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News this week revealed Giants running back, Ahmad Bradshaw, has a stress fracture in his right foot.  Although Bradshaw has played through similar injuries, his status for the next couple of games as well as choice of treatment remains uncertain.

Stress fractures are common injuries, especially in athletes.  Stress fractures refer to cracks in bones and are very common in the feet, accounting for about 95% of all stress fractures.  They result from continuous low grade stress and force put on the foot over a period of time.  Normally when bone is put under stress it undergoes remodeling; however, the constant repetitive forces that cause stress fractures do not allow the bone time to adequately remodel. 

As for diagnosis, a patient’s history can strongly suggest a stress fracture.  Commonly stress fractures occur in people who change activities, wear improperly fitted or worn shoes, make training errors such as undertaking too much activity very quickly, or make a change in running surfaces.  Risk factors include women with amenorrhea (absent menstrual periods) or osteoporosis.  The physical examination of a stress fracture will typically shows tenderness and soreness over the affected area and pain when supporting the weight of the body or engaging in activity.  Swelling near the injury may also be present.  Once suspected, stress fractures are evaluated through physical examination and imaging studies including X-rays, bone scans, and CT scans. 

At Atlantic Foot and Ankle Associates in Palm Coast, Florida, it is recommended that to treat a stress fracture, most importantly activity level will need to decrease or be replaced with an activity that will not place the same stresses on the foot, such as swimming.  At this point it is important if the activity hurts to stop to avoid further damage.  The foot will need adequate time to heal.  Also orthoses or immobilization of the foot may be recommended depending on the cause and extent of injury.  Some more severe stress fractures may even require surgery.

By Dr. Dennis B. McBroom, DPM



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