Sports injuries and muscular problems

Our Sports Clinician is a Nike Performance Specialist and works as a consultant at Pure Sports Medicine.

'Even though my elite running days are over, I am still a passionate runner. Unfortunately, I do still suffer injuries from time to time, and when I do, I always trust Pure Sports Medicine to take care of me.'
Lord Sebastian Coe, Double Olympic Gold Medalist   

This includes:  Acute injuries,  Recurring injuries, Optimal sports performance and Complex biomechanical problems.


A lot of clinicians treat acute injuries well, the key is to not only fully rehabilitate but to strengthen the area to stop it becoming a recurring injury or ‘weak’ area in the future.   We go one step further and look at the influence this injury is having on your overall biomechanics to prevent it causing overstrain elsewhere and causing problems elsewhere in your body in the future.  It is common for even mild back pain to alter your movements and contribute to future shoulder problems, or an old ankle injury 20 years ago that left you with a recurring strain through your knee and back now to be causing early onset Osteo-Arthritis or disc problems.  All these things are preventable.

If you are getting aches and pains when you run or on specific sporting activity it is important to find out why.  It is possible that some muscles are not firing or are weak or fatiguing early but this is only the first step.  Many clinicians stop here and just give relaxation or strengthening problems.  This is especially done for problems such as patelo-femeral pain or Illiotibial band problems.  These problems are very commonly treated badly with lots of clinicians just giving ‘strengthening’ exercises without finding the cause of the weakness.

In the specialist Sports Clinic we spend a lot of time looking at ‘chain reaction biomechanics’.  In any activity the body works three dimensionally in space. And even on simple activity knowing what each bit of the body is meant to do 3 dimensionally compared to each other is essential. 

To put it simply we watch you doing whatever activity it is that is contributing to your pain and alter your biomechanics so it doesn’t. This involves us doing functional or sports specific movements. We will commonly watch patients run or walk if it is a running problem.  Or perform a tennis serve if this is when the problem is occurring.

Occasionally if the problem only occurs at point of fatigue it is important to take the patient to the point of fatigue before you can see where the problem is.  Although slightly more time consuming in evaluation it means treatment is target specialized and very successful.

In this way sometimes using video analysis when appropriate we can clearly see what is going wrong and the effects it is having on the rest of the body.  It is easy to see how poorly articulating mid tarsal (foot) bones are causing hip pain in running or how a previous poorly rehabilitated knee problem is causing shoulder problems in tennis.  Without this holistic global approach we would just be giving temporary relief by relaxing or strengthening areas in the hip or shoulder and leaving this open to becoming a recurring problem. 

When working with top athletes these chain reactions need to be correct, not only to prevent injury but also to optimize performance, when working at this level we often find we are working closely with sports doctor, sports psychologists, personal trainers and nutritionists to optimize performance. Regularly working and discussing patients with the England RFU sports doctor and international level psychologists and nutritionists.

Paul Casey, of Nike pro has undergone our functional approach

Charl Schwartzel, of Nike pro has undergone our functional approach


Richard & Gemma both have a background in treating Sports Injuries both in & out of the clinic room