{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Ep 379: Bone Stress Injuries: Risk Factors, Diagnosis & Prevention (Part 2)","description":"In episode 379 of The Physical Performance Show, host Brad Beer and Pogo Physio physiotherapist Tim Studley continue their three-part expert series on bone stress injuries by shifting the focus from training errors to the biological factors that determine whether an athlete's skeleton can tolerate training demands. This episode explores the critical role of energy availability, bone health, recovery, and risk stratification in both preventing and diagnosing bone stress injuries. Brad shares practical screening strategies developed over two decades of clinical practice, explaining why identifying the underlying cause\u2014not just treating the injury\u2014is essential for long-term athletic performance and injury prevention. Show Sponsor: PILLAR Performance is leading a new frontier in sports nutrition through micronutrition innovation. Their new Collagen Repair formula, developed in collaboration with Gelita Laboratories, is designed to support tendon and ligament health while promoting collagen synthesis to help athletes stay healthy and perform at their best. For 15% off your first order, visit pillarperformance.shop (or thefeed.com for North American listeners) and use the discount code PHYSICALPERFORMANCE (one word, capitals) at checkout. In this episode, you'll hear Why biological factors may contribute more to bone stress injuries than training load alone The long-term consequences of early sport specialisation and why multi-sport participation builds a stronger skeleton Medical conditions and medications that can compromise bone health and increase injury risk Why low energy availability (RED-S) is one of the biggest contributors to bone stress injuries Practical screening questions clinicians should ask to identify athletes who may be under-fuelling The relationship between training volume, mood, gastrointestinal symptoms, sleep, life stress and bone health Female-specific indicators including menstrual irregularities and amenorrhoea Male-specific indicators including reduced libido and changes in morning erectile function Why blood tests, iron status, vitamin D and hormone profiles provide valuable clues to athlete health The importance of working with sports dietitians to optimise energy availability and performance Common locations of bone stress injuries throughout the lower limb and pelvis How injury location can provide clues to whether biomechanics or under-fuelling is the primary driver Understanding high-risk versus low-risk bone stress injury sites and why blood supply matters Practical assessment strategies including observation, palpation and functional loading tests When hop testing is appropriate\u2014and when it should be avoided Clinical pearls for distinguishing bone stress injuries from other common running injuries Quotes \/ takeaways "Training loads the skeleton\u2014but biology determines whether the skeleton can cope." "Eat more than you think you need." "The biggest driver of bone stress injuries is often invisible." "Above the knee, think fuelling. Below the knee, think biomechanics." "Treat the cause\u2014not just the bone." Partners \/ links mentioned Show Sponsor: PILLAR Performance \u2014 15% off your first order using code PHYSICALPERFORMANCE at checkout. North America: thefeed.com Timeline 00:00 \u2013 Introduction, sponsor and recap of the Bone Stress Injury mini-series 02:27 \u2013 Why biological risk factors deserve greater attention than ever before 03:51 \u2013 Early sport specialisation and athletic history as risk factors 04:50 \u2013 Medical conditions, medications and bone health 05:45 \u2013 Sleep, stress and the biological contributors to bone stress injuries 07:08 \u2013 Understanding low energy availability (RED-S) 08:32 \u2013 Practical screening questions for under-fuelling 09:02 \u2013 Female athlete indicators: menstrual health and amenorrhoea 10:29 \u2013 Male athlete indicators: libido and morning erectile function 11:51 \u2013 Blood tests, iron studies, vitamin D and hormone profiles 13:18 \u2013 Why even small daily energy deficits accumulate over time 14:16 \u2013 Working with sports dietitians and estimating energy requirements 15:40 \u2013 Brad's number one recommendation: "Eat more than you think you need" 16:08 \u2013 Common sites of bone stress injuries throughout the body 18:00 \u2013 Using injury location to distinguish biomechanics from under-fuelling 18:48 \u2013 High-risk versus low-risk bone stress injury locations 21:12 \u2013 The most commonly missed bone stress injuries in runners 22:37 \u2013 Clinical examination: observation, palpation and localisation of symptoms 24:19 \u2013 Differentiating shin splints from bone stress injuries through palpation 25:14 \u2013 Functional loading tests and when hop testing is appropriate 26:31 \u2013 Hop testing, femoral neck injuries and clinical safety considerations 27:24 \u2013 Differential diagnosis and key assessment principles 28:25 \u2013 Episode wrap-up and preview of Part 3 THE TEAM: Join The Physical Performance Show LEARNINGS membership through weekly podcasts here: https:\/\/www.patreon.com\/TPPShow Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online. Your Host: \ud83c\udfc3 Brad Beer \u2013 Instagram & X @Bradbeer and YouTube @PogophysioAu The Physical Performance Show can be found at: Facebook: facebook.com\/thephysicalperformanceshowpodcast X: @tppshow1 Instagram: @physicalperformanceshow ","author_name":"The Physical Performance Show","author_url":"https:\/\/physicalperformanceshow.com\/","html":"