How Podiatrists can help runners with bone injuries
Although humans are structurally and functionally developed for running, it does lead to a risk of developing bone injuries.
New bones can form via two pathways. First, they can be driven by calcium homeostasis. Second, microfracture or microdamage can occur due to applied stress.
When it comes to running, we get a positive adaptation when there is a good balance between new bone formation and bone breakdown through mechanical loads. However, when your body is unable to keep up with the demands, it can lead to stress fractures developing. When a bone is under continuous stress, it can lead to a stress reaction evolving to a stress fracture.
Here are some factors that increase the risk for bone injuries:
Low calcium and vitamin D increase the probability of bone injury
Training errors such as when a runner increases speed this, in turn, increases ground reaction forces and increasing duration and/or frequency of running sessions increases bone loading cycles
Faulty biomechanics
Increased loading on running surfaces and hard surfaces such as asphalt
Not wearing correct shoes and/or orthotics to soften the ground impact
A long history of physical activity can be protective against the development of bone injuries
When it comes to bone injuries, the benefits for a runner when seeing a podiatrist is the opportunity to review your medical history, understand your running goals and how you train. The information gathered will help a podiatrist determine how to help you manage your bone injury. Typically, a podiatrist will be able to diagnose you through clinical assessments, imaging and/or further investigation.
After gathering intel, a podiatrist will build a plan that will include phases of immobilization, activity modification and load management. Once a bone injury is fully healed, a podiatrist will then help a runner return to activities by introducing strength and conditioning through graded exposure.
At River Podiatry, our team is ready to serve and consult in order to help you safely run at all times. Set up an appointment today to speak with our team of trusted foot health professionals.