Peter Attia· MD
so you're saying that you can tell I mean not to oversimplify but lateral injuries are likely to be more compressive medial injuries might be more likely to be tensile and and again I don't know that that matters necessarily other than it explains like what caused the injury yes but also with treatment because when you look at compressive loaded stress fractures so at the heel at the fifth metatarsal you have to cushion those right obviously boot heel let the tissue heal but that person might need something that's going to give a little bit the navicular stress fractures the metatarsal stress fractures the sesm moid stress fractures because they happened due to an instability to a tensile strain you can boot them but you better your followup with them better be rehabbing the strength of their foot because it's not that they landed to too heavy it's because they couldn't control their motion