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Injury Archives: Stress Fracture of the Tibia
Symptoms: Strong pulling at connection points, repeated
impact or twisting stress will sometimes produce a crack or break
in the surface or cortex of the tibia bone itself. This happens
slowly and does not produce a sudden pain, although there is often
throbbing pain. There may be inflammation. The best way to diagnose
a stress fracture is by squeezing the heel from side to side, which
produces pain. Stress fractures hurt more the farther you run. If
pain increases the farther you run and remains after running or
there is numbness or tingling on the top of the foot, there is a
serious medical problem.
Treatment: Stress fractures appear on X-rays about 4-6 weeks
after occurrence and last about 6 weeks. Sometimes you can spot
them on a bone scan earlier. See your doctor (usually an orthopedist)
who may cast the leg to keep you from overstressing the area. Try
to determine what caused the fracture and consider highly cushioned
shoes (such as air soles) or orthotics.
From Galloway's Book on Running by Jeff Galloway, Shelter Publications,
1984, pp.15-16
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