Access all classes
Free Trial

Watch class sample

Class overview

Bone stress injuries (BSIs), including stress reactions and stress fractures, are frustrating. Frequently occurring in the lead up to a major event or competition, these injuries invariably require interruption to training as the prodromal pain and risk of progression to complete fracture is real.

This Masterclass aims to provide an overview of BSIs-from pathophysiology to risk factors and to management. Risk factors and subsequent preventative measures are divided into the loads applied to the skeleton and the ability of the skeleton to resist those loads.

Signs and symptoms of BSIs are discussed along with their clinical diagnosis. The Masterclass concludes by discussing the management approach for treating a low-risk metatarsal BSI, including the rationale and use of a graduated loading program.


4 modules


2.5 hours

About the presenter

Dr. Warden is Associate Dean for Research and Professor within the Indiana University (IU) School of Health & Human Sciences, Director of the Musculoskeletal Function, Imaging, and Tissue (MSK-FIT) Resource Core within the Indiana Centre for Musculoskeletal Health, and Research Professor within the La Trobe Sport and Exercise Medicine Centre at La Trobe University. He completed his Physiotherapy and PhD degrees at the University of Melbourne, and Post-Doctorate training at the Australian Institute of Sport and IU Department of Orthopaedic Surgery. He researches the form and function of the musculoskeletal system, particularly the contribution of physical activity to skeletal health. Dr. Warden has contributed 130+ peer-reviewed publications and serves as Associate Editor for the Journal of Orthopaedic and Sports Physical Therapy and Medicine and Science in Sport and Exercise.

What's in every Masterclass subscription?

Start free trial
  • Access to all 25+ classes (57+ hrs)
  • Certificates of completion
  • Unlimited CEU points
  • Class documents
  • Access to our members-only group
  • New class added every month
Start free trial

Class modules


Pathophysiology and bone risk factors

Runtime: 46:14
Open Module

This module will discuss how bone stress injuries, which include stress reactions and stress fractures, develop. It will introduce risk factors for bone stress injuries and describe the mechanical loads to which bone best adapts. The module will conclude by revealing the importance of bone size.

Get instant access to this module

Start free trial

Clinical assessment and diagnosis

Runtime: 36:30
Open Module

This module will discuss the signs and symptoms of a bone stress injury. It will note features to be aware of during patient presentation and evaluation. The module will briefly discuss imaging and when to refer for specialised management.

Get instant access to this module

Start free trial


Runtime: 45:40
Open Module

This module will discuss loading risk factors for the development of bone stress injuries. It will highlight ‘at risk’ times and how loading may be tempered to reduce bone stress injury risk.

Get instant access to this module

Start free trial


Runtime: 26:07
Open Module

This module will present the management of an athlete presenting with a 2nd metatarsal bone stress injury. It will present the treatment approach taken and a graduated loading program for the controlled return to loading.

Get instant access to this module

Start free trial

Access all Masterclasses

Masterclass membership

$99 per year (USD)

Try us for free for 7 days! Don’t worry, if you cancel during the trial period you will not be charged.

Start Free Trial

Clinic membership

From $184 per year (USD)

Try us for free for 7 days! Don’t worry, if you cancel during the trial period you will not be charged.

  • Keep your team up to date!
  • Individual accounts for each team member
  • Counts for CEUs/CPD points
Select Number of Users

Secure payment


What members are saying

The Masterclasses have been of immense value for my clinical reasoning. They have challenged me to think more deeply about different topics along with practical applications which have improved my patient outcomes.

Luke Murray, Physiotherapist

Other masterclasses

Know Pain: A Practical Guide to Persistent Pain Therapy

With Mike Stewart

Learn More

Prescribing physical activity

With MD PhD Jane Thornton

Learn More

Exercise Prescription in Sports Rehab

With Dr Teddy Willsey

Learn More

Clinical reasoning in pain management

With Paul Lagerman

Learn More

Return to Play

With Dr Amy Arundale

Learn More

Blood Flow Restriction Training

With Dr Luke Hughes

Learn More

The Sporting Hand & Wrist

With Ian Gatt

Learn More

Patellofemoral pain

With Claire Patella

Learn More

Pain: A guide for clinicians

With Dr Morten Hogh

Learn More

Optimal loading of muscle injuries

With Dr Nicol van Dyk

Learn More

Pelvic Pain: A Clinical Course from Pain to Pleasure

With Dr Sandy Hilton

Learn More

Sensorimotor Rehabilitation of the Neck

With Chris Worsfold

Learn More

Recognising and managing rheumatology

With Jack March

Learn More

Optimal loading for Achilles tendon rupture and tendinopathy

With Dr Karin Grävare Silbernagel

Learn More

Telehealth in the 21st Century; embracing the future of healthcare

With Connor Gleadhill

Learn More

Pain, movement and play: common sense for complex problems

With Todd Hargrove

Learn More

Assessing and managing radicular pain

With Tom Jesson

Learn More

The sporting shoulder

With Rod Whiteley

Learn More

Managing lower limb tendinopathy

With Dr Seth O’Neill

Learn More

Femoroacetabular Impingement Syndrome (FAIS)

With Dr Joanne Kemp

Learn More

Restoring load capacity in the injured runner

With Dr Rich Willy

Learn More

Groin pain in athletes: unraveling the mystery

With Dr Andrea Mosler

Learn More

Exercise and pain: exploring a complex relationship

With Ben Cormack

Learn More

Clinical reasoning in rehab

With Sam Blanchard

Learn More