We’re excited to now stock Tiny Treads at GV Sportscare! Barefoot toddler shoes!




By Ryan Davey, Podiatrist, Shepparton
Running is one of the most accessible forms of exercise. But behind every stride lies a complex interaction of movement, muscle control, and force absorption that, if not optimised, can lead to performance plateaus or injury.
Whether you’re a weekend jogger, competitive athlete, or someone looking to return from injury, a Running Assessment offers powerful insights to keep you running stronger, safer, and smarter.
At GV Sportscare Shepparton, we’re proud to offer comprehensive running assessments that go beyond just watching you run. Here’s what it’s all about and why it’s worth considering, no matter where you are in your running journey.

Running is incredibly healthy, but it’s also a common source of musculoskeletal injuries. In fact, injury prevalence in runners ranges from 18–92% depending on the population and context. Most injuries stem not from the act of running itself, but from how your body handles the repetitive loads placed on joints, tendons, and muscles (Barton et al., 2016).
Research led by Prof. Christian Barton At Latrobe University suggests that injury is rarely the result of one factor. Rather, it’s the outcome of a mix of load-related, biomechanical, and sometimes psychological contributors (Barton, 2017).
“Running gait” refers to the sequence of movements your body makes when you run, specifically the cycle of your legs during each stride you take while you run.
We don’t assess your running just for the sake of it – we assess to better target our interventions so that we can be confident that they add real value to your training or rehab.

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Depending on the runner and their goals, we may assess:
This means some runners may be assessed at a comfortable jog, while others may run at race pace, uphill, or with a particular shoe or orthotic – whatever best recreates your natural movement and symptoms.

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A subtle change in technique can have a big impact. Research suggests gait retraining should follow motor learning principles, including faded verbal feedback, mirrors or video, and continued progression in practice.
If biomechanical faults are identified, we often prescribe targeted strength and conditioning. These are not generic gym routines – they’re tailored to your specific needs, and might include:
Strength training alone has been shown to improve:
We follow a process supported by strong evidence and led by expert clinical reasoning.

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Running technique is important, but understanding your current training load and how it interacts with your body’s capacity is the cornerstone of injury prevention and rehab.
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Shoe choice can influence mechanics, but it’s rarely the sole factor (pun intended!).
We consider:
Sometimes changing shoes can offload sensitive tissues, but more often, footwear is one piece of a broader plan. Orthotic therapy may be used in cases where there are chronic injuries or other complex issues.

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Everyone.
That’s not a cliché – it’s supported by the literature:
Many runners think gait analysis is only for when you’re injured. That’s simply not true. In fact, many performance gains come from improving neuromuscular control, movement economy, and mechanical efficiency – all of which can be assessed and addressed in a gait assessment session.
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A gait assessment is not about fixing every flaw. It’s about finding meaningful, individualised ways to help you run more efficiently, stay injury-free, or finally break through a plateau.
At GV Sportscare Shepparton, we take a personalised, evidence-informed approach—bridging biomechanics, clinical reasoning, and practical strategies to support every runner’s journey.
📞 Book your assessment today and take the next step in your running performance. Book online or call 03 58977044 to book a Running Analysis.
– Ryan Davey, Podiatrist, Shepparton
BIBLIOGRAPHY
Beattie, K., Kenny, I. C., Lyons, M., & Carson, B. P. (2014). The effect of strength training on performance in endurance athletes. Sports Medicine, 44(6), 845–865.
Nunes, G. S., Barton, C. J., & Serrão, F. V. (2018). Hip rate of force development and strength are impaired in females with patellofemoral pain without signs of altered gluteus medius and maximus morphology. Journal of Science and Medicine in Sport, 21(2), 123–128.
Barton, C. J., Bonanno, D. R., Carr, J., Neal, B. S., Malliaras, P., Franklyn-Miller, A., & Menz, H. B. (2016). Running retraining to treat lower limb injuries: A mixed-methods study of current evidence synthesised with expert opinion. British Journal of Sports Medicine, 50(9), 513–524.
Seitz, L. B., Reyes, A., Tran, T. T., Saez de Villarreal, E., & Haff, G. G. (2014). Increases in lower-body strength transfer positively to sprint performance: A systematic review with meta-analysis. Sports Medicine, 44(12), 1693–1702.
Barton, C. J. (2017). Managing RISK when treating the injured runner with running retraining, load management and exercise therapy. Physical Therapy in Sport, 24, 1–5.
Rendos, N. K., Harrison, B. C., Dicharry, J. M., Sauer, L. D., & Hart, J. M. (2013). Sagittal plane kinematics during the transition run in triathletes. Journal of Science and Medicine in Sport, 16(3), 259–265.
We have seen an increase in running injuries over the past few months in both experienced runners and those new to running.
Shepparton Podiatrist Tom explains in this video how to map out your runs and think carefully about the amount of rest in between each run. He also explains why rest days, strength and conditioning and cross training are all great ideas.
When it comes to running injuries, Tom will often help his clients to write out their weekly routine and look at what can be added or adjusted to allow the individual to continue to run while rehabbing an injury.
Tom Davey
Podiatrist Shepparton, GV Sportscare

Tom Davey
Podiatrist Shepparton, GV Sportscare

Tom achieves this via foot/leg strength, movement/mobility and footwear selection.
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Everyone needs natural foot shape and function to move pain free. Certain features in most modern shoes prevent the foot from functioning as it should.
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Building foot and leg strength, increasing mobility within the foot and avoiding particular shoe features can see a bunion return to normal over time.
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Surgery for bunions is necessary in some cases. However, it is important to know that there are treatments and changes that can be utilised to fix or manage the bunion conservatively.
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Tom Davey
Podiatrist Shepparton, GV Sportscare
Ankle sprains are one of the most common injuries to occur. Women are at greater risk, as are children and adolescents and those that play indoor or court sports such as basketball or netball. This probably comes as no surprise, what may surprise you is how the management of these injuries has progressed away from the old ‘ice and rest’. At GV Sportscare our Shepparton Podiatrist and Physiotherapists are experts in ankle sprains, having worked on football teams, netball teams and closely with foot and ankle surgeons. Read on to learn about some of the myths behind ankle sprains!
Most people are surprised to find that their physio or podiatrist is very keen to get them off crutches ASAP. In severe ankle sprains or suspected fractures, crutches are required, however in the mild to moderate ankle sprain crutches will actually slow down your recovery. Crutches reduce the weightbearing through the joint (which is a good thing if there is too much pain and damage). However in a mild to moderate injury it is unnecessary and will cause you to lose movement and strength, which you will need to work harder to regain as part of your rehab. Your Shepparton Physio or Podiatrist are able to assess your injury and guide you as to whether or not crutches are required and work with you to wean you off them!
Podiatrists and Physios are well trained in assessing and treating ankle sprains and can refer you for any relevant scans such as x-ray and MRI, if required. We have specialist tests we can perform and provide you with taping or ankle supports on the spot, should you need them. We can also begin your rehab process of exercises from your very first session. This is very important as early movement and strength work can fasten your recovery or return to sport. So in summary within one physio or podiatry session we can diagnose or send for scans, tape or fit a brace or crutches (if necessary) and start you on exercises, all with the goal of return to activity or sport ASAP!
X-ray is used to clear fractures. Some fractures are too small to be picked up on x-ray and require a CT or MRI. This can include what we call an OCD (osteochondral defect), where a small piece of bone/cartilage has chipped off and can be sitting somewhere it shouldn’t. These often need to be removed as they can push and wear away on the cartilage where they shouldn’t.
X-ray is always used when the person is unable to weightbear as a precaution to check for fracture (we are actually required to x-ray if you cannot weightbear). This is even more important in the child or adolescent as they are more likely to fracture. This is because in children the bones aren’t fully fused as in adult bones and therefore the bones are more susceptible to fracture.

X-ray also can’t tell you how severe your ligamentous injury is. Sometimes you can see a syndesmosis injury (when the tibia and fibula have separated due to damage to the ligaments between them) on x-ray. However ligamentous injuries can often take much longer to recover from and have long lasting effects on your ankle stability.
The sooner you can be seen by your Podiatrist or Physio the better. When we waste a few days with the wrong management you are slowing down your recovery. Most people think injuries are a time based recovery, ie I have sustained a grade one ankle sprain therefore I will be back to sport in 2 weeks. This is partly true, injuries require healing and that takes time. However from our point of view your return to sport or activity is mostly based on ticking off certain criteria. For example can you raise onto your toes, can you stand on one leg, can you hop, can you run, etc. If you can’t do these things it doesn’t matter if your two weeks has passed, you are still not ready to return to activity. We then base our rehab on what you can and can’t do and aim to progress you on as quickly as possible.
Icing is great to help numb the area and therefore relieve pain. However compression and elevation are far more important to help decrease your inflammation. Swelling in the ankle is particularly hard to get rid of due to gravity, as the fluid has no chance to escape the area. Compression helps to increase the pressure and essentially push the fluid out and elevation allows gravity to assist the swelling to move out of the area. There is actually very limited scientific research to prove that icing has much effect on swelling!

Swelling management: you can see the effects of a compression bandage and elevation on the swelling of this ankle.
In the first 48-72 hours of your injury it is recommended to avoid anti inflammatories such as ibuprofen (Nurofen) and Voltaren. This is because the inflammation that occurs is your body’s response to injury and it actually brings special healing cells to the area that are beneficial for your recovery. This includes cells that remove debris and other cells that repair tissue. Therefore this early inflammation is actually a GOOD thing and taking anti inflammatories will be detrimental to this process (FYI this is true of any injury, not just ankle sprains).
The issue is when inflammation persists and essentially the fluid takes up room within your ankle joints and this can cause pressure and therefore additional pain. This is where the above advice for compression and elevation is key and at some stage after the first few days you may need to begin anti inflammatories. This should always be guided by a health care professional as anti inflammatories can commonly cause stomach lining irritation, which is not something to ignore!
If you need help with pain relief it is recommended to speak with your pharmacist or local Shepparton GP, however most people tolerate paracetamol (Panadol) and this has no known negative effect on your healing.
You may have noticed that everyone bruises to a different degree. For example some people just have to scratch their leg firmly and will bruise while others need a decent hit to bruise. This is related to each person’s clotting and other genetic factors. It can also be related to certain medication for example blood thinners and anti inflammatories can increase the amount of bleeding around an area and therefore the amount fo bruising that comes out. Therefore the amount of bruising that is evident in some ankle sprains doesn’t necessarily mean it is more severe than other injuries where there is minimal bruising. We take into account many factors when diagnosing the severity of the injury, bruising is taken into consideration but there is no hard and fast rule here.

A severe ankle sprain: minimal dark bruising, mostly yellow.

Although when in pain this is what we feel like doing, there is good evidence that early movement will help you to return to normal quicker. When you have sustained a severe injury or you have a lot of swelling you will require periods where you need to elevate your ankle. However if you are able to walk and weightbear this will be helpful. This is where it is important to visit your local Shepparton podiatrist or physiotherapist so we can help you determine what level of rest is required!
One of the biggest risk factors for future ankle sprain is previous ankle sprain. While those with mild ankle sprains will likely manage to get back to sport, the issue we commonly see is that the injury has caused a loss of range of motion, strength, balance or coordination on that side. Therefore you can understand how even though you have returned to sport that these deficiencies can result in subsequent ankle sprains and more time away from the sport that you love! With simple assessment and exercises we can get you on track to work on these deficiencies and therefore reduce your risk of future ankle injury!
Both ankle bracing and taping are thought to be just as effective in preventing ankle sprains and are highly recommended for those who have had an ankle injury and are playing sports such as netball, football, basketball, soccer etc. While some are resistant to taping or bracing, when comparing this to lengthy periods out of action should another ankle sprain occur, we know what we would chose!
The advantages to ankle braces is that you aren’t reliant on the person taping your ankle to tape it correctly or risk of tape cuts or allergic responses to tape (which is more common than you think). If you are paying for your own tape, bracing is also a more economical option as once you have bought 4-5 rolls of tape you have paid for your ankle brace. However football and soccer boots are too narrow for ankle braces so taping is often the only option in these sports. If you wear ankle braces and you are buying new shoes we highly recommend taking your ankle braces with you as you often need 0.5-1 size larger to allow for the ankle brace. We would also advise checking with your Physio or Podiatrist before purchasing an ankle brace as many braces don’t have the metal ‘stays’ built in on the sides and this a crucial component of an ankle brace that will actually prevent injury.
As a netball or footballer you may be one of those people where ~2 sprains/season is a given and you are well versed in your management. We do recommend these are still assessed for a number of reasons:
-recurrent sprains can result in chronic ankle instability, at some stage ankle reconstruction may need to be considered so that you don’t cause irreversible cartilage damage which can lead to osteoarthritis in later life. As we have worked closely with foot and ankle orthopaedic surgeons we can help you decipher when it is time to consider a surgical opinion
-some ankle sprains can result in a ‘high ankle sprain’ which is an injury to the syndesmosis, the joint between to the tibia and fibula. This is a much more serious injury and requires a different management to the average ankle sprain. It can often require surgery to prevent serious ankle instability. Our Shepparton physio and podiatrist can easily screen for this injury with clinical tests
-refer to myth #8, we are experts in finding your deficiencies post injury and providing you with a rehab plan to address this to reduce your risk of re-injury.

Distal syndesmosis joint = location of high ankle sprain.
Sophie Woodhouse
Physiotherapist Shepparton, GV Sportscare
Tom Davey
Podiatrist Shepparton, GV Sportscare

Image references:
X-ray: https://www.imageinterpretation.co.uk/ankle.php
Calf raise: https://www.popsugar.com.au/fitness/Ankle-Exercises-Do-Avoid-Sprains-Injuries-31086537?utm_medium=redirect&utm_campaign=US:AU&utm_source=www.google.com
Syndesmosis: https://www.academyofclinicalmassage.com/syndesmosis-sprains/
Ankle brace: https://www.djoglobal.com/products/donjoy/donjoy-stabilizing-pro-ankle-brace
Ankle sprain prevention: https://www.facebook.com/watch/?v=948001962331923
Watch our video introducing Shepparton’s Physio and Podiatry team, GV Sportscare and learn how we work together to get the best outcome for you!

Tendon pain can develop in any tendon in the body. Foot, knee, hip, elbow, shoulder are all common areas for tendinopathies to occur. For example tennis elbow, jumpers knee, achilles issues are all tendinopathies. Tendons are a structure that connects muscles to our bones and they can become dysfunctional. Health professionals have called them lots of different names over the years like; tendonitis and tendinosis however, tendinopathy is now the correct term for these injuries.
There are usually 3 areas within a tendon that this pain can occur:
Scans for tendinopathies
An ultrasound or MRI are the only scans that will allow you to see a tendon injury. It is important to note that a tendinopathy that is not painful can still show up on an ultrasound, ie tendinopathies that you have previously had can still be seen on the scan even if it is not painful anymore. This is normal and not something to worry about. Most of the time a good quality clinical assessment is of more value than imaging when it comes to tendons.
Tendon injuries typically occur when your tendon is unable to adapt to the load you expose it to, often if you train at an intensity that is too high and or there is not enough recovery time after activity before you train again. We also see tendon injuries when a person takes up a new activity or sport for the first time, exposing the tendon to new types of movements and loads or a heavy dose of an activity they don’t normally perform; eg elbow pain resulting from a twice per year gardening project.
We all get some degree of muscle/tendon soreness or stiffness after a training session. What you’re feeling here is mild inflammation in the tendon in response to this loading. The tendon is repairing and becoming stronger. If during this phase we exercise too soon and too much, the inflammation can become excessive and the collagen fibres within the tendon can begin to disorganise and break down.
Staged and progressive loading is key to avoiding tendon injuries. Allow time for your body to recover before heading back to activity. If you’re not too sore complete a smaller session, or work parts of the body that aren’t sore. A well balanced diet low in sugar and carbohydrates, good hydration and 8 hours of regular sleep per night will all help to decrease inflammatory markers within the tendon.
I have tendon pain, should I rest?
No! In days gone past treatment and management of tendon pain was to rest and pain will get better. However, if you rest a tendon for too long it will adapt to the decrease in load and actually become weaker. This makes returning to activity particularly difficult. Although in some more serious cases of tendinopathy some rest from activity may be necessary. We are also often asked about cortisone injections for tendon injuries. While these can provide temporary pain relief there is research to suggest it actually weakens the tendon in the long run and is detrimental to overall recovery. However again in serious cases sometimes an injection is necessary for pain relief measures, we would always recommend a thorough assessment before booking the injection.
What exercises should I do?
Research throughout the 2000’s educated us to manage tendinopathies by loading them up with specific exercise dosages including isometric exercises and heavy slow resistance. Keeping in mind that if we do too much too soon the tendon cells inflame. This is where a good quality clinical examination comes into play. The examination will tell us what kind of exercise to do and how fast to progress someone.
It is often possible and safe to keep running/playing sport with mild symptoms while we progress through the rehab process. This is something we at GV Sportscare endeavour to do individually for the client as we understand how important physical activity is.

Podiatrists are highly skilled at treating tendon issues within the foot and achilles, while physiotherapists are experts in the rehab of tendon injuries in the knee (jumpers knee), hip (often referred to as bursitis), elbow (tennis and golfer’s elbow), wrist and shoulder.
Take home messages:
Foot pain: https://www.podiatry.org.au/foot-health-resources/pain
Tennis elbow: https://choose.physio/your-body/elbow/tennis-elbow
Achilles tendinopathy: https://choose.physio/your-body/ankle/achilles-tendinopathy
Image sources:
Achilles: https://en.wikipedia.org/wiki/Achilles_tendon
Elbow: https://www.joionline.net/library/show/lateral_epicondylitis_tennis_elbow/
Knee: https://www.hopkinsmedicine.org/health/conditions-and-diseases/patellar-tendonitis-jumpers-knee
Tom Davey
Podiatrist Shepparton, GV Sportscare
