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.
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.
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.
In some cases, a brace, boot, or crutches may be recommended to reduce stress on the affected bone during the early stages of healing.
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.
The physiotherapist will develop a graduated plan to safely return to full activity, carefully monitoring for any signs of overload or recurrence of symptoms.
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.
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