63 - Sports Chiropractor Peter Kissel

If you're a fan of the show, please support us!

• 1:45 the evolution of chiropractic treatment and education
• 9:15 sadly the injury prevalence for most endurance athletes is high: typically 50-80% of at least a minor issue
• 9:45 the Kissel Hierarchy of Injury Prevention
  • Strength training: high load, low reps, compound movement-focused, more frequently in the off-season
  • Appropriate and systematic increase in volume - aka load management
  • Gait retraining ONLY to address recurring injuries
  • Listen to your body and don’t ignore symptoms
  • Education and understanding of injury root causes and fixes
• 14:30 the difficulty of quantifying training load and global stress with devices
• 19:15 a trip down a data overload tangent
• 23:15 if it ain’t broke…
• 24:00 more on strength training
  • From BSJM: 3-6 sets, 5-15 reps, 60-80% of 1RM, compound lifts, 2-3x weekly in the off season and less frequently during large-volume endurance training phases
  • The purpose of strength training is global tissue resilience and strength rather than a corrective for a specific issue
• 26:30 the evolving nature of evidence in sport science
• 29:00 gait retraining to address recurring injuries
  • Care must be taken to use gait training to improve economy
• 33:45 updated guidelines for training with an injury: cessation of activity may not be the right answer in all cases.
• 35:45 the significant role of how quickly treatment for a soft tissue injury is started after the injury in recovery time
• 39:30 the role of education in positive outcomes
• 41:15 humans are resilient!
• 44:45 the evolution in treatment of tendon injuries
  • Used to be treated through stretching and rest
  • Imaging like ultrasound is no longer recommended in diagnosing or assessing tendon injury
  • Contemporary prescription is heavy, slow loading of the tendon to a low pain threshold
• 52:00 traditional shoe prescription is nonsense

To get in touch with Peter and to book an appointment, contact Totum Life Science in Toronto or the Proactive Athlete in Burlington.