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What is a calcaneal stress fracture?

Stress fractures can be a pretty prevalent overuse injury in sports athletes, particularly where there is a substantial amount of repeated movements like running. In sports people virtually any bone could possibly get a stress fracture. A stress fracture is small splits that happen in the bone as the result of too much recurring forces. Bone is an extremely dynamic structure and can adjust to strain on it if it is provided adequate time. If greater forces with activities including running are increased very gradually, then the bone tissue can adjust to these higher loads and be more robust. However, if these loads are usually raised too fast and also the bone is not provided the chance to adjust, then a stress fracture may occur. This is more prone to also occur if there are problems with the health of the bone tissue such as osteoporosis, lack of vitamin d along with decreased calcium. Females are more at risk of developing a stress fracture. Stress fractures in general get better with no complications if given ample time for it to get better. However, stress fractures could be divided into what are regarded as high risk and low risk. A high-risk stress fracture is a stress fracture which may get concerns such as an avascular necrosis. Most of these stress fractures need special care.

A frequent lower risk stress fracture is a calcaneal stress fracture that affects the heel bone. Whenever running the calcaneus bone is what we strike the hard surfaces with and the Achilles tendon also pulls on the heel bone, so a great deal of stress gets put through the calcaneus bone. In case the quantity of running is raised progressively and little by little, then a calcaneal stress fracture is less likely. Whenever a stress fracture can happen in the calcaneus, there is slowly and gradually increasing discomfort in the calcaneus bone. Most take place towards the back of the heel bone, however some happen in the centre as well as some in the front. A characteristic feature is the pain is positive on the calcaneal squeeze test. With this test, you squeeze the heel bone from the sides which brings about pain, typically being very sensitive.

With a calcaneal stress fracture, rest in the first week or so is very significant. The athlete is required to avoid running and replace another physical activity to keep up physical fitness for at least a week or so in order for healing to get going. Dietary problems as well as bone health problems will need to be examined and attended to if required. With the most severe cases, a moon boot or walking splint may be required to assist. As soon as the pain improves, then it is time to very slowly but surely increase the physical activity levels. If this isn't performed properly, it is common for that stress fracture to occur once more or get aggravated. The signs and symptoms can be meticulously monitored applying this calcaneal squeeze test. Should you have a stress fracture in the heel bone, plan on this come back to full physical activity taking a few or even more months in addition to that initial rest time period of a few weeks or so. If you undertake it more rapidly, then the fracture might happen once again.