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Tom Goom @running-physio.bsky.social · 19h

Running Repairs is coming to Durham in February. This 2 day course covers all key aspects of running injury assessment and treatment. It's ideal for physios and health professionals who treat runners! Book your place ➡️ f.mtr.cool/dk40avxd4g

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Tom Goom @running-physio.bsky.social · 04/10/2026

3 key points about the Glutes and running: 1️⃣ You can't tell a runner has weak glutes just by watching them run 🏃‍♀️ 2️⃣ Their glutes aren't 'inactive' or 'switched off', they kick in automatically! 3️⃣ Strengthening the glutes doesn't tend to reduce hip adduction or pelvic drop when running.

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Tom Goom @running-physio.bsky.social · 04/10/2026

Intrinsic foot muscles can be weak in patients with Plantar Heel Pain🦶 Progressive strengthening of intrinsic and extrinsic muscles can be effective, especially in runners and active individuals. See my previous posts for recent research on which exercises are effective to target these muscles.

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Tom Goom @running-physio.bsky.social · 02/10/2026

Which of these two recent guidelines do you prefer for patients with Plantar Heel Pain? BJSM, Morrissey et al. (2021) PMID: 33785535 JOSPT, Koc et al. (2023) PMID: 38037331

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Tom Goom @running-physio.bsky.social · 02/10/2026

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Tom Goom @running-physio.bsky.social · 01/10/2026

Always consider bone health in patients presenting with a stress fracture. Unless these factors are addressed there's a high risk of future bone stress injuries. Multidisciplinary input may be needed for a full assessment of an athlete’s needs.

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Tom Goom @running-physio.bsky.social · 30/09/2026

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.

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Tom Goom @running-physio.bsky.social · 28/09/2026

If you're a physio or health professional who treats injured runners then Running Repairs is the course for you! Join us in January for 2 days devoted to running rehab. Book your place ➡️ f.mtr.cool/6mmrfvmphv

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Tom Goom @running-physio.bsky.social · 28/09/2026

Runners love to run so it's hard for them to cut back, even when injured. If they're struggling to manage their training load it's best to explore why and find solutions together 🤝

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Tom Goom @running-physio.bsky.social · 27/09/2026

Running Repairs is coming to Enfield (just outside London) — our only remaining UK in-person course in 2026. Places are filling fast. Book today and join us for a weekend devoted to running rehab: ➡️ f.mtr.cool/xdwcpchwxe

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Tom Goom @running-physio.bsky.social · 26/09/2026

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Tom Goom @running-physio.bsky.social · 25/09/2026

Which of these two recent guidelines do you prefer for patients with Plantar Heel Pain? BJSM, Morrissey et al. (2021) PMID: 33785535 JOSPT, Koc et al. (2023) PMID: 38037331

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Tom Goom @running-physio.bsky.social · 24/09/2026

A recent systematic review (Couch et al. 2025) found that knee crepitus was present in over a third of pain-free people. However, it can be associated with pathology - crepitus was reported in over 80% of those with knee OA so it's important to assess each individual and address their concerns.

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Tom Goom @running-physio.bsky.social · 23/09/2026

🏋🏽‍♂️ The guidelines on resistance training have changed. Here's a summary of the latest position stand from the American College of Sports Medicine (ACSM). See the full paper for details, it's open access [PMID: 41843416]

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Tom Goom @running-physio.bsky.social · 22/09/2026

Don't miss these key signs of a stress fracture! ‼️ Remember, individual presentation will vary and high risk sites require urgent investigation.

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Tom Goom @running-physio.bsky.social · 22/09/2026

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Tom Goom @running-physio.bsky.social · 21/09/2026

🔟 Hamstring exercise options. What would you add?

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Tom Goom @running-physio.bsky.social · 20/09/2026

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Tom Goom @running-physio.bsky.social · 20/09/2026

Running doesn’t damage your hips!! 🥳

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Tom Goom @running-physio.bsky.social · 17/09/2026

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Tom Goom @running-physio.bsky.social · 13/09/2026

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Tom Goom @running-physio.bsky.social · 10/09/2026

Many different loading programmes can be effective for tendinopathy. The most effective ones tend to be progressive and tailored to the individual with rehab adapted based on symptom response 🏋️

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Tom Goom @running-physio.bsky.social · 09/09/2026

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Tom Goom @running-physio.bsky.social · 06/09/2026

Energy needs must be restored *before* starting any strength work in athletes with RED-S. If done so it has multiple potential benefits. Our graphic summarises recommendations from an excellent recent paper by Dr Rich Blagrove & colleagues, available here: f.mtr.cool/huubwyosti

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Tom Goom @running-physio.bsky.social · 05/09/2026

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Tom Goom @running-physio.bsky.social · 03/09/2026

How to differentiate between Gastroc and Soleus injuries

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Tom Goom @running-physio.bsky.social · 03/09/2026

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Tom Goom @running-physio.bsky.social · 30/08/2026

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Tom Goom @running-physio.bsky.social · 30/08/2026

Lack of sleep can impair performance & increase injury risk 😴 It’s important to ask patients about sleep duration & quality. The Hooper Index can also be valuable for assessing fatigue, stress & sleep. See Hatia et al. (2024) for more info: DOI 10.7759/cureus.76635

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Tom Goom @running-physio.bsky.social · 29/08/2026

"My patient isn't working properly." "Have you tried turning it off then back on again?" 😴

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Tom Goom @running-physio.bsky.social · 28/08/2026

Stress fractures of the foot and ankle. ⚠️ Note the 'high risk' sites they need thorough assessment (including imaging) and cautious management. (Adapted from Mandell et al. 2017 in Skelelal Radiology)

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Tom Goom @running-physio.bsky.social · 27/08/2026

Recommending cross-training for injured athletes? Try the 'TEAMS' Approach! 🏃‍♂️ 🚲 🏊🏽‍♀️

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Tom Goom @running-physio.bsky.social · 27/08/2026

With running (and rehab) it's usually better to start at an easy level and progress than to make it too hard and flare everything up!

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Tom Goom @running-physio.bsky.social · 26/08/2026

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Tom Goom @running-physio.bsky.social · 25/08/2026

Gluteal Tendinopathy can present with back and leg symptoms. A careful history and thorough examination can help confirm the diagnosis.

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Tom Goom @running-physio.bsky.social · 25/08/2026

Successful return to running after knee surgery is often about doing the basics well! - Help a runner understand their injury and manage their symptoms - Suggest progressive rehab to address their needs - Provide clear guidance on running and support them along the way!

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Tom Goom @running-physio.bsky.social · 24/08/2026

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.

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Tom Goom @running-physio.bsky.social · 24/08/2026

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.

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Tom Goom @running-physio.bsky.social · 22/08/2026

3 key sprinting phases and how to train them! 🏃💨 Based on a fantastic overview of sprinting performance by Haugen et al. (2019) in Sports Medicine - Open. It's *open access* so be sure to read the full article!

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Tom Goom @running-physio.bsky.social · 20/08/2026

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Tom Goom @running-physio.bsky.social · 18/08/2026

Does marathon running increase arthritis risk? A recent study of 3,804 runners would suggest not! There are limitations; arthritis prevalence was determined by asking runners if they'd been diagnosed with it by a doctor. See full paper for details DOI: 10.1177/19417381231190876

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Tom Goom @running-physio.bsky.social · 16/08/2026

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Tom Goom @running-physio.bsky.social · 15/08/2026

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Tom Goom @running-physio.bsky.social · 13/08/2026

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Tom Goom @running-physio.bsky.social · 11/08/2026

Posterior knee pain differential diagnosis. I’ve focused on the more common injuries but it’s worth noting that bone stress injuries (such as tibial stress fractures) and bone tumours can also cause posterior knee pain, although they are more rare.

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Tom Goom @running-physio.bsky.social · 10/08/2026

How to differentiate between Gastroc and Soleus injuries

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Tom Goom @running-physio.bsky.social · 09/08/2026

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.

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Tom Goom @running-physio.bsky.social · 09/08/2026

Cross-training is a great way for injured athletes to maintain fitness. Look for options that are comfortable in terms of symptoms and easily accessible for the patient.

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Tom Goom @running-physio.bsky.social · 08/08/2026

Choose your words with care! Patients tend to interpret phrases like ‘degenerative’ and ‘wear and tear’ very negatively. Check their understanding too - one study found that some patients thought a knee ‘effusion’ meant the joint was fused together! 🤯

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