Medial Tibial Stress Syndrome (Shin Splints)

Medial tibial stress syndrome (MTSS) is a common overuse injury of the shin provoked following weight bearing activities including exercise [1-3]. MTSS is characterised by pain along the bottom two thirds of the inside of the shin bone [1, 3-5]. This condition is a common cause of pain and dysfunction amongst athletic populations, particularly those involving repetitive dynamic or impact based loads such as running, dancing or jumping [1, 3, 6, 7] and is something that we regularly treat at Avenues Physio-Fitness. This debilitating condition is very painful and distressing for many young athletes. Pain and dysfunction often limits training participation and impairs competition performance. Recovery can take several weeks or even months, with the potential to impact on an athletes entire season [6]. It is essential that an athlete is treated by a team of therapists with extensive knowledge in lower limb biomechanics, training factors and the pressures on the body with dynamic sport.

MTSS is one of the most common causes of leg pain following exercise [3]. It accounts for 10-20% of running injuries, and up to 60% of overuse injuries of the leg [7].  So what causes shin splints? Overall, the evidence is varied and the causes appear to be multi factorial. There are three main factors that our physiotherapists will explore with you to diagnose and help treat your shin pain. These factors simply are muscle imbalances or lower limb biomechanics, training errors/ equipment errors or body mass [4].Read More

Injury Prevention & Load Management

Early in every sporting season, we notice a specific trend in relation to youth injuries that present to Avenues Physio-Fitness. As training and competition start to get into full swing, or as training loads peak, many young athletes become overloaded and niggles begin. At this point, all athletes are at their highest risk of suffering serious and often, season-ending injuries. Additionally, many dynamic sports, with explosive movements, repeated landings and sudden changes of direction significantly increase the risk of serious injuries. The team at Avenues Physio-Fitness have some timely tips and tricks to keep our athletes in top shape and injury free.Read More

School Holiday Special

Don’t let school holidays stop your fitness routine- bring the kids along to join into class. Bookings essential, limited to two children for free, aged 8-18 only. See our extensive timetable to find your perfect holiday Classes. http://avenuesphysiofitness.co.nz/classes/timetables/

Optimal Sporting Recovery

We are regularly asked about optimal recovery methods following sport, especially in team tournament situations where players are expected to perform, day-after-day. Contact and dynamic sports combine high-intensity exercise with repeated, forceful movements causing soft tissue trauma, reduced muscle function and increased muscle soreness [1, 2]. Furthermore, impairments in athletic performance and increased injury rates reported following repeated competition [1, 3]. Effective recovery positively influences physiological and psychological mechanisms, enhancing preparedness for subsequent training and competition [1, 2]. This is partly due to accelerated rate and quality of muscle repair, counteracting the detrimental symptoms of soft tissue trauma [2].Read More

Chronic Pain

Pain is a specifically designed system designed to protect us from actual or perceived danger or body damage. Without it, we would not remove our hand from a hot plate, or recognise quickly that our leg is not supposed to stretch that far. However, what happens when pain becomes a continuous message that appears to no longer be related to actual tissue damage or threat? If all imaging and healing indicate that physically, everything appears all ok?

Chronic pain is described as “pain persisting for more than 3 months or beyond the expected time of tissue healing” [6]. All pain caused by muscle damage and inflammation can progress to chronic pain if not timely managed [7]. Chronic pain appears to cause mixed messages between movement and sensory feedback. Musculoskeletal deconditioning, fear of movement, general life stressors and impaired movements are likely to cause this mismatch and normal sensation will be interpreted as ‘warning signals’ or pain [7]. As pain continues for longer periods, a greater degree of sensory changes and abnormalities occur within the pain system, both in the brain and in the tissues [8]. However, none of these changes can be currently seen by any imaging. Chronic pain can lead to hyper-sensitivity or central sensitisation of the pain interpretation system [7] and these changes are proposed to occur as a consequence of associated learning memory from regular pain signals [9].Read More