Stress Fractures of the Foot Treatment

Stress Fractures of the Foot Treatment

A stress fracture is a small crack in a bone, caused by repetitive force or an underlying condition.

Reduce Pain

Reduce Inflammation

Maintain Strength

About the condition

What is a Stress Fracture?

A stress fracture is a small crack in a bone, or severe bruising within a bone. In a stress fracture, the bone breaks but does not shift position. Over time, with repetitive stresses, your bones can become ‘weakened’, which is a stress reaction. This weakness increases the risk of a stress fracture.

Where can stress fractures occur?

Most often found in weight bearing bones of the foot:

  • Metatarsal Bones The second and third metatarsals of the foot are most prone to stress fractures. Less commonly, people may have fractures of the fourth and fifth metatarsals.
  • Navicular The navicular is one of the bones in the middle of the foot. The navicular bone is not commonly associated with stress fractures, and the diagnosis can sometimes be hard to make.
  • Talus The talus is one of the bones in the heel of the foot. It is an uncommon bone to be affected by stress fracture.
  • Sesamoid Bones The sesamoids are two small bones located in the ball of the foot, beneath the joint of the big toe. These small bones can sometimes be affected by stress fractures.
  • Calcaneus The calcaneus is the bone that makes up the heel of your foot. It is the second most common area of the foot to develop stress fractures.
Causes

What are the causes of Stress Fractures of the Foot?

Stress fractures are predominantly caused by a sudden increase in physical activity. The increase can mean frequency or the intensity of the activity.  Bones adapt slowly to load through remodeling, increasing your load too quickly does not give the bone time to adapt.

Other factors that can cause stress fractures are:

  • Insufficient bone strength
  • Poor conditioning
  • Improper technique
  • Change in surface (e.g. going from grass court to a hard court)
  • Improper equipment
  • Foot issues such as flat feet or high rigid arches
  • Common in certain supports such as track and field, tennis, gymnasts and dancers
  • Having a previous stress fracture
  • Lack of nutrients such as calcium and vitamin D
  • Underlying conditions such as osteoporosis
Symptoms

What are the symptoms of Stress Fractures of the Foot?

The pain usually develops gradually and worsens during weight-bearing activity.

  • Pain that reduces during rest
  • Pain that is associated with physical activity
  • Swelling on the top of the foot or on the outside of the ankle
  • Tender to touch
  • Bruising
Treatment

Treatment for Stress Fractures

X-rays don’t often show stress fractures, If your physiotherapist suspects a stress fracture they may refer you back to your GP for an MRI to correctly diagnose.

Your physiotherapist may also recommend crutches to keep weight off your foot until the pain subsides.

  • Self management techniques
  • Patient education
  • Tailored exercise programs
  • Moon boot to limit loading during healing
  • Biomechanical assessment after healing to correct issues and prevent reoccurance
Self care

What can I do at home?

  • Resting and limiting physical activity
  • Icing the inflamed area every 1-2 hours for 15-minutes – sometime ice can make a fracture uncomfortable
Prevention

How can I prevent a Stress Fracture?

There are many simple steps that can be taken to help prevent stress fractures:

  • Cross-train.Ensure there is a variety of low- and high-impact activities to your exercise plan to prevent repetitive strain.
  • Enjoy proper nutrition.To keep your bones strong, ensure you are consuming enough calcium, vitamin D and other nutrients.

Need Help?

Are you suffering from a painful Stress Fracture of the Foot? Contact Vitalis Physiotherapy now to book in your treatment. Call our friendly team on 0410 559 856. We’d love to help.