City2Surf time is always a busy time for physiotherapists. The walking, hobbling, limping wounded “runners” start dribbling into the clinic quite a few weeks before race day. Probably a week or two after the marketing levels increase.  We see all sorts of lower limb injuries with many different diagnoses, but the underlying cause is almost always the same.  One or a combination of : TOO MUCH, TOO SOON, TOO FAST, TOO LONG on someone who is TOO WEAK, TOO STIFF, TOO MALALIGNED with shoes that are TOO WRONG or TOO OLD and a running technique that is TOO IMPACTING.

So, the diagnosis and treatment of the injury is relatively straightforward for a trained and experienced physiotherapist; the establishment of the cause is  much more complicated but with insight and questioning, should be achievable. The management would be made easier if the ‘athlete’ was agreeable to stop all training but that is not often the case. Physiotherapists are lucky in that most of us enjoy our jobs and part of this is helping our patients succeed in their goals such as running City2Surf, EVEN WITH A LEVEL OF DISCOMFORT.

We have a rule with our patients, if they are going to do damage, or if the potential damage outweighs the potential benefit of completing the goal then we stress the need to sit out the event, recover and return.  If the discomfort is tolerable and not damaging and not going to be permanent then we will try and help them through the event.  I suspect that almost every athlete lining up the weekend will have some ache or pain, before, during and certainly after the event.

It’s called ‘City2Surf’ not ‘City to Beach’! If you are running the City2Surf this weekend I encourage you to consider NOT STOPPING AT THE FINISH LINE! Keep going and stand in the water (between the flags) for 5-15  minutes. (The SMH advises that the water temp will be great).  The cooling effect of the water will help reduce any inflammatory processes that arise from the race. (Hopefully there is no sea-lice!)

Your physiotherapist will hopefully prefer that you DO NOT need to come in for treatment. I know we do!

Good luck this weekend if you are running!

Larry is a highly skilled physiotherapist who specialises in treating back and neck pain, postural issues and scoliosis. He is certified in Schroth and SEAS methods and through the Egoscue University. Larry has a background in elite gymnastics and springboard diving and also has many years experience in endurance running and triathlons. His specialist knowledge and techniques have seen him appointed as a gymnastics coach and physiotherapist at both the Olympics Games and Special Olympics.

His passion and driving philosophy is about achieving the best outcomes for his patients utilising an amalgam of the latest techniques and theories while recognising there may sometimes be a need for invasive procedures. Where deemed appropriate Larry will then refer to a specialist. To further his holistic understanding and approach, Larry is currently undertaking a Ph.D. in Spinal Deformity and regularly attends and speaks at international conferences and courses and clinics.

Fun fact: Larry is learning how to surf - so be careful next time you go to the beach! Qualifications: B.Sc (Physiotherapy); M.Sc. (Exercise Physiology); Advanced Certificates in Schroth (BSPTS) and Egoscue (PAS) and SEAS Larry is Level II certified (advanced) in the conservative treatment of Scoliosis based on the Schroth method. The training was conducted by Dr Manuel Rigo of the Barcelona School at Scoliosis Rehab Inc in Wisconsin. He has completed his SEAS scoliosis treatment training at ISICO in Milan. Larry has also spent time working with Dr Rigo in the Barcelona clinic. Larry also has advanced certificates in shoulder treatment, posture alignment therapy and acupuncture.