Golden Oldie - Management and Prevention of Bone Stress Injuries in Long Distance Runners

Review written by Robin Kerr info

Key Points

  1. Bone stress injuries (BSI) are common in distance running
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This clinical commentary explored bone stress injury (BSI), a common overuse injury (20%) in the distance running population. BSI indicates the inability of a bone to withstand repetitive mechanical loading, with resultant structural fatigue and development of localised bone pain/tenderness. This micro-damage can then extend along a continuum, ultimately resulting in stress fracture.

Bone stress injury susceptibility is influenced by: external and internal forces + ability of bone to resist load.
As bone stress injuries occur along a pathology continuum, signs and symptoms may vary depending on the point at which the runner presents.


BIOMECHANICAL RISK FACTORS: “ABNORMAL FORCES” Increased forces on ‘normally’ aligned bone can result in detrimental bone loading. This includes abnormal forces such as:

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