Stress fractures usually happen from repeating the same movement over and over (such as when someone trains for a sport). They also can happen from everyday activities in people whose bones are weak due to poor nutrition or a medical condition.
What Are the Signs & Symptoms of a Stress Fracture?
Someone with a stress fracture might notice:
pain when exercising that may or may not go away after rest
mild swelling and redness
The lower leg and the foot are the most common areas to get a stress fracture. But they also can happen in other areas, such as the arm, spine, or ribs.
How Are Stress Fractures Diagnosed?
To diagnose a stress fracture, a health care provider first asks about general health and activities (such as sports). Then he or she will do an exam to check for tenderness, swelling, or redness. X-rays are usually done.
Some stress fractures don't show up on an X-ray until a few weeks after the bone starts hurting. Sometimes an MRI scan or a is needed.
How Are Stress Fractures Treated?
The most important parts of treatment for a stress fracture are:
resting the injured area
taking a break from sports
Sometimes a child or teen with a stress fracture will need a cast, splint, or brace. Rarely, surgery is needed.
Kids who have pain from a stress fracture can:
Place a cold compress or ice wrapped in a towel on the area for about 15 minutes three times a day.
Take pain medicine as recommended by the health care provider.
Nutritional or psychological counseling can help if a stress fracture happens because of poor nutrition or an eating disorder.
What Can Kids Do While Healing From a Stress Fracture?
Ask the health care provider if your child can exercise a part of the body that does not have the stress fracture. For example, if your daughter has a stress fracture in her foot, she may be able to do exercises with her arms and shoulders. This can help kids stay active during healing.
After a few weeks, your health care provider may give your child the OK to slowly start to increase activity. The provider may recommend physical therapy to help your child safely return to sports.
Can Stress Fractures Be Prevented?
Parents can help prevent stress fractures by making sure that kids: