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Physiotherapy by Euan Vallance MCSP

$Why’s it important to understand as physios? 🚨Please see a physio and get your injury checked out before applying this to your management. Increasing cadence can be used as a way of allowing our clients to continue running, showing interest and listening to their goals and hobbies… we should definitely utilise it! As a disclaimer, a lot of the research used within this post may not be applicable for long term changes to running form (which not everyone will need to do). But if it buys us a window of time to focus on specific rehab, without stopping running, then that’s all we might need! Or even to use as a cue to prevent running injuries. Musgjerd et al. (2021) 📚 Suggests that, in non injured runners, increasing cadence by around 7% can lead to a significant reduction in peak impact forces, reduced stride length and therefore less load on joints. Increasing by 10% (which can be quite tricky) has shown to reduce patellofemoral pain, with this reduction in pain being maintained even 3 months later (Bramah et al. 2019) 📚 In long distance runners, lower cadence can increase risk of a bony stress injury or stress fracture. An increase in step rate by just 1 step/min decreased risk by 5%! (Klithermes et al. 2021)📚 by @move14physio$

a year ago

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Since being a qualified physio this is my first time actually having to rehab myself 🥴

ITBS is an overuse injury considered the most common cause of lateral knee pain, especially in runners. With some research suggesting an annual incidence of 7-14% of runners who take part in races (Marais et al., 2024 📚)

It’s a condition that was once considered to be a friction based injury in which the ITB would ‘flick’ over the femoral condyle. However we now know that fibres attach onto the femoral epicondyle itself, this idea is no longer supported (Burnham et al., 2016 📚)

What is now considered to be more likely is that ITBS is a compression related injury of the structures underneath the ITB. Rather than irritation of the ITB itself (Fairclough et al., 2007 📚)

Foam rolling the ITB may be uncomfortable… also pretty pointless. Any stretching or foam rolling is not going to provide any benefits regarding lengthening. And would require huge amounts of force to even make a 1% difference in length. (Way more force than any amount of stretches OR manual therapy technique for that matter) (Seeber et al., 2020 📚)

From what I’ve read there seems to be conflicting evidence about whether running at faster speed will be less aggravating for ITB pain. But so far it’s working for me 🤷🏻‍♂️

Keep an eye on my TikTok and I’ll share some of the techniques / rehab ideas I’m using to try to manage this in the lead up to Manchester Half Marathon in 4 weeks time!
@physio.euan by @move14physio

a year ago

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Hello! I’m Euan, and welcome to MOVE14 Physiotherapy.
I am currently working as a senior physiotherapist in the NHS and I’ve recently relocated to London. I’m now looking to take the next step in my career.
Why the name? (No, not because MOVE 1-13 is taken) E14 is the postcode in which this journey is starting, and where I will be offering private physiotherapy and sports massage services.
Check out the upcoming posts on my page for more information - for now this is just my introduction. by @move14physio

a year ago

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