Middleton Physio

26/05/2026

Heel raises alone do not reflect the true demands of running or sport

Using them for clearance, even when weighted, can lead to premature return and setbacks

Testing should meet and exceed the loads you’re returning to. This often involves a combination of plyometric, load tolerance and strength capacity

20/05/2026

07/05/2026

Crazy busy 6 months. Wouldn’t have it any other way.

Grateful for what I do and the people I get to work with.

28/04/2026

A meniscus tear is not just a meniscus tear

🔎 Some are irrelevant. Some are silent. Some change everything

There are many different types and that distinction matters

Surgery has a role and is the absolute right option for some but many do very well without

With so many different variables it’s impossible to cover everything in one post but here’s a few key takeaways

✔️ Clinical decisions should be individualised
✔️ Type + location > ‘just a tear’
✔️ Rehab should be first-line in most cases
✔️ Don’t miss complete radial or root tears
✔️ True locking matters (think displaced/bucket-handle)
✔️ More tears should be repaired not removed
✔️ A ‘quick clean up’ is likely not the answer
✔️ We may never know all the answers

Sources
📘 Chahla et al. (2022) Elsevier pp 157-175
📘 Graden et al. (2022) Elsevier pp 185-196
📘 Kise et al. (2016) BMJ
📘 Sihvonen et al. (2020) Br J Sports Med
📘 Skou et al. (2022) NEJM
📘 Van der Graaff (2022) Br J Sports Med

14/04/2026

If any of these sound familiar
Yes we’re right for you
🫡

08/04/2026

NEW physio alert at Middleton Physio

I’m beyond excited to welcome Adam to the Middleton Physio team!

Adam brings 5 years of experience and a strong background in:
✔️ Elite sport at Loughborough University
✔️ NHS including team lead role
✔️ Private practice

His phenomenal standards and professionalism align with our mission to deliver top-level accessible care.

Whether you’re struggling with everyday pain, work, or pushing for a return to sport, is your man 🫵

🗓️ Available Thursdays from 1:30pm

📣 HUGE April offer: 25% off your initial consultation with Adam this month only. An unreal deal and the most affordable option in Leicestershire!

🎟️ To claim your discount simply book your appointment and mention ‘APRIL25’ in your email confirmation pack.

🔗 His diary’s now open so if you’re ready to go from pain to your best self secure your spot via the link in bio.

31/03/2026

Relative energy deficiency in sport …

REDs is a multi system condition that can show up in many ways in active people

Low energy availability (LEA) is at the centre but factors such as physical and mental stress can play a role

A common myth is it only affects female athletes but it can affect anyone including males

Remember just because someone looks ‘healthy’ or performs well it doesn’t mean they aren’t in low LEA

Bone stress should always raise suspicion. Trabecular bone is more metabolic so low energy impairs bone formation and raises injury risk

🫡 REDs awareness matters. We’d love to hear your thoughts in the comments

Sources
📘 Cabre et al (2022) Dtsch Z Sports Med
📘 Dauvergne et al. (2025) Br J Sports Med
📘 McGregor R (2025) Fuel For Thought
📘 Mountjoy et al. (2023) Br J Sports Med
📘 Tenforde et al. (2022) Orth J Sports Med

21/03/2026

Proceeds to run it anyway 😂

07/01/2026

Are you sure you need a scan?

🩻 Scans (x-ray, MRI etc) are often seen as the ‘answer’ to pain but the truth is they usually aren’t

A scan shows structure, not pain. These changes on scans don’t always match how you feel

This isn’t an anti-scan post as they can be very helpful when used for the right reasons and explained properly

Problems arise when results are given without context - when you’re shown results in black and white, or worse, left to figure them out on your own

🫡 When good physios say no to a scan, they’re not blocking you, being stubborn or cutting costs, they’re focusing on what really matters: your recovery

Other sources
📘 Cholewicki et al. (2019) J Orthop
📘 Kim et al. (2015) BMJ
📘 Lemmers et al. (2019) Eur Spine
📘 Shraim et al. (2021) MSK Disord