Murray’s attack of the cramps

Most active people have suffered the agony of cramping. The uncontrollable vice-like spasm squeezes the blood out of the muscle, the acids build and the oxygen level drops. End result: writhing or hopping around until the tightness eases and pain gradually subsides. It is not uncommon for the effects to be felt for a day […]

Greatness, smoothness & injury

In response to @simonrbriggs excellent article in the Telegraph (see here) contrasting Federer and Nadal in respect of their physical longevity on the court, I wanted to agree with Simon’s subsequent tweet about the many factors involved with an injury — the line I frequently quote being: ‘no injury happens in isolation’. Whilst I am […]

It’s time to bring what we know about chronic pain into sport

I recall a time when a consultant told me that chronic pain does not exist in private medicine. I was somewhat dumbfounded that an intelligent person could have such a thought. As a far as I was (and am) concerned, pain is classless. This was some years ago, however I am reminded of this when […]

A quick note on… skiing — pain and injury

Skiing - aches and pains

It is that time of year when many set off for the slopes for the joy of being on a mountain, the freedom of sliding, or bumping, down the piste and finishing the day with a favoured tipple, preferably in the sun. Sadly this is not always the case as there will be aches and […]

A few thoughts on Andy Murray and his ‘minor back surgery’.

Murray to have back surgery

The news that Andy Murray is to have a minor back operation hit the back pages last week. It is understood that he will undergo a microdiscectomy, a technique that minimises the tissue trauma in order to access the injured disc and the nerve that is being impacted upon by this structure. Microdiscectomy - what is […]

Suffering surfer

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Spending time in the West Country you cannot help but be drawn into the culture of surfing. Whether it be watching the action from the beach, taking a lesson, going shopping in one of the vast array of surf outlets or sitting in a cafe watching footage of surf champs (the most intriguing are those […]

Two excellent talks for athletes

Both talks are inspiring and demonstrate courage, perseverance and motivation in the face of the enormous challenges that were presented. In performance and rehabilitation, mindset is a key determinant and in many cases several skills must be developed, including resilience and coping strategies. In the first video, Janine Shepherd talks about her experience of recovery […]

London Marathon 2013 | Dealing with the aches and pains

London Marathon 2013

Most runners will have put in the hard yards by now and are set to go. Undoubtedly there have been quite a few aches and pains along the road so far. Sadly this will prevent some people from participating, say in the case of a stress fracture – click here. It is entirely normal to […]

‘Get betterers’ and ‘persisters’

Back pain clinics, London

Why is it that some people recover from an injury and others take longer than expected or continue to have problems beyond a normal healing time? It’s the latter group that I spend a great deal of time with, helping them to develop understanding of their pain and devising a plan of what they must […]

Tendinopathy & Tendon Pain | Guest Blog by Dr Peter Malliaras

Tendon pain and injury

Thanks to my friend and colleague Dr Peter Malliaras for this blog on tendinopathy – here is his bio Painful tendon injury or tendinopathy is common and often difficult to manage. Previously this type of injury was known as tendinits, and the suffix ‘it is’ suggesting an inflammatory pathology. For over three decades now researchers […]