{"id":240,"date":"2009-05-12T19:48:46","date_gmt":"2009-05-13T02:48:46","guid":{"rendered":"https:\/\/blog.brianschiff.com\/?p=240"},"modified":"2009-05-12T19:48:46","modified_gmt":"2009-05-13T02:48:46","slug":"stress-fractures","status":"publish","type":"post","link":"https:\/\/blog.brianschiff.com\/?p=240","title":{"rendered":"Stress Fractures"},"content":{"rendered":"<p>In all my years as a therapist and strength and conditioning professional, I have seen many active people affected by stress fractures or stress reactions.\u00a0 If you are a runner, you may have experienced such a thing.\u00a0 Likewise, people beginning a new exercise program or rapidly increasing training volume and\/or intensity may be at increased risk for such an injury.<\/p>\n<p>Common stress reaction injuries and stress fractures include:<\/p>\n<ul>\n<li>5th metatarsal stress fracture<\/li>\n<li>Shin splints<\/li>\n<li>Medial tibial stress syndrome (MTSS)<\/li>\n<li>Tibial and fibular stress fractures<\/li>\n<li>Femoral neck (hip) stress fracture<\/li>\n<li>Spinal stress reactions\/fractures<\/li>\n<\/ul>\n<p>Runners, soccer players and gymnasts are often the groups of athletes most likely to suffer these types of injuries.\u00a0 The repetitive impact leads to breakdown in the bone or bone edema (swelling in the bone).\u00a0 What starts out as a mild ache may quickly turn into sharp pain if you fail to heed the warning signs.<\/p>\n<p>Signs and symptoms of stress injuries or stress fractures include: aches or pain with increased loading (running, jumping, and stress at extreme ranges\u00a0of motion), decreased range of motion, decreased strength and altered gait patterns.\u00a0 Pain may lessen after resting a few days, but often returns as soon as you resume higher impact activity in the case of a stress fracture.<\/p>\n<p>In my practice, I see these injuries much more often in females.\u00a0 This is likely in part due to calcium deficiencies and and perhaps biomechanicaldifferences that increase force on the joints and bones.\u00a0 Women also lack strength in comparison to men and weakness equates ot less force dissipation and higher chances ofinjury.\u00a0 Typical treatment is rest, ice and anti-inflammatory meds.\u00a0 In some cases immobilization and restricted weight bearing is necessary to allow full healing.<\/p>\n<p>Below is a picture of a metatarsal stress fracture:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-241\" title=\"5th-met-fracture\" src=\"https:\/\/blog.brianschiff.com\/wp-content\/uploads\/2009\/05\/5th-met-fracture.bmp\" alt=\"Horizontal stress fracture in 5th metatarsal\" width=\"189\" height=\"438\" \/><\/p>\n<p>If you have a persistent nagging ache or pain in the foot, shin, hip or spine, see your doctor to rule out a stress injury with an x-ray.\u00a0 These injuries are easily treated when diagnosed early on.\u00a0 In some cases, neglect may necessitate an operation to remedy the problem.\u00a0 Once you return to training, it is essential to go slow and use the 10% rule each week (not increasing mileage, volume or intensity more than 10% per week) and using a pain dictated progression in regard to exercise.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In all my years as a therapist and strength and conditioning professional, I have seen many active people affected by stress fractures or stress reactions.\u00a0 If you are a runner, you may have experienced such a thing.\u00a0 Likewise, people beginning a new exercise program or rapidly increasing training volume and\/or intensity may be at increased [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,7,26],"tags":[],"class_list":["post-240","post","type-post","status-publish","format-standard","hentry","category-health","category-injury-prevention","category-training"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.10 - 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