Runningmate PT and Performance Coaching

Clearing BSI to run 🏃‍♀️ 🦴

Returning a BSI to running shouldn’t feel like a guessing game.
�Following a foot BSI, runners need to be able to handle the following before we can run.

▪️Single-leg weight-bearing
▪️Large ranges of motion at the foot
▪️High bending forces
▪️Impact
�Regardless of injury specifics, I want all of my foot BSI patients to pass the following tests before starting a return-to-run testing.��1️⃣Pain-free palpation of the affected location�2️⃣Pain-free passive toe flexion/extension�3️⃣Single-leg stance x 30” in a wobble-free manner�4️⃣Lateral step down x 10 in a wobble-free manner�5️⃣Static pogos x 30�6️⃣Medial/lateral pogos x 20 in each direction�7️⃣Anterior/posterior pogos x 20 in each direction�8️⃣Single-leg hopping 3 x 30�
If a runner passes these tests ☝️ without pain, I’m confident we can start running.

Why I don’t offer dry needling 💉

Dry needling (DN) is very popular.

There are lots of unhelpful arguments among clinicians about DN (and manual in general) that don’t change anything.

For me, I don’t use DN because

1️⃣Research is sparse (you could say the same for most interventions)
2️⃣ It’s often a distraction delaying a diagnosis (my experience)
3️⃣Another thing runners feel like they have to do (a barrier to lower-hanging fruit)

I know lots of excellent clinicians who needle and would happily send them patients or see them as a patient myself.

DN is fine to me if it’s a tertiary treatment, doesn’t delay a needed diagnosis, and is truly part of a bigger plan.

Differential Dx in Youth Runners 🦴💪

Adolescent runners typically get 3 types of injuries.

1️⃣ Tendinopathies (rare)
2️⃣ Bone stress injuries
3️⃣ Apophyseal injuries

In this brief preview from my new module on BSIs in High School & College Runners, I break down the similarities and differences between these conditions.

Check out the full course at the link in my bio 🔗