Navicular Bone Stress Injuries

In this episode of the How I Rehab podcast we chat with Dr. Rich Willy, an Associate Professor at the School of Physical Therapy, University of Montana. Rich has a PhD studying patellofemoral pain and has been a clinician for over 20 years, specialising in the treatment of the injured runner. He is extensively published in running related overuse injuries and has presented to multiple elite organisations including Olympic sports medicine staff and the National Basketball Association on lower extremity injuries. We talk extensively about the management of Navicular bone stress injuries, including:  Rich’s recent career move to Ohio State University  What to expect from the upcoming Fast Track the injured runner event in Boston  Why are overuse Navicular injuries so problematic?  What are the main biomechanical loads that increase the risk of navicular BSI?  What are the key signs of navicular BSI? How and what imaging best informs our practice and decision making?  The navicular bone stress reaction (no cortical breach) management including  Offloading  Muscle loading  Return to impact loading.  Markers for a return to run- balance objective finding and are imaging findings here relevant?  Does the location of the navicular bone stress injury change our management?  Navicular bone stress classification  Surgical decision making  Surgical approaches to the Navicular stress fracture  Bone loading during rehabilitation  This episode is supported by HRIG , The Occlusion Cuff & Iron Edge WATCH this episode on the Sports MAP YouTube channel