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 2020 Sydney Running Festival, helping everyone get to the line in good shape! Amazingly, this is the 10th 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 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
Hi Bad,
I purchased new trainers about 4 weeks ago and am experiencing numbness in my right toe (only) about 2km into a run. I've never had this issue before. I have tried loosening the laces (as much as possible) to prevent pressure being put on my foot but it hasn't helped. Any tips for alleviating this?
Thanks for your help.
Hi Brad,
I have been following the training plan for my first half marathon . It has been a great help and up until about 10 days ago I have had no problems . My times and fitness have been improving but I have now developed right hip pain . This pain is present when walking ( intermittently ) or running ( every time) and presents deep in the joint when the leg is under load i.e. weight bearing rather than as I stride. If I stand on one leg and "bounce" on this leg it hurts .
I have followed same routine of warm ups and post exercise stretching through out and this is not helping to alleviate this pain . This week I ran on Tuesday for 6 kms and it hurt on the hip for the first 4 kms . Not sure if it really disappeared or I just got used to it .
I don't want to miss out on training but don't want to make an injury much worse also.

Any advice would be appreciated

Thx David
Hi Brad,
I have developed a calf strain and a high glute problem both on my right side. I am getting treatment and doing some cross training (riding and swimming) while I get treated but I am wondering if I need to replace my shoes. I am also getting major blisters during every run on the inside area of the top of my archway. I alternate between 2 pairs, both trail shoes, the main pair purchased in February which I have done 4 half marathons and a 37km trail run in. The alternate pair I bought second hand last year as a try with trail shoes which I have done a marathon in January in. Tread both look okay on both but would the structure of the shoes be contributing to my injuries?
Your thoughts are most appreciated on the subject,
Hi Brad,
Over the past month or so I have been getting a sore right ankle (inside of ankle) after running, it is tender to touch and hurts to walk. I have been icing it regularly and trying to take it a bit easy on my runs but won't seem to go away,what do you think is the cause and what can I do?

Also sometimes (like after this mornings run!) the base of my heel it sore and hurts to walk on (same foot), could this be the same problem causing this?