What is a stress fracture?

A stress fracture is an overuse injury or a repetitive action injury. It is a common sports related injury and occurs most often in the foot and lower leg (weight bearing bones). A stress fracture occurs when a muscle is overtired or is under too much stress. The stress translates to the bone causing the bone to break/fracture.

Common Causes

• Overuse
• Repetitive activities
• Starting a new activity or aggressive workout
• Running or jumping on hard surfaces (distance runners, basketball players, dancers)

Increased risk factors that contribute to impaired bone health

• Dietary abnormalities
• Menstrual irregularities
• Osteoporosis

Diagnosis and Examination

• History and physical exam by a musculoskeletal expert
• Imaging: X-Ray, MRI, bone scan (more sensitive to earlier detection)

Common Treatment Options

• Rest
• Non-weight bearing for 6 to 8 weeks with possible casting
• Surgical intervention – internal fixation
• Stop the activity that caused the injury
• Shoe inserts or bracing once the injury has healed
• Gradual return to normal activities
• Physical Therapy

Prevention

• Gradually introduce new activities into your workout routine
• Cross-training and alternating activities