logo
episode-header-image
Nov 2024
21m 36s

167. Bones, them strong bones: How to us...

David Pope
About this episode

Bone strength and density are vital in your running and sporting patients who can experience bone stress injuries (BSI's), and also as patients get older and more vulnerable to falls and fractures.

How can you improve bone strength in patients following a bone stress injury such as Medial Tibial Stress Syndrome or stress fractures, or in other patients that you'd like to improve bone density or strength?

Traditional approaches to strength and conditioning may not always address the needs of your patients recovering from bone stress injuries. That's where bone loading programs come in—a targeted strategy to help prepare bones for impact, improve power, and support a return to sport.

In this episode, Tom Goom (Running Physio) dives into the research and how to use a bone loading program to stimulate bone adaptation.

In this podcast, you'll discover:

  • The theory and evidence behind bone loading programs and how bones respond to impact.
  • How to identify the right stage of injury recovery for introducing impact training.
  • Practical guidelines for implementing short, progressive bone loading exercises.
  • Techniques for progressing exercises based on patient goals and symptoms.
  • Strategies to improve bone strength in patients experiencing other musculoskeletal issues such as Achilles tendinopathy.
  • Real-world applications and demonstrations of bone loading programs.

Tom also shares insights on identifying readiness for impact exercises, managing patient expectations, and adjusting programs for individual needs. You'll leave this episode equipped with actionable strategies to help patients safely and effectively return to sport while supporting their bone health.

If you're a clinician or physiotherapist looking for practical solutions to manage bone stress injuries or improve bone density, this podcast is packed with valuable information you can apply in your practice right away.

🔗 Free Webinar Alert! Don't miss out on our free webinars for therapists on shin pain and Achilles tendinopathy in runners. Check the link in the description for more information.

Free running injury assessment & treatment video series available now

 

 

 

 

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs.

Get free access to the "Tricky tendons" infographic series

Unlock the secrets of successful tendinopathy assessment and treatment with this free infographic series for therapists.

Article associated with this episode:

Links associated with this episode:

Chapters:

  • 04:37 - Turner and Robling (2005) running longer doesn't make bones stronger
  • 10:46 - Bone loading progressions
  • 15:58 - Analysis of the evidence
  • 17:05 - Whether loading technique matters
  • 15:03 - Summary
 
Up next
Sep 4
174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson
<p><img src= "https://clinedge.s3.ap-southeast-2.amazonaws.com/images/podcast/174.+ACJ+stubborn+shoulder+pain_Jo+Gibson.webp" alt="" /></p> <p>Have any of your shoulder patients improved and then plateaued, unable to regain their full range of movement, or get rid of their painfu ... Show More
17m 14s
Aug 6
173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom
<p><img src= "https://clinedge.s3.ap-southeast-2.amazonaws.com/images/podcast/173.+Hip+flexor+pain+in+runners+with+Tom+Goom+-+1920.webp" alt="" /></p> <p>Anterior hip pain is often blamed on the hip flexors, but in runners, that's rarely the diagnosis. So how can you identify the ... Show More
19m 46s
Jul 2025
172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson
<div id="container" class="split-container"> <div id="preview" class="column preview-pane"> <div id="preview-wrapper"> <div id="output" class="content markdown-body"> <p><img src= "https://clinedge.s3.ap-southeast-2.amazonaws.com/images/podcast/172.+Shoulder+pain+ax+and+clinical+ ... Show More
24m 13s
Recommended Episodes
Feb 2021
Ep 23: Up to speed on managing load in Achilles tendinopathy, with Dr Karin Silbernagel (Part 1 of 2)
On your marks, get set, go! Get off to a flying start when managing Achilles tendon problems. JOSPT Editor Dr Karin Silbernagel blends the best of science and practice in her approach to diagnosing and managing Achilles tendon problems. In Part 1 of a 2-part series, we dive into ... Show More
25m 4s
Jul 2024
[Physio Explained] Load progression in rehab for patella tendon injuries with Dr Teddy Willsey
<p><a target="_blank" href="https://www.buzzsprout.com/twilio/text_messages/1368397/open_sms"></a></p><p>In this episode, Dr. Teddy Willsey discusses a research paper on load progression for the patellar tendon and its impact on rehabilitation. We explore key exercises like the s ... Show More
15m 43s
Aug 2024
EP. 067: Step by Step - The Ultimate Guide to Ankle Sprains with Jente Wagemans
<p><strong>Summary</strong></p> <p>In this podcast episode, we talk with Jente Wachemans, a physiotherapist and researcher specializing in ankle sprains and chronic instability. We discuss the nature of lateral ankle sprains, differentiating them from other types of ankle injurie ... Show More
1 h
Feb 2025
189. A Deep Dive Into Tendon Rehab w/ Marc Surdyka
Chris Hughen sat down with Marc Surdyka to discuss all things tendon rehab. We dive into the evolution of tendon pain terminology, the role of inflammation, loading protocols, clinical applications, and much more. Watch the full episode: https://youtu.be/mF5CtFnVtO4  Episode Reso ... Show More
1h 15m
May 2024
Flexing Knowledge | Tendon Health Decoded with Dr. Gerard D’Onofrio
Let’s take a look into the fascinating world of tendon health with Dr. Gerard D’Onofrio in this latest episode of the Dr. Gabrielle Lyon Show. Join us as we explore the crucial role of tendons in overall mobility and discuss the various factors impacting tendon functionality. Lea ... Show More
2h 1m
May 2022
Episode 040: Achilles Tendon Rupture with Lizzie Marlow
On this episode of the podcast I talk with Lizzie Marlow, an MSK physiotherapist & educator specialising in lower limbs with special interests in running injuries, lower limb tendinopathies & of course management & treatment of achilles ruptures. We talk about everything surround ... Show More
1h 8m
Jun 2025
[Case Studies] Achilles repair recovery: the rehab roadmap with Scott Greenberg
<p><a target="_blank" href="https://www.buzzsprout.com/twilio/text_messages/1368397/open_sms"></a></p><p>In this episode with Scott Greenberg, we explore an interesting case study on a real patient of his - a gymnast who had an Achilles rupture and went down the surgical path. We ... Show More
15m 35s
Oct 14
PTJ Author Interview: Cost-Effectiveness of Plantar Heel Pain Management
<p>In this episode of the PTJ Podcast, Editor-in-Chief Steven George, PT, PhD, FAPTA, talks with Shane McClinton, PT, DPT, PhD, about his recently published study, which compared the cost-effectiveness of usual podiatry care plus physical therapy with podiatry care alone in the m ... Show More
26m 9s
Oct 15
Navigating a Rotator Cuff Tear — Rehab or Surgery?
In this episode of the Rehab Science podcast, Dr. Tom Walters, DPT, breaks down everything you need to know about rotator cuff tears—from anatomy and injury mechanisms to decision-making around rehab versus surgical repair. Dr. Walters explains the role of the four rotator cuff m ... Show More
18m 29s
Jul 2025
Trapezius Myalgia: Diagnosis & Treatment Strategies
In this episode of the Rehab Science podcast, Dr. Tom Walters, DPT, breaks down one of the most common sources of neck and shoulder discomfort—trapezius myalgia. Often experienced as persistent tightness or aching in the upper trapezius muscle, this condition affects individuals ... Show More
17m 51s