Stress fractures are a common foot problem. These “fatigue fractures” are due to micro-trauma within the bone. Symptoms include localized pain, swelling, and occasional bruising. Stress fractures usually occur over the forefoot region. The onset of pain is often abrupt and may cause a limp.

Usually the subject cannot recall a specific injury. However, the patient will frequently recall increased activity at the time of onset of pain. Common scenarios include the person working out excessively at the health club, the runner who recently increased his/her mileage, or the person who just moved into a new house. Such repetitive increased activity may be enough to cause a stress fracture.

If you have significant symptoms of pain and swelling, you should be examined promptly by your Podiatrist. X-rays are taken to evaluate the bones for signs of fracture. It is not unusual for a stress fracture to take several weeks to become visible on x-ray. Treatment is typically ice, elevation, and an anti-inflammatory medication for swelling. Modifying activity and minimizing walking in bare feet are important. Most often a stiff-soled surgical shoe is prescribed to decrease load on the forefoot. Symptoms usually resolve in 4 to 6 weeks.