When your patients present with forefoot pain from running, it’s important to diagnose your patients’ injury, identify any bone stress injuries, and implement suitable management before a bone stress injury progresses to a stress fracture with a longer or impaired recovery.
Find out how to identify and manage bone stress injuries from an early or less severe bone stress injury right through to the more severe end of the spectrum - a stress fracture, in this member mentoring session with the Clinical Edge education and presentation team of Paula Peralta (Specialist Sports & Exercise Physiotherapist, FACP), David Toomey (NZ Titled Musculoskeletal Physio, PhD Candidate), Zoe Russell (Specialist Sports Physiotherapist, FACP; APA Titled Musculoskeletal Physio), Simon Olivotto (Specialist Musculoskeletal Physiotherapist, FACP), hosted by David Pope (APA Titled Sports & Musculoskeletal Physio).
You’ll also discover:
- Common causes of forefoot pain in runners.
- Important questions to ask patients with a suspected bone stress injury.
- Which bone stress injuries in the foot are classified as “high risk”.
- How to differentiate bone stress injuries from other common causes of forefoot pain.
- How to assess patients with a suspected metatarsal bone stress injury.
- How to treat bone stress injuries of the foot.
- When and how to alter patients weight bearing status.
- When to refer patients for imaging and medical management, and when you can manage these conservatively without imaging.
In this mentoring session, the team also shared:
- When communication goes wrong - experiences from the team of when communication breakdowns within a treatment session, including the time a patient walked out on me!
- 5 key tips to use communication as your superpower and improve your treatment results.
Case study submitted by a Clinical Edge member
- 30 year old male runner (also a farmer) with pain on dorsum and plantar aspect of forefoot between second and third metatarsal, proximal to metatarsal heads, with weight bearing. No callus. No radiation into toes or tingling.
- Recently increased running load, now up to 3 to 5 km distance.