90: How to Prevent Bone Stress Fractures: Bone Health for Runners with Dr. Nathan Carlson
Nov 2, 2024
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Dr. Nathan Carlson, a Kansas City-based physical therapist and coach specializing in runners and triathletes, dives deep into the world of bone health. He explains what bone stress injuries are and how to distinguish between stress reactions and fractures. Dr. Carlson highlights key risk factors and shares nutrition tips—like the importance of calcium and vitamin D—to boost bone density. He also discusses the impact of body weight on injury risks and offers insights into safe training methods for young athletes to prevent these common issues.
Understanding the difference between stress reactions and fractures is crucial for effective treatment and recovery strategies for runners.
Proper nutrition and awareness of personal injury history are key factors in preventing bone stress injuries and enhancing bone health.
Deep dives
Understanding Bone Stress Injuries
Bone stress injuries are a common concern among runners, and they include a range of conditions from stress reactions to stress fractures. A stress reaction is a milder condition where swelling occurs within the bone but does not show a fracture line, while a stress fracture is when a fracture line is visible. The management and recovery time varies significantly between these types, with stress reactions healing faster. Being aware of the severity of the condition helps determine appropriate treatment and recovery protocols.
Recognizing Symptoms and Red Flags
Runners often struggle to identify symptoms that warrant medical attention, as discomfort can be a normal part of the sport. Key indicators of a bone stress injury include pain localized to bony areas that worsens with activity and improves with rest. Unlike tendon-related pain, which can stabilize or diminish while running, bone pain typically escalates, signaling a potential injury. Runners are encouraged to pay attention to their body's signals and seek medical evaluation if they experience persistent or worsening discomfort over bony structures.
Impact of Previous Injuries on Future Risks
Having a history of bone stress injuries significantly increases the likelihood of experiencing future injuries, particularly in the same or related areas. This increased risk is often influenced by underlying factors such as bone density and general physical health. Understanding personal injury history and genetic predisposition can help runners take preventative measures. Proper nutrition and training adjustments play critical roles in managing the risk of re-injury.
The Role of Nutrition in Bone Health
Adequate nutrition is crucial for maintaining bone health, particularly for those at risk of bone stress injuries. Fueling the body appropriately involves focusing on meeting energy needs, particularly in terms of carbohydrates and essential nutrients. Runners should be mindful of their dietary intake, as caloric deficits can lead to weakened bones and increased injury risk. Consulting with a dietician can provide tailored nutritional guidance to help optimize performance and recovery.
Being a runner does not mean that bone stress injuries are inevitable! We bring on a specialist today to discuss running and stress fractures, including how to prevent and treat bone stress injuries.
Discussion points include:
What is a bone stress injury?
Understanding stress reactions, stress fractures, and full fractures
Signs and symptoms of a bone stress injury
Risk factors for stress fractures
Does bone location impact your recovery rate?
How can runners improve their bone mineral density?
Are some bones more prone to injury?
Do certain foods help prevent stress fractures?
Does your body weight increase your risk of bone stress injury?
Connect with Nathan at @runningmatekc on Instagram and find both free and purchasable resources at https://runningmatekc.com/
References:
PMID: 36376061
PMID: 36720584
If you enjoyed this episode, you may also like:
78: Tendinopathy and Tendon Health with Dr. Alex Nelson
76: What to Eat Before Runs, Recovery Nutrition, and Low Energy Availability
63: How to Start Running Again After Injury
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