Download Stress Fractures Management of Stress Fractures

Back In Motion Hawthorn
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Stress Fractures
A stress fracture is a type of incomplete fracture caused by repeated or unusual stress through a
bone. A common site for stress fractures is in the foot and the lower leg. The repeated stress of foot
striking and changing direction as seen in football can cause this type of injury.
Common Areas of stress fractures in the foot are:
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Tibia (shin bone)
Talus / calcaneus
Metatarsals
These bones are displayed on the image attached.
During weight bearing activities such as running, jumping and twisting, compressive forces are
placed through the Tibia and Bones of the foot. When these forces are too great or too repetitive,
bony damage can gradually occur. With continual activity and refraining from rest this gradual wear
may progress into a stress fracture. These forces will be amplified if a poor running technique or
lower limb alignment is present.
Symptoms of a stress fracture around the area of the foot will most commonly present as;
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Generalized area of pain or tenderness.
Pain on high impact activity, easing with rest
As symptoms progress, pain becomes more severe on light daily activity
Swelling
Management of Stress Fractures:
Stress fractures will become more severe if not managed properly.
The management of Stress Fractures is highly dictated by player compliance. Firstly, and most
importantly, you must rest sufficiently from any activity that is causing an increase pain until you are
symptom free. An MRI may be needed to assess the extent of damage.
From this point it is a gradual return to sport through strength and conditioning program.
Back In Motion Hawthorn
Phone:
Address:
Email:
9818 5454
626 Glenferrie Rd, HAWTHORN, 3122
[email protected]
If you are experiencing any of these symptoms it is important to see a physiotherapist as soon as
possible. Delaying intervention will worsen the fractures and may lead periods of time non-weight
bearing. Conversely, if a stress fracture is suspected but not confirmed, unnecessary rest may be
unnecessarily enforced.
It is always better to seek advice sooner rather than later if there is any doubt.
Simon Lumb (BPhysio, Member APA)
Back In Motion Hawthorn
9818 5454
626 Glenferrie Rd, Hawthorn.