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Stress Fractures- Causes, Symptoms & Treatment

Stress fractures are a form of bone injury caused by excessive use of a particular bone. These fractures occur when the usage of a bone exceeds its ability of natural repair, leading to cracks in the internal bone structure. The bones most prone to stress fractures are those of the legs, the pelvis, and the feet. This condition is commonly seen in sportspersons, and is brought about by excessive jumping or running, and other repetitive movements like bowling or rowing.

Causes:

  • Overuse of bones in the lower extremities
  • Low estrogen levels in women
  • Lack of warming up before excessive physical activity
  • Decrease in bone density with age
  • Weakened bones due to osteoporosis
  • Long-term use of corticosteroids
  • Poorly cushioned shoes
  • Anatomical abnormalities like fallen arches
  • Poor-quality sports equipment

Symptoms:

  • Dull pain around the affected area, which worsens with physical activity and resolves with rest.
  • Swelling around the site of the fracture.
  • Spot tenderness upon touching.
  • Pain that worsens at night is a typical symptom of stress fractures.
  • Ignoring these symptoms can cause the condition to worsen, leading to earlier onset of pain with light physical activity.

Treatment:

  • Home care for stress fractures follows the same regimen as that for most orthopedic disorders, constituting RICE (Rest, Ice, Compression, Elevation).
  • You might need to see a doctor if the pain gets worse with time or refuses to subside. OrthoTexas, a leading orthopedic clinic located in Plano and other areas in Texas offers medical treatment for the condition.
  • The treatment begins with the administration of anti-inflammatory medication, combined with analgesics.
  • If the condition does not subside with these medications orthopedic treatment consisting of casts, crutches, walking boots, or braces, all of which help to limit the movement.
  • A healing time of 1-3 months is recommended, before physical activity can be gradually reintroduced.
  • Physical therapy aimed at improving strength and flexibility is also recommended in the treatment of stress fractures. This can help to prevent recurrence of the stress fractures.
  • In case of extreme pain, patients might need to be administered with pain medications.
  • The final line of treatment that is opted for in severe cases of stress fractures is surgery. This is usually needed in case the fractures displace.

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

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Written by Dr. Harun Ar Rashid, MD - Arthritis, Bones, Joints Pain, Trauma, and Internal Medicine Specialist

Dr. Md. Harun Ar Rashid, MPH, MD, PhD, is a highly respected medical specialist celebrated for his exceptional clinical expertise and unwavering commitment to patient care. With advanced qualifications including MPH, MD, and PhD, he integrates cutting-edge research with a compassionate approach to medicine, ensuring that every patient receives personalized and effective treatment. His extensive training and hands-on experience enable him to diagnose complex conditions accurately and develop innovative treatment strategies tailored to individual needs. In addition to his clinical practice, Dr. Harun Ar Rashid is dedicated to medical education and research, writing and inventory creative thinking, innovative idea, critical care managementing make in his community to outreach, often participating in initiatives that promote health awareness and advance medical knowledge. His career is a testament to the high standards represented by his credentials, and he continues to contribute significantly to his field, driving improvements in both patient outcomes and healthcare practices. Born and educated in Bangladesh, Dr. Rashid earned his BPT from the University of Dhaka before pursuing postgraduate training internationally. He completed his MD in Internal Medicine at King’s College London, where he developed a special interest in inflammatory arthritis and metabolic bone disease. He then undertook a PhD in Orthopedic Science at the University of Oxford, conducting pioneering research on cytokine signaling pathways in rheumatoid arthritis. Following his doctoral studies, Dr. Rashid returned to clinical work with a fellowship in interventional pain management at the Rx University School of Medicine, refining his skills in image-guided joint injections and minimally invasive pain-relief techniques.