Leg Pain

Leg Pain

Common Thigh Injuries

Common thigh injuries quadriceps assessment after direct sports impact
Physiotherapy assessment helps identify the source and severity of thigh pain.

What Are the Most Common Thigh Injuries?

Common thigh injuries include muscle strains, corked thigh, hamstring strain, ITB syndrome, runner’s knee, and pain referred from the lower back, hip, or knee. The source of pain is not always obvious early, so symptom pattern, injury mechanism, and movement testing all matter.

If you are active, play sport, or have recently increased training, start by checking the main thigh pain patterns. This can help you decide whether your pain sounds like a muscle injury, a bruising injury, an overload problem, or referred pain such as sciatica.

Quick check: a sudden pull, bruising, swelling, limping, tingling, numbness, or pain that keeps returning should be assessed rather than ignored.

Seek urgent medical care: if you cannot weight-bear, have severe swelling, major trauma, spreading numbness, new weakness, or bladder or bowel changes.

Which Thigh Injuries Are Most Common?

Most common thigh injuries affect the front, back, or outer side of the thigh. However, pain can also refer from the lower back, hip, or knee. That is why a clear history and physical assessment help guide the right treatment plan.

Hamstring Strain

A hamstring strain affects one or more muscles at the back of the thigh. It often happens during sprinting, kicking, jumping, or sudden acceleration. Common signs include a sharp pull, local tenderness, weakness, and pain with fast walking, bending, or sport.

Thigh Strain or Corked Thigh

A thigh strain can follow a forceful stretch, hard sprint, kick, or sudden change of speed. A corked thigh usually follows a direct knock. Pain, bruising, swelling, stiffness, and difficulty lifting the leg are common.

ITB Syndrome

ITB syndrome is an overload problem often linked with running or cycling. Pain usually sits near the outside of the knee, but tightness or irritation can also track along the outer thigh. Training changes, hip control, and load tolerance can all play a role.

Runner’s Knee

Runner’s knee, also called patellofemoral pain, usually causes discomfort around or behind the kneecap. Some people feel pain spreading into the lower thigh, especially with stairs, squats, hills, running, or long sitting.

Sciatica or Referred Nerve Pain

Sciatica may cause thigh pain, burning, tingling, numbness, or weakness. Unlike a simple muscle strain, nerve-related pain may travel down the leg and may change with sitting, bending, coughing, or spinal movement.

What Causes Common Thigh Injuries?

Common thigh injuries often follow sprinting, kicking, sudden acceleration, awkward landing, direct contact, or repeated overload. Other cases relate to poor load progression, reduced strength, limited mobility, running mechanics, or referred symptoms from the back, hip, or knee.

Overuse injuries can build when the thigh muscles and surrounding tissues do not have enough time to adapt. This may happen after a sudden increase in distance, speed, hills, gym loading, sport sessions, or match minutes.

Why Does Thigh Pain Happen During Sport or Exercise?

Thigh pain during sport or exercise often means the tissue load has exceeded what your muscles, tendons, joints, or nerves can currently tolerate. This may follow repeated sprinting, kicking, hills, change-of-direction work, or returning to sport before the thigh has recovered enough.

The pain pattern gives useful clues. A sharp local pain after a sprint may suggest a strain. Bruising after contact may suggest a corked thigh. Burning, tingling, numbness, or pain that travels may suggest nerve involvement.

How Can You Help Prevent Common Thigh Injuries?

Prevention starts with good training habits. A suitable warm-up, gradual workload progression, and a structured exercise program may help improve strength, control, and load tolerance.

Common thigh injuries rehab exercise with supervised lunge strengthening
Controlled strengthening can support graded thigh injury recovery.
  • Warm up well: prepare for speed, kicking, and change-of-direction work.
  • Progress gradually: avoid sudden jumps in distance, intensity, hills, or sprint volume.
  • Build strength: train the hamstrings, quadriceps, gluteals, calves, and trunk.
  • Improve control: work on landing, running, deceleration, and single-leg stability.
  • Respect recovery: sleep, rest days, and lighter sessions still matter.

When Should You Worry About Thigh Pain?

You should seek help if thigh pain is severe, you cannot walk normally, swelling or bruising is significant, symptoms keep returning, or you notice numbness, tingling, or weakness. Ongoing pain that limits work, training, stairs, sitting, or sleep also deserves assessment.

For nerve-related leg pain, Healthdirect provides a useful public overview of sciatica symptoms and causes.

FAQs About Common Thigh Injuries

How do I know if thigh pain is a strain or sciatica?

A muscle strain usually causes local pain, tenderness, and weakness in one part of the thigh after a clear movement or effort. Sciatica more often causes pain that travels, with tingling, numbness, burning, or symptoms that change with back movement or sitting.

How long do common thigh injuries take to heal?

Recovery time depends on the source and severity. A mild muscle issue may settle within days to a few weeks. A larger strain, overload problem, or nerve-related presentation can take longer. Early diagnosis and the right loading plan usually help guide the timeline.

Can I keep exercising with thigh pain?

Sometimes, but it depends on the cause. Mild symptoms may allow modified activity. Sharp pain, limping, bruising, worsening symptoms, numbness, tingling, or weakness usually mean you should stop and get advice. Good management often means modifying load, not pushing through.

What treatment helps common thigh injuries?

Treatment may include load modification, targeted strengthening, mobility work, manual therapy, running or movement advice, and a graded return-to-sport plan. The right option depends on whether the problem is muscular, tendon-related, joint-related, or referred from the back.

Can thigh pain come from the knee, hip, or back?

Yes. Some thigh pain starts outside the thigh. Knee problems can refer pain into the lower thigh, hip problems can affect the upper thigh, and back or nerve irritation can send pain, tingling, or numbness down the leg.

Related PhysioWorks Guides

What to Do Next

If your thigh pain is not settling, keeps coming back, or affects walking, work, training, or sport, a physiotherapist can assess the likely source and guide your next step. Early advice may help you choose the right loading plan and reduce repeated flare-ups.

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Thigh Products

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References

  1. Jankaew A, Chen JC, Chamnongkich S, Lin CF. Therapeutic Exercises and Modalities in Athletes With Acute Hamstring Injuries: A Systematic Review and Meta-analysis. Sports Health. 2023;15(4):497-511. doi:10.1177/19417381221118085
  2. Pietsch S, Lorenz S, Ueblacker P, Mickschl DJ, Hasler M, Kümmel J, et al. Epidemiology of quadriceps muscle strain injuries in elite track and field athletes. Br J Sports Med. 2024;58(2):95-101.
  3. Pietsch S, Lorenz S, Hasler M, Ueblacker P, Mickschl DJ, Schlegel TF, et al. Risk Factors for Quadriceps Muscle Strain Injuries in Sport: A Systematic Review. Int J Sports Phys Ther. 2022;17(4):536-550.
  4. Sanchez-Alvarado A, Bokil C, Cassel M, Engel T. Effects of conservative treatment strategies for iliotibial band syndrome on pain and function in runners: a systematic review. Front Sports Act Living. 2024;6:1386456. doi:10.3389/fspor.2024.1386456
  5. Neal BS, Lack SD, Bartholomew C, Morrissey D, et al. Best practice guide for patellofemoral pain based on synthesis of a systematic review, the patient voice and expert clinical reasoning. Br J Sports Med. 2024;58(24):1486-1495. doi:10.1136/bjsports-2024-108110
  6. Zaina F, Doniselli FM, Andreucci A, et al. Identification of Best Evidence for Rehabilitation in persons with low back pain with radiculopathy. Arch Phys Med Rehabil. 2023;104(6):1209-1218. doi:10.1016/j.apmr.2023.02.013

What Are the Most Common Running Injuries?

Runner with knee pain pointing to knee during physiotherapy assessment in clinic

Running injuries most often affect the knee, shin, Achilles tendon, calf, foot and hip. Many develop gradually when a recent running demand exceeds the capacity of a muscle, tendon, joint or bone.

Common pattern

Pain builds during a run, appears afterwards or feels worse the next morning.

Important clue

Symptoms often follow a change in distance, speed, hills, frequency, surface or recovery.

Seek assessment

Book earlier when pain changes your stride, causes limping or becomes sharp and localised.

Which running injuries are most common?

Running-related injuries can affect muscles, tendons, joints, bones and other supporting tissues. Some start suddenly, such as an ankle sprain or calf strain. However, many build over several runs as repeated loading exceeds the tissue’s current capacity.

The eight conditions below account for many of the knee, shin, calf, heel, foot and thigh symptoms reported by recreational runners.

Runner’s knee

Pain around or behind the kneecap. It commonly becomes noticeable during hills, stairs, squats or longer runs.

Shin splints

A broader area of exercise-related pain along the shin. Symptoms often follow a change in impact load or training volume.

Achilles tendinopathy

Pain and stiffness around the Achilles tendon. Morning stiffness and discomfort at the start of running are common features.

Plantar fasciopathy

Pain under the heel or arch. The first steps after rest may feel uncomfortable before symptoms ease with movement.

ITB syndrome

Pain around the outside of the knee. It may appear at a similar point during each run, particularly on hills.

Calf strain

A sudden or gradually worsening pain in the calf. Faster running, sprinting and hills can increase calf demand.

Hamstring injury

Pain at the back of the thigh or near the sitting bone. Symptoms may affect faster running, acceleration and longer strides.

Bone stress injury

Focal bone pain that may progress from running pain to discomfort with hopping, walking or normal daily activity.

Where do runners commonly feel pain?

Front or outside of the knee

Front-of-knee pain may relate to runner’s knee, also called patellofemoral pain. Symptoms often become noticeable during downhill running, stairs, squats or after sitting with the knee bent.

Pain on the outside of the knee may fit an iliotibial band presentation. However, several knee structures can cause pain in a similar area. The location alone does not confirm a diagnosis.

Along the shin

A broad area of tenderness along the inner shin often fits shin splints. By contrast, a small and sharply localised painful area raises more concern about a bone stress injury.

Shin pain warrants earlier assessment when hopping is painful, symptoms persist after exercise or discomfort begins affecting walking.

Behind the ankle or in the calf

Achilles tendinopathy commonly causes pain, stiffness or thickening around the tendon. Symptoms may feel worse during the first steps in the morning or when beginning a run.

A calf strain is more likely when pain starts suddenly during acceleration, hills or faster running. Significant weakness, swelling or difficulty pushing through the foot requires prompt assessment.

Under the heel or through the foot

Plantar fasciopathy often causes pain under the heel, particularly during the first few steps after getting out of bed or standing after rest.

Forefoot pain has several possible causes, including metatarsal overload, nerve irritation and bone stress. Persistent focal pain should not be managed simply by continuing to run through it.

At the hip, groin or back of the thigh

Hip and thigh symptoms may involve the gluteal tendons, hamstrings, hip joint or surrounding muscles. Proximal hamstring symptoms often sit close to the lower buttock and may become uncomfortable during faster running or prolonged sitting.

Groin pain has several possible sources. Assessment becomes more important when pain persists, affects walking or does not settle after a reasonable reduction in training.

Why do running injuries happen?

Running injuries rarely have one isolated cause. Instead, they usually reflect an interaction between recent training, previous injuries, recovery, health, tissue capacity and the demands of the runner’s chosen pace, terrain and distance.

Common contributing factors may include:

  • A longer individual run than your body has recently tolerated
  • Adding speed, hills and distance within the same training period
  • Returning quickly after illness, injury or a break from running
  • Insufficient recovery between demanding sessions
  • Reduced calf, thigh, hip or trunk capacity
  • A previous injury that has not regained full strength or running tolerance
  • A sudden change in shoes, running surface or training environment

What are the early signs of a running injury?

An early running injury does not always begin with severe pain. Mild changes in comfort, stiffness or movement can appear before running becomes significantly limited.

During running

Pain starts earlier, becomes stronger or makes you shorten your stride.

After running

Soreness lasts longer than expected or increases later in the day.

The next morning

Stiffness, tenderness or pain is worse than your usual post-training response.

Other warning signs include swelling, reduced push-off strength, repeated pain at the same running distance and declining confidence in the affected leg.

Can you keep running with an injury?

Some runners can continue with a temporarily reduced load. Others need to pause running while the injury is assessed. The safest choice depends on the suspected tissue, symptom severity and how the condition responds during and after exercise.

Consider reducing or stopping the run when:

  • Pain continues to increase as you run
  • Your stride changes or you begin to limp
  • Symptoms remain clearly worse the following morning
  • You have sharp or highly localised bone pain
  • You lose strength, balance or confidence in the leg
  • Running causes increasing swelling

A minor symptom that remains mild, does not alter movement and settles promptly may allow a modified run. However, repeatedly testing an injury with the same aggravating session can delay recovery.

How are running injuries assessed?

A physiotherapy assessment usually begins by clarifying where symptoms started, how they respond to running and what changed before the problem developed.

Your assessment may include:

  1. Reviewing your recent training

    Your physiotherapist may compare distance, pace, hills, speed sessions, surfaces, footwear, recovery and recent interruptions to training.

  2. Examining the painful area

    Palpation, movement testing and relevant clinical tests help identify which tissues may be contributing.

  3. Checking strength and movement capacity

    Testing may include calf raises, hopping, squats, step tasks, hip strength or other movements matched to your symptoms.

  4. Reviewing your running where useful

    A running assessment can examine relevant movement patterns and how they interact with your current injury and training demands.

Imaging is not required for every running injury. However, a medical referral or imaging may be appropriate when the assessment suggests a fracture, significant tendon injury or another condition needing further investigation.

Physiotherapist guiding step-up exercise for lower limb strength and rehabilitation in clinic

How can physiotherapy help a running injury?

Physiotherapy aims to identify the likely injury, reduce aggravating load and rebuild the capacity needed for running. Your plan should reflect the affected tissue, your current symptoms and the type of running you want to resume.

Management may include:

  • Temporary changes to running distance, pace, hills or frequency
  • Progressive calf, knee, hamstring, hip or trunk strengthening
  • Mobility work when a relevant restriction affects function
  • Advice about footwear, surfaces and training structure
  • Movement or running retraining when it has a clear clinical purpose
  • A staged return-to-run program
  • Testing before faster running, hills or longer distances resume

Passive treatment may help some symptoms in the short term. However, rebuilding load tolerance and gradually returning to running usually remain central to rehabilitation.

Runners with recurring symptoms may also benefit from a dedicated running injury risk and performance assessment.

How can you reduce your risk of another running injury?

No strategy can prevent every injury. Even so, sensible progression and adequate recovery can reduce avoidable overload.

  1. Build one demand at a time

    Avoid making large increases in distance, speed and hills simultaneously.

  2. Watch individual long-run changes

    Compare a planned longer run with the longest distance you have completed recently, not only your weekly total.

  3. Keep regular strength work

    Calf, thigh, hamstring, hip and trunk exercises can support the physical demands of running.

  4. Respond early to warning signs

    Modify training when pain escalates, changes your stride or remains worse the following morning.

  5. Return gradually after a break

    Fitness can return faster than the load tolerance of bones, tendons and muscles after time away.

When should a runner book an assessment?

Consider booking a physiotherapy assessment when:

  • Pain is changing your running technique
  • You cannot progress training without another flare-up
  • Symptoms are worsening from one session to the next
  • Morning pain or stiffness is becoming more noticeable
  • Pain is sharply localised over a bone
  • You have swelling, weakness or difficulty walking
  • You are unsure how much running is currently safe

Earlier assessment is especially useful when a stress fracture, significant calf injury or Achilles tendon injury is possible.

Common running injury FAQs

What is the most common running injury?

Knee pain, including runner’s knee or patellofemoral pain, is consistently among the most frequently reported running injuries. Shin splints, Achilles tendinopathy and plantar heel pain are also common.

Are most running injuries caused by overuse?

Many running injuries develop gradually through repeated loading rather than one traumatic event. However, “overuse” does not identify one cause. Training changes, recovery, previous injury, health and tissue capacity can all contribute.

What are the first signs of a running injury?

Early signs may include pain that begins sooner during a run, soreness that lasts longer afterwards, increasing morning stiffness or a subtle change in stride. Repeated symptoms at a similar distance also deserve attention.

Should I stop running when I have pain?

Stop or reduce running when pain escalates, changes your gait, causes swelling or remains clearly worse the following morning. Mild symptoms that settle promptly may allow modified activity, but the safe approach depends on the injury.

When is shin pain more serious?

Shin pain is more concerning when it is sharply localised, painful with hopping, present during walking or continuing after exercise. These features may indicate a bone stress injury and should be assessed promptly.

Can a running assessment prevent injuries?

A running assessment cannot guarantee injury prevention. It may identify useful changes to strength, training, recovery or movement when interpreted alongside your symptoms, injury history and running goals.

What causes knee pain when running?

Running-related knee pain may involve the patellofemoral joint, iliotibial band, patellar tendon or another structure. Training changes, reduced tissue capacity and a previous injury can contribute, so persistent pain should be assessed rather than diagnosed from location alone.

What should you do next?

Use the links above to compare your painful area with the most relevant condition guide. Meanwhile, reduce the running sessions that clearly aggravate your symptoms rather than repeatedly testing the same painful load.

Book an assessment when pain is changing your stride, limiting normal training or becoming more localised. A clear diagnosis and staged rehabilitation plan can help you return to running with appropriate progression.

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References

  1. Correia CK, Machado JM, Dominski FH, de Castro MP, Fontana HB, Ruschel C. Risk factors for running-related injuries: an umbrella systematic review. Journal of Sport and Health Science. 2024;13(6):743–757. doi:10.1016/j.jshs.2024.04.011.
  2. Frandsen JSB, Hulme A, Nielsen RO, et al. How much running is too much? Identifying high-risk running sessions in a 5200-person cohort study. British Journal of Sports Medicine. 2025;59(17):1203–1211.
  3. Kakouris N, Yener N, Fong DTP. A systematic review of running-related musculoskeletal injuries in runners. Journal of Sport and Health Science. 2021;10(5):513–522. doi:10.1016/j.jshs.2021.04.001.

When Is the Best Time for a Pre-Event Massage?

Pre-event massage can form part of your preparation for a race, match or competition. The pressure and duration should change depending on how close you are to the event and how you normally respond to massage.

Athlete receiving targeted calf massage before sport
Pre-event calf massage can be adjusted to suit the timing of your competition.

A pre-event massage is a targeted massage session before sport, racing or competition. Depending on timing, it may involve gentle compression, lighter strokes or more focused treatment of areas that feel tight or loaded.

The goal is not to create an immediate performance boost. Instead, massage may form part of a broader preparation routine that also includes training, sleep, nutrition, hydration and an active warm-up.

Massage is available at selected PhysioWorks clinics. Choose your clinic or therapist below if you know who you would like to book.

What Is a Pre-Event Massage?

Pre-event massage focuses on muscles that will be involved in your sport. Depending on the activity, this may include your calves, hamstrings, thighs, gluteal muscles, back, shoulders or forearms.

Your massage therapist should adjust the treatment to your event schedule, training load, preferred pressure and previous response to massage. A session several days before competition can differ considerably from a brief massage on the morning of an event.

How Should Massage Change as Competition Gets Closer?

There is no single scientifically proven number of hours before competition that suits everyone. A practical approach is to reduce treatment intensity as your event gets closer and avoid unfamiliar or unusually firm massage immediately before important performance.

Several days before

More targeted or firmer massage may be reasonable if you already tolerate it well and have enough time for any temporary tenderness to settle.

One to two days before

Consider reducing the pressure and duration, particularly if massage sometimes leaves your muscles feeling sore or heavy.

Within 24 hours

Keep treatment light, familiar and relatively brief. Avoid experimenting with aggressive pressure or unfamiliar techniques.

Immediately before sport

Any massage should be gentle and should not replace your normal active warm-up or sport-specific preparation.

Several Days Before Your Event

If you prefer firmer treatment, scheduling it several days before competition gives you more time to respond to the session. This may be useful during a heavy training period or when familiar areas feel tight or loaded.

Some people feel temporary tenderness after deeper massage. Therefore, avoid assuming that stronger pressure is always better before competition.

One to Two Days Before Your Event

As competition gets closer, a more conservative treatment is usually sensible. The emphasis may shift towards comfortable pressure and familiar techniques rather than trying to change how the muscles feel through aggressive treatment.

Your previous response matters. If you know that firm massage leaves you tender for a day or two, schedule that style earlier.

Massage therapist using controlled calf pressure before competition
Lighter, familiar pressure is generally more suitable as competition approaches.

The Day Before or Same Day

Massage within 24 hours of competition should usually remain light and familiar. Heavy or prolonged treatment may leave some people feeling tender, heavy or less comfortable during their sport.

A brief massage may still help you feel relaxed or comfortable. However, it should support rather than replace movement preparation, an active warm-up and your normal competition routine.

Can Pre-Event Massage Improve Sporting Performance?

Current research does not show a consistent direct improvement in strength, sprinting, jumping or other performance measures from massage alone. Some research also suggests that prolonged passive massage immediately before explosive activity may temporarily reduce aspects of performance.

Massage may still provide useful short-term effects for some people, including changes in flexibility, soreness, relaxation or perceived recovery. These responses vary between individuals and depend on the massage style, duration and timing.

When Might Pre-Event Massage Be Useful?

You may consider pre-event massage when you feel generally tight, tense or loaded after training and already know that massage suits you.

Depending on your circumstances, massage may support:

  • short-term relaxation;
  • a comfortable pre-event routine;
  • temporary changes in muscle soreness or flexibility;
  • awareness of areas that feel tight or sensitive; and
  • general preparation alongside your usual warm-up.

If you are mainly dealing with soreness after training, you may also find our information about delayed onset muscle soreness useful.

When Should You Choose Assessment Instead?

Massage is not the right first step for every new sporting symptom. Consider clinical assessment if pain is sharp, sudden, worsening or linked to a clear injury.

Signs such as significant swelling, bruising, loss of function or difficulty loading the area may indicate an injury that needs assessment rather than routine pre-event massage. For example, a suspected muscle strain should be assessed before you rely on massage and continue competing.

How to Plan Your Session With Your Massage Therapist

Tell your therapist your sport, event date, recent training load, areas of concern and how you normally respond to massage.

You can also discuss your preferred pressure and whether previous massage has ever left you sore. Treatment can then be adjusted to your goals and competition timing.

You remain in control during treatment. You can ask questions, request a change in pressure, decline treatment of an area or stop the session.

Related Massage Information

Pre-Event Massage FAQs

How long before an event should I get a pre-event massage?

There is no single proven timing window that suits everyone. Firmer massage is generally better scheduled several days before an important event if it can leave you sore. As competition approaches, use lighter, shorter and familiar treatment.

Is a massage the day before a race too close?

Not necessarily. A light and familiar massage the day before a race may suit some people. Avoid unusually firm pressure or unfamiliar techniques that could leave you tender or heavy on race day.

Can you get a massage on the same day as an event?

Yes, but same-day massage should generally be brief, gentle and familiar. It should complement your active warm-up rather than replace it.

Should I choose deep tissue or light massage before an event?

If you prefer deeper massage, schedule it earlier and allow time for any tenderness to settle. Light massage is generally a more conservative choice close to competition. Your therapist can adjust treatment according to your event timing and previous response.

Who should avoid pre-event sports massage?

Routine pre-event massage may not be appropriate if you have an acute injury, infection, fever, open wound, unexplained swelling or medical advice to avoid massage. Seek assessment if pain is sudden, severe, worsening or associated with significant loss of function.

What to Do Next

If you want massage before an event, consider how close the competition is and how you normally respond to treatment. Schedule firmer work earlier and keep treatment lighter as your event approaches.

For broader information about your options, see our Brisbane massage services or discuss your event and training schedule with your massage therapist.

Book Massage

Select your preferred clinic or massage therapist.

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References

  1. Davis HL, Alabed S, Chico TJA. Effect of sports massage on performance and recovery: a systematic review and meta-analysis. BMJ Open Sport Exerc Med. 2020;6(1):e000614. doi:10.1136/bmjsem-2019-000614
  2. Dakić M, Toskić L, Ilić V, et al. The effects of massage therapy on sport and exercise performance: a systematic review. Sports (Basel). 2023;11(6):110. doi:10.3390/sports11060110
  3. Buoite Stella A, Ruzza FR, Callovini A, et al. Immediate effects of sports massage on muscle strength, power and balance after simulated trail running in the cold. Sport Sci Health. 2025;21:1107–1117. doi:10.1007/s11332-025-01348-3
  4. Mine K, Lei D, Nakayama T. Is pre-performance massage effective to improve maximal muscle strength and functional performance? A systematic review. Int J Sports Phys Ther. 2018;13(5):789–799. doi:10.26603/ijspt20180789
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