The treatment and surgery that is best for your stress fracture is dependent upon a number of factors, including your age, present health and level of activity, health history, the location of the fracture and any history with other medications and treatments. Stress fractures occur most commonly in athletes and typically affect the feet and legs.
Stress Fracture Diagnosis
A stress fracture is an injury that can inhibit training and performance if not treated properly. If you are concerned that you may have a stress fracture, it is important to seek medical attention early on to treat it and not make the condition worse. To diagnose your injury, your doctor will ask questions regarding your symptoms and level of activity. Then they will perform a physical exam. To find the specific location of the injury, one of the following techniques will be used:
Nonsurgical Treatment for Stress Fracture
In most cases, a stress fracture can heal on its own with rest. Because the injury occurs through overuse, which means it gradually worsens over a long period of time, the bone is typically not at risk of becoming displaced, as is the case with many trauma incidents. By avoiding use of the affected limb, the bone can usually heal itself over a period of time. In some cases, you may be able to continue fitness activity in the pool where the risk of impact is lower. With more severe cases, a cast or brace will be used to limit the mobility of the affected area and reduce the amount of weight placed on the hurt bone.
Surgery for Stress Fracture
In some cases where the injury has become more severe, a stress fracture may be at risk of displacement and require surgery. The goal of most stress fracture surgeries is to prevent the bone from moving and to repair the injury caused by overuse. The majority of surgically treated stress fractures involve one of the following techniques:
Stress Fracture Research
The majority of the research around stress fractures focuses on prevention. Because this injury occurs from overuse of a particular part of the body, especially among runners and athletes who do high impact sports, finding preventive measures can help avoid taking an athlete away from their sport by stopping the injury in the first place or preventing it from reoccurring.
Recently, researchers Finestone and Milgrom studied the use of a combination of semirigid orthosis and soft orthosis used in the boots of military recruits during their stint at boot camp. The research was to try to determine if these orthosis would help reduce the occurrence of stress fractures and thereby be an effective preventive measure for other athletes as well.
The findings showed significantly higher comfort levels in the group using only semirigid orthosis and soft orthosis. Of those, the group with the soft orthosis had more comfort overall. The insoles were found to significantly reduce the shock absorbed by the bones and therefore also reduce the number of stress fractures. Other researchers, Gillespie and Grant, reviewed these findings in four other trials and found similar results. While these results were all very positive, there is still research to be done about how to best protect the bones and body from this common injury.
As research on prevention is ongoing, it is a good idea for your conversation about it with your doctor to be ongoing as well.
The Rehabilitation Network of the North Shore-LIJ Health System is dedicated to providing you and your family with result-oriented, comprehensive rehabilitation services. Our goal is to help you and your loved ones find relief from pain and get moving again after an accident, illness, injury or surgery. We’re your partner in a safe, healthy, more rapid recovery.
The multidisciplinary team of orthopaedic experts at North Shore-LIJ Orthopaedic Institute's Trauma Services in New York performs Stress Fracture surgery as well as a broad range of nonsurgical and surgical treatments for conditions that affect the bones.