Stress Fractures

What is a stress fracture? A stress fracture occurs when a small crack develops in the cortex of the bone. Over time, if left untreated the crack will expand until the fracture line extends through the whole bone. Most stress fractures occur in the weight-bearing bones of the foot such as the metatarsals, most commonly the 2nd and 3rd metatarsals. Stress fractures can also occur in the heel, the navicular of the fibula.

Common Causes:

• Overuse

• High impact activities like distance running or basketball.

• Improper shoes or hard surfaces

• Bone Insufficiency
- Osteoporosis
- Vitamin D deficiency 

Symptoms:

• Pain that develops gradually, increases with weight-bearing and diminishes with rest

• Pain that becomes more severe and occurs during normal, daily activities

• Swelling on top of the foot or the outside of the ankle.

• Tenderness to touch at the site of the fracture

• Possible bruising


Treatments:

Rest, use of a custom splint or post op shoe or immobilization via a below the knee pre-fabricated cast such as an AirCast or a fiberglass cast applied by a podiatrist. The site of the stress fracture and degree of pain will determine the treatment. If there is a deficiency in bone density that will need to be addressed as well.

Call Central Carolina Foot and Ankle Associates at (919) 477-9333 for an appointment or click the link below.


Central Carolina Foot & Ankle Associates

NORTH DURHAM
INDEPENDENCE MEDICAL PARK
4119 Capitol Street
Durham, NC 27704 
(near Duke Regional Hospital) 
919-477-9333   

SOUTHWEST DURHAM
HIGHGATE CENTRE
5107 Southpark Drive
Suite 202
Durham, NC 27713 
(close to RTP and Chapel Hill)
919-544-2583 

RALEIGH
ALEXANDER OFFICE PARK AT BRIER CREEK
7920 ACC Boulevard
Suite 100-A
Raleigh, NC 27617
919-533-4200