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246. The Big Stress Fracture Episode with Dr. Emily Kraus

The Strength Running Podcast

Release Date: 05/05/2022

Long Run Strategy, Balancing Intensity vs. Volume, Heavy Lifting, & More (Q&A with Jason) show art Long Run Strategy, Balancing Intensity vs. Volume, Heavy Lifting, & More (Q&A with Jason)

The Strength Running Podcast

Listen in on a Team Strength Running coaching call, where Jason takes questions from the community about training, long runs, workout strategy, and more.  To join one of these calls, .  We discuss:  Long run strategy ( with David Roche!) The value of lifting heavy weights () How to balance speed and mileage  Thank you for listening and supporting the podcast! Thank You Lever! I'm excited to partner with  - a bodyweight support system that helps you run further or faster with less effort and injury risk.   You’ve probably seen pro runners using Lever...

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How to Learn From Any Injury (So You Stay Healthier) with Physiotherapist Brodie Sharpe show art How to Learn From Any Injury (So You Stay Healthier) with Physiotherapist Brodie Sharpe

The Strength Running Podcast

Brodie Sharpe is a physiotherapist, the host of the , and author of . As a Physical therapist who specializes in endurance runners, Brodie Sharpe takes a holistic approach to . He helps runners learn how to correct mistakes and work with their bodies to get healthy. Brodie emphasizes the importance of looking at training as well as your lifestyle around it, since every aspect of what you do impacts how you feel and perform. This episode focuses on how to learn from a running injury: how to figure out what caused it the training changes needed to prevent it from recurring how to update...

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The Strength Running Podcast

Dr. Matthew Silver is a physical therapist, author, and owner of Alpha Project Phyzio and Performance in Maryland. His book is now available. While he set his college’s 8k record and made the all-conference team, injuries prematurely ended Matt’s career, sparking his interest in physical therapy.  In today’s conversation, we’re talking about the different types of strength training that exist, their benefits and drawbacks, and how to integrate them into your training. It’s important to recognize that not all strength training is the same. We’re going to discuss traditional...

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The Strength Running Podcast

Nick Thompson has been running and racing for 35 years. He’s the 40-44 age group American record holder in the 50k with a 3:04 finish time (that’s 5:56 per mile for 31 miles), and was previously the world’s top ranked runner in his age group in the 50-mile. He's now the CEO of the Atlantic Magazine and his new book is now available: You'll hear: How Nick’s relationship with his father helped him get into running What drives him to compete today vs. 30 years ago His recommendations for passing along a love for running to your kids How his cancer diagnosis changed his relationship with...

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The Strength Running Podcast

Dr. John Rusin is a physical therapist and trainer who's worked with nearly every professional sports league as well as Olympic athletes. His new book, , is now available. Our conversation focuses on movement, coordination, and building efficiency. We discuss: common mistakes in the weight room how to structure better strength workouts mindfulness and breathing a nervous-system oriented warm-down when to know if you’re putting in too much effort in the gym We should not consider strength training to be "cross-training" - it’s just part of the normal training process. Learn how to...

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The Strength Running Podcast

John Davis holds a PhD in Biomechanics, coaches elite marathoners, and is the author of . His newest book is a masterclass on marathon preparation: . It includes new research on training theory, elite-level training plans, and guidance for every type of aspiring marathoner. Today, we discuss physiological resilience:  How physiological resilience is like the 4th metric of performance How to build this skill safely Example workouts for beginner to advanced runners The role of "depletion workouts" in physiological resilience What actually causes the "marathon fade" at the end of 26.2 miles...

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The Strength Running Podcast

Chris Napier is the author of , a professor of physical therapy, practicing physiotherapist, 2:33 marathoner, and medal winner at the Canadian Track & Field Championships in 1996 and 1997. He is also a scientific advisor to , the world’s smartest running shoe (I'm also an advisor!). Today's focus is on super shoes and how they affect your running form: The specific form changes that happen due to high-stack foam and carbon plates Specific injury risks from super shoes How often Chris recommends wearing super shoes Training changes that while wearing super shoes Extra Resources: ...

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Cross-Training Masterclass: Coach Megan Flanagan on How to Add Other Sports to Your Running show art Cross-Training Masterclass: Coach Megan Flanagan on How to Add Other Sports to Your Running

The Strength Running Podcast

is a former collegiate athlete and writer for Outside Magazine, a certified running coach and personal trainer, and a Spartan Elite podium athlete. She has a bachelor’s in Psychology & Nutrition, a master’s in Public Health, and has finished four 100-mile races. Megan is a multi-faceted athlete and works with a variety of runners in her . In this conversation, we’re bringing our combined experiences with cross-training to you: how to add cross-training why you should add it what forms of exercise are best the types of exercise to avoid if you want to stay healthy when to...

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The Strength Running Podcast

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The Strength Running Podcast

Sara Hall has been competing at the highest level for nearly 30 years. She was the 2000 high school national cross country champion before earning 7-time All-America honors at Stanford University. Not only has she won 10 US National Championship titles, but she’s the only American to win national titles in both the mile and the marathon. Her incredible range is also demonstrated by her gold medal at the 2011 Pan American Games in the steeplechase, while also being the second fastest American female marathoner with a time of 2:20:32. She was previously on the podcast when I interviewed 5...

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More Episodes

Stress fractures are an injury feared most by runners. And with good reason - they require extensive time off for healing and recovery.  By understanding common risk factors, you can stay healthy and prevent this distressing diagnosis.

Joining us is Dr. Emily Kraus. She is the Clinical Assistant Professor at Stanford Children’s Orthopedic and Sports Medicine Center, specializing in Physical Medicine and Rehabilitation sports medicine. She researches bone stress injuries at Stanford's Healthy Runner Project, which is focused on bone stress injury prevention in collegiate distance runners.

Emily is an expert on running injuries, stress fractures, and RED-S (Relative Energy Deficiency in Sport). In addition to her research, she performs gait analysis at the Stanford Run Safe Injury Prevention Program and serves as a medical advisor for the Adaptive Sports Injury Prevention Program. 

Emily’s passion for working with runners stems from her own love of running. She has completed multiple marathons including Boston, as well as a 50km ultramarathon. With a recent marathon PR of 2:50, Emily is both incredibly knowledgeable and fast!

During the podcast Emily and I discuss all aspects of stress fractures, including:

  • The difference between stress reactions and stress fractures, and the most effective way to diagnose a bone injury
  • Risk factors for bone injuries, including those that are running-specific and diet-related
  • What is RED-S, who is at risk, and how it relates to stress fractures
  • The treatment and recovery process for bone injuries
  • Prevention strategies to avoid stress fractures

This episode is a must for all runners who want to learn more about bone injuries and how to prevent them!

Links & Resources from the Show:

Thank You InsideTracker!

This episode is brought to you by InsideTracker, one of the most reputable blood testing companies in the world. They were founded in 2009 by aging, genetics, and biometrics scientists to help you analyze your body’s data and get a firm idea of how well you’re responding to training.

Understanding your body’s biomarkers, from stress hormones to testosterone to Vitamin D, can help you figure out if you’re over-training, under-training, optimally training, or if you have a health issue that might be affecting your running. But the best part is that they give you personalized optimal ranges for each of these biomarkers and a host of ways to improve these markers through diet, lifestyle, or exercise changes.

I’ve personally gotten three Ultimate tests from them and the process is simple, easy, and very eye-opening if you haven’t done a deep dive on your biomarkers yet.  Of all the investments you can make in your running, this one is like getting a detailed checkup or regularly scheduled maintenance for your internal physiology. 

If you’re ready to take control of your health and optimize your training, get 25% off any of their blood tests with code STRENGTHRUNNING at InsideTracker.

Thank you Spartan Race Series!

You’ve probably heard of Spartan Races - but you probably don’t know that they offer such a wide variety of types of races. From short to long-distance obstacle courses - and even ultra distances, to trail races, stadium races, and even city races in major metropolitan areas. 

What I love about obstacle course races is that they are a great diagnostic tool to help you pinpoint what area of your fitness is lacking. Do you have a general aerobic deficiency? Do you struggle with upper body strength? Can you handle the stop and start nature of OCR’s? Do you have the mobility to perform the obstacles? 

Signing up for a race that challenges you in a different way can help you find out more about yourself as an athlete. Ever since I tried my first obstacle course race in 2012, I’ve loved these events. They are demanding and require you to be a well-rounded athlete, something that I wholeheartedly endorse here on this podcast. Go to spartan.com to find a local race near you. If you’re in Colorado, I hope to see you on June 12th at the Colorado Springs Spartan Race.