Physiotherapy for Stress Fractures.

What are Stress Fractures?
 Stress fractures are tiny cracks or severe bruising within a bone, often resulting from repetitive force or overuse, such as running long distances or jumping repeatedly. They can also arise from normal use of a bone that is weakened by conditions such as osteoporosis. Unlike typical fractures that result from a single severe impact, stress fractures gradually develop over time.
 
What Causes Stress Fractures?
Several factors contribute to the onset of stress fractures:
Overtraining: Rapidly increasing activity levels without allowing the body’s adequate recovery.

• Inappropriate Equipment: Wearing worn-out or unsupportive footwear that results in a change of weight distribution through the bone.
• Bone Insufficiency: Conditions like osteoporosis or inadequate nutrient intake that reduce bone density and strength.
• Poor Technique: Improper form can lead to uneven distribution of weight and increased risk of bone injury

 
How are Stress Fractures Diagnosed?
 The diagnosis begins with a thorough clinical evaluation by a physiotherapist or doctor. This includes:

• Detailed history taking of symptoms and activities.
• Physical examination to locate tenderness or swelling.
• Imaging tests, such as X-rays (though stress fractures might not always be immediately visible), MRI, or bone scans to confirm the diagnosis.

 
How can Physiotherapy Help with Stress Fractures?
 Physiotherapy plays a pivotal role in managing and rehabilitating from stress fractures:

• Pain Management: Techniques such as soft tissue massage, ice application can alleviate pain and inflammation.
• Taping and bracing to offload and stabilise injured bone
• Weight-bearing Guidance: Advice on weight-bearing restrictions and the use of aids like crutches.
• Load management: Modifying the training load to allow bone healing and avoid recurrence while gradually building up to desired level of training.
• Exercise Programs: Tailored exercises to maintain strength, flexibility, and fitness without aggravating the fracture.
• Gait and Biomechanical Analysis: To identify and rectify any movement patterns contributing to the injury.

 
How can Clinical Pilates Help with Stress Fracture Rehabilitation?
Clinical Pilates is a therapeutic approach that can immensely aid in the recovery from stress fractures:

• Strengthening: Focus on deep stabilising muscles, ensuring joint stability and offloading the fractured bone.
• Flexibility: Enhances joint and muscle flexibility, reducing strain.
• Postural Alignment: Helps maintain proper body alignment, distributing forces evenly during activities.
• Body Awareness: Develops understanding and control over movement patterns, minimising reinjury risks.

 
What is the Prognosis for Stress Fractures?
With early diagnosis and appropriate treatment, most stress fractures heal completely without complications. Recovery time varies depending on the fracture's location and severity, typically ranging from 6 to 8 weeks for small bones. It's crucial to allow a stress fracture to heal fully before returning to the inciting activity to prevent chronic problems or a complete break.
 
How Can I Prevent Future Stress Fractures?

• Gradually increase activity levels, ensuring adequate recovery.
• Ensure proper footwear and equipment.
• Maintain a balanced diet appropriate to training load to support bone health.
• Consider cross-training to avoid overloading one part of the body.
• Seek regular physiotherapy advice to maintain optimal movement patterns and strength.
  
  

Understanding the nuances of stress fractures is essential for optimal recovery and prevention. If you suspect a stress fracture or seek guidance on injury prevention, consult with a physiotherapist. Prioritising your bone health and being attuned to your body's signals can make all the difference in maintaining an active, healthy lifestyle. Our experienced physiotherapy team at our Tarragindi and Coorparoo clinics are here to provide personalised care and support on your journey to recovery.
​Book online via the link below, call us on 07 3706 3407 or email info@articulatephysiotherapy.com.au.

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If you are unsure about which appointment type is right for you, please don't hesitate to get in touch with our friendly reception staff by calling 07 3706 3407 or emailing info@articulatephysiotherapy.com.au.