|Stress Fractures of the Tibia and Fibula|
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- Increasing the amount or intensity of an activity too quickly (most common)
- Switching to a different playing or running surface
- Wearing improper or old shoes
- Sports that involve running and jumping, such as:
- Track, especially distance running
- Absense or early stopping of menstrual cycle—amenorrhea
- Reduced bone thickness or density—osteoporosis
- Poor muscle strength or flexibility
- Overweight or underweight
- Poor physical condition
- Localized pain on the bone
- Pain when pressure is applied directly over the fracture and the area around it
- Pain when putting stress on the affected leg
- Swelling and warmth at injury site
Crutches or a Cane
- Begin with nonweight–bearing activities, such as swimming or bicycling.
- Next, you can do weight-bearing, nonimpact exercise, such as a stair machine.
- Gradually, you will be able to add low-impact activity, starting with walking.
- Once you can do fast-paced walking with no pain, you can start higher impact activity, such as light jogging.
- This gradual progression continues until you have reached your pre-injury activity level. You can return to full activity once you do not feel tenderness of the bone.
- Gradually increase the amount and intensity of an activity
- Run on a softer surface, such as grass, dirt, or certain outdoor tracks
- Do not overdo any activity
- Wear proper footwear
- Maintain a proper weight
- Avoid smoking
American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
Ortho Info—American Academy of Orthopaedic Surgeons http://www.orthoinfo.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Femoral stress fracture. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 3, 2012. Accessed September 29, 2014.
March fracture. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 29, 2014. Accessed September 29, 2014.
Marx RG, Saint-Phard D, Callahan LR, Chu J, Hannafin JA. Stress fracture sites related to underlying bone health in athletic females. Clin J Sport Med. 2001;11:73-76.
Sanderlin BW, Raspa RF. Common stress fractures. Am Fam Physician. 2003;68(8):1527-1532.
Stress fractures. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00112. Updated October 2007. Accessed September 29, 2014.
Wells CL. Women, Sport & Performance: A Physiological Perspective. Champaign, IL: Human Kinetics; 1991.
Wheeler P, Batt ME. Do nonsteroidal anti-inflammatory drugs adversely affect stress fracture healing? A short review. Br J Sports Med. 2005;39:65-69.
- Reviewer: Michael Woods, MD
- Review Date: 09/2013 -
- Update Date: 09/30/2013 -