EDUCATION

Undergraduate Degree

  • Stanford University , Stanford , MA

Medical School

  • Stanford School of Medicine , Stanford , CA

Internship

  • Kaiser Oakland Medical Center , Oakland , CA

Residency

  • Stanford PM&R , Redwood City , CA

Fellowship

Sports Medicine
  • Stanford PM&R , Redwood City , CA

Philosophy of Care

My goals are to comprehensively evaluate and treat causes of injury for each athlete, with a goal to facilitate accelerated return to sport and future injury prevention

PROFESSIONAL HISTORY

Dr. Adam Tenforde is an assistant professor in the Department of Physical Medicine and Rehabilitation at Harvard Medical School. He is a sports medicine physician who specializes in treatment of sports medicine injuries, with particular interest in management of running related injuries. Dr. Tenforde has the unique perspective of being both a doctor and a former professional runner who was an All-American at Stanford University where he contributed to three NCAA National Team Championships and later qualified for the Olympic trials.

Dr. Tenforde’s research has focused on the evaluation of biological and biomechanical risk factors for stress fractures, tendinopathy and other running injuries. He is also investigating how to prevent injuries in athletes. Additionally, he has ongoing research investigations in other topics within the field of medicine including shockwave treatment for management of overuse injuries in athletes.

CERTIFICATIONS

  • American Board of Physical Medicine and Rehabilitation
  • American Board of Physical Medicine and Rehabilitation, Sports Medicine

PUBLICATIONS

Publications powered by Harvard Catalyst Profiles

  1. Iaccarino MA, Tenforde AS, Zafonte RD, Silver JK, Hefner J, Paganoni S. Neurological Manifestation of COVID-19 and the Enhanced Role of Physiatrists. Am J Phys Med Rehabil. 2020 09; 99(9):858-859. View abstract
  2. Tenforde AS, Borgstrom H, Polich G, Steere H, Davis IS, Cotton K, O'Donnell M, Silver JK. Outpatient Physical, Occupational, and Speech Therapy Synchronous Telemedicine: A Survey Study of Patient Satisfaction with Virtual Visits During the COVID-19 Pandemic. Am J Phys Med Rehabil. 2020 Aug 14. View abstract
  3. Bean AC, Osoria HL, Tenforde AS, Borg-Stein J. A Marathon Runner With Right Lateral Foot Pain. Am J Phys Med Rehabil. 2020 08; 99(8):766-768. View abstract
  4. Tenforde AS, Zafonte R, Hefner J, Iaccarino MA, Silver J, Paganoni S. Evidence-Based Physiatry: Efficacy of Home-Based Telerehabilitation Versus In-Clinic Therapy for Adults After Stroke. Am J Phys Med Rehabil. 2020 08; 99(8):764-765. View abstract
  5. Rovito C, Paganoni S, Babu S, Tenforde AS. Improved function in a runner with hereditary spastic paraparesis with use of extracorporeal shockwave therapy: personal clinical experience. Am J Phys Med Rehabil. 2020 Jul 22. View abstract
  6. Rhim HC, Kim MS, Choi S, Tenforde AS. Comparative Efficacy and Tolerability of Nonsurgical Therapies for the Treatment of Midportion Achilles Tendinopathy: A Systematic Review With Network Meta-analysis. Orthop J Sports Med. 2020 Jul; 8(7):2325967120930567. View abstract
  7. Tenforde AS, Iaccarino MA, Borgstrom H, Hefner JE, Silver J, Ahmed M, Babu AN, Blauwet CA, Elson L, Eng C, Kotler D, Homer S, Makovitch S, McInnis KC, Vora A, Borg-Stein J. Telemedicine During COVID-19 for Outpatient Sports and Musculoskeletal Medicine Physicians. PM R. 2020 09; 12(9):926-932. View abstract
  8. Johnson CD, Outerleys J, Jamison ST, Tenforde AS, Ruder M, Davis IS. Comparison of Tibial Shock during Treadmill and Real-World Running. Med Sci Sports Exerc. 2020 Jul; 52(7):1557-1562. View abstract
  9. Douglas SR, Troy KL, Tenforde AS. Radiographic Pattern to Recognize Overuse Injury in Runners: The Ipsilateral Pubic Ramus and Sacral Bone Stress Injury. PM R. 2020 Jun 15. View abstract
  10. Wilke J, Mohr L, Tenforde AS, Vogel O, Hespanhol L, Vogt L, Verhagen E, Hollander K. Activity and Health During the SARS-CoV2 Pandemic (ASAP): Study Protocol for a Multi-National Network Trial. Front Med (Lausanne). 2020; 7:302. View abstract
  11. Breslow RG, Tenforde AS, Collins JE, Blauwet CA. The Boston Marathon: A Tale of Two Races. Curr Sports Med Rep. 2020 06; 19(6):196-198. View abstract
  12. Tenforde AS. Letter Regarding: Effectiveness of Extracorporeal Shockwave Therapy in the Treatment of Chronic Insertional Achilles Tendinopathy. Foot Ankle Int. 2020 Jun; 41(6):755-756. View abstract
  13. Auriemma MJ, Tenforde AS, Harris A, McInnis KC. Platelet-rich plasma for treatment of chronic proximal hamstring tendinopathy. Regen Med. 2020 04; 15(4):1509-1518. View abstract
  14. Verduzco-Gutierrez M, Bean AC, Tenforde AS, Tapia RN, Silver JK. How to Conduct an Outpatient Telemedicine Rehabilitation or Prehabilitation Visit. PM R. 2020 07; 12(7):714-720. View abstract
  15. Robinson D, Mitchkash M, Wasserman L, Tenforde AS. Nonsurgical Approach in Management of Tibialis Posterior Tendinopathy With Combined Radial Shockwave and Foot Core Exercises: A Case Series. J Foot Ankle Surg. 2020 Sep - Oct; 59(5):1058-1061. View abstract
  16. Mitchkash M, Robinson D, Tenforde AS. Efficacy of Extracorporeal Pulse-Activated Therapy in the Management of Lower-Extremity Running-Related Injuries: Findings From a Large Case Cohort. J Foot Ankle Surg. 2020 Jul - Aug; 59(4):795-800. View abstract
  17. Davis IS, Tenforde AS, Neal BS, Roper JL, Willy RW. Gait Retraining as an Intervention for Patellofemoral Pain. Curr Rev Musculoskelet Med. 2020 Feb; 13(1):103-114. View abstract
  18. Tenforde AS, Hayano T, Jamison ST, Outerleys J, Davis IS. Tibial Acceleration Measured from Wearable Sensors Is Associated with Loading Rates in Injured Runners. PM R. 2020 07; 12(7):679-684. View abstract
  19. Kliethermes SA, Nagle K, Côté J, Malina RM, Faigenbaum A, Watson A, Feeley B, Marshall SW, LaBella CR, Herman DC, Tenforde A, Beutler AI, Jayanthi N. Impact of youth sports specialisation on career and task-specific athletic performance: a systematic review following the American Medical Society for Sports Medicine (AMSSM) Collaborative Research Network's 2019 Youth Early Sport Specialisation Summit. Br J Sports Med. 2020 Feb; 54(4):221-230. View abstract
  20. Tenforde AS, Brook EM, Broad E, Matzkin EG, Yang HY, Collins JE, Braun PW, Blauwet CA. Prevalence and Anatomical Distribution of Bone Stress Injuries in the Elite Para Athlete. Am J Phys Med Rehabil. 2019 11; 98(11):1036-1040. View abstract
  21. Reilly JM, Tenforde AS. The Role of Extracorporeal Shockwave Therapy in Return to Competition for Endurance Runners: Two Case Reports. PM R. 2020 05; 12(5):516-517. View abstract
  22. Ruder M, Jamison ST, Tenforde A, Mulloy F, Davis IS. Relationship of Foot Strike Pattern and Landing Impacts during a Marathon. Med Sci Sports Exerc. 2019 10; 51(10):2073-2079. View abstract
  23. Tenforde AS. Evidence-Based Physiatry: Relative Energy Deficiency in Sport. Am J Phys Med Rehabil. 2019 07; 98(7):636. View abstract
  24. Silver JK, Bean AC, Slocum C, Poorman JA, Tenforde A, Blauwet CA, Kirch RA, Parekh R, Amonoo HL, Zafonte R, Osterbur D. Physician Workforce Disparities and Patient Care: A Narrative Review. Health Equity. 2019; 3(1):360-377. View abstract
  25. Holtzman B, Tenforde AS, Parziale AL, Ackerman KE. Characterization of Risk Quantification Differences Using Female Athlete Triad Cumulative Risk Assessment and Relative Energy Deficiency in Sport Clinical Assessment Tool. Int J Sport Nutr Exerc Metab. 2019 Jun 12; 1-7. View abstract
  26. Blauwet CA, Borgstrom HE, Tenforde AS. Bone Health in Adaptive Sports Athletes. Sports Med Arthrosc Rev. 2019 Jun; 27(2):60-66. View abstract
  27. Tenforde AS. Re: Protocol for 8-Week Return to Running after a Femoral Stress Reaction: No Bone Stress Injury is the Same. PM R. 2019 08; 11(8):908-909. View abstract
  28. Tenforde AS, Borgstrom HE, Outerleys J, Davis IS. Is Cadence Related to Leg Length and Load Rate? J Orthop Sports Phys Ther. 2019 Apr; 49(4):280-283. View abstract
  29. Melin AK, Heikura IA, Tenforde A, Mountjoy M. Energy Availability in Athletics: Health, Performance, and Physique. Int J Sport Nutr Exerc Metab. 2019 Mar 01; 29(2):152-164. View abstract
  30. Brook EM, Tenforde AS, Broad EM, Matzkin EG, Yang HY, Collins JE, Blauwet CA. Low energy availability, menstrual dysfunction, and impaired bone health: A survey of elite para athletes. Scand J Med Sci Sports. 2019 May; 29(5):678-685. View abstract
  31. Krabak BJ, Tenforde AS, Davis IS, Fredericson M, Harrast MA, d'Hemecourt P, Luke AC, Roberts WO. Youth Distance Running: Strategies for Training and Injury Reduction. Curr Sports Med Rep. 2019 Feb; 18(2):53-59. View abstract
  32. Kraus E, Tenforde AS, Nattiv A, Sainani KL, Kussman A, Deakins-Roche M, Singh S, Kim BY, Barrack MT, Fredericson M. Bone stress injuries in male distance runners: higher modified Female Athlete Triad Cumulative Risk Assessment scores predict increased rates of injury. Br J Sports Med. 2019 Feb; 53(4):237-242. View abstract
  33. Tenforde AS, Carlson JL, Sainani KL, Chang AO, Kim JH, Golden NH, Fredericson M. Sport and Triad Risk Factors Influence Bone Mineral Density in Collegiate Athletes. Med Sci Sports Exerc. 2018 12; 50(12):2536-2543. View abstract
  34. Futrell EE, Jamison ST, Tenforde AS, Davis IS. Relationships between Habitual Cadence, Footstrike, and Vertical Load Rates in Runners. Med Sci Sports Exerc. 2018 09; 50(9):1837-1841. View abstract
  35. Hooper DR, Tenforde AS, Hackney AC. Treating exercise-associated low testosterone and its related symptoms. Phys Sportsmed. 2018 11; 46(4):427-434. View abstract
  36. Elliott-Sale KJ, Tenforde AS, Parziale AL, Holtzman B, Ackerman KE. Endocrine Effects of Relative Energy Deficiency in Sport. Int J Sport Nutr Exerc Metab. 2018 Jul 01; 28(4):335-349. View abstract
  37. Burke LM, Close GL, Lundy B, Mooses M, Morton JP, Tenforde AS. Relative Energy Deficiency in Sport in Male Athletes: A Commentary on Its Presentation Among Selected Groups of Male Athletes. Int J Sport Nutr Exerc Metab. 2018 Jul 01; 28(4):364-374. View abstract
  38. Ackerman KE, Holtzman B, Cooper KM, Flynn EF, Bruinvels G, Tenforde AS, Popp KL, Simpkin AJ, Parziale AL. Low energy availability surrogates correlate with health and performance consequences of Relative Energy Deficiency in Sport. Br J Sports Med. 2019 May; 53(10):628-633. View abstract
  39. Mountjoy M, Sundgot-Borgen JK, Burke LM, Ackerman KE, Blauwet C, Constantini N, Lebrun C, Lundy B, Melin AK, Meyer NL, Sherman RT, Tenforde AS, Klungland Torstveit M, Budgett R. IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update. Br J Sports Med. 2018 Jun; 52(11):687-697. View abstract
  40. Reilly JM, Bluman E, Tenforde AS. Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: A Narrative Review. PM R. 2018 12; 10(12):1385-1403. View abstract
  41. Mountjoy M, Sundgot-Borgen J, Burke L, Ackerman KE, Blauwet C, Constantini N, Lebrun C, Lundy B, Melin A, Meyer N, Sherman R, Tenforde AS, Torstveit MK, Budgett R. International Olympic Committee (IOC) Consensus Statement on Relative Energy Deficiency in Sport (RED-S): 2018 Update. Int J Sport Nutr Exerc Metab. 2018 Jul 01; 28(4):316-331. View abstract
  42. Tenforde AS, Ruder MC, Jamison ST, Singh PP, Davis IS. Is symmetry of loading improved for injured runners during novice barefoot running? Gait Posture. 2018 May; 62:317-320. View abstract
  43. Lin CY, Casey E, Herman DC, Katz N, Tenforde AS. Sex Differences in Common Sports Injuries. PM R. 2018 Oct; 10(10):1073-1082. View abstract
  44. Silver JK, Blauwet CA, Bhatnagar S, Slocum CS, Tenforde AS, Schneider JC, Zafonte RD, Goldstein R, Gallegos-Kearin V, Reilly JM, Mazwi NL. Women Physicians Are Underrepresented in Recognition Awards From the Association of Academic Physiatrists. Am J Phys Med Rehabil. 2018 Jan; 97(1):34-40. View abstract
  45. Davis I, Powers C, Tenforde A, Singh JR. A Tale of Two Treatments for Patellofemoral Pain. PM R. 2017 12; 9(12):1283-1289. View abstract
  46. Tenforde AS, Parziale AL, Popp KL, Ackerman KE. Low Bone Mineral Density in Male Athletes Is Associated With Bone Stress Injuries at Anatomic Sites With Greater Trabecular Composition. Am J Sports Med. 2018 01; 46(1):30-36. View abstract
  47. Blauwet CA, Brook EM, Tenforde AS, Broad E, Hu CH, Abdu-Glass E, Matzkin EG. Low Energy Availability, Menstrual Dysfunction, and Low Bone Mineral Density in Individuals with a Disability: Implications for the Para Athlete Population. Sports Med. 2017 Sep; 47(9):1697-1708. View abstract
  48. Tenforde AS, Hefner JE, Kodish-Wachs JE, Iaccarino MA, Paganoni S. Telehealth in Physical Medicine and Rehabilitation: A Narrative Review. PM R. 2017 May; 9(5S):S51-S58. View abstract
  49. Silver JK, Bhatnagar S, Blauwet CA, Zafonte RD, Mazwi NL, Slocum CS, Schneider JC, Tenforde AS. Female Physicians Are Underrepresented in Recognition Awards from the American Academy of Physical Medicine and Rehabilitation. PM R. 2017 Oct; 9(10):976-984. View abstract
  50. Barrack MT, Fredericson M, Tenforde AS, Nattiv A. Evidence of a cumulative effect for risk factors predicting low bone mass among male adolescent athletes. Br J Sports Med. 2017 Feb; 51(3):200-205. View abstract
  51. Tenforde AS, Carlson JL, Chang A, Sainani KL, Shultz R, Kim JH, Cutti P, Golden NH, Fredericson M. Association of the Female Athlete Triad Risk Assessment Stratification to the Development of Bone Stress Injuries in Collegiate Athletes. Am J Sports Med. 2017 Feb; 45(2):302-310. View abstract
  52. Tenforde AS, Nattiv A, Ackerman K, Barrack MT, Fredericson M. Optimising bone health in the young male athlete. Br J Sports Med. 2017 Feb; 51(3):148-149. View abstract
  53. Kraus EA, Kim B, Nattiv A, Tenforde A, Barrack M, Deakins-Roche M, Kussman A, Singh S, Morkos J, Fredericson M. Poster 155 Higher Cumulative Risk Assessment Scores Are Associated with Delayed Return to Play in Division I Collegiate Distance Runners. PM R. 2016 Sep; 8(9S):S212-S213. View abstract
  54. Futrell E, Tenforde A, Jamison ST, Davis IS. Relationships Between Natural Cadence And Vertical Load Rates In Injured And Healthy Runners.: 2187 Board #339 June 2, 2: 00 PM - 3: 30 PM. Med Sci Sports Exerc. 2016 May; 48(5 Suppl 1):619-20. View abstract
  55. Ruder MC, Tenforde AS, Davis IS. Differences in Symmetry between Habitually Shod and Habitually Barefoot Runners: 3836 Board #275 June 4, 8: 00 AM - 9: 30 AM. Med Sci Sports Exerc. 2016 May; 48(5 Suppl 1):1076-7. View abstract
  56. Barrack MT, Fredericson M, Tenforde AS, Kim B, Kraus E, Singh S, Ratanapratum J, Nattiv A. Use Of Dietary Supplements, Energy and Protein Bars, Gels and Drinks Among Elite Collegiate Endurance Runners: 2692 Board #215 June 3, 9: 30 AM - 11: 00 AM. Med Sci Sports Exerc. 2016 May; 48(5 Suppl 1):753. View abstract
  57. Tenforde AS, Yin A, Hunt KJ. Foot and Ankle Injuries in Runners. Phys Med Rehabil Clin N Am. 2016 Feb; 27(1):121-37. View abstract
  58. Fredericson M, Tenforde AS. Running Injuries. Phys Med Rehabil Clin N Am. 2016 Feb; 27(1):xv-xvi. View abstract
  59. Tenforde AS, Kraus E, Fredericson M. Bone Stress Injuries in Runners. Phys Med Rehabil Clin N Am. 2016 Feb; 27(1):139-49. View abstract
  60. Tenforde AS, Barrack MT, Nattiv A, Fredericson M. Parallels with the Female Athlete Triad in Male Athletes. Sports Med. 2016 Feb; 46(2):171-82. View abstract
  61. Kraus E, Tenforde AS, Beaulieu CF, Ratliff J, Fredericson M. Piriformis Syndrome With Variant Sciatic Nerve Anatomy: A Case Report. PM R. 2016 Feb; 8(2):176-9. View abstract
  62. Tenforde AS, Fredericson M. Athlete Return-to-Play Decisions in Sports Medicine. AMA J Ethics. 2015 Jun 01; 17(6):511-4. View abstract
  63. Tenforde AS, Fredericson M, Sayres LC, Cutti P, Sainani KL. Identifying sex-specific risk factors for low bone mineral density in adolescent runners. Am J Sports Med. 2015 Jun; 43(6):1494-504. View abstract
  64. Tenforde AS, Toth KE, Langen E, Fredericson M, Sainani KL. Running habits of competitive runners during pregnancy and breastfeeding. Sports Health. 2015 Mar; 7(2):172-6. View abstract
  65. Tenforde AS, Sainani KL, Carter Sayres L, Milgrom C, Fredericson M. Participation in ball sports may represent a prehabilitation strategy to prevent future stress fractures and promote bone health in young athletes. PM R. 2015 Feb; 7(2):222-5. View abstract
  66. Tenforde AS, Sayres LC, McCurdy ML, Sainani KL, Fredericson M. Identifying sex-specific risk factors for stress fractures in adolescent runners. Med Sci Sports Exerc. 2013 Oct; 45(10):1843-51. View abstract
  67. Chen YT, Tenforde AS, Fredericson M. Update on stress fractures in female athletes: epidemiology, treatment, and prevention. Curr Rev Musculoskelet Med. 2013 Jun; 6(2):173-81. View abstract
  68. Fredericson M, Tenforde AS. Reply: To PMID 22613366. PM R. 2013 Jan; 5(1):75. View abstract
  69. Tenforde AS, Watanabe LM, Moreno TJ, Fredericson M. Use of an antigravity treadmill for rehabilitation of a pelvic stress injury. PM R. 2012 Aug; 4(8):629-31. View abstract
  70. Chang ST, Tenforde AS, Grimsrud CD, O'Ryan FS, Gonzalez JR, Baer DM, Chandra M, Lo JC. Atypical femur fractures among breast cancer and multiple myeloma patients receiving intravenous bisphosphonate therapy. Bone. 2012 Sep; 51(3):524-7. View abstract
  71. Tenforde AS, Shull PB, Fredericson M. Neuromuscular prehabilitation to prevent osteoarthritis after a traumatic joint injury. PM R. 2012 May; 4(5 Suppl):S141-4. View abstract
  72. Tenforde AS, Fredericson M. Influence of sports participation on bone health in the young athlete: a review of the literature. PM R. 2011 Sep; 3(9):861-7. View abstract
  73. Suh GY, Les AS, Tenforde AS, Shadden SC, Spilker RL, Yeung JJ, Cheng CP, Herfkens RJ, Dalman RL, Taylor CA. Hemodynamic changes quantified in abdominal aortic aneurysms with increasing exercise intensity using mr exercise imaging and image-based computational fluid dynamics. Ann Biomed Eng. 2011 Aug; 39(8):2186-202. View abstract
  74. Tenforde AS, Sayres LC, McCurdy ML, Collado H, Sainani KL, Fredericson M. Overuse injuries in high school runners: lifetime prevalence and prevention strategies. PM R. 2011 Feb; 3(2):125-31; quiz 131. View abstract
  75. Suh GY, Les AS, Tenforde AS, Shadden SC, Spilker RL, Yeung JJ, Cheng CP, Herfkens RJ, Dalman RL, Taylor CA. Quantification of particle residence time in abdominal aortic aneurysms using magnetic resonance imaging and computational fluid dynamics. Ann Biomed Eng. 2011 Feb; 39(2):864-83. View abstract
  76. Tenforde AS, Sayres LC, Sainani KL, Fredericson M. Evaluating the relationship of calcium and vitamin D in the prevention of stress fracture injuries in the young athlete: a review of the literature. PM R. 2010 Oct; 2(10):945-9. View abstract
  77. Tenforde AS, Sainani KL, Fredericson M. Electronic web-based surveys: an effective and emerging tool in research. PM R. 2010 Apr; 2(4):307-9. View abstract
  78. Tenforde AS, Cheng CP, Suh GY, Herfkens RJ, Dalman RL, Taylor CA. Quantifying in vivo hemodynamic response to exercise in patients with intermittent claudication and abdominal aortic aneurysms using cine phase-contrast MRI. J Magn Reson Imaging. 2010 Feb; 31(2):425-9. View abstract
  79. Reiss AL, Hoeft F, Tenforde AS, Chen W, Mobbs D, Mignot EJ. Anomalous hypothalamic responses to humor in cataplexy. PLoS One. 2008 May 21; 3(5):e2225. View abstract
  80. Eckert MA, Tenforde A, Galaburda AM, Bellugi U, Korenberg JR, Mills D, Reiss AL. To modulate or not to modulate: differing results in uniquely shaped Williams syndrome brains. Neuroimage. 2006 Sep; 32(3):1001-7. View abstract