![]() Anti-gravity treadmills are available in some locations, but they tend to be expensive to use and hard to find. This is easy to accomplish with any type of floatation device to hold you up in a pool while your legs perform a running motion. Deep water running is a simple way to keep the running muscles working but without the load of weight bearing. Consequently, cross-training becomes a staple of exercise for runners with a stress fracture. The simple answer is yes, but it must not include loading the bone with the stress fracture. Immobilization of the fracture site is sometimes necessary, but your doctor can determine if this is needed.Ĭan I continue to exercise with a tibial stress fracture? Non-steroidal anti-inflammatory medications (NSAIDs) can reduce pain and inflammation, but there is some evidence they may inhibit the normal bone healing process which includes inflammation. Rest does not always include non-weight bearing, but rather a stop to running and other impact training. Ice is often helpful for the pain and inflammation. Without that, the bone will not heal and the fracture may worsen. Treatment for a stress fracture must include rest. CT and MRI are often used when there the x-rays are negative. X-rays are generally taken, but as mentioned above, it can to 2 weeks or more before the stress fracture shows up on an x-ray. How is a tibial stress fracture diagnosed?Ĭlinical examination will reveal tenderness at the stress fracture site and swelling around that area. Swelling and pain are the primary symptoms of a stress fracture. What are the symptoms of a tibial stress fracture? Estrogen helps maintain bone health, so for women who are post-menopausal are at risk for stress fractures in general. Low bone mineral density, osteoporosis, and inadequate nutritional intake are risk factors for a stress fracture. There is weak evidence supporting the use of cushioned shoes to reduce these stresses, but the interplay between shoe type and foot contact pattern is not well established due to conflicting evidence in the literature. ![]() Some running forms are associated with higher loads in the tibia and thus stress fracture risk. That stress reaction weakens the bone and continued load on the bone will cause a stress fracture to form. Typically, stress fractures start out as a “stress reaction” in the bone. Stress fractures in runners are the result of the repeated load applied to the leg. They develop slowly with repetitive load on a bone as opposed to a typical fracture that is caused by a sudden twisted or bending force on the bone. They can take several weeks before becoming visible on an x-ray. They are there although you cannot see them. If you bend that branch but don’t break it in half, then you will hear small cracks forming. A simple way to understand stress fractures is to think about a small branch or twig. They are generally small and often do not extend all the way through the bone. A stress fracture is a hairline crack in a bone.
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