Bone Health - Running: Can You Outrun Your Past?
June 2019
in “
Medicine and science in sports and exercise
”
Studysummary This case report documents a 20-year-old female runner with recurrent bone stress injuries, concluding they were due to low bone density from uncontrolled Celiac Disease and functional hypothalamic amenorrhea from low energy availability.
Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
In 2019, a case study was conducted on a 20-year-old female distance runner with a history of recurrent bone stress injuries. The patient had a history of Celiac Disease and reported fewer than 6 menstrual cycles per year. The diagnostic workup revealed a left sacral stress fracture and her injury history was significant. The final diagnosis attributed her recurrent bone stress injuries to low bone density, which was secondary to uncontrolled Celiac Disease during her adolescent bone mass accrual, and functional hypothalamic amenorrhea due to current low energy availability. The treatment included a regimen for sacral stress fracture, biomechanical assessment and rehabilitation, a medically modified training plan, monitoring by Sports Nutrition, and a discussion about treatment with transdermal estrogen.
