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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
  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 Download your free running injury assessment sheet Register for the free “Patellofemoral pain masterclass: The four pillars of lasting recovery in runners with Tom Goom (Running Physio)” Improve your running injury assessment & treatment now with the Running Repairs Online course with Tom Goom Click here to download your podcast handout Improve your confidence and clinical reasoning with a Clinical Edge membership here Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Join Tom live on Facebook & ask your running-related questions Tom Goom - Running Physio Tom Goom - X David Pope - X Tom Goom - Instagram David Pope - Instagram
Physio Edge podcast
https://www.clinicaledge.co
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