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If you’ve had multiple fifth metatarsal fractures and you also have osteoporosis, can you still run safely?

Many runners assume the answer is automatically “no.”

But that is not necessarily true.

In this episode of the Doc On The Run Podcast, Dr. Christopher Segler explains how runners with osteoporosis can sometimes continue running safely after stress fractures or fifth metatarsal fractures—as long as they understand the specific risks that may have caused the fractures in the first place.

In this episode, you’ll learn:

• Why osteoporosis increases stress fracture risk
• Why repeated fifth metatarsal fractures may not just be about bone density
• How road slope can overload the fifth metatarsal
• Why biomechanics matter in recurrent fractures
• The difference between healing and remodeling
• Why runners with osteoporosis have to be more vigilant about stress management
• The key questions runners should ask before returning to training

The goal is not simply avoiding fractures.

The goal is staying active without re-injuring the bone.