Laktat? Laktat!

Is lactate a waste product, as many think? No, in the contrary! Lactate is an energy rich substrate and plays a key role in the energy metabolism. Why has lactate then such a bad reputation? I assume that 1) lactate is confused with lactic acid and 2) the concept of an aerobic and anaerobic threshold lead to wrong conclusions.

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Heilung des vorderen Kreuzbandes (VKB) nach Ruptur: (K)ein Mysterium mit dem Cross Bracing Protocol® (CBP)

In this clinical case study I present my findings on a new conservative treatment option for the anterior cruciate ligament (ACL), the Cross Bracing Protocol® (CBP). The literature states that ACL ruptures can also be successfully treated conservatively.

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Are we missing something? Athletes’ voices and their lessons beyond structure and function

Modern sports medicine largely prioritizes structural integrity and quantifiable function to guide injury management and return-to-sport decisions. However, growing evidence suggests that this clinician-centred paradigm often fails to align with how elite athletes experience injury within their specific performance and life contexts.

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Shoulder or Neck… and does it matter? Challenging Diagnostic Orthodoxy in Non-Traumatic Arm Pain

Differentiating arm pain as originating from the cervical spine or the glenohumeral joint is traditionally considered a cornerstone of musculoskeletal assessment. However, in non-traumatic presentations managed conservatively, the clinical necessity of precise source localization is increasingly questionable.

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Can the ACL Heal? Operative versus Non-Operative Management of Anterior Cruciate Ligament Injuries in Athletes

The management of anterior cruciate ligament (ACL) injuries remains a polarising topic in sports medicine. At a recent conference in Lausanne, three experts debated the merits of operative versus non-operative approaches.

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The Shape of Strength: How muscle architecture drives muscle function and malfunction

The relationship between muscle structure and function is a central principle in musculoskeletal rehabilitation, yet injury-related disruptions to this relationship and the extent to which training can restore it remain incompletely understood.

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Tendinopathy: State of the Evidence – Achilles and ­Patellar Tendinopathies

Tendinopathy is a prevalent and challenging condition affecting both athletic and non-athletic populations. Contemporary research has fundamentally shifted its conceptualization from an inflammatory disorder (“tendinitis”) to a complex, multifactorial condition characterized by a failed healing response.

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Calf Muscle Injuries: the Soleus in Elite Sports: Biomechanics, Assessment, and Rehabilitation Strategies

Calf muscle injuries represent a substantial burden in elite sport, with the soleus muscle accounting for the majority of posterior lower leg pathology. This article synthesizes contemporary evidence on soleus injury epidemiology, biomechanics, and rehabilitation, drawing on recent applied research in elite football and rugby.

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There’s more to chronic back pain than structure and function: Reconceptualizing Persistent Low Back Pain in Athletes

Traditional low back pain management emphasizes structural pathology, producing suboptimal outcomes for persistent presentations. Case illustration demonstrates surgical “success” with anatomical correction yet persistent pain, disability, depression, and athletic retirement.

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