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 What Physios Should Know About Strength & Conditioning? and what should they about this?

As a strength and conditioning coach, I have experience working in a variety of settings, from working with the general population engaged in personal training to the long-term development of strength athletes. and fitness in high school athletes.

In all of these environments, one thing is true – almost all athletes will experience an injury at some point. What was a huge learning curve for me was seeing the strength and conditioning knowledge gap that most physical therapists have (and rehab strength and conditioning coaches too!). Quite often I see physical therapists thinking about diagnosis and the acute phase of an injury, but when we are looking for an athlete to return to training and full performance, the water gets muddy quickly. I think physical therapists are better suited to work with athletes and active people if they have a basic understanding of periodization, the rehabilitation process, and return to play and exercise progression.

I hope I can give you some knowledge in these areas in this article!But I can only dive into one blog first. If you want to learn more about designing optimal rehabilitation programs for your active patients/athletes, be sure to check out Sam Blanchard's excellent Masterclass - Physiotherapist in Delhi

There are 3 Methods to Manage Plantar Fasciitis

Plantar Fasciitis (commonly referred to as plantar heel pain or plantar fasciopathy) is the most common overuse issue affecting the foot. It presents as pain on the heel and throughout the sole of the foot. It is typically more painful with initial steps in the morning and weight bearing after a period of rest. It is more common in sedentary individuals but can account for 8% of all running-related injuries (1).
A variety of interventions are used in the management of Plantar Fasciitis (PF). Everything from foam rolling plantar fascia, to buying orthotics, to losing weight, is all advertised as a solution to the problem. A recent systematic review has caused some controversy on social media because progressive stabilization is not recommended as part of the basic management of PF due to the lack of high-quality studies (2).
Instead, stretching, foot tapping, and educational interventions are recommended as the primary approach, as are weight management, footwear, and addressing associated conditions such as BMI.

1 Strength training

Strength training makes you stronger and better This advantage is obvious, but it should not be forgotten. "Muscle strength is important to make it easier to do the things you have to do every day," says Pire—especially as we age and naturally begin to lose muscle.
Strength Training Helps Your Body Burn Calories EfficientlyAll exercise helps increase your metabolism (the rate at which your resting body burns calories throughout the day). With aerobic activity and strength training, your body continues to burn calories after strength training as it returns to a more restful state (in terms of energy expenditure). This is a process called "excess oxygen consumption after exercise," according to the American Council on Exercise. right up arrow But when you train for strength, weight, or resistance, your body needs more energy based on how much energy you expend (meaning the harder you work, the more energy it requires). So you can maximize this effect depending on the amount of energy you put into the exercise. This means that more calories are burned during exercise, and more calories are burned after exercise as your body recovers at rest. No.

2. Stretching

Stretching may not be the most exciting part of the exercise, but flexibility work is incredibly important to an all-around fitness routine. Incorporating some stretching exercises into your training plan will help you improve flexibility, reduce stiffness, and ultimately make your workouts - whether we're talking about strength or cardio routines - more efficient and safer. "Tight muscles can put undue pressure on adjacent joints during normal daily activities, or even injure themselves," Sasha Cyrelson, DPT, clinical director of Professional Physical Therapy in Sicklerville, New Jersey, tells SELF.

 As we age, our muscles shorten and become less elastic, he adds. "We need to be actively involved in maintaining and improving the length of our muscles so that we can continue to enjoy our abilities without pain." Granted, stretching isn't exactly glamorous and probably won't give you the rush that a running or HIIT class might. "It's inconvenient and it takes time, so people don't want to do it," Cyrelson said. "However, you can't do strength training and cardio without putting yourself at risk of injury and pain." By doing a ton of work that contracts the muscles (which shortens them) and never stretches them (lifts them), your muscles become unbalanced. Imbalances in the body can increase your risk of injury because they can cause some muscles and joints to overcompensate for others that are too tight to function properly. This leads to tension and discomfort. This is where stretching comes in, whether we're talking about back, upper body, or leg stretches.

3 Orthotics/insoles

Orthotics/insoles Foot orthoses in the management of PF generate much debate. A pediatrician might tell you it's important, while a physical therapist might not even think about it. In the study discussed by Ian Griffiths in this research review, the authors conducted a double-blind RCT comparing custom-made foot orthoses with usual care led by a GP in 185 patients. The participants were divided into 3 groups. Group 1 was referred to a podiatrist for custom orthotics, group 2 was referred to a podiatrist for mock orthotics, and group 3 was GP-led usual care (including CSI). All 3 groups received information about PF along with stretching and strengthening exercises.

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