Stress Fractures

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Stress Fractures are slight cracks in the surface of the bone. The most common sites are the bones of the feet, legs, and hands.

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Diagnosis and Treatment

How can you tell that you have a stress fracture? Use the finger test. A stress fracture usually hurts when you press on it with your finger both from above and below. A tendon or ligament usually hurts only on pressure from one side.

X rays usually are not sensitive enough to pick up small cracks in bones. It is not until two or three weeks later, when a callus - a layer of bony material - forms over the crack, that an X-ray diagnosis of a stress fracture can be made. By this time, if you rested the fracture, the pain should have abated.

A sports medicine physician usually will not apply a cast to the injured area. Stress fractures heal by themselves in most cases. The immobilization caused by the cast makes the muscles smaller and weaker.

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