Monthly Archives: August 2016

Growing pains

  • The reported pain is very real
  • Pain at night and end of the day
  • 6-9 years old
  • Front of the shin, thigh, back knee, calf, bilateral
  • Not inflammatory
  • Increased sensitivity, reduced bone strength, bone fatigue, overuse
  • Not during rapid growth periods (9-12 years)
  • Biomechanical-flat feet and use of orthotics
  • Best managed with heat, massage, light stretching, compression, analgesia, activity modification, diet
  • boys playing soccer

Youth injuries in soccer players

  • In youth academies, peak injury rates occur pre-season and after mid season break
  • Half injuries occur at training
  • 90% are injuries to lower limb
  • Most were injuries to front and back of thigh
  • Kicking strength in dominant leg
  • Poor balance 
  • Ankle control and injury

Anatomy of child's bone

 anatomy of child's bone

Severs Heel Pain

severs heel anatomy

For heel pain:

  • Modify running so less heel contact
  • Ice immediately after training
  • Ensure the modifiable factors are addressed for example Asics versus Nike
  • Reduce running volume through the week
  • Insert heel cup, orthotics, review boots, joggers
  • How sore during and afterwards?
  • Medication?
  • Planning the return to play
  • Periodisation altering the type, volume, intensity to reduce overuse injuries
  • Start of season going from thongs to boots
  • Whole leg and core need conditioning

Things that can help:

asics shoe for heel pain

asics shoe for heel painHaving a shoe with a higher heel


ice the heel 

ice the heelIce the heel regularly


 taping for severs

Use specific taping to support the heel


heel cups

Heel rubber cushions called Heel Cups


 stretch for heel pain

Dynamic warm ups


heel raises for heel pain
Strengthen your calfs


When can the player return to running and sport?

  • When there is no more swelling, resting pain
  • They can load the area without pain, rock back on heels, hop, squat
  • There is no limping

Carbo gel shots give you the edge

Carbohydrate gels improve soccer skills during extra-time

Ronaldo sitting on ground 

A recent study (Harper et al, 2016) reported that the ingestion of carbohydrate-electrolyte gels at the start of the extra-time period in match-play soccer games, improved dribbling skill but not physical performance such as distance covered and running speed.

Gel ingestion is associated with enhanced brain glucose supply and reduced central fatigue, leading to preservation and enhancement of skills such as dribbling precision that can influence the outcome of a game. Consequently, the use of carbohydrate gels towards the end of a physical game or into extra-time can greatly reduce the deterioration of skill and fatigue.

As physical capacity is progressively weakened towards the end of a game, the use of electrolyte fluids at half time may be a way of ameliorating this. Further, findings from this study also found that passive half time resting resulted in significant deleterious effects on physical performance immediately after the half-time break, suggesting that a more active recovery involving movement, massage, stretching and electrolyte ingestion may allow better physical responses immediately after half time.

Suggestions based on these findings:

  1. Athletes should consider using carbohydrate gels towards the end of a sporting game, especially into any extra-time period.
  2. Half time recovery intervention should involve active modalities such as movement, massage, stretching, fluid and food supplements.
  3. Consideration as to the ingestion of electrolyte drinks during the half time break may slow the deterioration in physical ability as the game progresses.

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