The Endurance Physio
@theendurancephysio.bsky.social
Physio | Sports Scientist | Coach | S&C | Podcast host | endurance athlete | Uni Lecturer | Athlete | Dad, specialising in ⬆️ performance & rehab for endurance athletes.🏴
MRI “Abnormalities” Do not Equal Injury — Here’s What the Research Really Shows….
Following on from my recent post about running and arthritis, here’s another important myth-buster that every athlete, patient, and clinician should understand.
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Following on from my recent post about running and arthritis, here’s another important myth-buster that every athlete, patient, and clinician should understand.
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November 23, 2025 at 5:02 PM
MRI “Abnormalities” Do not Equal Injury — Here’s What the Research Really Shows….
Following on from my recent post about running and arthritis, here’s another important myth-buster that every athlete, patient, and clinician should understand.
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Following on from my recent post about running and arthritis, here’s another important myth-buster that every athlete, patient, and clinician should understand.
1/10
Very excited to announce the launch of a new podcast!
Welcome to The Everyday Athlete Podcast where our mission is simple: better conversations about training, injury, and performance.
Available across Spotify, Apple Podcasts and Podbean.
Episode 1 now available: open.spotify.com/show/1la9TZR...
Welcome to The Everyday Athlete Podcast where our mission is simple: better conversations about training, injury, and performance.
Available across Spotify, Apple Podcasts and Podbean.
Episode 1 now available: open.spotify.com/show/1la9TZR...
November 23, 2025 at 9:30 AM
Very excited to announce the launch of a new podcast!
Welcome to The Everyday Athlete Podcast where our mission is simple: better conversations about training, injury, and performance.
Available across Spotify, Apple Podcasts and Podbean.
Episode 1 now available: open.spotify.com/show/1la9TZR...
Welcome to The Everyday Athlete Podcast where our mission is simple: better conversations about training, injury, and performance.
Available across Spotify, Apple Podcasts and Podbean.
Episode 1 now available: open.spotify.com/show/1la9TZR...
Creatine is one of the most proven and accepted supplements in sport…
But for endurance athletes?
The story is very different.
Here’s the truth 👇
1️⃣ Does creatine boost endurance performance?
Short answer: Not really.
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But for endurance athletes?
The story is very different.
Here’s the truth 👇
1️⃣ Does creatine boost endurance performance?
Short answer: Not really.
1/11
November 22, 2025 at 6:10 PM
Creatine is one of the most proven and accepted supplements in sport…
But for endurance athletes?
The story is very different.
Here’s the truth 👇
1️⃣ Does creatine boost endurance performance?
Short answer: Not really.
1/11
But for endurance athletes?
The story is very different.
Here’s the truth 👇
1️⃣ Does creatine boost endurance performance?
Short answer: Not really.
1/11
🚶♂️👀Gait analysis still feels intimidating?
You’re NOT the only one — and this session will fix that.
🗓️ 27 Nov 2025 | 11:20–11:50
📍 Theatre B
🎙️ The Five-Minute Gait Analysis Screen: High Impact, Low Tech, Immediately Useful
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You’re NOT the only one — and this session will fix that.
🗓️ 27 Nov 2025 | 11:20–11:50
📍 Theatre B
🎙️ The Five-Minute Gait Analysis Screen: High Impact, Low Tech, Immediately Useful
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November 22, 2025 at 4:09 PM
🚶♂️👀Gait analysis still feels intimidating?
You’re NOT the only one — and this session will fix that.
🗓️ 27 Nov 2025 | 11:20–11:50
📍 Theatre B
🎙️ The Five-Minute Gait Analysis Screen: High Impact, Low Tech, Immediately Useful
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You’re NOT the only one — and this session will fix that.
🗓️ 27 Nov 2025 | 11:20–11:50
📍 Theatre B
🎙️ The Five-Minute Gait Analysis Screen: High Impact, Low Tech, Immediately Useful
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Recent years have seen a lot of attention around the amount of drop in a running shoe which has led to many questions of whether this influences injury risk.
Research indicates no significant difference in injury rate based on different drop sizes in hundreds of runners.
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Research indicates no significant difference in injury rate based on different drop sizes in hundreds of runners.
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November 22, 2025 at 8:46 AM
Recent years have seen a lot of attention around the amount of drop in a running shoe which has led to many questions of whether this influences injury risk.
Research indicates no significant difference in injury rate based on different drop sizes in hundreds of runners.
1/68
Research indicates no significant difference in injury rate based on different drop sizes in hundreds of runners.
1/68
Athletes love a trend.
Right now 10 minutes in a bin of ice because some influencer said “it boosts recovery and performance” seems to be all the rage.
This is helped by the multitude of offers and discounts on home units available.
1/26
Right now 10 minutes in a bin of ice because some influencer said “it boosts recovery and performance” seems to be all the rage.
This is helped by the multitude of offers and discounts on home units available.
1/26
November 21, 2025 at 7:37 PM
Athletes love a trend.
Right now 10 minutes in a bin of ice because some influencer said “it boosts recovery and performance” seems to be all the rage.
This is helped by the multitude of offers and discounts on home units available.
1/26
Right now 10 minutes in a bin of ice because some influencer said “it boosts recovery and performance” seems to be all the rage.
This is helped by the multitude of offers and discounts on home units available.
1/26
Here’s a great Q I was asked on a recent webinar about winter trg.
The answer is it depends, some like to stay in tune with the transition between bike and run and like to keep them in, for those, I tend to schedule one every 2-3 weeks.
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The answer is it depends, some like to stay in tune with the transition between bike and run and like to keep them in, for those, I tend to schedule one every 2-3 weeks.
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November 21, 2025 at 1:13 PM
Here’s a great Q I was asked on a recent webinar about winter trg.
The answer is it depends, some like to stay in tune with the transition between bike and run and like to keep them in, for those, I tend to schedule one every 2-3 weeks.
1/2
The answer is it depends, some like to stay in tune with the transition between bike and run and like to keep them in, for those, I tend to schedule one every 2-3 weeks.
1/2
Its frustrating hearing therapists moan that patients don’t put effort into rehab.
But did YOU put effort into them & their rehab?
Did you pay attention to their needs, goals & other commitments, or did you just hope they followed your cookie cutter plan?
Let’s be better.
But did YOU put effort into them & their rehab?
Did you pay attention to their needs, goals & other commitments, or did you just hope they followed your cookie cutter plan?
Let’s be better.
November 21, 2025 at 12:47 AM
Its frustrating hearing therapists moan that patients don’t put effort into rehab.
But did YOU put effort into them & their rehab?
Did you pay attention to their needs, goals & other commitments, or did you just hope they followed your cookie cutter plan?
Let’s be better.
But did YOU put effort into them & their rehab?
Did you pay attention to their needs, goals & other commitments, or did you just hope they followed your cookie cutter plan?
Let’s be better.
Stop Rushing the Subjective: It’s not a Tick-Box Task — It Is the Assessment!
If you’re racing through the subjective just to “get to the objective,” you’re missing the part that actually tells you what to look for, what to rule in/out, and where the real risks and opportunities sit.
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If you’re racing through the subjective just to “get to the objective,” you’re missing the part that actually tells you what to look for, what to rule in/out, and where the real risks and opportunities sit.
1/5
November 20, 2025 at 8:09 PM
Stop Rushing the Subjective: It’s not a Tick-Box Task — It Is the Assessment!
If you’re racing through the subjective just to “get to the objective,” you’re missing the part that actually tells you what to look for, what to rule in/out, and where the real risks and opportunities sit.
1/5
If you’re racing through the subjective just to “get to the objective,” you’re missing the part that actually tells you what to look for, what to rule in/out, and where the real risks and opportunities sit.
1/5
When the best athletes in the world can keep this perspective, it should be a harsh reminder to the rest of us that keeping healthy relationship with your sport is crucial.
November 20, 2025 at 2:31 PM
When the best athletes in the world can keep this perspective, it should be a harsh reminder to the rest of us that keeping healthy relationship with your sport is crucial.
We often consider bone stress injury in endurance athletes as an issue exclusively affecting those that perform significant impact work such as runners and triathletes, where injury occurs in very simple terms due to “excessive” impact work / reduced tolerance to impact work.
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November 20, 2025 at 1:44 PM
We often consider bone stress injury in endurance athletes as an issue exclusively affecting those that perform significant impact work such as runners and triathletes, where injury occurs in very simple terms due to “excessive” impact work / reduced tolerance to impact work.
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Getting Ill Before a Race? Here’s What Need to Know 👇
There’s nothing more frustrating for an endurance athlete than getting ill right before a race.
And with the recent change in weather here in the UK, the questions have already started:
❓ “Can I still train?”
❓ “Can I still race?”
1/7
There’s nothing more frustrating for an endurance athlete than getting ill right before a race.
And with the recent change in weather here in the UK, the questions have already started:
❓ “Can I still train?”
❓ “Can I still race?”
1/7
November 20, 2025 at 7:47 AM
Getting Ill Before a Race? Here’s What Need to Know 👇
There’s nothing more frustrating for an endurance athlete than getting ill right before a race.
And with the recent change in weather here in the UK, the questions have already started:
❓ “Can I still train?”
❓ “Can I still race?”
1/7
There’s nothing more frustrating for an endurance athlete than getting ill right before a race.
And with the recent change in weather here in the UK, the questions have already started:
❓ “Can I still train?”
❓ “Can I still race?”
1/7
Instead of worrying that you won’t fill in every tick box on the form, focus on hearing the answer to the question you ask, not preparing the next question ……
November 19, 2025 at 2:47 PM
Instead of worrying that you won’t fill in every tick box on the form, focus on hearing the answer to the question you ask, not preparing the next question ……
A large retrospective cohort study of U.S. Army soldiers by Kardouni et al. (2021) assessed the timing of Stress Fractures in Soldiers During the First 6 Career Months.
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November 19, 2025 at 9:07 AM
A large retrospective cohort study of U.S. Army soldiers by Kardouni et al. (2021) assessed the timing of Stress Fractures in Soldiers During the First 6 Career Months.
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Excited to be speaking at and chairing Theatre B at next week’s Therapy Expo 25 at the NEC.
Find out more about my talk on gait analysis / walking assessment ⬇️
www.facebook.com/share/v/19xT...
Find out more about my talk on gait analysis / walking assessment ⬇️
www.facebook.com/share/v/19xT...
Redirecting...
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November 18, 2025 at 6:16 PM
Excited to be speaking at and chairing Theatre B at next week’s Therapy Expo 25 at the NEC.
Find out more about my talk on gait analysis / walking assessment ⬇️
www.facebook.com/share/v/19xT...
Find out more about my talk on gait analysis / walking assessment ⬇️
www.facebook.com/share/v/19xT...
It’s head torch time again………🔦🏃🏻
November 18, 2025 at 12:22 PM
It’s head torch time again………🔦🏃🏻
A neighbour asked me for any advice before their Mum goes to an important medical appointment next week.
It was an easy answer.
In what can often feel like a whirlwind moment, with nerves, stress, fear and a host of emotions at play…..
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It was an easy answer.
In what can often feel like a whirlwind moment, with nerves, stress, fear and a host of emotions at play…..
1/2
November 18, 2025 at 8:51 AM
A neighbour asked me for any advice before their Mum goes to an important medical appointment next week.
It was an easy answer.
In what can often feel like a whirlwind moment, with nerves, stress, fear and a host of emotions at play…..
1/2
It was an easy answer.
In what can often feel like a whirlwind moment, with nerves, stress, fear and a host of emotions at play…..
1/2
Time, space or equipment poor but hoping to get some winter strength work?
30-90 secs each exercise non stop, 60-120 secs rest at end of the circuit.Complete 2-4 three circuits based on current fitness & experience.
Vary the weight for different exercises if too easy/hard for any particular ones.
30-90 secs each exercise non stop, 60-120 secs rest at end of the circuit.Complete 2-4 three circuits based on current fitness & experience.
Vary the weight for different exercises if too easy/hard for any particular ones.
November 17, 2025 at 10:13 PM
Time, space or equipment poor but hoping to get some winter strength work?
30-90 secs each exercise non stop, 60-120 secs rest at end of the circuit.Complete 2-4 three circuits based on current fitness & experience.
Vary the weight for different exercises if too easy/hard for any particular ones.
30-90 secs each exercise non stop, 60-120 secs rest at end of the circuit.Complete 2-4 three circuits based on current fitness & experience.
Vary the weight for different exercises if too easy/hard for any particular ones.
Bone Stress Injuries: Why the Location Matters More Than You Think 🦴🏃♀️
Not all bone stress injuries are created equal. Where your BSI occurs can double your rehab time and triple your complication risk.
Here’s what you need to know 👇
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Not all bone stress injuries are created equal. Where your BSI occurs can double your rehab time and triple your complication risk.
Here’s what you need to know 👇
1/6
November 17, 2025 at 12:45 PM
Bone Stress Injuries: Why the Location Matters More Than You Think 🦴🏃♀️
Not all bone stress injuries are created equal. Where your BSI occurs can double your rehab time and triple your complication risk.
Here’s what you need to know 👇
1/6
Not all bone stress injuries are created equal. Where your BSI occurs can double your rehab time and triple your complication risk.
Here’s what you need to know 👇
1/6
Here’s a widely accepted belief within runners.
Not many will be able to say where this belief came from but is it actually true?
A Systematic Review and Meta-Analysis by Van Hooren et al in 2020 found that treadmill and overground running are largely similar physiologically…..
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Not many will be able to say where this belief came from but is it actually true?
A Systematic Review and Meta-Analysis by Van Hooren et al in 2020 found that treadmill and overground running are largely similar physiologically…..
1/2
November 17, 2025 at 7:42 AM
Here’s a widely accepted belief within runners.
Not many will be able to say where this belief came from but is it actually true?
A Systematic Review and Meta-Analysis by Van Hooren et al in 2020 found that treadmill and overground running are largely similar physiologically…..
1/2
Not many will be able to say where this belief came from but is it actually true?
A Systematic Review and Meta-Analysis by Van Hooren et al in 2020 found that treadmill and overground running are largely similar physiologically…..
1/2
A well-known study of over 400 high-level endurance athletes (Ristolainen et al., 2014) found something important:
🔹 Athletes who took fewer than 2 rest days per week had a 5.2× higher risk of overuse injury.
🔹 Athletes who trained more than ~700 hours per year had roughly 2× the risk.
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🔹 Athletes who took fewer than 2 rest days per week had a 5.2× higher risk of overuse injury.
🔹 Athletes who trained more than ~700 hours per year had roughly 2× the risk.
1/13
November 16, 2025 at 7:47 PM
A well-known study of over 400 high-level endurance athletes (Ristolainen et al., 2014) found something important:
🔹 Athletes who took fewer than 2 rest days per week had a 5.2× higher risk of overuse injury.
🔹 Athletes who trained more than ~700 hours per year had roughly 2× the risk.
1/13
🔹 Athletes who took fewer than 2 rest days per week had a 5.2× higher risk of overuse injury.
🔹 Athletes who trained more than ~700 hours per year had roughly 2× the risk.
1/13
Still applies…..
November 16, 2025 at 9:49 AM
Still applies…..
Many people worry online consultations won’t be able to help.
“Surely you need to touch me to know what’s going on?” is the standard question / concern from many.
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“Surely you need to touch me to know what’s going on?” is the standard question / concern from many.
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November 15, 2025 at 10:31 PM
Many people worry online consultations won’t be able to help.
“Surely you need to touch me to know what’s going on?” is the standard question / concern from many.
1/2
“Surely you need to touch me to know what’s going on?” is the standard question / concern from many.
1/2
Another postponed football match due to the glorious South Wales weather, so a couple of hours with the big man was called for.🚵♀️
November 15, 2025 at 3:20 PM
Another postponed football match due to the glorious South Wales weather, so a couple of hours with the big man was called for.🚵♀️
😴Sleep & Running Injuries: What This Research Really Means for You 💤
A recent study profiling recreational runners found something important:
➡️ Runners with poor or inconsistent sleep had ~1.8× higher injury risk — even when training load, mileage, and intensity were accounted for.
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A recent study profiling recreational runners found something important:
➡️ Runners with poor or inconsistent sleep had ~1.8× higher injury risk — even when training load, mileage, and intensity were accounted for.
1/7
November 15, 2025 at 10:55 AM
😴Sleep & Running Injuries: What This Research Really Means for You 💤
A recent study profiling recreational runners found something important:
➡️ Runners with poor or inconsistent sleep had ~1.8× higher injury risk — even when training load, mileage, and intensity were accounted for.
1/7
A recent study profiling recreational runners found something important:
➡️ Runners with poor or inconsistent sleep had ~1.8× higher injury risk — even when training load, mileage, and intensity were accounted for.
1/7