Stress fractures are small cracks in bone that develop gradually and can significantly impact mobility if not treated correctly. They can occur anywhere but are most common in weight-bearing bones, especially the lower legs and feet.
Dr. Sumit Dewanjee is an award-winning orthopedic specialist who leads our team at FXRX in Tempe, Arizona. He has extensive experience in fracture treatment, including sometimes difficult-to-identify stress fractures.
Here’s more from our FXRX team about what a foot stress fracture is, common symptoms to watch for, who is most at risk, and when it’s time to seek professional care.
Early diagnosis and treatment can make all the difference in recovery.
A stress fracture is a small crack in a bone due to repetitive force or overuse rather than a single traumatic injury.
In the foot, stress fractures commonly occur in the long bones of the midfoot (metatarsal bones), heel (calcaneus), or navicular bone. Unlike a broken bone from an accident, stress fractures develop over time, often when the bone doesn’t have enough time to recover between activities.
We frequently see these injuries in athletes and people who suddenly increase their activity level. Stress fractures are among the most common overuse injuries affecting feet and ankles.
Stress fracture pain usually starts subtly and worsens gradually. Common symptoms include:
Unlike muscle soreness, stress fracture pain is often localized to a specific area and doesn’t fully resolve with simple stretching or massage.
Anyone can develop a stress fracture, but certain factors increase your risk:
Women and individuals with osteoporosis or vitamin D deficiency may be particularly vulnerable to stress fractures. Additionally, something as simple as a painful blister on your heel may cause gait changes that increase your risk of a stress fracture.
Athletes are at higher risk, but individuals who suddenly increase their activity, such as taking a walking tour on vacation, are also vulnerable.
Stress fractures don’t always show up on standard X-rays, especially in the early stages. Dr. Dewanjee often suspects stress fractures based on symptoms, activity level, and exam findings.
To confirm the diagnosis, he may recommend advanced imaging, such as an MRI or a bone scan. Early diagnosis is essential in preventing the fracture from worsening and potentially requiring more intensive treatment.
Most stress fractures heal with rest and activity modification. Dr. Dewanjee tailors treatment to your specific needs, which may include:
Dr. Dewanjee may also recommend future training schedules, supportive footwear, and other measures to help prevent stress fractures.
Ignoring pain and other symptoms can lead to a complete fracture and a much longer recovery. If foot pain lasts more than a week, worsens with activity, or becomes localized and tender, it’s time to seek professional help.
Schedule a visit at FXRX today by calling our office or requesting an appointment online.
