RunningPhysio

RunningPhysio Running-Physio helps health professionals get great results for injured runners in their care.

Module 3 of our online course is devoted to Gait Analysis. We guide you through both treadmill & overground assessment s...
02/03/2026

Module 3 of our online course is devoted to Gait Analysis. We guide you through both treadmill & overground assessment so you know what to look for with each injury & how to address it with effective cues. Visit clinicaledge.co/runningcourse for details on all our modules & resources

Interesting new study on running shoe selection…. 👟Fife et al. (2025) recruited 21 female runners and asked them to comp...
28/02/2026

Interesting new study on running shoe selection…. 👟

Fife et al. (2025) recruited 21 female runners and asked them to compare their own shoes to two other pairs.

One pair which was ‘gait matched’ to suit the runner’s foot shape and running style. The other pair was described as ‘basic’ and not specifically suited to the runner.

But here’s the twist... both of these pairs were actually the same running shoe! The only difference was the colour.

The researchers even went through the process of analysing gait and foot shape to support the illusion that the ‘gait matched’ shoe was specific to their needs. In reality, the shoes were the same but the runner’s perception of these shoes was altered.

As a result runners rated the ‘gait matched’ shoes as more comfortable and better for performance and reducing injury risk despite the shoes being the same with no significant differences in running gait.

TAKE AWAY: A runner’s perception of a shoe can change comfort. Be mindful of this when recommending footwear.

Reference:

Fife A, Esculier JF, Ramsey C, Hébert-Losier K. Running Shoe Recommendations Based on Gait Analysis Improve Perceptions of Comfort, Performance and Injury Risk: A Single-Blind Randomised Crossover Trial. Transl Sports Med. 2025 Dec 8;2025:1419641. doi: 10.1155/tsm2/1419641. PMID: 41522374; PMCID: PMC12782347.

Under fuelling can impair performance and increase injury risk. Carbs are a vital source of energy for athletes. Eating ...
23/02/2026

Under fuelling can impair performance and increase injury risk.

Carbs are a vital source of energy for athletes. Eating 3 meals per day and building a routine of fuelling before, during and after training can help ensure energy needs are met. Speak to a Sports Nutritionist for tailored advice.

Adding a forward lean to foot exercises can increase muscle activation and joint torque🦶A new study from Osborne et al. ...
18/02/2026

Adding a forward lean to foot exercises can increase muscle activation and joint torque🦶

A new study from Osborne et al. (2025) examined intrinsic and extrinsic muscle activity and MTP joint torque during common foot exercises.

Traditional toe-based exercises did recruit the intrinsic muscles but resulted in minimal force output. These exercises generally created low activation levels in important extrinsic muscles such as Soleus, Gastrocnemius and Flexor Digitorum Longus. They might be suitable for lower level intrinsic strengthening when higher loads aren’t tolerated.

Calf raise variations resulted in high intrinsic and extrinsic muscle activation as well as high MTP joint torque making them a good bang for buck option for strengthening the foot and ankle.

Muscle activation and MTP torque can be increased by adding a forward lean and/ or additional weight. The forward lean calf raise is a nice option for this as it can be loaded with a backpack and works the calf in a lengthened position which can help both strength and flexibility.

Reference:
Osborne JWA, Menz HB, Landorf KB, Whittaker GA, Cotchett M, Kelly LA. The influence of body posture and added mass on intrinsic and extrinsic foot muscle activation and force output during common foot strengthening exercises. J Sport Health Sci. 2025 Dec 16:101110. doi: 10.1016/j.jshs.2025.101110. Epub ahead of print. PMID: 41412495.

Does inflammation play a role in tendinopathy? 🤔We had moved away from it but recent research is suggesting both local a...
18/02/2026

Does inflammation play a role in tendinopathy? 🤔

We had moved away from it but recent research is suggesting both local and systemic inflammation may be part of the pathology.
What do you think?

Return to running after a Tibial Bone Stress injury can be a challenge, especially with high risk stress fractures. Here...
15/02/2026

Return to running after a Tibial Bone Stress injury can be a challenge, especially with high risk stress fractures.

Here are 5 pointers from a great paper by George et al. (2024) in Sports Medicine.

Ranking exercise parameters for Achilles Tedninopathy (AT) 🥇🥈🥉For rehab of mid-portion AT contraction intensity appears ...
07/02/2026

Ranking exercise parameters for Achilles Tedninopathy (AT) 🥇🥈🥉

For rehab of mid-portion AT contraction intensity appears to be key. With insertional AT dorsiflexion range may play a more prominent role. We still want to load progressively but we often start out of painful, dorsiflexed positions.

Can shockwave immediately reduce tendon pain?Research from Alsulaimani et al. (2026) would suggest not! Overall reductio...
05/02/2026

Can shockwave immediately reduce tendon pain?

Research from Alsulaimani et al. (2026) would suggest not! Overall reduction in movement evoked pain was small and failed to reach the minimal clinically important difference of 1.5 points. Radial shockwave appears no more effective than sham for immediate changes in pain.

Reference:
Alsulaimani B, Perraton L, Bourke J, Powers T, Malliaras P. Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial. Clin Rehabil. 2026 Feb;40(2):171-181. doi: 10.1177/02692155251394951. Epub 2025 Nov 27. PMID: 41308020; PMCID: PMC12816402.

Progressive rehab or shockwave for Proximal Hamstring Tendinopathy?There were no significant differences in primary outc...
03/02/2026

Progressive rehab or shockwave for Proximal Hamstring Tendinopathy?

There were no significant differences in primary outcomes and as both groups received education perhaps it's this component that is key 🤔
What do you make of these results?

Reference:
Rich A, Ford J, Cook J, Hahne A. Physiotherapy Compared With Shockwave Therapy for the Treatment of Proximal Hamstring Tendinopathy: A Randomized Controlled Trial. Am J Sports Med. 2025 Dec;53(14):3396-3407. doi: 10.1177/03635465251391134. Epub 2025 Nov 16. PMID: 41243328; PMCID: PMC12657663.

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