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Maintaining the best results requires knowledge and expertise. Our athletes train and so do we, through our professional development program. Meaning that when a practitioner the treats you, they have the most advanced injury care knowledge. Read about what our practitioners are thinking in the injury blogs below.

Run Long Run Strong 3 - With Olympian Craig Mottram

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Special Event - Wednesday 7th September 2016 @ 7:15pm

Camberwell Sports & Spinal Medicine welcomes four-time Olympian Craig Mottram to a special evening talk-fest on running - whatever the distance!

As the days start to become longer we find that we are only a few weeks out from the Melbourne Marathon, the traditional start to the Spring/Summer Running Season.

Our Run Long Run Strong evenings are targeted towards runners of every level and ability with a view to educating participants about training injury free, improving performance, and being the best you can be.  Previous speakers have included Olympian Jess Trengove and Hawthorn High Performance coach Andrew Russell.

No one has more knowledge about what it takes to toe the line than Craig Mottram who first represented Australia at the Sydney 2000 Olympics. Craig will join the panel with his wife Krystine (a psychologist) alongside members of CSSM's expert team to bring you an entertaining and informative evening.  Providing advice on training and preparation, injury prevention, injury management, strength and conditioning, and more.

Tickets

Spaces are limited to only 50 guests for this event.  Our previous Run Strong events have sold out very quickly so we encourage you to purchase your tickets as soon as possible.  Tickets can be purchased for $20 with 100% of proceeds of the evening going to CSSM's preferred charity, The Indigenous Marathon Foundation.

Get your tickets here

 

The Truth About Running Wear And Tear

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For a long time running has received a lot of bad press with regards to its relationship with back pain and other “wear and tear” injuries such as knee osteoarthritis.  

It does seem to make logical sense that the cumulative effects of high intensity activity, where forces of up to four times the normal body weight are driven through the joints of the body, would have a detrimental effect on those joints.  It is certainly a theme that sports shoe companies have perpetuated and made billions from each time they advertise their latest advance in shock absorbing footwear, be it airTM  gelTM or even the - you couldn’t make up if you tried - BioMoGoTM  - not sure what happened to that.

The concept that “high impact” equals “bad” is certainly one that has penetrated the mindset of many of the patients that I see.  Many of these patients I see as an Osteopath, who frequently have back pain of some sort, have either stopped running as a result or are considering changing the type of activity they do.  

My response to these patients is on several levels.

The first is that maintaining some sort of activity when suffering back pain is vital.  Both for the recovery and rehabilitation of the current injury and for the prevention of further injury.  

Secondly, notwithstanding the common consensus and the logical connection, there is little quality evidence to suggest that running is bad for backs (or knees or ankles for that matter).  In fact there is a growing body of research and knowledge that suggests the complete opposite.  It is a counterintuitive position that reminds me of one of my favorite quotes:

"For every complex problem there is an answer that is clear, simple, and wrong." H. L. Mencken

It is a growing belief that running is in no way detrimental to the health of joints and the spine and in fact may enhance spinal health.  A report of research conducted by Deakin University published just this month online at www.nature.com adds weight to this argument.  

This is perhaps the first scientific evidence that exercise can be beneficial for the intervertabral disc (IVD) in the spine.  This research identified that running programs, over extended periods of time, had positive effects on the composition of the disc.  It also showed that higher intensity activity such as fast walking and slow running had more positive effects than slow walking or static positions.  

If you are currently suffering back pain, this is not a recommendation to throw the shoes on (even if they are BioMoGoTM equipped) and go out for a run.  You should always make these decisions in consultation with your Osteopath or Physio.

What this research does do (and it is certainly not conclusive evidence at this point), is give us reason to change the way we look at moderating our activity with the long term view to preventing spinal injury and back pain.  We will keep abreast of what changes this and similar research directs the way we do things.  Until then keep running, keep moving and enjoy yourself.  

 

About the Author.

Travis Bateman is an Osteopath, trail runner, mountain biker, habitual back of the pack finisher and founder of Camberwell Sports & Spinal Medicine.  His clinical interest is in movement analysis and its relationship to injury, pain and sports performance.

 

Research Reference:

Belavý, D. L. et al. Running exercise strengthens the intervertebral disc. Sci. Rep. 7, 45975; doi: 10.1038/srep45975 (2017).

 

Where’s Nic? The Path Of ACL Recovery

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With the Eagles having snuck into the finals for the 2017 AFL season, there has been a lot of speculation about the possible return of star ruckman Nic Naitanui for a run at the finals.  Naitanui has missed the 2017 AFL season following a late season ACL injury in 2016.  

There has been a lot of evidence around suggesting that “NicNat” has made good progress with his knee rehabilitation, including this video from a US rehab camp in July, which has fed much of this speculation. Eagles coach Adam Simpson has put this speculation to bed during the week by ruling Naitanui out for the season, however with some players over recent years returning from ACL reconstructions in less than 6 months, many are asking, Why so long?

It is a good question and it is a question that we get a lot in the clinic when dealing with injured athletes at a local level.  Whilst I do not pretend to have any inside knowledge of NicNat’s progress, nor would I dare second guess the judgement of the Eagles medical team, I do believe that Naitanui’s situation is a perfect example of the old saying, 'just because you can, doesn’t mean that you should.'  

We know after many years of following the progress of athletes returning from knee reconstructions that the risk of re-injury increases substantially by a premature return to sport.  Much of this knowledge was reinforced by a 2016 study that found that athletes who return to high level sport have a four fold increase in re-injury compared to athletes who do not return to sport1. In fact almost 1 in 3 athletes who returned to high level sports sustain a re-injury within 2 years1. An alarming statistic - but what is most interesting is that this re-injury rate decreased by 51% for each month return to sport was delayed up until 9 months after surgery1.  

It seems that 9 months is the magical number – so is it a matter of just waiting?  The answer is a resounding no! If wishing to return to sport at any level, effective and specific rehab is important.  This rehabilitation program works towards regaining symmetry of muscular strength in the muscle groups around the knee.  Effectively retraining the nervous system to build co-ordination and proprioception which increases agility, body awareness and reduces the chances of reinjury2.  The rehabilitation program is best designed by your treating practitioner, be it an Osteopath or Physiotherapist in consultation with your orthopedic surgeon.  

Return to sport should not be attempted until a criteria of sports specific performance goals are achieved. It is likely that this is an area where the West Coast medical team are at with Naitanui. They will have set performance goals for Nic to achieve at the start of the rehabilitation phase and it may be that he is not quite there yet. Good management can reduce re-injury risk by 84% after ACL reconstruction1.  It is unlikely that they will release Nic Naitanui to return to play if there is any doubt about his ability to sustain the load. A re-injury now would potentially risk Nic’s ongoing career.

ACL injuries are distressing and the rehabilitation process is a long one.  However, a positive outcome is achievable with careful management and patience.  

Should you have any queries about a knee injury you have sustained, feel free to contact the team at CSSM.

About the Author.

Travis Bateman is an Osteopath, trail runner, mountain biker, habitual back of the pack finisher and founder of Camberwell Sports & Spinal Medicine.  His clinical interest is in movement analysis and its relationship to injury management, pain and sports performance

  1. Grindem H, Snyder-Mackler L, Moksnes H, et al  Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study Br J Sports Med 2016;50:804-808. 
  2. Rambaud AJM, Semay B, Samozino P, et al. Criteria for Return to Sport after Anterior Cruciate Ligament reconstruction with lower reinjury risk (CR’STAL study): protocol for a prospective observational study in France. BMJ Open 2017;7:e015087. doi:10.1136/ bmjopen-2016-015087

Published 1st September 2017