When we injure a tendon, ligament, muscle, or joint, the body doesn’t simply “switch off” pain and then switch it back on when we are healed. Instead, healing happens through a series of biological stages, and understanding these stages can help explain why doing too much too soon can delay recovery. Stage 1: Inflammation (0–5 days) This phase often gets a bad reputation, but inflammation is actually the body’s repair signal. After an injury, the body increases blood flow to the area and...

I’ve noticed something happening in clinic… Weight-loss injections such as Mounjaro and Ozempic are becoming increasingly common, and many people are achieving impressive weight-loss results. From a health perspective, this can be hugely positive. Less body weight can reduce strain on joints, improve metabolic health and help people feel more confident about becoming active again. But recently I’ve started noticing a pattern emerging in clinic. People are losing weight quickly — and then...

Every year as marathon season approaches, we start to see the same pattern in clinic. Runners who are enthusiastic, motivated and committed to their training plan… but their body hasn’t quite had time to catch up with their ambition. Many marathon plans start at around 16 weeks, and runners understandably follow them closely. The challenge is that the plan often assumes you already have a solid running base underneath you. When that base isn’t there, the sudden jump in mileage and training...