What we treat
Runners and athletes. Bone stress is the specialty.
Injury is load exceeding what the tissue could take, and rehab is rebuilding what it can take. That applies to a stress fracture and to an Achilles alike. The difference is in the timelines and the risk, which is why the diagnosis comes first.
Bone stress injuries
Every bone heals differently.
Each needs a specific loading plan, not generic rest.
Tibial stress fracture
Shin bone, the most common running bone stress injury. Posterior medial is low risk; anterior cortex is not.
Navicular stress fracture
A high risk midfoot bone that needs careful offloading and imaging led progression.
Metatarsal stress fracture
Forefoot, common after a training spike. Most are low risk; the base of the fifth and the second are the exceptions.
Femoral neck stress fracture
High risk hip injury. Groin or thigh pain in a runner gets treated as this until proven otherwise.
Sacral and pelvic stress fracture
Often missed and often linked to bone health and energy availability.
Low energy availability and RED-S
The fuel side of bone stress injury, and of a lot of other injuries that keep coming back.
Running and sporting injuries
The rest of the caseload.
Same thinking, different tissue.
Shin pain that is not a stress fracture
Medial tibial stress syndrome, or shin splints. Working out which one you have is the first job.
Achilles and patellar tendinopathy
Tendons adapt to load the same way bone does, just slower and with more patience needed.
Plantar heel pain
Plantar fasciopathy and its neighbours. Load, footwear and calf capacity, in that order.
Knee pain in runners
Patellofemoral pain, iliotibial band pain and the rest. Usually a capacity problem wearing a knee costume.
Calf, hamstring and hip muscle injuries
Strains, and the proximal hamstring and gluteal tendon problems that masquerade as them.
Return to sport after any injury
Football, basketball, court and field sports. The back end of rehab is where reinjury gets decided, so it gets tested, not assumed.
Not on the list? Ask. If it is not something this practice should manage, you will be told so and pointed to someone who can.