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Orthopedics & Sports Medicine

Stress Fracture of the Foot & Ankle

What Is a Stress Fracture?

A stress fracture of the lower leg is an overuse injury.

Stress fractures are tiny cracks in the bone. They are caused by repetitive force, such as running long distances or frequent jumping. Stress fractures can also occur in bone weakened by conditions such as osteoporosis.

Symptoms

  • Aching pain in your leg(s) that increases with activity then disappears with rest
  • Tenderness and possibly swelling around your shin
  • Pain that gets worse in the evening or at night
  • Pain that begins after an increase in training or intensity

Diagnosis

Stress fractures can be difficult to diagnose. They develop slowly over time as a result of repetitive trauma to the muscles and bones. They occur when muscles become fatigued or overloaded and cannot absorb the stress or shock of repeated impacts. Fatigued lower leg muscles transfer that stress to the nearby bone, resulting in a small crack or fracture in the bones that might not be seen on an X-ray.

Treatment

Rest is very important for treating stress fractures. You should avoid repetitive or weight-bearing exercises, especially running. Rehabilitation focused on strength and flexibility may be recommended.

Orthopedics & Sports Medicine

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