A stress fracture is a tiny crack in a bone caused by repeated pressure. In the foot, these injuries often affect the long bones that connect the toes to the middle of the foot. These bones absorb force when you push while walking or running. Pain usually begins gradually and becomes stronger with activity. The sore area may feel tender when touched. Swelling of the foot or bruising can develop. Unlike a sudden break caused by an accident, a stress fracture can develop without one clear injury. Daily movement may become painful.

A sudden change in activity is a leading cause of stress fractures. Running farther than usual or increasing exercise days can place more pressure on bones than they can handle. People who rarely walk far can also develop an injury after a busy vacation. Uneven ground adds to the risk. Changes in how the foot moves can increase risk when a bunion changes weight distribution. Shoes that lack proper support can also affect how the foot absorbs impact. A podiatrist can examine your walking pattern and identify factors contributing to the injury.

Treatment aims to protect the injured bone while it heals. A podiatrist examines the painful area and orders imaging to help confirm a stress fracture. Treatment options include a protective walking boot, crutches, or custom shoe inserts to help reduce pressure on the affected bone. A podiatrist also evaluates your shoes and may recommend a stiff-soled design that limits painful bending. Follow-up visits help track healing and guide a safe return to activity. Continuing to push through pain can delay recovery. If you have symptoms of a foot stress fracture, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. 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 our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.