Managing Stress Fractures

Our comprehensive, individualized OsteoFuel program is perfect for patients with stress fractures.

  • A Gradual Return to Activity
    • Progressive Loading: Once the stress fracture has healed sufficiently, athletes can gradually return to activity. It’s essential to progressively load the bone, starting with low-impact activities (e.g., walking or cycling) before advancing to higher-impact sports.
    • Monitoring for Pain: The athlete should not resume intense training until they can perform movements without pain. Monitoring for any discomfort or swelling is critical to prevent re-injury.
  • Strengthening Exercises
    • Progressive Loading: Once the stress fracture has healed sufficiently, athletes can gradually return to activity. It’s essential to progressively load the bone, starting with low-impact activities (e.g., walking or cycling) before advancing to higher-impact sports.
    • Monitoring for Pain: The athlete should not resume intense training until they can perform movements without pain. Monitoring for any discomfort or swelling is critical to prevent re-injury.
  • Preventing Future Stress Fractures
    • Footwear: Proper footwear, particularly in sports that involve running, can prevent stress fractures. Shoes that provide adequate arch support, cushioning, and fit are important for reducing excessive impact on bones.
    • Biomechanical Assessment: A physical therapist may conduct an assessment of the athlete’s biomechanics (e.g., running form, posture) to identify movement patterns that contribute to excessive stress on bones.
    • Training Modifications: Overuse is a common cause of stress fractures. Training intensity, volume, and frequency may need to be adjusted to avoid overloading the bones, especially when an athlete is recovering from a previous fracture.
    • Acute Stress Fractures: Offloading and soft tissue work, Active Release Techniques (ART).
    • Subacute Stress Fractures: EPAT/Radio Shockwave
    • Return to activity: Guiding the patient through proper loading of the injury, progressing with strength, and giving the patient a sound return to run schedule.