Treatment Of Stress Injuries

Successful treatment of stress injuries requires identification of the predisposing factor. A prolonged period of rest may result in resolution of pain, only for the symptoms to recur when the patient resumes running activities. A thorough review of training schedule, footwear, running surfaces, and other predisposing factors such as dietary and hormonal status should be performed. Most stress fractures can be managed with cessation of running and other lower extremity impact-type sports, with weight bearing only during normal daily activities. Cardiovascular fitness can be maintained with non-impact type sports such as cycling and swimming. Most stress fractures will heal in 6 to 8 weeks if compliance with protected weight bearing is followed [14].

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