05/02/2026
Case Study – Grade 3 BSI - Tibial Stress injury
10 weeks ago, Logan was diagnosed with a Grade 3 tibial stress response, just 4 weeks out from Melbourne — his last chance to qualify for Worlds in 2026.
Logan is an elite HYROX-er and sponsored athlete. At the time of his injury he was running upward of 60km per week and > 4 HYROX based gym sessions per week.
This kind of injury means ~ 10 weeks off feet. Complete DELOAD. We consulted with a Sports Doc and the medical advice was to not compete in 4 weeks.
We had an honest discussion about risk and reward, Logan had no other objective than to compete
So we built a plan to:
* Aggressively reduce axial load to promote healing
* CAM boot at all times
* Maintain conditioning through off feet con (swimming, seated ski, progressing to bike/rower)
* Modify diet to promote bone healing
The biggest hurdle for someone as active as Logan? Immediate CAM boot. No running. It pushed him out of his comfort zone.
3 weeks passed, symptoms improved and Logan was incredibly diligent (one day spending 4 hours on an exercise bike clocking over 100km).
The plan heading into HYROX -
• 2 short run sessions only
• 4 × 1km repeats at high speed
