Return to sports can be gradually introduced when the athlete is able to cope with the loading requirements of the sport with minimal symptom aggravation (i.e. VAS 0 -3 of 10 with pain settling within 24 hours on load tests). The exercise progressions form stepping stones for return to sport, but it is important to not just add these exercises to the normal training volume on resumption, as this can lead to overloading and aggravation of symptoms.[4][34] Be careful with the introduction of hill training as well as speed training sessions, as these can easily exacerbate symptoms. In team sports, there may be more complex loading requirements. This needs a more detailed assessment and a graded return to sport will usually consist of gradual exposure to activity prior to return to full competition[4].
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