Problemas de Pie en Español

Stress Fracture

What is a Stress Fracture?
Stress fractures are tiny, hairline breaks, or incomplete breaks in the bone that are usually caused by repetitive stress. Stress fractures often afflict athletes or they may be caused by an abnormal foot structure, deformities, or osteoporosis. Up to 15% of all sports injuries are stress fractures. Improper footwear may also lead to stress fractures.

What are the symptoms of a Stress Fracture?
The symptoms of a stress fracture include, but are not limited to:

  • pain after normal activity that goes away when resting and will reappear when activity occurs again
  • “pinpoint pain” on the top of the foot when touched (this will be at the site of the stress fracture)
  • swelling, but no bruising at the site of the pain
  • pain with direct palpation of the bone

Stress fractures should not be ignored because they will come back unless properly treated.

How is a Stress Fracture diagnosed?
Your podiatrist will need to perform a foot examination and look at X-Rays of the injury in order to diagnose a stress fracture. Sometimes an MRI, Ultrasound, or even a bone scan will be used in the diagnosis of a stress fracture.

What are the treatment options for a Stress Fracture?
Stress fractures in the feet are commonly seen in the calcaneus (heel bone) and the metatarsal bones of your foot. The metatarsals are the long bones in the middle of your foot (midfoot). Certain types of fractures in the metatarsal bones present a unique challenge so treatment is crucial if you do not want the stress fracture to reappear. Treatment for a stress fracture depends on the severity of the break.

Treatment may include:

  • Rest. Sometimes rest will be the only treatment needed to promote the healing of a stress fracture.
  • Avoid the activity causing the pain. Because stress fractures tend to be brought on by repetitive stress from an activity, it is important to avoid the offending activity.
  • Immobilization, casting, or a medical shoe. A surgical shoe or a cam walker boot are forms of immobilization that may be used to protect the fractured bone to give it time to heal. Crutches or a wheelchair are sometimes used in addition to prevent any weight being placed on the foot while the fracture is healing.
  • Surgery. In serious cases, surgery may be required. Stress fractures are treated conservatively first and are usually healed with time and immobilizaation.
  • Follow-up care. Dr. Neuhaus or Dr. Knox will give you specific instructions for care following your treatment plan. Physical therapy and stretching exercises may be included in your care plan in order for you to return to normal, daily activities.

**If you think you may have a stress fracture, please visit our website to request an appointment or call our office at (615) 220-8788.

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