What is a stress fracture?


Definition

A stress facture in an incomplete crack in the bone caused by overuse. A foot that is not structurally sound is prone to developing stress fractures. Even a normal foot can easily develop a stress fracture from repetitive use; symptoms may include pain, redness, and swelling.


Statistics

0.7%-15% of athletic injuries are stress fractures
Track athletes have the highest amount of stress fractures
The first metatarsal accounts for 10% of metatarsal stress fractures
The second, third and fourth metatarsals account for 90% of the metatarsal injuries
There is a decrease in the incidence of stress fractures in men with lean body mass
8.8% of stress fractures occur in the metatarsals
25.3% of stress fractures occur in the tarsal bones
0.9% of stress fractures occur in the sesamoids
28% of stress fractures occur in the calcaneus


Causes

Overuse or strain of the foot
Medical conditions such as osteoporosis
Medications such as steroids
Sudden increased activity level


What can you do?

Use cold compresses or ice
Get complete rest
Elevate the feet
Stay off your feet


What might the podiatrist do?

Perform a physical examination
Perform X-ray evaluation and future exams as needed
Immobilize or cast the foot/leg
Prescribe custom orthotics for long term control and prevention
Prescribe medications when indicated

 

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