March Stress Fracture
Overview
SymptomsandDiagnosis
Diagnosis
The doctor will ask about your symptoms and health history. A physical exam will be done. It will focus on the foot. You will be asked about the activities that you do. A doctor who treats bones may need to examine the foot. A doctor who treats athletes may also be needed.
Images may be taken of the foot. This can be done with:
- X-ray
- MRI scan
- CT scan
Treatments
Treatment
Stress fractures are treated with rest and nonsteroidal anti-inflammatory drugs (NSAIDs). The foot will need rest for 6 to 8 weeks. Crutches may be needed to avoid putting weight on the foot. A brace or cast may also be needed.
Some people may need surgery to help the bone heal. This can be done with pins, screws, and plates to hold the bones together.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (Stress Fracture, March; Stress Fracture of Metatarsal Bone; Fatigue Fracture)
RESOURCES
American Academy of Podiatric Sports Medicine http://www.aapsm.org
Ortho Info—American Academy of Orthopaedic Surgeons http://orthoinfo.org
CANADIAN RESOURCES
Canadian Orthopaedic Association http://www.coa-aco.org
When it Hurts to Move—Canadian Orthopaedic Foundation http://whenithurtstomove.org
References
Metatarsal stress fracture. Sports injury website. Available at: http://www.sportsinjuryclinic.net/sport-injuries/foot-heel-pain/metatarsal-fracture. Published November 17, 2016. Accessed December 4, 2019.
Stress fracture. Merck Manual Professional Edition website. Available at: http://www.merckmanuals.com/professional/injuries%5Fpoisoning/sports%5Finjury/stress%5Ffractures.html. Updated March 2018. Accessed December 4, 2019.
Stress fractures of the foot and ankle. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/stress-fractures-of-the-foot-and-ankle . Updated March 20, 2018. Accessed December 4, 2019.
Welck MJ, Hayes T, et al. Stress fractures of the foot and ankle. Injury 2017 Aug;48(8):1722.
4/24/2014 DynaMed Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T114482/Decision-rules-for-imaging-of-ankle-and-foot-injuries : Wise JN, Weissman BN, et al. American College of Radiology (ACR) Appropriateness Criteria for chronic foot pain. Available at: https://acsearch.acr.org/docs/69424/Narrative. Updated 2013. Accessed December 4, 2019.