Stress Fractures
A
stress fracture is an incomplete break or crack in
a normal bone caused by repetitive trauma. While this injury
can occur after a short stress it is more commonly seen after longer
periods of continued trauma. If there is insufficient
rest between the traumas, the bone cannot rebuild. A small "stress"
fracture can go on to a full break. The pain is gradual
and intensifies with continued activity. Swelling is often seen.
An x-ray may not show signs of the break for the first 5-10 days
after the injury. Pain can be felt with direct pressure from above
and below. Another way of determining a fracture would be the use
of a tuning fork over the affected part. Pain may be felt due to
the vibrations of the fork, causing movement in the bone ends.
Treatment:
-
Discontinue the activity
-
Rest
-
Ice
-
Elevate the affected part.
-
Non-impact aerobic activity (e.g swimming and cycling)
-
Splint or
Cast (if necessary)
-
Crutches
-
medications (preferably OTC) for pain and swelling
If pain and swelling does not subside within a few days and normal activities
also become difficult seek professional help.
Silicone Dynamic Orthotics by reducing pronation can reduce the "torque" forces
which produce a stress fracture.
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