Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture.  Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Nashville Foot &
Ankle Center

397 Wallace Road, Building C, Suite 411
Nashville, TN 37211
(615) 332-0330

Smyrna Foot &
Ankle Center

309 Quecreek Circle
Smyrna, TN 37167
(615) 220-2982

Spring Hill Foot &
Ankle Center

5073 Columbia Pike, Suite 230
Spring Hill, TN 37174
(615) 302-5400

Columbia Foot &
Ankle Center

1503 Hatcher Lane, Suite 100
Columbia, TN 38401
(931) 388-9922

Dickson Foot &
Ankle Center

111 U.S. 70 East, Suite 102
Dickson, TN 37055
(615) 229-3045

Fairview Foot &
Ankle Center

2340 Fairview Blvd., Ste. 600A
Fairview, TN 37062
(615) 229-3045

Hohenwald Foot &
Ankle Center

617 West Main Street
Hohenwald, TN 38462
(931) 388-9922

Midtown Foot &
Ankle Center

1916 Patterson Street, Suite 205
Nashville, TN 37203
(615) 332-0330
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