Foot Stress Fracture

If you’re dealing with ongoing foot pain that intensifies with activity and fades with rest, you may have a stress fracture in the foot. This type of injury is common but can become serious if left untreated. 

At Orthopedic Foot & Ankle Center in Greater Columbus, our expert orthopaedic surgeons specialize in diagnosing and treating foot and ankle conditions. If you’re experiencing pain or suspect a foot fracture, contact us for personalized care and lasting relief.

Do I Need Surgery?

Visiting an orthopedic surgeon doesn’t mean that surgery is necessary. Our orthopedic doctors always prefer to use non-surgical procedures to treat injuries.

What Our Patients Say

I highly recommend them for their professionalism and skills. My family doctor referred me to treat my fractured ankle. My husband and I were impressed and pleased by the friendly and helpful staff at his practice. Everyone was compassionate and concerned about my comfort and wellbeing. The surgery center was easy to access and the staff was professional and well trained. The pain management was amazing. I truly was never in much pain and was off all pain medication in one week. The doctor repaired my ankle and I am happy to report I have full flexibility and I am pain free. The one stop shop was great with an X-ray department, cast clinic, and physical therapy all in one place. ” — Doris B.

What is a Stress Fracture?

A stress fracture is a small crack or significant bruising within a bone, often the result of a repetitive force that outpaces the bone’s natural ability to repair itself. Unlike an acute fracture, which results from a single traumatic event, stress fractures develop gradually, making them harder to detect early.

These injuries are classified as overuse injuries, typically affecting the weight-bearing bones in the lower body. When the body is subjected to repeated stress, such as from running, jumping, or marching, without adequate rest or support, the affected bone begins to weaken. Over time, a stress reaction may progress into a complete fracture if not addressed.

When a stress fracture occurs because of weakened bones, it may be referred to as an insufficiency fracture.

Causes of a Stress Fracture in the Foot

A sportswoman that got a foot stress fracture while exercising in Ohio.

Stress fractures in the foot can stem from a variety of underlying causes, including:

  • Suddenly increasing the intensity or duration of physical activity
  • Training on hard surfaces without giving the body time to adapt
  • Wearing footwear that fails to absorb shock adequately
  • Having weak bones due to conditions like osteoporosis or nutritional deficiencies
  • Low bone density, especially in those with eating disorders
  • Abnormal biomechanics or improper alignment of the ankle joint
 

Additionally, people with a history of stress fractures or insufficient vitamin D intake may be at increased risk. Athletes, dancers, military recruits, and those returning to activity too soon often develop stress fractures as a result of pushing their limits too hard, too soon.

What Bones in the Foot and Ankle Are Affected?

Several bones in the foot and ankle are prone to fractures due to repetitive strain, including:

  • Metatarsal bones, particularly the second and third, which endure significant pressure during walking and running
  • The heel bone (calcaneus), which is impacted every time the foot strikes the ground
  • The navicular bone, a key structure in the midfoot arch
  • The talus, located in the ankle joint, connects the foot to the lower leg
  • The fibula, a slender bone running alongside the tibia, which can also suffer stress fractures
 

These fractures of the foot can vary in severity, ranging from minor to a complete fracture that compromises function.

Symptoms of a Stress Fracture in the Foot

The most common symptom is significant discomfort that worsens with activity and improves with rest. You may also:

  • Experience pain when walking or standing for long periods
  • Notice swelling near the fracture site
  • Feel ankle tenderness or pinpoint pain over the injured bone
  • See bruising or changes in skin color
  • Be Unable to bear weight without increased pain
 

Other symptoms might include limping, reduced range of motion, or stiffness in the foot.

How Are Stress Fractures Diagnosed?

Accurate diagnosis involves a comprehensive approach:

  1. Health history and medical history review to identify possible risk factors
  2. A physical examination to evaluate tenderness and localized pain
  3. Imaging tests to confirm the diagnosis
 

Standard X-rays might not show a stress fracture immediately. In such cases, more advanced tools like magnetic resonance imaging (MRI) or a bone scan are used to detect early-stage stress injuries.

In some cases, providers may order imaging tests to distinguish between a simple stress injury and a fractured bone. Proper identification helps ensure that the stress fracture heals efficiently and completely.

Treatment: Helping a Stress Fracture Heal Properly

Treatment focuses on allowing the healing process to proceed without interruption while managing symptoms. Key methods include:

  • Rest and restricted physical activity to prevent further injury
  • Wearing protective footwear or using crutches to offload the affected bone
  • Applying ice and elevating the foot to reduce swelling and decrease swelling
  • Using anti-inflammatory medication to relieve pain
  • In severe cases, surgical internal fixation may be needed to stabilize the fracture
 

A customized exercise program may be introduced during recovery to rebuild strength and flexibility. It’s essential not to rush the healing phase, as many stress fractures may break completely if activity is resumed too soon.

Preventing Stress Fractures in the Foot

Proactive steps can help you prevent stress fractures and reduce long-term damage:

  • Gradually increase activity to avoid overloading the bone
  • Maintain a healthy body weight to lessen pressure on your feet
  • Wear proper equipment that supports your gait and stride
  • Prioritize balanced nutrition to maintain the body’s ability to recover
  • Avoid repetitive workouts and alternate with cross-training
 

Monitoring for early signs and taking breaks can protect you from many stress fractures. Early intervention can stop a stress reaction from becoming a full-blown fracture.

Get Expert Help at Orthopedic Foot & Ankle Center

If you’re experiencing symptoms of a stress fracture in the foot or want guidance on injury prevention, reach out to Orthopedic Foot & Ankle Center in Greater Columbus. Our experienced team of orthopaedic surgeons uses advanced diagnostics and personalized care plans to help you heal and stay active. 

Don’t let foot pain keep you sidelined—contact us today to start your recovery.

Medically reviewed by Sarah Abshier, DPM, CWS

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