03/12/2026
Plyometrics and jumping in the rehab of a bone stress injury in runners comes down to timing and dosage. Most people know and understand the benefits of these tools in regards to bone health and the recovery of a bone stress injury, but the why behind the decision making model is everything.
Once the acute pain and bony edema have sufficiently resolved and before starting any return to run and plyometric program, we begin by assessing tolerance to a single leg jump test and if everything goes well, it’s off to the races.
Timing: We leverage plyometrics and jumping to set the table for a solid return to run program by reconditioning the tissues in preparation for running. By leading with initial plyos early, we can replicate the specific demands of running and manage the gross volume that the bone endures in a controlled and replicable environment.
From there, based upon where they stand in their recovery and run capacity, we can leverage microdosing between running days to continue the necessary stimulus we’re looking for in regards to mechanical and neural adaptations.
Dosage: For extensive plyos, I particularly lean towards microdosing. Not only do plyometrics have the capacity to replicate mechanical forces for running but they can desensitize bone for brief time periods. By using small bouts of extensive plyos throughout the day in the early phases and between running bouts later on, we can use them to manage symptoms effectively.
For intensive plyos, it’s all about get in, get out. We want big, explosive, and lots of force. These are where we can really leverage forces that regenerate bone in the rehab of a bone stress injury. By making them max efforts and dosing them accordingly, we can create the appropriate remodeling stimulus necessary while providing enough time for other necessary strength training to get them back on the trails.
Plyometrics and jumping, when used well, they’re one of the most powerful tools for ensuring the bone is genuinely ready to run again and not just symptom-free from rest.