Agape Physio can treat...

Stress Fractures

Ankle or leg stress fractures are small cracks in the bones, typically resulting from overuse or repetitive force, often seen in athletes who participate in running and jumping sports. Unlike acute fractures that occur due to a sudden injury, stress fractures develop gradually due to repetitive stress on the bones. Here’s a detailed explanation of stress fractures in the ankle or leg, the symptoms they may cause, and how physiotherapy can assist in the healing process.

About this condition

Stress fractures in the ankle or leg most commonly occur in the weight-bearing bones, such as the tibia (shinbone), fibula (the thinner bone next to the tibia), and the metatarsals in the foot. They are the result of an imbalance between bone resorption and formation, often exacerbated by increased physical activity without adequate rest.

What you may be feeling

Gradual onset of pain in the affected area that worsens with weight-bearing activities and improves with rest.
Swelling, tenderness, and possible bruising at the site of the stress fracture.
Pain that begins after starting an activity and then lingers after the activity has ended.
In some cases, the pain might become constant, interfering with daily activities.

How we can help you

Activity Modification

Initially, it’s essential to reduce or eliminate weight-bearing activities to allow the bone to heal. The physiotherapist will guide activity levels to ensure that healing is not disrupted.

Pain Management

Techniques such as ice, gentle soft tissue massage around the area (not over the fracture site), and possibly the use of modalities like ultrasound can help manage pain.

Protective Bracing or Support

In some cases, a brace, boot, or crutches may be recommended to reduce stress on the affected bone during the early stages of healing.

Strengthening and Conditioning

Once the bone begins to heal, the physiotherapist will introduce a tailored program of exercises to gradually rebuild strength and flexibility in the muscles around the affected area, without putting undue stress on the healing bone.

Gradual Return to Activity

The physiotherapist will develop a graduated plan to safely return to full activity, carefully monitoring for any signs of overload or recurrence of symptoms.

Education and Prevention

Advice on nutrition, proper footwear, and training techniques, as well as modifications to exercise routines, can help prevent future stress fractures. This may include addressing biomechanical factors, such as gait or muscle imbalances, that contributed to the stress fracture.

So, what next?

Recovery from a stress fracture typically involves a period of rest followed by a gradual return to activity, guided by the physiotherapist’s expertise to ensure the bone heals properly and fully. Adherence to the rehabilitation plan and gradual progression in activity levels are key to a successful recovery and return to sports or daily activities without recurrence.

First time at Agape Physio? Book a free 15 minute video consult.