What Caused Your Stress Fracture???

Website: www.runningmatekc.com
IG: runningmatekc
0:20 Misconceptions
0:52 Energy Availability
3:11 RED-S
4:02 Doctor's Suck at THIS
5:26: Reproduction vs Survival
6:10: Hormones and Underfueling
7:23 Questions you HAVE to ask yourself
Finding Your Sweet Spot Book
www.amazon.com/Finding-Your-S...
RED-S Articles
pubmed.ncbi.nlm.nih.gov/29773...
pubmed.ncbi.nlm.nih.gov/29771...
pubmed.ncbi.nlm.nih.gov/30008...
pubmed.ncbi.nlm.nih.gov/34181...
Why did I get a stress fracture? To get diagnosed with a stress fracture, you're going to have to see some healthcare provider. And then generally, they're going to tell you a few reasons why they think that happened. Unfortunately, a lot of the information that you get told is flat out false. Stress fractures are complex injuries. Any simple answer is probably not telling us the whole truth. When someone tells you that you got a stress fracture because you have really tight calves, because you have a certain foot posture, because of how you run, it's not telling the whole story.
All these things might play a very, very minimal role in why you got it, it's probably not the biggest reason. Training errors can often be a part of these, but I still don't think they tell the whole truth. Let's dive into the biggest reason why I see these happening. There's a term that's becoming more popular in the running world every single day, energy availability. Energy availability is our energy intake minus our energy expenditure through exercise divided by our fat free mass. To simplify it, it's looking at how much energy we are expending, how much we are taking in and if that is appropriate. We often see problems with this when our training is increasing, our energy intake is decreasing, or it's not quite meeting our increased training demands. When that mismatch happens, we end up having low energy availability.
Now this doesn't really make intuitive sense. And if you talk to somebody outside of the running world, they often think that it's weird that you might not be eating enough for whatever your training is, but we see this happen time and time again, where just because someone increases their training, they don't necessarily have an increase in their cues for hunger, and then take in the energy to match that new training. So we have this unique thing about running, where when we run more, we don't necessarily eat more. And then you have this sport that's often emphasizing leanness and lightness. And so maybe some of those messages are getting into our nutritional strategy, and we're having two different problems that come together. Our natural cues for hunger aren't matching our activity, and we might be thinking, well, maybe if I lose a little bit of weight, maybe if I don't eat quite as much, I'm going to be a little lighter and perform a little bit better. Absolutely don't do this. Don't fall into this trap. This can lead to a whole host of problems from a health standpoint, and you also perform worse.
There's a bunch of reasons why we might not be matching our food with our training. Sometimes people can have an eating disorder and eating disorder is a medical diagnosis. We also have disordered eating where someone doesn't have the best relationship with food. There's some innate problems with the running culture that leads to disordered eating. This can be from team culture. Maybe they follow some social media accounts that put out some of these negative messages. There's a cultural issue with proper nutrition and running, lots of unintentionally and unknowingly under fuel as their training increases.
When we're fitting that category of low energy availability, we are at risk for what's called REDS, for relative energy deficiency in sports. And this is when we have low energy availability and that's causing negative consequences on our physiological functions. REDS is a really complicated topic.
The female athlete triad, which is now brought into the athlete triad encompassing both males and females is a presentation where we have low energy availability decrease in our bone health and decreases in our hormone functions. This is a small component of REDS, but it's one of the things that we see the most often with runners. Even though this is a common problem, less than 50% of doctors, physical therapists, coaches, and athletic trainers are able to identify these three different categories. That's not good. We see the disordered eating or eating disorders occur in zero to 19% of males and six to 45% of females. All athletes that have been diagnosed with a stress fracture or a bone stress injury should be screened for REDS.

[@IFSwithAndrea]

Already had bad vibes with my orthopedic doc and this finally is the cue to BREAK UP. WITH THEM. Never asked me about eating or nutrition, never asked about hormones, only wanted me to rest completely and get injections to rule out other issues besides the edema in my sacrum.

[@doncecone]

Thanks for the information! Your channel is super underrated..

[@Alexander_Offshore]

You got me! I train a lot but eat like crap… Great video, subscribed 💪🇸🇪

[@NathanCarlson]

Thanks for the sub!

[@jimmypicard6234]

Great info!

[@NathanCarlson]

Thanks Jimmy!

[@2009raindrop]

Interesting info on a topic often not covered. I could do without some of the background noise tho

[@zar6842]

You deserve more subs!

[@NathanCarlson]

Thanks for the kind words!