What are Stress Fractures?
Stress fractures are tiny cracks in bone caused by repetitive force or overuse, often from jumping or running long distances. They're common in the weight-bearing bones of the foot and lower leg.
Unlike acute fractures from sudden injury, stress fractures develop gradually. They're particularly common in athletes and military personnel but can affect anyone who suddenly increases their activity level.
Common Symptoms
- Pain that develops gradually over time
- Pain that worsens with activity
- Pain that improves with rest
- Swelling on top of the foot or ankle
- Tenderness at a specific spot
- Pain that becomes constant if ignored
Common Causes
- Sudden increase in training intensity
- Change in training surface
- Poor footwear or worn-out shoes
- Biomechanical abnormalities
- Low bone density (osteoporosis)
- Poor nutrition or vitamin D deficiency
- Female athlete triad
How We Treat Stress Fractures
We use clinical examination and imaging to confirm diagnosis, then develop a structured recovery plan. This includes activity modification, addressing contributing factors, and a gradual return-to-sport programme. Where biomechanical overload contributed to the injury, custom orthotics help manage load and lower the risk of it happening again.
Immobilisation
Activity Modification
Biomechanical Correction
Graduated Return to Sport
Ready to get stress fractures treated?
When to Seek Professional Help
- Pain persists despite rest
- You can't bear weight on your foot
- Pain is affecting your daily activities
- You've had stress fractures before
- Swelling or bruising develops
Frequently Asked Questions
Common questions about Stress Fractures at Lower Limb Clinic.
Further Reading
Clinically reviewed by Paul McMullan, BSc(Hons) MSc FRCPSGlasg MRCPod
BSc (Hons) Podiatry · MSc Podiatric Sports Medicine (QMUL) · FRCPSGlasg · MRCPod
Lead Podiatrist & Clinical Director, Lower Limb Clinic Belfast