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Foot Stress Fractures

There are some interesting parallels between foot stress fractures and the toll that regular stress has on the body.

Stress fractures in the foot are often referred to as hairline fractures because it is a small crack in the bone that is usually seen in weight-bearing bones like the tibia, or metatarsal bones of the foot.

Similar to the impact that chronic stress has on the body, a stress fracture is also the result of overuse, or fatigue. It is a fairly common sports injury of athletes who do:
  • Tennis
  • Track and field
  • Gymnastics
  • Basketball
  • Dance
With any these type of high impact activities, it is the repetitive nature of the foot striking the ground that creates the fracture.

But, why?

Think about the answer to that question in relationship to the bigger impact that stress has on your body.

The human body was designed to function optimally while in balance. When you are stressed, particularly chronically stressed, you are NOT in balance.

It is that repetitive out-of-balance functioning that wears out the body and exacerbates illness and disease.

The same philosophy holds true with stress fractures. The muscles were designed to support and function like a shock absorber for your bones. When the muscles become weak or fatigued is when the bones have to absorb more of the impact of the activity.

That is what creates the stress fracture – the muscles become fatigued, and the bones lose their cushion to absorb the impact.

foot stress fratures

Signs and symptoms

Common signs and symptoms of a stress fracture are a generalized area of pain associated with weight bearing, and often there is also tenderness in that same area.

Sometimes you may notice the pain:
  • Increasing with weight bearing
  • Increasing with normal activities
  • Associated with some swelling




Treatment options

The treatment of foot stress fractures often depends upon the location and severity of it, but as a general rule the treatment options include:

Rest
Just like with regular stress, the body needs rest to come back into balance, or to heal.

Change in footwear – sometimes wearing a different kind of shoes, or a newer snicker will reduce the stress on the foot.

Cast
Stress fractures of the foot often take longer to heal, so there may be 4-6 weeks in a cast or air cast may be recommended by your doctor.

Surgery
In severe cases surgery is required to pin the bones back together.

Prevention

Similar to the stress management activity for the rest of your body, here are some prevention guidelines to avoid foot stress fractures:
  • Strengthening – it is weak or fatigued muscles that can cause stress fractures. Doing more muscle strengthening exercises – gradually – will keep your bones stronger.


  • Healthy diet – high in calcium and vitamin D-rich foods.


  • Equipment – the use of proper (not old or worn out) sports equipment will help to support your muscles and bones.


  • Cross training – alternate your workouts to include both weight bearing and non-weight bearing activities.


  • Moderation – You want to stress your body to increase your strength and endurance, but it is important to exercise in moderation. A gradual increase in time, speed, distance will create more benefits for you.


  • Listen to your body – if you feel pain, or experience swelling, stop what you are doing and rest for a few days. If problems persist, then you will need to see your doctor.


  • As I have said throughout this article, there are many similarities between managing chronic stress , and foot stress fractures. It all boils down to honoring your body and making the proper adjustments to keep it in balance.







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