THE DAVID GREY REHAB PODCAST #118 ‘Shin Splints’ & Stress Fractures With Beau Tyrell
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Mar 26, 2025 
In this discussion, Beau Tyrell, known as 'The Stress Fracture Physio' and a specialist in bone stress injuries for runners, shares vital insights on avoiding common injuries like shin splints and stress fractures. He explains why runners are particularly vulnerable to these injuries and offers tips on identifying symptoms early. The conversation dives deep into effective rehabilitation strategies, the importance of load management, and the role of nutrition in recovery. Tyrell's expertise shines as he emphasizes personalized care and safe reintroduction to running.
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Act Early, Don't Trust Symptoms Alone
- Encourage early recognition of symptoms to prevent progression to severe fractures.
- Beware some patients may lack pain despite serious bone injury; do not rely solely on symptoms for diagnosis.
Low vs High Risk Bone Injuries
- Low risk bone stress injury sites have good blood supply and compression forces, leading to good recovery with minimal intervention.
- High risk sites with poor blood supply and tensile forces may require surgery and aggressive protection.
Managing Low Risk Shin Injuries
- Manage low risk shin injuries with offloading to pain-free walking, limited step count, and safe gym exercises.
- Progress muscle strengthening then graded plyometrics before starting return to running protocols.