One big thing I get from running the Clinical Biomechanics Boot Camps is the feedback that I get when clinicians change their clinical practice based on what I teach on the course and its works!

One of these is the treatment of Anterior Compartment Syndrome. My previous clinical experience in dealing with this problem is an almost 100% failure in its treatment. It really was a challenge. Anterior compartment syndrome is when the muscles expands its volume as it normally does on exercise and the fascial compartment that the muscle is in is particularly tight, so it hurts. Nothing really used to seem to help except the surgical outcomes were always pretty good.

In 2013, this study was published and I immediately started doing it in clinical practice and teaching about it in the Clinical Biomechanics Boot Camps. By changing from a heel strike to a more midfoot or forefoot strike with a lower touch down angle meant the activity in the anterior tibial muscle did not have to work so hard (but keep in mind that to do this requires other muscles to work harder and put them at increased injury risk if this is not done carefully).

This means the rationale was there. Even more surprisingly was that the results were often quite dramatic clinically. It worked. I enjoyed the feedback from course participants who went back to their clinics and tried it and contacted me to tell me it worked.