Exclusive AMA: Managing Multiple Injuries / Heart Rate Discrepancies / Stitches / Rotating Shoes

·42 min·2 clips

Brodie links effort, familiarity, and Alex Hutchinson’s “central governor theory” in one explanation.

1. The Run Smarter Podcast episode is a June 2023 patron-exclusive AMA about multiple injuries, heart-rate discrepancies, side stitches, and rotating shoes. 2. Brodie hosts the episode as an online physiotherapist who treats runners worldwide and speaks from personal experience with injury cycles and running research. 3. The episode is designed to answer four practical listener questions: rehab when more than one injury is present, why effort and heart rate do not always match, why stitches happen, and what shoe rotation actually means. 4. For multiple injuries, Brodie says to prioritize the most debilitating problem first, using plantar fasciitis and proximal hamstring tendinopathy as the example. 5. He names four factors for deciding priority: severity, duration, irritability, and predictability. 6. Severity is framed with examples like a plantar fasciitis pain level of 7 out of 10 versus a PHT pain level of 2 out of 10. 7. Duration matters because one injury may have existed for two years while another appeared only in the last six weeks. 8. Irritability is explained through a flare lasting a few hours versus pain staying above baseline for four or five days. 9. Predictability also matters because some injuries fluctuate wildly without a clear pattern. 10. If one injury is more relevant, Brodie says to assign more strengthening work to that problem and fewer exercises to the other. 11. He gives examples such as deadlifts and hamstring curls for PHT, and wobble-board work plus calf raises with toes in extension for plantar fasciitis. 12. He says some exercises can address both injuries at once, including single-leg deadlifts in bare feet and weighted step-ups. 13. He emphasizes that progression matters and says injuries do not improve if the same bodyweight exercises are repeated without load increases. 14. He also advises checking whether changes in running distance, hills, terrain, or shoe type affect either injury. 15. If one injury flares, he recommends staying proactive by keeping fitness with alternate work such as cycling, swimming, barefoot walking, wobble-board drills, or jump rope. 16. For the effort-versus-heart-rate question, Brodie points to duration, intensity, heat, humidity, muscle groups, muscle-fiber makeup, and familiarity with the exercise. 17. He mentions Alex Hutchinson’s book Endure and the idea that the brain can act like a central governor when assigning effort. 18. He illustrates the point with his own first swimming sessions, where he could barely finish 50 meters before becoming more comfortable after about 7 to 10 days. 19. The tone is practical and conversational, with long explanations, personal anecdotes, and cautious language when he is less certain. 20. Listeners who like injury rehab, training adjustments, and evidence-based running advice will get the most from it, while people wanting only race stories may skip it.

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