Impact Physiotherapy

02/09/2026

TIBIAL BONE STRESS INJURY 🏃‍♀️ 🦴

When it comes to bone stress injuries...tibial bone stress injuries are the most common, they account for 50% of BSI in males and 20% in females.

Why do they occur?
It is due to a mismatch between work load and loading capacity of the bone. Bone breakdown exceeds bone repair. This leads to microfractures within the trabecular bone.

The pain initially presents after a run, but then as the injury progresses, the pain is felt during the run and then progresses to occurring overnight, when at it's most severe.

How do we test for it?
✅️ Pain with single leg hopping is 100% sensitive for BSI.
✅️ Less than 10cm of palpable pain along the bone (except in the case of anterior shin pain, expect a stress reaction even with more than 10cm pain as there is a high risk of non union).
✅️ MRI to confirm diagnosis but to also exclude red flags.

Treatment
✅️ Full rest from running or lower limb loading activities (this isn't required for MTSS).
✅️ The use of a boot or crutches for protected weight bearing and mobilisation.
✅️ Non weight bearing training like swimming and cycling
✅️ Surgical fixation of anterior cortex stress fractures

Prognosis
✅️ 6-8 weeks for posteriomedial stress fractures
✅️ 4-6 months for anterior cortex stress fractures

If you have been suffering from shin pain that is impacting your running, call us on 9446 3833.

25/08/2026

BEYOND LATERAL SPRAINS...HOW TO MINIMISE THE RISK OF CHRONIC ANKLE INSTABILITY

Lateral ankle sprains are one of the most common musculoskeletal injuries incurred by active individuals involved in sports.

Unfortunately, 40% of people will have a reoccurance and 4/10 will develop chronic ankle instability (CAI).

We can aim to minimise these figures by ensuring our patients receive a thorough assessment. This will identify impairememts that are associated with CAI.

BARE MINIMUM ASSESSMENT SHOULD INCLUDE -

✅️ Pain

✅️ Swelling

✅️ Mobility

✅️ Strength

✅️ Balance

✅️ Gait

✅️ Level of physical activity

✅️ Patient specific questionnaires

This ensures that rehabilitation is guided and specific to the client and their impairments.

We also need to ensure that rehabilitation doesn't stop when the client can run!

Rehabilitation needs to be integrated into daily habits and training/game days.

The Physical Performance show outlines how best to approach assessment and management of lateral ankle sprains. The Ankle rehabilitation ROAST process clearly outlines a step by step approach.

Suffering from your first or third ankle sprain and keen to avoid ongoing issues? Book into see us to ensure we can help keep you active and pain free.

15/08/2026

10/08/2026

PHYSIOTHERAPY AND COMMUNICATION 👄 👂 😊

We have all experienced positive interactions with allied health professionals, doctors, surgeons, specialists etc. This involves feeling like our questions and concerned are listened to and answered/reassured, that we are given explanations for our injury/condition that make sense, that we are being included in decision making and asked our opinion on the treatment/rehabilitation options.

In contrast, we have had opposite experiences, where the specialist barely looks us in the eye, rushes us through a 5 minute appointment and waves away any concerns we have as silly or insignificant.

Effective communication is so important in Physiotherapy ans can bring so much value to our client's experience.

Please swipe across to see the Journal Of Physiotherapy breakdown of the most important components of communication.

At Impact we aim to give you adequate time to listen to your concerns and assess your injury. We provide you with an explanation that isn't confusing/complicated or too technician and make you feel like your treatment has you at the centre.

Call us on 9446 3833 to make an appointment.


📚 https://www.sciencedirect.com/science/article/pii/S183695532600055X?fr=RR-2&ref=pdf_download&rr=a27d9f6468ef709e