The Rethinking Rehab Podcast

62. Rich Willy: Plyometrics and Bone Stress Injuries

Mar 1, 2025
In this discussion, Rich Willy, a leading expert in running-related injuries and an associate professor at the University of Montana, delves into bone loading mechanics and their impact on athletes. He shares insights on the evolution of injury treatments, highlighting the advantages of plyometrics over traditional strength training. Rich also emphasizes the significance of mentorship in professional growth and shares valuable tips for building effective mentor-mentee relationships, making it a must-listen for sports professionals and enthusiasts.
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INSIGHT

Biomechanics vs. Multifactorial Approach to BSI

  • Rich Willy initially believed biomechanics were the primary cause of bone stress injuries (BSI).
  • His clinical experience revealed the multifactorial nature of BSIs, requiring a team approach involving various specialists.
ADVICE

Managing 5th Metatarsal Fracture

  • To manage a fifth metatarsal fracture, consider the biomechanics of foot loading.
  • Use external constraints or strategies to encourage medial foot loading.
INSIGHT

Muscle Forces and Bone Loads

  • Muscle forces, not impact forces, drive high bone loads and BSIs.
  • Controlling dorsiflexion can help reduce metatarsal bone loads.
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