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Leg

Stress Fracture

A stress fracture is a tiny crack in a bone caused by repetitive force, often from overuse. They most commonly occur in the weight-bearing bones of the foot and lower leg and are frequent in runners and athletes who rapidly increase training.

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Typical Recovery Time
6-8 weeks of relative rest; full return to sport 8-16 weeks

Symptoms

  • Pain that develops gradually during activity
  • Pain that improves with rest
  • Swelling on the top of the foot or outside of the ankle
  • Tenderness when touching the bone
  • Pain with normal daily activities as injury worsens

Common Causes

  • Sudden increase in training volume
  • Repetitive impact activities
  • Low bone density
  • Poor nutrition or vitamin D deficiency
  • Improper footwear

Treatment Options

1Rest from high-impact activities
2Protected weight bearing or boot
3Cross-training with low-impact exercise
4Calcium and vitamin D supplementation
5Gradual return to activity
6Surgery in rare severe cases

When to See a Doctor

See a doctor promptly if you suspect a stress fracture — continuing to train can cause a complete fracture.

Frequently Asked Questions

What is a stress fracture?
A stress fracture is a small crack in a bone caused by repetitive stress rather than a single injury. It commonly occurs in the lower leg or foot. It can worsen if not treated early.
What causes a stress fracture?
It is caused by overuse, repetitive impact, or sudden increases in activity. Poor nutrition, footwear, and bone health can contribute. Athletes and runners are at higher risk.
What are the symptoms?
Symptoms include localized pain that worsens with activity and improves with rest. Swelling and tenderness may be present. Pain can become constant if ignored.
How is it treated?
Treatment requires rest from impact activity and sometimes protective footwear or a boot. Healing depends on reducing stress on the bone. Early diagnosis helps prevent worsening.
How long does recovery take?
Recovery typically takes 6 to 8 weeks but varies by location and severity. Return to activity should be gradual. Pain-free walking is an important milestone before returning to sport.

Providers Who Treat Stress Fracture

Sports medicine specialists near you

Dr. Gregory Rubin
Gregory Rubin, DO
Primary Care Sports Medicine
📍 Naples, FL
✓ Accepting Patients
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