Is your young sports star suffering heel pain? Let me tell you, they are not alone. Heel pain in young growing active individuals is usually due to a condition medically known as “Severs Disease”. Although it sounds quite dramatic it is very common benign condition affecting active (boys usually) between the ages of 8 – 14. It is caused by an irritation of the growth plate of the heel bone brought on by recent an increased pull from the Achilles tendon. When your child is growing, it is usually the bones that start to grow first, leaving behind the muscles and tendons to adapt and catch up. This leads to the tendons pulling at the insertion site at the heel.
What are the symptoms?
- Pain around the perimeter of the heel during physical exercise – particularly activities involving lots of jumping and running
- Pain becomes worse at the BEGINNING and AFTER exercise
- Changes in the way your child walks – walking on toes is common
- Swelling, redness or tenderness around the back of the heel
How can we help?
The good news is, there are lots of effective ways to help your child throughout their active lifestyle during this stage. … read more »
Josh completed his bachelor of Podiatry at La Trobe Bundoora in 2011. He is a highly enthusiastic Podiatrist and Personal Trainer, having advanced knowledge in sporting injuries and rehabilitation. He has a great deal of experience working alongside physiotherapists within football clubs and within multidisciplinary teams loving the collaborative approach to healthcare.
Josh considers himself to be a problem solver who is caring and friendly; “I want the best for my patients and I strongly believe in holistic management”
Josh has completed numerous courses including rocktape application, foot mobilisations, and dry needling.
Chronic conditions such as Plantar Fasciitis and Achilles tendonopathy are two of his favourite conditions to manage.
“Every Body Deserves to Feel Good”… read more »
Fiona grew up on the sunny shores of Perth where she completed a Bachelor of Science (Physiotherapy) at Curtin University. After graduating in 2010 she moved to Melbourne and completed further qualifications in Clinical Pilates with Dance Medicine Australia as well as Sports and Spinal Dry Needling.
Fiona has worked in private practices across Australia and the UK. She has treated a wide range of Musculoskeletal, Sports and Spinal injuries and has a special interest in pre and post natal conditions, especially since the birth of her own little boy!
Fiona takes a holistic and personalised approach with every patient and truly believes in the importance of functional rehabilitation for long term results. Fiona strives to help you achieve your goals as quickly as possible.
In her spare time Fiona enjoys spending time with her young family, yoga and running – she even completed the Paris marathon in 2015!
Fiona works as a Physiotherapist & Group Exercise Rehab Instructor at our Elwood clinic.… read more »
Regan discovered a love of anatomy whilst studying her Double Diploma of Sports Development – it was at this time that she decided on a career in Myotherapy.
Completing her degree in early 2015 at the Southern School of Natural Therapies, Regan spent time working at Carlton Football as a Myotherapist. Working at the football club exposed her to a range of injuries including muscle strains, sprains and overuse injuries.
In her consults Regan uses a combination of tchniques including soft & deep tissue massage, myofascial release, trigger-point therapy, cupping, dry needling, stretching, joint mobilisation and corrective exercises.
Regan believes that treatment is a two way street – the client needs to be involved in their recovery by completing prescribed exercises, self massage, stretching and therapy aids to assist the treatment plan.
Regan is planning on continuing her studies by completing a Masters of Exercise Physiology.… read more »
Shin Splints is a common term for medial tibial stress syndrome (MTSS). It is an injury caused by overuse and ‘doing too much too soon’. MTSS is the inflammation of the periosteum of the tibia (the sheath surrounding the bone). Individuals doing high impact activities such as running, jumping, netball and football are more prone to this injury.
Not all pain in the anterior lower leg is MTSS; other common lower leg injuries include Anterior Compartment Syndrome, Stress Fracture and Tibalis Anterior Tendonopathy. These can be assessed and diagnosed by your health professional.
- Pain and tenderness over the medial lower half of the shinbone, usually 3- 12cm up from the ankle.
- Pain increases with exercise
So what has caused this injury?
When the muscles are put under more stress than they able to cope with, they lose their ability to shock absorb which therefore, increases stress on the body. Players returning to sport after a period of rest or large increases in training increase the risk of developing this injury. Tight muscles including the gastrocnemius and soleus (calf) muscles can cause tractional forces on the periosteum causing inflammation and pain. Poor foot biomechanics with excessive pronation or supination … read more »
What are Shin Splints?
Shin splints are a common term for pain along the medial border of the tibia which develops or worsens with exercise, there may also be some tenderness in surrounding the tissues and/or swelling. This condition is also called: Medial Tibial Periostitis or Medial Tibial Stress Syndrome [MTSS]
Causes of shin pain?
- Training ie increase of intensity, speed, uphill runs
- Ground surface: soft to hard or uneven
- Improper shoe ware: old or lacking motion control of the midfoot arch
- Poor conditioning level for the sport played
- Biomechanical insufficiency
- Leaning forward while running
- Hitting heel hard on ground, slapping foot down
- Hips externally rotated (tight gluteal muscles)
- Excessive pronation of the mid and rear foot
An inflammatory reaction occurs due to pulling on the periosteum (outer part of the bone) of the tibia, from either muscles or the fascia which protects and connects the body.
There are various stages:
- Mild: Pain is initially only felt after intense work out and is diffusely tender
- Moderate: Pain felt in normal daily activities such as walking. Morning pain and stiffness often noted.
- Severe: Progression on to changes to the inside of the bone and possibly progress