Repeated pressure on the feet and ankles can create tiny cracks in a bone called stress fractures. They differ from breaks caused by one sudden injury. Stress fractures develop when a bone cannot recover from repeated force. Runners, dancers, and athletes who suddenly increase training face a greater risk. People who spend long hours standing or walking can also be affected. Bones weakened by low bone density are more vulnerable. Stress fractures frequently occur in weight-bearing bones of the foot and lower leg. Pain usually begins in one spot and worsens with activity. Swelling and tenderness can develop near the injured bone.
Ignoring these symptoms can allow a small crack to worsen. Patients may begin to limp or have pain during daily activities. A podiatrist will ask about exercise, work demands, and changes in activity. The examination includes checking the area for swelling, tenderness, and changes in movement. X-rays may not show a stress fracture because the crack can be too small. An MRI scan or other imaging test can provide a clearer view. The podiatrist also looks for factors that place extra stress on the bone. These include foot structure, an uneven walking pattern, or shoes that lack proper support.
Treatment protects the bone so it can heal. A podiatrist may recommend a walking boot, a stiff-soled shoe, or crutches to reduce pressure. The choice depends on the fracture's location and severity. The podiatrist can explain which activities to limit and when a return is safe. Custom orthotics may improve pressure distribution and lower the risk of injury. Surgery may be needed when a fracture is unstable, has shifted, or is not healing. Follow-up visits help track healing and guide treatment changes. Returning to exercise too soon can reopen the crack or cause a complete break. If you have symptoms of a foot or ankle stress fracture, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Richard DiBacco, DPM from Podiatry Associates of Erie, Inc.. Our doctor can provide the care you need to keep you pain free and on your feet.
How Are They Caused?
Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.
Risk Factors
- Gender – They are more commonly found in women compared to men.
- Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
- Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
- Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
- Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures
Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.
If you have any questions please contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
