Doctor insights on:
Medial Cuneiform Stress Fracture
Can a stress fracture of the intermediate cuneiform bone 2yrs develop a cyst, walk at unusually fast pace at work (8-10 miles a day)on concrete *pics*?
Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more
Possible: Or whatever the initial injury was caused both... ...Read more
I was diagnosed w a stress reaction for medial shin pain. I don't think it's the right diagnosis. What are the diff btwn stress fracture and reaction?
Fracture vs. Edema: With a stress fracture, an actual fracture line (crack in the bone) can be seen on an x-ray or MRI. A stress reaction means bone marrow edema (swelling of the inner part of the bone) can be seen on an MRI but no fracture line. Stress reaction is a "precursor" to a stress fracture, is less serious & often has a shorter recovery period. If I can help, join my team- www. Healthtap. Com/dr-clarkeholmes ...Read more
A bone scan or MRI is diagnostic of a stress reaction or fracture. Plain X-rays will reveal it if it is severe and prolonged enough.
SHin splints represent an inflammation of the periosteum where the muscles attach to the tibial. Stress reactions indicate that the amount of street you are putting on the tbia exceeds the body's ability to heal it.
If you hop on the effected leg and hurts see doc ...Read more
I'm a runner and started having shin pain. There's a large indent along my tibia (medial) with a lump to the side of it. Sound like a stress fracture?
Possible: But I'm having a real hard time with your description telling if the indent is on the bone or in the muscle area. You could have a fascial defect as well that is causing pain in the same area. At any rate, it should be looked at by a doctor because the treatment for the stress fracture would be rest while the treatment for the other defect would be therapy. ...Read more
I have a lateral maellous fracture that is closed with medial stress fracture I am in a short leg non walking cast still a lot of bruising swelling?
Normal: It is normal to still have swelling and bruising after a fracture. If the swelling has increased/continued and is causing significant discomfort please go to your doctor, urgent care, or ER for cast removal. The increased swelling constricts the ankle in the cast and can cause circulation issues/tissue damage. ...Read more
Too soon...: Your body is just beginning to heal the fracture at this time. Normally the fracture site is stable after 5-6 weeks, but then more bone will be laid down and then remodeled at the fracture site. Be patient, it's going to take a while. ...Read more
Can, if insufficient: Time is given to treat it, allowing it to heal completely. If not completely healed it'll recur. ...Read more
Stess Fracture: Stress fractures frequently develop if you do too much or do it too quickly. Gradual increase in activity over time should prevent stress fractures from developing. ...Read more
Nothing: Best treatment is immobilization and rest. Get off it. Should be doing no stretching or exercising that affects the injured area. ...Read more
Not much different: Both will give swelling, pain and redness at site of injury. ...Read more
Motion at fracture: A stress fracture by definition is still an intact bone issue, whereas a normal full fracture entails a bone break in to at least two parts (or more). The full fracture creates a region of potential motion (painful) at the fracture site with instability that will likely require immobilization. Stress fractures can certainly be painful, but no motion is sensed at the stress fracture site. ...Read more
X-ray and exam.: Most stress fractures in the foot will have local tenderness to the bone. An x-ray will usually show if you have a stress fracture or not. If the stress fracture is new it may not show up on an x-ray for 2-3 weeks. In the early period an MRI would be able to show if you have a stress fracture or not. ...Read more
Possibly: Sometimes even after a fracture is healed the area can stay swollen for a while afterwords. ...Read more
Meds/exer/fall prev: Fractures are usually due to osteoporosis - poor bone quality and low bone quality- is very common, esp. In post- menopausal women. 50% may have a fracture after age 50. Calcium, vit. D, stopping cigs, reduce alcohol, fall prevention, wt. Bearing exercise, and medications (hormone therapy or anti- osteo meds are all part of a sensible regimen. Ideal approach is to prevent osteo. ...Read more
Yes: It is not unusual to have some swelling with stress fractures. ...Read more
Yes: If the fracture is in the healing process and has not healed through yet then patients may have pain. It should lessen over time as long as it is in the proper anatomical position for healing. Make sure to continue following all the instructions your provider gave you for the complete length of healing process and definitely follow up! ...Read more
Stress of Running.: You did not say where the stress fracture was suspected. Let us assume it is in the foot as that is the most likely spot. There is usually pain and swelling in the immediate area of the bone that is fractured. There may be some bruising but not usually. Oddly enough x-rays usually do not show the stress fracture until some time later. Follow the RICE protocol and walk with a cast boot. ...Read more
Stress fracture: This is not an uncommon problem. Check with your orthopedist about treatment options. ...Read more
Overloading the bone: Stress fractures often are the result of increasing the amount or intensity of an activity too rapidly. They also can be caused by the impact of an unfamiliar surface (a tennis player who has switched surfaces from a soft clay court to a hard court); improper equipment (imprper shoes); and increased physical stress (a basketball player who has had a substantial increase in playing time). ...Read more
Boot. Wb protection: Depends on where the stress fx. Is but in a young pt. Like you if u have a metatarsal stress fx. (most common) a protectective boot or cam-walker for 6-8 wks. Weight-bearing is increased as the fracture heals. A bone stimulator may be indicated if healing is slow. See your ors. ...Read more
Pain with activities:
Stress fracture means a tiny crack in the bone as a result of too much stress on the bone, more often occurring on feet. Typically one does not feel much pain/discomfort at rest, but experiences more pain with activities putting stress on the bone, such as walking/running etc...
Stress fracture of hip is quite unusual at age 32 unless some recent trauma. So, consult doc for your pain. Good luck. ...Read more
Nature says: Fractures take at least 6-8 weeks. You can't make it go faster but if you don't follow the instructions regarding weight bearing activities you'll slow down the process for certain. ...Read more
Symptoms and Imaging:
Stress fractures usually cause pain, but may also cause swelling and discoloration.
The nature of stress fractures can make them very hard to identify on x-rays, but some may be apparent based on their size or phase in healing. Larger stress fractures or those that have had some to start healing are often the ones that can be seen with x-ray.
The most specific test for a stress fracture is a mri. ...Read more
Fracture: No. Compression fractures usually refer to injuries to the spine. When you are younger this can usually be a result of significant trauma. As we get older and the bones become weaker a compression fracture can result from osteoporosis. Stress fractures on the other hand can involve any bone in the body and occur as a result of overuse and stress. ...Read more
You can't know: Where is the pain? It is difficult to answer this question without specifics. Have a doctor evaluate the issue. ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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