training is essential for building strong bones. High strain rates and magnitudes are key for bone loading. In this episode, you will hear me talk about moving quickly to increase strain rate. I briefly touch on you can try to move the weight quickly (despite it moving slowly) and still a fast loading rate. Bones adapt better to varied and dynamic movements. Short bouts of loading can effectively stimulate bone health. Recovery and nutrition are vital for bone remodeling. Consult professionals for personalized rehabilitation plans. Incorporate plyometrics for better bone stimulus. Regular strength training benefits overall health. Understanding bone mechanics can enhance athletic performance. In this episode, we discuss the importance of understanding bone health, particularly in relation to stress injuries and rehabilitation. We explore the role of resistance training in building stronger bones and break down key principles for effective bone loading. You'll also hear why keeping exercises dynamic is crucial to prevent bones from adapting to repetitive movements. Backed by research insights, this conversation offers practical applications for improving bone health and preventing injuries—essential listening for athletes, clinicians, and anyone passionate about optimizing physical performance. Chapters 00:00 Understanding Bone Health and Injury Recovery 04:21 The Importance of Resistance Training for Bone Strength 08:45 Key Principles for Building Strong Bones 16:21 The Role of Variability in Bone Loading 23:48 Recap and Research Insights on Bone Adaptation

Pro version Heidi AI Scribe (time saver) Link: https://scribe.heidihealth.com/?via=SMP Support the show: https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink Follow Dr Bradley Neal, Ph.D. & Dr Simon Lack, Ph.D. and their upcoming education. It is well worth it. https://linktr.ee/teampfp?fbclid=PAZXh0bgNhZW0CMTEAAabq-xxjXZLjaBghdw5ljiKbvKlw7yoHNqJVS3UoeWtqVhyEhsEsCjpPPUk_aem_NyxdN3NoW2Jz8S6V2LppPA Agenda. Chapters available. Clinical recap - Foot orthosis and PFP, Surgical case rehab & PRP for chondromalacia patella - good or bad? Understanding patellofemoral pain biomechanics Evidence-based interventions Strategies for long-term management Impact of anatomical variations Effective patient education Optimizing foot orthoses and footwear Gait retraining for pain relief Developing return-to-running protocols Exercise programming for symptom management Tailoring rehabilitation dosages Advancing sports medicine practice Breaking down myths about patellofemoral pain Exploring cutting-edge research in rehabilitation Learnings: Takeaways: Patellofemoral pain is prevalent among recreational athletes. Orthoses can be effective for patellofemoral pain management. Loading strategies are crucial for rehabilitation. Patient education is key in managing expectations and outcomes. Biomechanics play a significant role in understanding knee pain. Research is evolving, and clinicians must stay updated. The relationship between pain and tissue capacity is complex. Effective treatment requires a personalized approach. Understanding pain mechanisms can improve treatment outcomes. Collaboration between clinicians and researchers is essential for progress. Patient symptoms should guide treatment strategies. Long-term pain is common in patellofemoral pain cases. Expectations for recovery should be realistic and based on evidence. Anatomical variations can significantly impact treatment outcomes. Resistance training is crucial for joint and muscle health. Education is a key component of effective patient care. Research is needed to establish long-term treatment efficacy. Individualized return-to-run programs can enhance recovery. Understanding biomechanics is important for treatment planning. Effective communication with patients can improve treatment adherence. PMID: 39401870 PMID: 25716151 PMID: 29793124 PMID: 25558288  PMID: 26884223  PMID: 31475628 PMID: 25569281 Chapters 00:00 Introduction and Background of Brad Neal 02:56 The Journey into Patellofemoral Pain Research 05:20 Collaboration in Research and Clinical Practice 06:11 Case 1: Foot orthosis & PFP - Do or Don't? 07:39 Orthoses in Patellofemoral Pain Management 08:42 Evidence for orthosis and PFP 10:14 Loading Strategies for Patellofemoral Pain 11:25 Foot orthosis and different feet 17:06 case study 2: PFP need surgery? 25:29 Explaining chondromalacia patelli 30:12 Diagnosing PFP 32:14 Understanding Pain: Kneecap vs. Back Pain 33:21 Nociceptive Tissue and Treatment Tailoring 35:35 The Importance of Accurate Diagnosis 37:22 The Role of Physiological Changes in Pain 38:46 Prognosis and Long-Term Pain Management 45:09 Factors Influencing Pain Duration 48:45 The Impact of Structural Variations on Pain 52:01 The Role of Resistance Training in Joint Health 54:34 mindfulness and recreational runners with patellofemoral pain. 56:06 Dosing Activity vs. Traditional Exercise 01:03:49 Pain Neuroscience Education and Its Application 01:04:52 The Impact of Exercise on Osteoarthritis 01:05:18 The Role of Education in Patient Care 01:06:09 Innovative Approaches to Patient Education 01:07:23 Navigating NHS Waiting Lists 01:08:01 The Importance of Accessible Information 01:10:05 The Future of Patient Education 01:11:26 The Balance of Information and Clinical Guidance 01:12:53 Running Rehabilitation Strategies 01:13:34 The Mechanics of Running Retraining 01:17:00 Research Aspirations in Physiotherapy 01:21:35 Personal Insights and Future Directions

In this episode of The Sports Medicine Project, we explore navicular stress fractures—a high-risk injury requiring a unique approach due to the bone’s anatomy, biomechanics, and healing challenges. Pro version Heidi AI Scribe (time saver) Link: https://scribe.heidihealth.com/?via=SMP Support the show: https://patreon.com/SportsMedicineProject?utm_medium=unknown&utm_source=join_link&utm_campaign=creatorshare_creator&utm_content=copyLink We cover: ​Anatomy and biomechanics of the navicular. ​Risk factors: young athletes, biomechanics, and bone health. ​Delayed diagnosis and the role of imaging (CT vs. MRI). ​The debate over blood supply and its impact on healing. ​Management strategies: non-weight-bearing protocols, surgery vs. conservative care. ​Rehabilitation and return-to-sport considerations. ​PMID: 8775123 ​PMID: 28110392 ​PMID: 39348218 ​PMID: 37489055 ​PMID: 33512847 This episode is for educational purposes only and should not be taken as medical advice. Support the show if it brought you value. The only thing we want to do the money is crate a better show and better resources https://www.patreon.com/SportsMedicineProject?utm_campaign=creatorshare_creator 00:00 Welcome to Season Two 04:31 Bilateral Insertional Achilles Tendinopathy 22:05 Better Subjective Questioning 28:27 Neck of Femur Stress Fracture 31:39 Understanding Navicular Stress Fractures 32:35 Introduction to Navicular Stress Fractures 35:06 Incidence of Navicular Stress Fractures 35:15 Who Gets Navicular Stress Fractures? 36:57 Time to Diagnosis of Navicular Stress Fractures 38:20 Anatomy of the Navicular 41:46 Biomechanics of the Navicular 45:18 Risk Factors for Navicular Stress Fractures 50:27 Foot Stiffness and Navicular Stress Fractures 55:28 Diagnostic Tests for Navicular Stress Fractures 01:00:11 Differential Diagnosis for Navicular Stress Fractures 01:01:24 Understanding Mid-Foot Pain and Injuries 01:02:57 Blood Supply to the Navicular 01:03:32 Do Naviculars Have Blood Flow? 01:06:25 Healing Variability and Factors Affecting Recovery 01:09:49 Imaging of Navicular Stress Fractures 01:14:00 Differential Diagnoses Not to Miss 01:14:55 Management Strategies for Navicular Stress Fractures 01:14:58 Müller-Weiss Syndrome 01:15:14 Management of Navicular Stress Fracture