Stress Fractures
Stress fractures are tiny cracks or hairline fractures that develop in bones due to repetitive stress or overuse. Unlike acute fractures caused by a sudden impact or trauma, a stress fracture occurs gradually over time, usually as a result of repetitive force or repetitive loading of the bone. These fractures commonly occur in weight-bearing bones such as the bones of the foot.
Athletes, particularly those engaged in high-impact sports like running, basketball, or gymnastics, are at a higher risk of developing stress fractures due to the repetitive stress placed on their bones during training and competition. Additionally, individuals who suddenly increase the intensity, duration, or frequency of their physical activity may also be susceptible to stress fractures.
Symptoms of stress fractures typically include localized pain, swelling, and tenderness at the site of the fracture. The pain may worsen with weight-bearing activities and ease with rest. In some cases, stress fractures may cause pain even at rest or during normal daily activities.
Most Common Stress Fractures
Metatarsal Stress Fractures
Stress fractures of the metatarsal bones, particularly the second and third metatarsals, are among the most prevalent types of stress fractures in the foot. These fractures often occur due to repetitive impact forces during activities such as running, jumping, or prolonged standing. Metatarsal stress fractures typically present with localized pain, swelling, and tenderness over the affected bone.
Navicular Stress Fractures
Stress fractures of the navicular bone, located on the top of the midfoot, are common in athletes, particularly those involved in sports with repetitive loading on the foot, such as running, basketball, or gymnastics. Navicular stress fractures can be challenging to diagnose and may require advanced imaging studies such as MRI for accurate evaluation. Individuals with navicular stress fractures may experience diffuse midfoot pain that worsens with activity and improves with rest.
Calcaneal Stress Fractures
Stress fractures of the calcaneus, or heel bone, can occur in athletes and non-athletes alike, often due to repetitive impact or excessive tension on the bone. Calcaneal stress fractures typically manifest as deep, achy heel pain that worsens with weight-bearing activities such as walking or running. Individuals with calcaneal stress fractures may also experience tenderness and swelling over the affected area.
Fifth Metatarsal Stress Fractures (Jones Fractures)
Stress fractures of the fifth metatarsal, also known as Jones fractures, are common in athletes, particularly those engaged in sports that involve cutting or pivoting movements. These fractures occur at the base of the fifth metatarsal and may result from repetitive stress or acute trauma. Jones fractures often present with lateral foot pain, swelling, and difficulty bearing weight on the affected side.
Proximal Phalanx Stress Fractures
Stress fractures of the proximal phalanx bones in the toes can occur due to repetitive pressure or overuse, particularly in activities that involve pushing off the toes, such as running or dancing. These fractures may cause localized pain, swelling, and tenderness in the affected toe, often exacerbated by weight-bearing activities.
- Gary Feldman, DPM, FACFAS
Board Certified Surgeon & Foot & Ankle Surgery - James S. Gardiner, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - Christopher S. Raffo, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
Specialized Stress Fracture Care for Foot Injuries in Montgomery County, Maryland
Receive personalized treatment for stress fractures in the foot at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our dedicated team of specialists offers customized solutions to address the pain, swelling, and limited mobility associated with foot stress fractures. Whether you're experiencing discomfort during activity, swelling in the affected area, or difficulty bearing weight on your foot, we're here to provide relief and improve your foot health. Reach out to us at (301) 515-0900 or easily schedule your appointment online to start your journey toward recovery and enhanced foot function.