Physiotherapy
As I approached my fourth year as a graduated physiotherapist, I decided to finally bite the bullet and start my own business. This was definitely not a decision that was taken lightly, and took months of preparation and planning to get the logistics and business model to eventuate. As a passionate distance runner, I would safely say that my specific area of expertise is the treatment and rehabilitation of running (and cycling) related overuse injuries. I suppose that one of my motives behind starting this blog is to educate fellow endurance athletes and competitors out there regarding the many misconceptions and 'wife's tales' surrounding the treatment of running-related injuries. Firstly, it is essential to understand that overuse injuries are a completely different 'kettle of fish' to traumatic injuries. The latter can almost follow a 'recipe-like' treatment protocol based on the specific structure that is damaged. The former, however, needs to be tailor-made to the individual, and needs a lot more investigative work conducted in order to identify and address the fundamental cause that is driving the individual's pain. In other words, for overuse injuries, you must treat the person, not the structural diagnosis. I like to think of the actual painful area as the victim - the art of treating a running-related injury is to identify the culprit(s). This can often involve treating an area of the body that does not initially seem related to specific painful area. But it is important to consider that the human body as a whole is greater than the sum of its individual parts. I plan to go into much greater depth, and highlight specific examples as the blog evolves to highlight these fundamental concepts. Although not essential, I still believe that it is of great importance to visit a medical or health practitioner that actually runs themselves to assist you in the diagnosis and rehabilitation of running-related injury. As runners, we have a very different and unique mindset - we dread the word 'rest,' and far too often do I see this as a completely unnecessary prescription to address a running-related injury. Of course the pain is going to subseed if you cease the activity that is driving your symptoms - however, chances are it will simply return upon recommencement, as the underlying cause has not been addressed. Lastly, no two running injuries are ever the same. For example, I could see 10 patients on a single day all presenting with left-sided ITB pain. The status quo would be to rest from running, prescribe hip flexor stretches, foam roll the ITB (do not get me started on these two methods...), and 'strengthen' the glutes. This in my opinion is completely lazy, and does not even consider the many variable factors that each individual client may uniquely present with. I would like to think that each of these 10 patients had their own individual treatment plan, customised to their specific needs, goals, and orientated towards identifying and exposing the culprit.
Research
I got my first taste of research back in 2011 whilst completing my Honours year during my undergraduate physiotherapy degree. Despite the stigma attached with research put forward by my fellow students in my cohort, I actually thoroughly enjoyed the process. Further to this, it has actually opened the door to many great opportunities in my short career thus far. This has inspired me to commence a PhD in the area of clinical neurosciences at the University of New South Wales (UNSW) and Neuroscience Research Australia. Specifically, I will be focusing on the area of proprioception - which is essentially body position sense. I like to think of proprioception as the body's true sixth sense. It is something that we all take for granted - until of course we lose it. One of the single biggest risk factors for sustaining an injury in the future is a past history of the same injury. This highlights a current limitation in rehabilitative medicine, as this statistic suggests that we are not addressing all of the clinical deficits that present as a result of the initial injury. We address the obvious and measurable issues, such as pain, swelling, range-of-motion, and strength. However, the problem here lies in the fact that we first of all do not completely understand the physiology behind proprioception, and consequently do not know how to assess and measure it clinically. My research will hopefully contribute towards both of these mutually exclusive factors.
Running
I began running sporadically throughout my teenage years, primarily as a means of cross training to complement my main sport of sprint kayaking. It wasn't until 2010 that I really discovered my true passion for running, and entered my first race - the Newcastle Half Marathon. Since that race, running has become like a drug - it's addictive and I can't get enough of it. Recently, I switched my focus towards the shorter distances of 5km and 10km, and under the watchful eye of 'super coach' Sean Williams, have made some steady progress over the past 6 months or so. I plan to use this blog as a training diary to outline my weekly sessions, upcoming races, friendly rivalries, and to essentially embrace the beautiful art of distance running.
I began running sporadically throughout my teenage years, primarily as a means of cross training to complement my main sport of sprint kayaking. It wasn't until 2010 that I really discovered my true passion for running, and entered my first race - the Newcastle Half Marathon. Since that race, running has become like a drug - it's addictive and I can't get enough of it. Recently, I switched my focus towards the shorter distances of 5km and 10km, and under the watchful eye of 'super coach' Sean Williams, have made some steady progress over the past 6 months or so. I plan to use this blog as a training diary to outline my weekly sessions, upcoming races, friendly rivalries, and to essentially embrace the beautiful art of distance running.
Hi Lewis, we have a lot in common! I love running and cooking too, although you seem to have travelled quite a bit more so I can imagine that your cooking is a bit more diverse than mine. So far I've done a few half marathons, but am looking to do a full marathon next year.
ReplyDeleteAlberto Lawrence @ Institute of Sport Physiotherapy