when a runner needs a diagnostic test ๐Ÿงฎ


"What you see is all there is."โ€‹
Daniel Kahneman


Itโ€™s easy to talk to patients about exercises and training.
โ€‹
But many running-related injuries are health problems masquerading as strength or training problems.

Rehab pros must know how to screen for factors at play outside of orthopedics. And there's new research to help with just that.

Where do we start?

There is a growing body of evidence that metabolic factors influence bone stress injuries (and really all injuries).

PTs are often the first (or only) provider interested in broader influences impacting musculoskeletal injuries. We are pseudo-primary care providers for many of our patients. While I can't order a blood test or a DXA scan, I need to be able to recognize when we need more information.

This helpful algorithm from Nye, outlines how to systematically assess metabolic factors after a BSI ๐Ÿ‘‡.

With specific lab tests are broken down into four options ๐Ÿ‘‡.

If an injury seems like more than just a "training error," we can at least start by looking at a CBC, iron panel, and vitamin D.
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If a patient fits the following criteria, we may need to consider a DXA scan.

If you'd like a deeper dive on this article and metabolic screening with runners, you can check out the following video ๐Ÿ‘‡.
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video previewโ€‹

โ€‹Lightbringer
by Pierce Brown

โ€‹Rwanda Roastโ€‹
by Post Coffee

Thanks for spending a few minutes with me.
Have a great rest of your weekend.

-Nathan Carlson PT, DPT


600 1st Ave, Ste 330 PMB 92768, Seattle, WA 98104-2246
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Nathan Carlson PT, DPT

I share helpful tips on treating running injuries and growing a niche practice.

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