Bone bruise vs stress reaction in a runner
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- čas přidán 25. 06. 2023
- Whenever I speak to a runner who wants to know if they can run with a bone bruise, I get confused. If you were “diagnosed” with a bone bruise, you should be confused, too.
A bruise is a very simple thing. You fall down and land on your knee and you get a bruise. You get a bruise because your kneecap crushes the skin against the ground and you get bleeding in the skin that you see as discoloration that we call a bruise.
You can’t see that in a bone. When you get diagnosed with a bone bruise, you have to think of it in terms of bone injury, like a stress fracture. The continuum of bone injury includes stress response, stress reaction and stress fractures.
You have to understand the severity of the bone injury before you can decide whether or not to run.
What is the difference between a bone bruise and a stress reaction in a runner?
Well, that’s what we’re talking about today on the Doc On The Run Podcast. - Sport
thank you so much!!
My pleasure...thank you for watching and glad you found it helpful.
I’ve bone bruising from grade 4 Chondromalacia behind my patella . I’ve had it 10 months , sudden onset . I’m fit 45yr old and I cannot run since Oct 22. Any ideas to help me please?
Hi Dr, Is stress reaction the same terminology that we used in the uk Metatarsalgia ?
I do not know since I do not practice in the UK, and ut depends on the context. "Metatarsalgia" literally means pain in the metatarsal area.
Hi! I have a bone marrow edema/bone bruise on my medial femur condyle. Have had it 6 weeks now and I’m still sore, still working/ walking though. I was to start running again will it do more damage ?
Thank you for watching and I hope you found the video helpful! I have no idea whether or not running again now will do more damage, because I don't know anything about your case.. What did your doctor say when you asked that question?
I have one spot on my heel that is sore when I strike the road surface. It has gotten better over the last couple of weeks but, still there is a bit of pain. Only in one spot. Would this be classified as a reaction or true bone bruise? Thanks.
Thank you very much for watching, commenting and I hope you enjoyed the video. Unfortunately I could not make a diagnosis on your condition based only on the comments you posted. If you wanted to have a discussion on the phone or over webcam we could certainly get on a call to discuss in detail.