Stress Fractures

Stress fractures occur when the bones do not have enough time to heal from everyday microtrauma, or when there is a problem with the bone healing and repair mechanism. They also tend to happen when the muscles aren’t accustomed to doing what you are asking them to do and tire easily. Once tired, they are less able to support the bones, which can lead to increased pressure and the potential for stress fractures to occur.

They are most common among people who have just started a new exercise regime or increased the intensity of their workout.

They are also more common in women who are at risk of osteoporosis (weakening of the bones) and in teenagers whose bones aren’t fully mature/hardened. Conditions such as fallen arches, which mean that your weight is unevenly distributed through your feet and legs, increase the risk of stress fractures. Once you have had one stress fracture you are significantly more likely to develop another, so prevention is key.

The main symptom of a stress fracture is dull pain around the injury site, which worsens when walking or exercising. The area may also appear swollen.

Your doctor will examine you and ask about any activities that may have led you to develop a stress fracture. X-rays do not show up stress fractures but you may be sent for an MRI scan or nuclear imaging.

The most effective treatment for a stress fracture is rest and to elevate the affected area for 24-48 hours to give the bone time to start healing itself. Painkillers such as Paracetamol can be taken and you may need a cast or splint, depending which bone is affected. It is best to avoid ibuprofen or other stronger ant-inflammatorys as these can slow down bone healing and repair mechanisms.

Once the swelling has gone down you can begin putting weight on the area again, although you may need crutches or a walking stick for a couple of weeks until the bone is strong again. It is important not to do too much too quickly. Some severe stress fractures may require surgery.

Our patient-care process

• Once all of your diagnostic procedures are completed, we will be able to explain whether surgery is recommended.
• We will go through the procedures with you, covering the operation itself, the recovery process and the future prospects.
• Your orthopaedic surgeon will also explain the risks: these are small, but it is important for you to understand them.
• You can feel reassured that you will receive expert care from the start of the process, including your after-care.