The Physical Performance Show

Brad Beer (POGO Physio)

The Physical Performance Show exists to inspire people to achieve their physical best performance through candid interviews with the world's best and most inspiring physical performers. The show's host Physiotherapist, Best selling Author, and accomplished athlete Brad Beer delves into how top physical performers achieve success and the highs and lows of the journey in getting there.

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    Ep 382: Tibial Bone Stress Masterclass Part 2 (Fixing Shin Pain & Tibia Injuries)

    Physical Performance Show – Episode 382 Show Notes In this episode of The Physical Performance Show, host Brad Beer sits down with Pogo Physio's Tim Studley for Part 2 of their two-part mini-series on shin pain and tibial bone stress injuries. Having covered diagnosis and differentiation between MTSS and tibial bone stress injuries in Part 1, this episode shifts focus to management — mechanics, return-to-run programming, strength and conditioning, footwear, and terrain considerations for runners recovering from (or trying to prevent) tibial bone stress injury. Show Sponsor: Pillar Performance continues to lead the way in sports nutrition through micro-nutrition innovation, now expanding into the Performance Health range. One of their newest releases, Collagen Repair, was developed with Gelita Laboratories (Germany) using a clinically trialled collagen peptide (Tendofort) to support tendon and ligament health in conditions like hamstring tendinopathy, Achilles tendonitis, shin splints, and patellofemoral pain. Head to pillarperformance.shop (or thefeed.com for North American listeners) and use code PHYSICALPERFORMANCE for 15% off your first purchase. Pogo Physio also offers online Telehealth Consultations for endurance athletes managing bone, tendon, or joint issues — book online at pogophysio.com.au. Listen in as we delve into the following: Biomechanical vs. biological risk factors, and why running intensity matters more than mileage for bone Cadence, overstriding, and how a heel-strike pattern increases tibial loading Foot pressure distribution, lateralised loading, and how footwear/orthotics can help A case study: how cadence cueing, orthotics, heel raises, and calf strengthening resolved recurrent tibial bone stress injury Managing anterior tibial cortex injuries: why they're high-risk, slow to heal, and often need surgery Moving from time-based to symptom-led (optimal load) management for posterior-medial tibial bone stress injuries The five evidence-based criteria for returning to running after a tibial bone stress injury Why a 10% increase in pace can cut a bone's fatigue threshold by 50% Structuring intensity and volume in a return-to-run program to avoid a "double whammy" of risk Strength and conditioning phases: contralateral leg work, weight-bearing progressions, and pre-running plyometrics Clinical strength benchmarks for calf raises, leg press, hamstring curls, and hip abduction Footwear considerations: heel wedges, rocker-bottom shoes, and the debate around carbon plates Surface and terrain: why stiffer surfaces and flat terrain are preferred during return-to-run Treadmill running and its effect on distal loading What's next: an upcoming Q&A episode, and future instalments covering the femur, sacrum, tarsal bones, and calcaneus Quotes "Muscle loads bone." — Brad Beer "That runner doesn't need to be strong. They need to be uber strong." — Brad Beer, quoting tendon researcher Ebonie Rio "A 10% increase in pace reduces the fatigue threshold of a bone by 50%." — Brad Beer Timeline 00:00 – Introduction & sponsor: Pillar Performance 02:26 – Running mechanics and tibial bone stress injury risk 03:18 – Cadence, overstriding, and heel-strike patterns 05:43 – Foot pressure distribution and medial tibial bending 07:39 – Case study: footwear, orthotics, and cadence cueing 08:37 – Overview of bone stress injury management complexity 09:35 – Anterior tibial cortex injuries: high risk, slow healing, surgery 11:30 – Shift from time-based to symptom-led management 14:49 – Balancing speed of return with recurrence risk 15:48 – Five evidence-based return-to-run criteria (Sheeran & Reid, 2024) 18:11 – Why intensity is a greater risk factor than volume 20:35 – Strength and conditioning: matching capacity to running demands 22:29 – Three-phase strength progression: pre-, during-, and post-weight bearing 24:52 – Clinical strength benchmarks for return to running 26:16 – Return-to-run walking milestones and symptom monitoring 27:16 – Pain tolerance guidelines: the "any pain, stop" rule for bone 27:45 – Footwear considerations: heel wedges, rocker-bottom shoes, carbon plates 28:42 – Surface and terrain considerations 29:40 – Treadmill running and distal loading effects 30:39 – What's next: Q&A episode and future bone stress injury series 33:01 – Episode close & sponsor mentions THE TEAM: Join The Physical Performance Show LEARNINGS membership through weekly podcasts here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online at pogophysio.com.au. Your Hosts: 🏃 Brad Beer - Instagram & X @Bradbeer and YouTube @PogophysioAu 🏃‍♂️‍➡️ Timothy Studley - Instagram @timothy_physio The Physical Performance Show can be found at: Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1 Instagram: @physicalperformanceshow

    Ep 382: Tibial Bone Stress Masterclass Part 2 (Fixing Shin Pain & Tibia Injuries)

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    Ep 381: Tibial Bone Stress Masterclass Part 1 (Shin Pain, Shin Splints or Stress Fracture?)

    In episode 381 of The Physical Performance Show, host Brad Beer — sports and exercise physiotherapist — sits down with Pogo physiotherapist Tim Studley for the first instalment of a two-part mini-series on shin pain and tibial bone stress injuries, following on from their earlier three-part bone stress injury series. This episode is essential listening for runners, coaches, and clinicians alike, unpacking how to tell the difference between medial tibial stress syndrome (MTSS/shin splints) and a true tibial bone stress injury — two conditions that can feel identical but require completely different management. Brad and Tim walk through the physiology of bone loading, the palpation tests that separate a "safe to keep running" diagnosis from one requiring an MRI, and the loading tests used to stress-test the tibia safely in clinic. Show Sponsor: Pillar Performance continues to lead the way in sports nutrition through micro-nutrition innovation, now expanding into the Performance Health range. One of their newest releases, Collagen Repair, was developed with Gelita Laboratories (Germany) using a clinically trialled collagen peptide (Tendofort) to support tendon and ligament health in conditions like hamstring tendinopathy, Achilles tendonitis, shin splints, and patellofemoral pain. Head to pillarperformance.shop (or thefeed.com for North American listeners) and use code PHYSICALPERFORMANCE for 15% off your first purchase. Pogo Physio also offers online Telehealth Consultations for endurance athletes managing bone, tendon, or joint issues — book online at https://pogophysio.com.au. Listen in as we delve into the following: The prevalence of tibial bone stress injuries and why the shin is the most common bone stress site in runners Why bone stress injuries occur: workload errors, loading frequency vs. magnitude, and individualised risk factors The continuum from "happy bone" to stress reaction to frank stress fracture Why pain magnitude doesn't reliably predict injury severity The heterogeneity of bone innervation and why the periosteum is key to understanding pain Differentiating MTSS from tibial bone stress injury — and why the management is entirely different The 10cm palpation rule: a clinical prediction rule for when to suspect bone vs. soft tissue Why the anterior (front) shin is a higher-risk, non-union-prone injury site The loading-test ladder: double leg calf raise → single leg calf raise → single leg hop → side-to-side hop → forward hop The role of muscle-bone synergy: how calf strength and girth influence tibial bone stress risk Recovery timelines by injury grade, and why MRI matters for prognosis and athlete buy-in A real case study: a triathlete's navicular injury, deconditioning, and return to tibial bone stress injuries Quotes "You can go from hero to zero really quickly with bone."  "Higher levels of pain don't necessarily mean a worse injury."  "Muscle loads bone."  Timeline 00:00 – Introduction & sponsor: Pillar Performance 02:15 – Introduction to Tim and Brad's conversation 02:27 – Prevalence of tibial bone stress injuries 03:56 – Why bone stress injuries occur: workload and biomechanics 05:22 – Symptom patterns: bone stress injury vs. other shin pain 07:42 – Heterogeneity of bone innervation and pain variability 10:10 – Why pain severity doesn't predict injury severity 11:07 – MTSS vs. bone stress injury: two schools of thought 12:06 – Brad's clinical experience and personal injury history 13:59 – Cardinal signs and symptom progression in MTSS 15:23 – The three-legged stool: history, physical exam, imaging 16:19 – The 10cm palpation rule explained 19:43 – Applying the rule in practice 20:42 – Anterior shin pain: a higher-risk presentation 21:39 – Loading tests: from calf raises to forward hopping 24:07 – Individualising the loading-test progression 26:03 – Does the 10cm rule apply anteriorly? 26:55 – History as the biggest predictor of reinjury 27:53 – MRI, prognosis, and grading via the Fredericksons scale 29:15 – Reading hesitancy and movement quality in loading tests 31:10 – Why bone stress injuries aren't purely about vertical impact 33:03 – Calf girth and bone stress risk correlation 34:56 – Case study: a triathlete's navicular injury and recovery 35:58 – Episode close & sponsor mentions THE TEAM: Join The Physical Performance Show LEARNINGS membership through weekly podcasts here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online at pogophysio.com.au. Your Hosts: 🏃 Brad Beer - Instagram & X @Bradbeer and YouTube @PogophysioAu 🏃‍♂️‍➡️ Timothy Studley - Instagram @timothy_physio The Physical Performance Show can be found at: Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1 Instagram: @physicalperformanceshow

    Ep 381: Tibial Bone Stress Masterclass Part 1 (Shin Pain, Shin Splints or Stress Fracture?)

  3. 10 lug

    Ep 380: Bone Stress Injuries: Recovery, Rehabilitation & Return to Running (Part 3)

    In episode 380 of The Physical Performance Show, host Brad Beer and Pogo Physio physiotherapist Tim Studley conclude their three-part expert series on bone stress injuries by focusing on what happens after diagnosis. From imaging and prognosis to rehabilitation, return to running, and long-term prevention, this episode provides a practical roadmap for athletes, coaches, and clinicians managing these complex injuries. Brad explains why identifying the underlying causes of a bone stress injury is just as important as healing the bone itself. The discussion covers deloading, progressive reloading, strength and conditioning, bone-building exercise, and the simple but powerful strategies that can dramatically reduce the risk of recurrence. Show Sponsor: PILLAR Performance is leading a new frontier in sports nutrition through micronutrition innovation. Their new Collagen Repair formula, developed in collaboration with Gelita Laboratories, is designed to support tendon and ligament health while promoting collagen synthesis to help athletes stay healthy and perform at their best. For 15% off your first order, visit pillarperformance.shop (or thefeed.com for North American listeners) and use the discount code PHYSICALPERFORMANCE (one word, capitals) at checkout. In this episode, you'll hear Why MRI remains the gold standard for diagnosing bone stress injuries and guiding treatment When a clinical diagnosis may be sufficient—and why imaging usually provides better certainty and prognosis The three-step rehabilitation framework: identify risk factors, deload appropriately, then progressively reload Why treating the underlying cause is essential to preventing repeat bone stress injuries How rehabilitation differs depending on injury severity and high-risk versus low-risk bone sites Practical principles for returning to running, including restoring volume before introducing intensity Why the opposite limb also requires strength and bone loading during rehabilitation The role of strength training, plyometrics and osteogenic exercise in rebuilding bone capacity Why bone responds best to short, novel loading sessions rather than long continuous exercise The concept that "bone cells get bored easily" and how to optimise bone adaptation Why multidirectional movement remains important long after returning to sport The impact of childhood sport participation and bone geometry on lifelong injury risk Brad's personal journey with osteoporosis and what it taught him about endurance athlete health Three practical strategies every endurance athlete can implement to reduce bone stress injury risk Why recovery—not just training—is where adaptation actually occurs Quotes / takeaways "Treat the cause—not just the injury." "Restore volume before you restore intensity." "Bone cells get bored easily." "It's not the training you adapt to—it's the recovery from the training." "Eat more than you think you need." Partners / links mentioned Show Sponsor: PILLAR Performance — 15% off your first order using code PHYSICALPERFORMANCE at checkout. North America: thefeed.com Timeline 00:00 – Introduction, sponsor and final episode of the Bone Stress Injury mini-series 02:27 – Clinical testing for femoral neck bone stress injuries 03:26 – Clinical diagnosis versus MRI: when imaging is essential 05:14 – Why MRI improves prognosis and return-to-sport planning 07:03 – The three-step rehabilitation framework: risk factors, deload, reload 08:58 – Deloading strategies for high-risk bone stress injuries 09:50 – Progressive tissue loading and returning to running 10:46 – Why training volume should return before intensity 11:45 – Reloading the unaffected limb during rehabilitation 12:44 – Strength training, muscle function and long-term bone health 14:30 – Why bone cells "get bored" and how osteogenic exercise works 15:56 – Novel loading strategies, multidirectional movement and chaos hopping 17:23 – Childhood sport participation and building stronger bones 19:14 – Brad's personal experience with osteoporosis as an endurance athlete 21:40 – Three practical strategies to reduce bone stress injury risk 24:29 – Skeletal deload weeks and cross-training alternatives 25:27 – Recovery as the key driver of adaptation 26:26 – Final advice for athletes and clinicians 27:49 – Brad's top performance tip: "Eat more than you think you need" 28:18 – Listener challenge: fuel immediately before and after every training session this week 28:56 – Episode close and conclusion of the Bone Stress Injury mini-series THE TEAM: Join The Physical Performance Show LEARNINGS membership through weekly podcasts here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online. Your Host: 🏃 Brad Beer – Instagram & X @Bradbeer and YouTube @PogophysioAu The Physical Performance Show can be found at: Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1 Instagram: @physicalperformanceshow

    Ep 380: Bone Stress Injuries: Recovery, Rehabilitation & Return to Running (Part 3)

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    Ep 379: Bone Stress Injuries: Risk Factors, Diagnosis & Prevention (Part 2)

    In episode 379 of The Physical Performance Show, host Brad Beer and Pogo Physio physiotherapist Tim Studley continue their three-part expert series on bone stress injuries by shifting the focus from training errors to the biological factors that determine whether an athlete's skeleton can tolerate training demands. This episode explores the critical role of energy availability, bone health, recovery, and risk stratification in both preventing and diagnosing bone stress injuries. Brad shares practical screening strategies developed over two decades of clinical practice, explaining why identifying the underlying cause—not just treating the injury—is essential for long-term athletic performance and injury prevention. Show Sponsor: PILLAR Performance is leading a new frontier in sports nutrition through micronutrition innovation. Their new Collagen Repair formula, developed in collaboration with Gelita Laboratories, is designed to support tendon and ligament health while promoting collagen synthesis to help athletes stay healthy and perform at their best. For 15% off your first order, visit pillarperformance.shop (or thefeed.com for North American listeners) and use the discount code PHYSICALPERFORMANCE (one word, capitals) at checkout. In this episode, you'll hear Why biological factors may contribute more to bone stress injuries than training load alone The long-term consequences of early sport specialisation and why multi-sport participation builds a stronger skeleton Medical conditions and medications that can compromise bone health and increase injury risk Why low energy availability (RED-S) is one of the biggest contributors to bone stress injuries Practical screening questions clinicians should ask to identify athletes who may be under-fuelling The relationship between training volume, mood, gastrointestinal symptoms, sleep, life stress and bone health Female-specific indicators including menstrual irregularities and amenorrhoea Male-specific indicators including reduced libido and changes in morning erectile function Why blood tests, iron status, vitamin D and hormone profiles provide valuable clues to athlete health The importance of working with sports dietitians to optimise energy availability and performance Common locations of bone stress injuries throughout the lower limb and pelvis How injury location can provide clues to whether biomechanics or under-fuelling is the primary driver Understanding high-risk versus low-risk bone stress injury sites and why blood supply matters Practical assessment strategies including observation, palpation and functional loading tests When hop testing is appropriate—and when it should be avoided Clinical pearls for distinguishing bone stress injuries from other common running injuries Quotes / takeaways "Training loads the skeleton—but biology determines whether the skeleton can cope." "Eat more than you think you need." "The biggest driver of bone stress injuries is often invisible." "Above the knee, think fuelling. Below the knee, think biomechanics." "Treat the cause—not just the bone." Partners / links mentioned Show Sponsor: PILLAR Performance — 15% off your first order using code PHYSICALPERFORMANCE at checkout. North America: thefeed.com Timeline 00:00 – Introduction, sponsor and recap of the Bone Stress Injury mini-series 02:27 – Why biological risk factors deserve greater attention than ever before 03:51 – Early sport specialisation and athletic history as risk factors 04:50 – Medical conditions, medications and bone health 05:45 – Sleep, stress and the biological contributors to bone stress injuries 07:08 – Understanding low energy availability (RED-S) 08:32 – Practical screening questions for under-fuelling 09:02 – Female athlete indicators: menstrual health and amenorrhoea 10:29 – Male athlete indicators: libido and morning erectile function 11:51 – Blood tests, iron studies, vitamin D and hormone profiles 13:18 – Why even small daily energy deficits accumulate over time 14:16 – Working with sports dietitians and estimating energy requirements 15:40 – Brad's number one recommendation: "Eat more than you think you need" 16:08 – Common sites of bone stress injuries throughout the body 18:00 – Using injury location to distinguish biomechanics from under-fuelling 18:48 – High-risk versus low-risk bone stress injury locations 21:12 – The most commonly missed bone stress injuries in runners 22:37 – Clinical examination: observation, palpation and localisation of symptoms 24:19 – Differentiating shin splints from bone stress injuries through palpation 25:14 – Functional loading tests and when hop testing is appropriate 26:31 – Hop testing, femoral neck injuries and clinical safety considerations 27:24 – Differential diagnosis and key assessment principles 28:25 – Episode wrap-up and preview of Part 3 THE TEAM: Join The Physical Performance Show LEARNINGS membership through weekly podcasts here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online. Your Host: 🏃 Brad Beer – Instagram & X @Bradbeer and YouTube @PogophysioAu The Physical Performance Show can be found at: Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1 Instagram: @physicalperformanceshow

    Ep 379: Bone Stress Injuries: Risk Factors, Diagnosis & Prevention (Part 2)

  5. 25 giu

    Ep 378: Bone Stress Injuries: Causes, Symptoms & Early Warning Signs (Part 1)

    *]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" data-turn-id= "request-WEB:6a57fa5e-c460-45da-be9f-861e67a1cd4e-2" data-turn-id-container= "request-WEB:6a57fa5e-c460-45da-be9f-861e67a1cd4e-2" data-testid= "conversation-turn-4" data-turn="assistant"> In episode 378 of The Physical Performance Show, host Brad Beer is joined by Pogo physiotherapist Tim Studley for the first instalment of a three-part expert series exploring bone stress injuries. Drawing on decades of clinical experience and the latest research, Brad unpacks the mechanisms behind one of the most common and misunderstood injuries affecting endurance athletes. This episode explains how bone stress injuries develop, why they occur, and why they're often missed until they become more serious. Brad and Tim discuss the relationship between training load, bone physiology, symptom progression, and risk factors, while providing practical insights for athletes, coaches, and clinicians seeking to identify problems before they become stress fractures. Show Sponsor: PILLAR Performance is leading a new frontier in sports nutrition through micronutrition innovation. Their new Collagen Repair formula, developed in collaboration with Gelita Laboratories, is designed to support tendon and ligament health while promoting collagen synthesis to help athletes stay healthy and perform at their best. For 15% off your first order, visit pillarperformance.shop (or thefeed.com for North American listeners) and use the discount code PHYSICALPERFORMANCE (one word, capitals) at checkout. In this episode, you'll hear Why bone stress injuries exist on a continuum—from healthy bone through stress reactions to true stress fractures The biology of bone remodelling: osteoclasts, osteoblasts, microcracks, and why recovery is essential Why running intensity has a far greater impact on bone stress injury risk than training volume alone How a 10% increase in running pace can dramatically reduce the bone's fatigue threshold Why many athletes mistakenly blame the "last run" rather than the workload accumulated four weeks earlier The importance of deload weeks and allowing the skeleton time to repair accumulated microdamage Understanding the Fredericson grading system and what distinguishes stress reactions from stress fractures Why shin splints (medial tibial stress syndrome) are not the same as a bone stress injury How pain location and symptom behaviour provide more valuable diagnostic information than pain intensity Why serious bone stress injuries can sometimes hurt less than relatively minor periosteal injuries The progression of symptoms from post-run discomfort to persistent and night pain How clinicians assess training history, workload, Strava data, intensity distribution, terrain, and footwear The major biomechanical and biological risk factors that contribute to bone stress injuries Previous bone stress injuries as one of the strongest predictors of future injury The emerging discussion around performance footwear ("super shoes") and potential changes in bone loading Why muscle strength and tissue capacity remain important contributors to skeletal resilience Quotes / takeaways "A bone stress injury is simply stress of a bone." "It's not usually the kilometres that catch people out—it's the intensity." "Don't judge the severity of a bone injury by how painful it is." "Symptoms often appear around four weeks after the training error—not the day after." "If it's really obvious, it's probably important." Show Sponsor PILLAR Performance creates evidence-based sports micronutrition products designed to support recovery, sleep, health, and performance for athletes and active people. For all your PILLAR products visit https://PillarPerformance.shop, or for our North American listeners, head to https://TheFeed.com.  🔥 For 15% off your first purchase enter PHYSICALPERFORMANCE at the checkout. Timeline 00:00 – Introduction, sponsor and overview of the new three-part Bone Stress Injury series 02:27 – Brad introduces expert editions and welcomes Tim Studley 03:54 – What is a bone stress injury? 04:23 – Bone loading explained: intensity versus training volume 06:50 – Bone physiology: microcracks, osteoclasts and osteoblasts 08:44 – Why recovery weeks are critical for skeletal health 09:14 – Bone remodelling timelines and why symptoms are delayed 11:40 – Bone stress injuries versus stress fractures 13:05 – The Fredericson grading system explained 14:26 – Shin splints (MTSS) versus bone stress injuries 15:21 – Why pain severity doesn't reflect injury severity 17:42 – The importance of symptom behaviour over pain intensity 19:08 – The progression of bone stress injury symptoms 20:30 – Taking a running history: training load, Strava and identifying workload errors 22:22 – Why today's symptoms often reflect training from four weeks earlier 23:20 – Biomechanical versus biological risk factors 24:17 – Previous bone stress injuries as a major predictor of recurrence 24:47 – Performance footwear ("super shoes") and emerging research 26:03 – Terrain, footwear changes and other biomechanical considerations 26:57 – Muscle capacity, tissue resilience and assessing the athlete   THE TEAM: Join the The Physical Performance Show LEARNINGS membership through weekly podcasts  here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best.  Find out more about Telehealth Consultations and book online. Your Host:  🏃 Brad Beer - Instagram & X @Bradbeer and YouTube on @PogophysioAu   The Physical Performance Show can be found at:  Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1  Instagram: @physicalperforamceshow Please direct any questions, comments, and feedback to the above social media handles. *]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-(--sticky-padding-top)" dir="auto" data-turn-id="081498ac-bc39-4ab2-a81c-691cffa69424" data-turn-id-container="081498ac-bc39-4ab2-a81c-691cffa69424" data-testid="conversation-turn-5" data-turn="user">

    Ep 378: Bone Stress Injuries: Causes, Symptoms & Early Warning Signs (Part 1)

  6. 17 giu

    Ep 377: The Complete Guide to Hamstring Strain Rehabilitation with Nick Kane

    In episode 377 of The Physical Performance Show, Sports Physiotherapist Nick Kane joins host Brad Beer to unpack the rehabilitation of hamstring strain injuries. Nick is the founder and director of SportsMap, one of Australia's leading professional development platforms for sports medicine clinicians. Drawing on more than a decade working in elite sport, including ten years with the Essendon Football Club in the AFL and five years as lead physiotherapist, Nick shares practical, evidence-informed insights into managing one of sport's most common and frustrating injuries. This episode explores the common mistakes athletes and practitioners make during rehabilitation, the critical role of high-speed running exposure, how to assess injury severity, key risk factors for recurrence, and the practical steps required for a successful return to sport. Nick also discusses eccentric strength training, fascicle length, T-junction injuries, and the characteristics that separate great clinicians from average ones. Whether you're an athlete, coach, physiotherapist, or sports medicine practitioner, this episode delivers practical takeaways you can immediately apply.   Show Sponsor PILLAR Performance creates evidence-based sports micronutrition products designed to support recovery, sleep, health, and performance for athletes and active people. For all your PILLAR products visit https://PillarPerformance.shop, or for North American listeners, head to https://TheFeed.com.  For 15% off your first purchase enter PHYSICALPERFORMANCE at the checkout.    How To Check: LinkedIn - Nick Kane SportsMap – https://sportsmap.com.au Listen in as we delve into the following: • The three most common mistakes in hamstring rehabilitation • Why maximum speed exposure is essential for successful recovery • The dangers of over-prescribing and under-prescribing sprint work • Understanding hamstring injury pathology and injury mechanisms • Key clinical assessment findings for hamstring strain injuries • Risk factors including eccentric strength, fascicle length, and running mechanics • The "push and pull of strain" concept • Practical strength benchmarks for rehabilitation progressions • The role of Nordic hamstring exercises and eccentric loading • Monitoring recovery using objective clinical markers • Criteria-based return-to-play decision making • Preventing recurrence following return to sport • Why regular exposure to high-speed running matters • Understanding T-junction hamstring injuries • What differentiates great clinicians from average practitioners • The value of curiosity, continual learning, and athlete-centred communication Quotes "Preparing to sprint is preparing to play." — Nick Kane "The highest strain you can apply to the hamstring is sprinting." — Nick Kane "Consistency is key." — Nick Kane "If you stop training eccentrically for two weeks, those fascicles shorten." — Nick Kane "The person who stays curious and continues learning is the one who keeps improving." — Nick Kane Timeline 00:00 – Introduction and sponsor messages 01:20 – Introduction to Nick Kane and SportsMap 04:08 – The three biggest mistakes in hamstring rehabilitation 05:35 – Over-prescribing and under-prescribing high-speed running 09:16 – Why sprint exposure is critical for recovery 10:34 – Understanding hamstring injury pathology 13:54 – Key risk factors for hamstring strain injuries 16:12 – The push and pull of strain concept 18:29 – Eccentric strength and fascicle length 20:22 – Practical strength assessment benchmarks 23:13 – Essential clinical assessment tools 27:20 – Using objective markers to guide return-to-play timelines 29:21 – Sponsor messages 31:14 – Return-to-play criteria and rehabilitation progressions 34:41 – Preventing hamstring injury recurrence 37:29 – Understanding T-junction hamstring injuries 41:41 – What separates great clinicians from average clinicians 44:25 – Nick Kane's one piece of performance advice 45:53 – The weekly physical challenge: 10 minutes of stillness 46:51 – Where to find Nick Kane and SportsMap 48:27 – Episode wrap-up and upcoming shows Your Host Join the The Physical Performance Show LEARNINGS membership through weekly podcasts  here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best.  Find out more about Telehealth Consultations and book online. Your Host:  🏃 Brad Beer - Instagram & X @Bradbeer and YouTube on @PogophysioAu   The Physical Performance Show can be found at:  Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1  Instagram: @physicalperforamceshow Please direct any questions, comments, and feedback to the above social media handles.

    Ep 377: The Complete Guide to Hamstring Strain Rehabilitation with Nick Kane

  7. 10 giu ·  Contenuti extra

    The Physical Performance Show is back!

    Brad shares what's happened over the last two years, why there has been infrequency in episode production adn what teh plan is from ehre. Listen into this brief update as he explains what shape the podcast will take and what content you can expect.  We want to say a special thank you to you, our loyal listeners. Without youthere wouldn't be this podcast, we deeply apprecaite you.

    The Physical Performance Show is back!

  8. 19/12/2025

    Ep 376: Ellie Salthouse — Resilience, Racing Under Pressure & The T100 Comeback

    In episode 376 of The Physical Performance Show, professional triathlete Ellie Salthouse joins Hugh Darnell and Brad Beer for a deeply honest conversation about resilience, pressure, and longevity in elite endurance sport. Recorded following knee surgery and a strong return to racing, this episode unpacks what it truly takes to rebuild confidence, performance, and belief when the path back to the start line is anything but straightforward. Ellie reflects on her Wollongong T100 performance, the physical and mental demands of injury rehabilitation, and the systems that now support her consistency at the pointy end of the sport. From working with specialist coaches and reshaping her mental game, to mastering race-day execution, fueling, recovery, and decision-making under pressure, Ellie shares the frameworks that continue to sustain her elite career. Show Sponsor: The Rehab Mechanics offers Simple Tools and Real Results. Easy fixes for your feet with a massive impact. For 20% off all The Rehab Mechanics products. Go to www.therehabmechanics.com.au Enter discount code TPPS20 at checkout. In this episode, you'll hear Wollongong T100 debrief: executing the plan, racing at home, and handling the "always want the podium" competitor mindset Race-week routines: keeping things consistent, arriving a week early, and why Ellie doesn't taper heavily The injury story: severe knee pain pre-70.3 Worlds, major swelling post-race, scan results, and surgery timing (Feb) Rehab timeline & milestones: back on bike + pool at ~10 days, building trainer time, returning to road riding, quad activation challenges, strength work, and a ~6-month return to start line The mental toll of injury: identity, motivation, sponsor pressure vs internal pressure, and staying process-driven with "small controllables" Return-to-racing lessons: Vancouver as the first race back, managing expectations, and surprising run performance with minimal prep Mental performance breakthrough: building a "toolbox" with a sports psych, handling pressure, thoughts, and race-week spirals Tools that work: "a thought is just a thought," bus analogy, and the "monsters in the boat" approach to sitting with emotions Coaching structure shift: moving from one coach (8 years with Siri) to specialists (swim/cycle/run/strength) + managing training load Training with data: the steep learning curve of power/metrics and why it took ~12 months to truly click Partner + coach dynamic: boundaries between "boyfriend Zach" and "coach Zach," and why switching off matters Race-day execution: whiteboard cues, focusing on controllables, and adapting plans on the fly Fueling evolution: from "a few gels and Gatorade" to calculated carbs/sodium/fluid + planned recovery Recovery essentials: movement-based recovery, boots, protein targets, sauna/ice baths, sleep, magnesium, and tracking what actually works Filtering the '1%ers': ease of use, time cost, measurability, and avoiding noise What's next: 70.3 World Champs (Marbella) then camp in the Canary Islands and T100 World Champs (Qatar, Dec 13) Ellie's advice: stay disciplined, stay hungry, trust your instincts Listener challenge: 20 x 3 min tempo / 3 min endurance on the bike (yes… brutal) Quotes / takeaways "A feeling is just a feeling. A thought is just a thought." "If it's a chore or doesn't integrate into your life, it's probably not the right 1%er." "Who's willing to suffer the most — that's the name of the game." Partners / links mentioned Show sponsor: The Rehab Mechanics — 20% off with code TPPS20 at checkout (therehabmechanics.com.au) Follow Ellie: @elliesalthouse (Instagram) Timeline 00:00 – Introduction & sponsor: The Rehab Mechanics + TPPS20 discount 01:13 – Hugh introduces featured performer: Ellie "Salty" Salthouse + Wollongong T100 context 02:43 – Ellie joins: quick bio + why this conversation has been a long time coming 03:42 – Wollongong T100 debrief: home-race energy, execution, 4th place 05:04 – Race-week process: keeping routine consistent + days leading into race 06:21 – "Pressure in the athlete hotel": being around competitors all week 07:43 – Knee injury origin: severe pain pre-70.3 Worlds, race week adjustments 09:03 – Post-Worlds swelling + scan findings: missing cartilage + floating fragments 10:17 – Surgery timing (early Feb) + season disruption + finding positives 11:43 – "Blessing in disguise": freshness late season + only 5 races so far 12:37 – Rehab milestones: back on bike & in pool ~10 days post-op 13:59 – Quad shutdown challenge: stim/BFR + "it finally clicked" 14:28 – Return-to-racing timeline: ~6 months off the start line 14:57 – Mental toll of injury: motivation, identity, checklist of controllables 16:20 – Sponsor pressure vs internal pressure: clauses, but mostly self-driven 17:14 – First race back: Vancouver expectations + rebuilding run fitness 19:02 – Surprise outcome: 11th place + faster-than-expected run execution 19:31 – The "low expectations / low pressure" effect when returning 20:48 – Key win: testing the knee under race stress (sand, mounts/dismounts) 21:48 – Perspective from Jan Frodeno: same surgery took him a year 22:44 – Mental performance shift: why big races used to unravel 24:07 – Working with a sports psych: building a toolbox for pressure + thoughts 25:28 – Why mental coaching should be "the 4th discipline" 26:54 – Advice for athletes who didn't gel with a sports psych before 27:47 – Readiness + openness: why it clicked this time 29:54 – Practical tools: "thoughts on a bus" + "monsters in the boat" analogy 33:26 – Coaching evolution: leaving Siri after 8 years + hard "breakup" conversation 36:10 – Why specialists: swim/cycle/run/strength + being great at all three 39:42 – Adjustment year: results dipped before training began correlating again 40:08 – Learning to train with data: cadence/speed → full power metrics 42:32 – When it clicked: 12 months to understand, 18 months to see new numbers 43:30 – Negatives of multi-coach model: communication + squad consistency when travelling 44:47 – Partner + coach dynamic: boundaries, downtime, and early arguments 47:35 – Race-day execution: Zach's whiteboard cues, focus, and adapting plans 50:16 – Discipline vs instincts: sticking to plan without getting dragged into racing emotions 52:14 – The "ability to suffer": born with it + learned deeper over time 55:33 – Hard sessions nerves: nothing to lose vs race-day stakes 57:23 – Fueling shift: from "whatever felt right" to calculated carbs/sodium/fluid 59:47 – Recovery pillars: movement, boots, protein targets, sauna/ice baths 01:01:33 – Sleep & performance: 8+ hours, magnesium, investing in a great bed 01:03:21 – Filtering "1%ers": track it, keep it easy, avoid time-wasting noise 01:07:27 – What's next: 70.3 Worlds (Marbella) + Canary Islands camp + T100 Worlds (Qatar) 01:08:20 – Ellie's advice: stay disciplined, stay hungry, trust your instincts 01:08:49 – Listener challenge: 20 x 3 min tempo / 3 min endurance on the bike 01:10:14 – Episode close, credits, and sponsor reminder   THE TEAM: Join the The Physical Performance Show LEARNINGS membership through weekly podcasts  here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best.  Find out more about Telehealth Consultations and book online. Your Hosts:  🏃 Brad Beer - Instagram & X @Bradbeer and YouTube on @PogophysioAu   💪 Huw Darnell - Exercise Physiologist & Performance Coach : YouTube: ⁨@huwdarnell⁩ & Instagram @huwdarnell The Physical Performance Show can be found at:  Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1  Instagram: @physicalperforamceshow Please direct any questions, comments, and feedback to the above social media handles.

    Ep 376: Ellie Salthouse — Resilience, Racing Under Pressure & The T100 Comeback
Elenco completo (383)

Presentatori e ospiti

Descrizione

The Physical Performance Show exists to inspire people to achieve their physical best performance through candid interviews with the world's best and most inspiring physical performers. The show's host Physiotherapist, Best selling Author, and accomplished athlete Brad Beer delves into how top physical performers achieve success and the highs and lows of the journey in getting there.

Informazioni

  • Creatore
    Brad Beer (POGO Physio)
  • Anni di attività
    2016 - 2026
  • Puntate
    383
  • Classificazione
    Contenuti adatti a tutti
  • Copyright
    © Copyright POGO Physio Pty Ltd & Evolution Strength & Rehabilitation Pty Ltd
  • Sito web del podcast
    The Physical Performance Show

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