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Ask a Physio

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How do you prevent running injuries or get on top a "niggle" fast? Ask our expert Physiotherapists.

Got a question for Brad and the team at Sydney Physio Solutions? Ask them in the comments section below!

 Dr Brad McIntosh and his team at Sydney Physio Solutions are excited to partner with Blackmores again for the 2022 Sydney Running Festival, helping everyone get to the line in good shape! Amazingly, this is the 11th year that Brad and his team have helped out by answering your injury prevention and management questions.

Sydney Physio Solutions is a group of leading Physiotherapy, Pilates and Massage clinics based in the CBD of Sydney.

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Hi Brad
I have been running without injury or pain for the last five years and have completed three half marathons without any concern. In the last two months I have changed my running shoes and also done some trail running - not sure if either of those has anything to do with it but lately after running a few KMs I get pressure/tightening in my right knee and then it is very stiff and painful (not agonizing but not right either). Any advice on the cause and what I should be doing between now and the race would help...
Hi Brad, I am currently training for the half marathon in a couple weeks time, this will be my first half although I have done a few city to surfs. lately after my run I have had a dull aching pain around the ankle upwards on my right leg.. Not enough that I feel I can't run but enough to make me aware I have something not wrong. Is there something I can do to help the healing so that I can keep running up until the half, currently I am doing a 6.5km run on tuesday, same again on thursday and saturday an 18km run. Any advice would be helpful. thank you
Hi Brad,

I have had ongoing issues with my hip flexor and getting pain down the inside of my thigh. This has all started after training for the half marathon at the start of the year. For the past 5 years or so I have run in Brooks Ravenna's. However, this year I bought the Ravenna 7's and am not sure if the shoe could have contributed to this injury or if it was just a lack of stretching, overuse (increasing distance too fast) and poor posterior muscle strength. Would I be best to consult my physio about if I am wearing the correct shoes or would going to say the athletes foot where they do the imaging would do it?

Thank you
Hi Brad
I have been training for the marathon and have been going really well until last Thursday. I was washing up and dropped a knife and quickly pulled my foot back, bending at the knee as though I was going to kick a soccer ball, so the knife did not land on it. at the time I felt a twinge under the glute but did not think anything more about it. On Friday I tried to run and could not run because of the pain under my glute up near the bone. I have rested and iced the area over the weekend and when running for the bus this morning the pain and restriction is still there. Are there any stretches, exercises of the like that I could do to be able to run the marathon?
Thanks so much
Hi Brad,
I have multiple sclerosis and one of my symptoms is foot drop. I wear a carbon-fiber ankle-foot orthotic to keep my foot in dorsiflexion. It is great to run without fear of falling, but it changes my gait and I often have joint and tendon pain on long runs. Reoccurring issues are plantar fasciitis and IT band problems. I know it is too late to make any changes before the marathon, so my question is about kinesio tape. Do you use it with your patients and do you have demonstration videos?
Thank you in advance for your input!
Hi Brad,

After the city2surf a couple of weeks ago I have developed tenderness around my left knee. I am presuming this is tendonitis, which I am hoping is transient. Now I can only run for 20 minutes until I can begin to feel some pain and then I stop as I'm scared to injure or aggravate my knee further.

What advice would you give to alleviate my symptoms or the speed up recovery? Is it still possible for me to run the full marathon in 3 weeks time (safely), despite the lack of training in the last 5 weeks leading up to the race?

Your help is greatly appreciated,
Hi Brad, I have been following a run keeper app for my marathon training, I was up to 20kms when I injured my hip... possibly the sacro iliac joint ..... how long will this take to settle down before I can start running again? When I do start running again how can I prevent this injury happening again - thanks Sarah
Hi Brad,

1 month left and one concern before my first full marathon. I have been training for a while, and these last 3/4 weeks I increased km's up to 28 and this week going for the 32. 2 weeks ago when I tried to run 28 I ended with a lot of pain in my right knee so I had to stop 1 km before finishing. You never know when to stop. The fact is that later and next day my knee was really sore and it hurted a little bit when I was walking. I also had a bruise behind my knee, that disappeared in 3/4 days

So my main concern now is, should I wear some special band or can I help my knee right before the marathon?

At the moment I am running again 8/12 km and my knee gets a bit sore but I can handle it, just a bit worried before the long race

Thanks Brad